Psychosis management and aggression

Question 1

Define violence

Answer 1

The intentional use of physical force or power, threatened or actual, against oneself, another person, or against a group or community, which either results in or has a high likelihood of resulting in injury, death, psychological harm, maldevelopment, or deprivation.”

Question 2

What are the various types of violence ?

Answer 2

• Instrumental
• Expressive
• Gang
• Sexual
• Intimate partner/domestic
• Family

Question 3

Define aggression

Answer 3

Intentionally hurting or gaining advantage over another person, without necessarily involving physical injury

Violence and aggression often come hand in hand

Question 4

Go over the rapid tranquilisation protocol in tayside

Note that this differs slightly from ageing block and in the delirium notes which is meant to be exactly the same situation

Basically if ageing and the patient has delirium go with ageing notes, but if not go with this

Question 5

The main management of psychosis and schizophrenia is covered in other lecture but what are some of the treatments which may be given for patients co-morbid conditions with psychosis?

Answer 5

In psychosis with mood disorder other biological treatments available - mood stabilisers eg lithium, sodium valproate, carbamazepine, lamotrigine (bipolar)

Antidepressants

ECT

All the above covered in separate lectures