Psychiatry

Question 1

What is the Mental Health Act (Scotland) 2003 concerned with?

Answer 1

The management and treatment of psychiatric disorders
- no provision for compulsory treatment of physical problems
- eg a patient with a fractured leg refusing treatment cannot be detained based on the mental health act, they can only be detained for treatment of psychiatric disorder

Question 2

How long is an emergency detention under the Mental Health Act (Scotland) 2003?

Answer 2

72 hours

Question 3

How long is an short term detention under the Mental Health Act (Scotland) 2003?

Answer 3

28 days

Question 4

How long is an compulsory treatment order detention under the Mental Health Act (Scotland) 2003?

Answer 4

6 months

Question 5

When does application of the Mental Health Act (Scotland) 2003 occur?

Answer 5

• person has a mental disorder
• medical treatment is available that could stop their condition worsening or help treat symptoms
• if medical treatment was not provided that person would be a risk to themselves or others
• persons ability to make decisions is impaired
• the use of compulsory powers is necessary

Question 6

What is meant by neurosis?

Answer 6

contact retained with reality

Question 7

What is meant by psychosis?

Answer 7

contact is lost from reality

Question 8

What are neuroses disorders typically divided into?

Answer 8

• anxiety
• phobic
• obsessional
• hypochondrial
• depressive

Question 9

How can generalised anxiety disorder be described?

Answer 9

free-floating anxiety in many/all situations

Question 10

How can phobic anxiety be described?

Answer 10

intense anxiety/panic in specific situations

Question 11

How can panic disorder be described?

Answer 11

unpredictable extreme anxiety

Question 12

What are somatoform disorders?

Answer 12

repeated presentation of physical symptoms and persistent requests for medical investigations, in spits of negative findings and reassurance that the symptoms have no physical bases

Question 13

What are the management strategies for anxiety disorders?

Answer 13

Psychological treatment
- ‘psycho-education’
- anxiety management strategies
- CBT

Drugs
- self medication
- prescribed medication

Question 14

What are examples of anxiolytic drugs?

Answer 14

• alcohol
• benzodiasepines
• tricyclic antidepressants
• SSRI antidepressants

Question 15

What are examples of benzodiazepine medications?

Answer 15

• diazepam
• midazolam

Question 16

what are examples of tricyclic antidepressant medications?

Answer 16

• amitriptyline
• nortiptyline
• imipramine

Question 17

What are examples of SSRI anitdepressant medications?

Answer 17

• setraline
• citalopram
• fluoxetine

Question 18

How can anxiety neuroses present dentally?

Answer 18

• TMD and parafunction
• oral dysaesthesis & facial pain
• denture intolerance

Question 19

What is obsessive compulsive disorder?

Answer 19

• mental health disorder
• involves repeated, unwanted thoughts or urges that cause person anxiety
• individual performs a compulsive action or ritual to prevent the development of the anxiety
• ritual may not be related to the anxiety itself