Psychiatry for Denitst Flashcards
Anxiety vs pathological anxiety?
Anxiety normal when perceived threat/ danger
Pathological: increase intensity or freq - interfere with function of individual
Symptom experienced with anxiety?
Psychological: sense dread, irritability, avoidance, panic, fear
Physical: palpitation, SOB, chest pain, sweating, dry mouth
What is phobic disorder?
Situational, predictable w/ anticipatory anxiety and avoidance
How can dental phobias present?
Late presentation, cancel or DNA
Specific phobia, anxiety about somatic reaction, generalise anxiety, social phobia
Management and tx dental anxiety?
Manage: Dental health education, calm and relaxing environment, confident, honest and tactful explanation
Tx: relaxation technique, desensitisation, short term pharmokinetic (diazepam)
What is hypochondriasis?
Abnormal preoccupation presence serious underlying disease - abnormal interpretation of normal sensation
What is somatoformin pain?
Pain w/ psychological rather than organic physical cause
Inconsistent anatomical landmark, continuous and bilateral, prevent sleep - does not wake, repeat -ve investigations, analgesics
What is depression?
Affective mood disorder - depressed mood 2+ week
Lack energy, loss enjoyment, poor appetite, sleep disturbance, poor conc, worthlessness
What is bipolar affective disorder?
Affective mood disorder w/ mania
Elated or irritable mood + 1 week or admission
Over activity, loss inhibition, risk taking, reduced sleep, inflated self esteem, rapid loud speech, racing though, hallucination
What is schizophrenia?
Psychotic disorder - abnormal thoughts and experiences
Decreased drive and social function - alteration personality
Onset early -mid adulthood
+ve and -ve symptoms of schizophrenia?
+Ve - add behaviour or thoughts: delusion, hallucination, thought disorder
-ve- take thoughts or behaviour away: withdrawal, emotional blunting, apathy
What is anorexia?
Eating disorder w/ BMI less 17.5
Self-induced weight loss due to body image distortion
What is bulimia?
Eating disorder - morbid dread of fatness - cyclic binding and purging
Dental symptoms
Screening tool for substance misuse?
CAGE C- have you ever felt you should cut down? A- are you annoyed if people comment? G - do you ever feel guilty E - even drunk early morn?
What is dementia?
Personality disorder
Acquired impairment of global cognitive function
Progressive and irreversible