Psycho-social Flashcards
What is anxiety and when does it become generalised anxiety disorder?
It is a feeling of unease when feeling under threat.
Generalised when the anxiousness lasts for most days in the week.
What are the clinical features of anxiety?
- Dizziness
- Stomach ache
- Tachycardia
- Sweating
- Dry mouth
- Headaches
- Lack of concentration
- Feeling restless
What is depression and are men or women more likely to get it?
Feeling low and sad over a long period of time.
Women
What is bipolar disorder and are men or females more common?
Alternating episodes of depression and euphoria.
Women
What are the clinical features of depression?
- Low mood
- Loss of concentration
- Inability to enjoy pleasure
- Suicidal
- Lack of energy
- Loss of appetite
- Lack of energy
What are the features of bipolar?
- Wearing bright clothes
- Acting over familiar
- Disinhibition
- Pressure of speech
- Flight of ideas
- Risk taking
What is schizophrenia and what are the clinical features?
A loss of contact with reality.
- Hallucinations
- Delusions (believing in something untrue)
- Thought insertion (believing thoughts are being put in their head)
- Broadcasting (believing their thoughts are being read by others)
What is the treatment for schizophrenia?
- Anti-psychotic medication
- Therapy
Who is anorexia nervosa common in and what is it associated with?
- Young girls aged 10-19
- Voluntary reduction in oral intake
- Anxiety about body shape and weight
- Disturbance of weight perception
- Low self esteem, depression and anxiety
- Light headed, dizziness and absence of menstruation
What is bulimia?
Who is it common in?
It is a way of controlling weight by binge eating and then inducing vomiting or laxative abuse.
Common in women aged 20-30
How do all these disorders affect oral health?
- Tend to be poor dental attendance
- Poor oral hygiene
- Increased risk of smoking, alcohol intake and drug use
- Antidepressants and anti psychotics can lead to dry mouth
- Increased risk of dental trauma
What is the dental relevance of eating disorders?
- Dental erosion (typically palatal surface of upper incisors)
- Salivary gland enlargement
- Increased risk of fainting
- Give them less drugs due to lower body weight
What is dementia?
What are the causes of it?
What are the clinical features?
Dementia is the gradual deterioration of intellect, memory and cognitive function.
Causes:
- Degenerative diseases (Alzheimer’s)
- Genetic
- Vascular (multi-infarct disease)
- Metabolic
- Toxic (alcohol)
- Brain lesion (tumour, infection or inflammation)
Clinical features:
- Lack of memory
- Poor concentration
- Difficulty reading and speaking
- Personality changes
What is Alzheimer’s disease?
Causes?
Treatment?
Atrophy to parts of the brain
- Unknown! increased with age, familiy history, smoking, obesity, diabetes, hypertension
Treatment = donepezil (to reduce memory loss and confusion) and social support
What is Parkinson’s disease?
What treatment can these patients have?
What is the dental relevance?
Resting tremor due to degeneration of nerve cells and loss of dopamine.
Treatment = social support, physiotherapy, dopamine agonists
Dental relevance = poor oral hygiene, difficulty in dental chair, increases risk of aspiration of equipment