teaching Flashcards
ICD-10 chapter 5
more used
DSM-5
originates from america
only in english
useful for personality disorder
psychosis defination?
loss of connection with reality
hallucinations
delusions
hierarchy of treatment
organic
psychosis
affective
hallucination -
is there a stimulus?
no
you have a perception of something
illusion
distorted perception and external stimulus
- different modalities
delusion
defn?
false unshakeable beliefe
even if faced with evidence (outside of the cultural norms)
bizarre
negative / nihilistic
grandiose (in context of mania)
organic cause of psychosis
visual hallucinations - delirium / infection
recreational drug - weed
lewy body dementia
brain tumours
affective disorders?
depressive psychosis
manic
schizophrenia is?
rule of thirds?
suicide rate is?
a disorder of thinking, perceiving and motivation
1/3 - 1 episode
1/3 - relapsing remitting
1/3 - treatment resistant
5%
+ symptoms
delusions
hallucinations
thought disorder
insertion , withdrawal and broadcast
sense of being controlled / passicity
- symptoms
loss of motivation
loss of affect variation
depression - good question to ask
has anything changed for you recently
monoamine hypothesis
NA, 5HT and dopamine
core symptoms
low mood
low energy
inability to enjoy yourself (anhedonia)
bio symptoms
poor sleep
poor appetite
poor concentration
poor motivation
becks triad
hopelessness ( where do you see yourself )
worthlessness
helplessness
depression left untreated
6 months - 2 years
relapsing / remitting
10% chronic unremitting
why are suicide rates so high for men > women
methods men choose tend to be more violent
BPAD
what question must you ask?
manic episode
hypomania aspect of bipolar?
still able to function
mania symptoms
elevated mood
reduced need to sleep
increased energy
highly motivated
lots of new interests including religious ideas
poor judgement
increased libido
psychotic symptoms
grandiose delusions and hallucinations
OCD
obsessions
ruminating, circular thoughts
intrusive
recognised as absurd
personality disorder
traits?
personality is a spectrum from healthy to disordered
what are the features of PD?
disharmonious attitudes and behaviours
engrained and life long
pervasive
considerable personal distress
postpartum mental disorders
postnatal depression
maternity blues
PPD
assessment of postpartum mental disorders?
how do you feel about this pregnancy and birth?
support
how are you managing?
how do you feel about this baby?
previous psych hx
fhx
risk, risk, risk
organic causes of neurotic disorder
panic attacks
hyperthyroidism
drugs: amphetamines
other endocrine imbalances / conditions
dementia
phaecytochroma
depression causes organic?
hypothyroid
nutrients - vit d, b12
anaemia / metabolic causes
why is having downs syndrome a risk factor for alzheimers
3 copies of 21
previous head injury
