psychiatry overview

Question 1

outline features of the Mental health Act 2003 (Scotland)

Answer 1

• concerned purely with management and treatment of psychiatric disorders
• nor provision for compulsory treatment of physical problems
• can have detained patients in the community of ‘leave of absence’

Question 2

application of the mental health act

Answer 2

• person has a mental disorder
• medical treatment is available which could stop their condition getting worse or can treat some of their symptoms
• if that medical treatment was not provided, there would be a significant risk to the person or others
• patient’s ability to make decisions about medical treatment significantly impaired due to mental disorder
• that the use of compulsory powers is necessary

Question 3

neuroses vs psychoses

Answer 3

neurosis
- contact retained with reality

psychosis
- contact lost with reality

Question 4

psychiatric conditions in dentistry

Answer 4

neuroses
- anxiety states
- phobias
psychoses
easting disorders
personality disorders

Question 5

neuroses - types

Answer 5

anxiety
phobic
obsessional
hypochondrial
depressive

Question 6

anxiety states

Answer 6

differentiate
anxious patient
- concerned about dental treatment
anxiety neurosis
- concerned about everything

Question 7

anxiety disorders- types

Answer 7

generalised anxiety disorder
- free floating anxiety in many/all situations

phobic anxiety
- intense anxiety/panic in specific situations

panic disorder
- unpredictable extreme anxiety

Question 8

somatoform disorders

Answer 8

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

Question 9

psychological disorders - management

Answer 9

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

drug treatment
- self medication
- prescribed medication

Question 10

anxiolytic drugs- give examples

Answer 10

alcohol
benzodiazepines
- diazepam, midazolam, lorazepam
antidepressants with anxiolytic features
- tricyclic - e.g. amitryptline
- SSRIs e.g. sertraline