psychiatry Flashcards
What is a psychiatrist able to do that a psychologist cant?
can legally prescribe medication
Name some anxiety disorders
generalised anxiety panic phobia OCD somatoform disorders
Name some affective disorders
depression
bipolar affective disorder
Name childhood disorders
ADHD
developmental disorders
conduct disorder
Name organic disorders
dementia
delerium
how can schizophrenia present?
delusions
auditory hallucinations
thought disorder
deficits in feeling and social skills
how is schizophrenia treated?
antipsychotic drugs and psychosocial and supportive measures
With regards to dentistry how can schizphrenia affect dental health?
reduced motivation and planning- poor OH
high rates of smoking
antisychotic medication = hyposalivation
How doe depression present?
low mood reduced interest/motivation lethargy sleep and appetite disturbance poor concentration low confidence thoughts of suicide anxiety unreasonable guilt
What is the onset age for depression?
any age
how is depressio treated?
antidepressant drugs
CBT
How does depression impact on dental health?
low motivation for OH
preference to carbohydrates
missed appointments due to anxiety, motivation etc.
What are the three forms of anxiety disorder?
generalised anxiety disorder
panic disorder
phobic anxiety
What is generalised anxiety disorder?
free floating anxiety in many/all situations
what is panic disorder?
unpredictable extreme anxiety
what is phobic anxiety?
intense anxiety/ panic in specific situations
what can be physical symptoms of anxiety?
palpitations sweating trembling/shaking sensations of shortness of breath chest pain nausea or abdominal distress dizziness parasthesia chills/hot flushes dry mouth
What are somatoform disorders?
repeated presentation of physical symptoms that have no physical basis.
With regards to eating disorders- what are the oral implications of chronic self induced vomitting
acid erosion- palatal aspect dental caries cheilosis enlarged parotid gland reddening of palate submandibular lymphadenopathy
What is munchausen’s syndrome?
individuals exaggerate symptoms and repeatedly present to healthcare.
No clear gain to patient
What act is concerned with management of psychiatric disorders?
Mental Health Care and Treatment 2003
What can the Mental Health Care 2003 act do?
have patients detained in the community on community treatment orders
What does the adults with incapacity act 2000 allow for?
makes provision for treamtent to be provided when individual is inable to give informed consent
requires a certificate of incapacity
does not allow treatment against a person’s will
what effect to antidepressants and antipsychotics have?
anticholinergic effect
increased salivation
