Psychosis/ Bipolar Affective Disorder/ Depression Flashcards
prodromal symptoms?
social withdrawal, isolation, irritability and ager, sleep disturbance, functional impairment
positive symptoms?
delusions, hallucinations and thought disorder
differentials for psychosis?
schizophrenia, substance misuse, organic causes, acute transient psychotic episode, mood disorder, schizoaffective
what is schizophrenia?
symptoms present at least 1 month in absence of organic disorder or mood disorder, positive and negative symptoms
Section 3 lasts up to?
6 months
what is treatment resistant psychosis?
clozapine after 2 antipsychotcis at therapeutic dose have not helped
clozapine is associated with?
myocarditis hence sob
what distinguishes bipolar from schizophrenia?
normal mood and functioning in between
triggers of bipolar disorder?
psychosocial stress/ sleep disturbance
type 1?
1 manic episode with or without major depressive episode
type 2?
hypomanic episode and major depressive episode
DIGFAST
Distractibility
indiscretion (risk taking behaviour)
grandiosity
flight of ideas
action increase- excess energy
sleep changes- decreased need for sleep
talkativeness- pressure of speech: rapid and uninterpreted speech
elevated mood or irritability
hypomania should be less than ?
4 days
mania should be?
more than week or any duration if hospitalised
formal thought disorder?
circumstantiality- talking around the idea
tangentiality
flight of ideas
