Psychiatry Flashcards
depression assessment tool and score for less severe depression and severe depression
PHQ 9
under 16 for less severe
16 and over for severe
treatment for less severe
guided self help
CBT
group exercises
SSRI
more severe depression treatment
CBT and anti depressants
how long does it take anti depressants to work and how long should px remain on them
4-6 weeks
6m
when should patients be followed up if on anti depressants
1w if 18-25
2w otherwise
how to switch between SSRI
withdraw one then start the other
fluoxetine to another SSRI
withdraw - gap for 4-7 days before starting another
SSRI to TCA
cross tapering
SSRI to venlafaxine
cross taper
flueoxtine to venlafaxine
withdraw then start ven
type 1 bipolar
type 2 bipolar
mania
hypomania
what should be done in bipolar with anti depressants
taper and stop
risk factors for schizophrenia
black, FH, urban environment, weed
treatment for anorexia
CBT - ED focused, MANTRA, SSCM
treatment for anorexia in children
anorexia focused family therapy and CBT
acute stress disorder when
1-4 weeks after trauma
treatment for acute stress disorder
CBT benzo’s
PTSD when
over 4 weeks from trauma
treatment for PTSD
CBT
eye movement and desnsitization
venlafaxine or sertralinewh
what to give for severe PTSD
risperidone
GAD treatment
education
CBT
drugs for GAD
sertraline
pregablin
when to follow up in GAD
weekly in high risk patients
panic disorder treatment
drugs in panic disorder
CBT
SSRI or imipramine, clonipramine
OCD treatment for mild functional impairment
CBR/ERP
SSRI or intensive CBT and ERP
OCD treatment for moderate function impairment
SSRI or intense CBT and ERP
clomipramine alt to SSRI
severe OCD management
SSRI and CBT and ERP
how long to stay on SSRI for initial reponse
how long before stopping or changing it
12 weeks
12 months
cluster A personality disorders
paranoid, schizoid, schizotype
cluster type b
anti social, EUPD, histrionic, narcisitic
cluster type c anxious fearful
obsessive - compulsive, avoidant, dependent
hallucinations on BG of cognitive impairment
charles bonnet syndrome
parts of body or perion is dead or non existent
cotard syndrome
believing a famous person is in love with them
de clerambaults
thinks partner is cheating on them, pathalogical jealousy
orthello syndrome
multiple physical symptoms for ove 2 years
somatisisation
loss of motor or sensory symptoms
conversion disorder
when do seizures happen in alcohol wqithdrawal
36 hours
what gets monitorered in methylphenidate
height
weight
BP and HR
hyperthermia, altered mental status, autonomic dysfunction and generalised muscle rigidity (often described as ‘lead pipe’ rigidity)
Neuroleptic malignant syndrome
simple, unstructured sounds e.g. buzzing or whistling
Elementary hallucinations
alcohol dependance and depression
mirtazapine
When stopping a SSRI the dose should be gradually reduced over how long
4 week period
