Psychiatry Flashcards
when is typical onset of psychiatric disorders?
adolescence or early adulthood
what are the two most common outcomes of a psychiatric disorder?
- chronic
- relapsing/remitting
what % of psychiatric disorders are dealt with in primary care?
> 90%
what are two factors that contribute to psychiatric disorder
- polygenic (genetic)
- environmental
name 2 organic disorders?
- dementia
- delirium
what are of the brain is affected by dementia?
global issue
what are 4 characteristics of dementia?
- poor memory
- disorientation
- poor ability to judge and plan
- difficulty learning new things
what the outcome for dementia? ie is it curable?
it is progressive and persistent
what can slow down the progression of dementia?
medication
what should be considered when treating a patient who has dementia?
- capacity to give informed consent? - do they require a certificate of incapacity?
- may forget to brush teeth etc
what are the 3 stages of alcohol and drug misuse?
- intoxication
- harmful use (physical harm to self or others)
- dependence (limits life)
what is the definition of schizophrenia?
fundamental and characteristic distortions of thinking and perception
what are 5 symptoms of schizophrenia?
- delusions (sometimes bizarre)
- auditory hallucinations (usually threatening/derogatory)
- thought and feeling disorder
- deficits in motivation
- poor social skills
what is the prevalence of schizophrenia?
1% (1 in 100)
the typical onset of schizophrenia…?
early adulthood
what is the treatment of schizophrenia?
anti-psychotic drugs + psychosocial/supportive measures
what is the 4 dentally relevant points with schizophrenia?
- psychotic beliefs (ie teeth causing voices in head - take them out!)
- reduced motivation = poorer oral hygiene & diet
- increased smoking rates
- antipsychotic drugs have anti-cholingeric effect = hyposalivation
what % of the population are affected by depression?
10%
what are the typical symptoms of depression?
- low mood
- lack in motivation
- tiredness/lethargy (unresposiveness)
- sleep disturbance
- appetite disturbance
- poor concentration
- regular suicidal thoughts
- loss of self esteem/confidence
- unreasonable approach to ones self
- any form of anxiety