W3: Medication in Mental Health Flashcards
1
Q
Advantages of psychiatric medication
A
- Help control symptoms
- Prevent relapse
- Improve daily functioning
- Reduce stigma due to symptoms
- Greater feeling of control
2
Q
Negatives of psychiatric medication
A
- Side-effects more harmful than the illness
- COST
- Feelings of being controlled
- Stigma attached
3
Q
Do 1st generation medications affect both positive and negative symptoms?
A
YES
- By affecting negative symptoms, patient has more energy and motivation
4
Q
Do 1st or 2nd generation medications have more side effects?
A
1ST
5
Q
Can 1st generation drugs improve cognitive impairment?
A
NO - 2nd
6
Q
1st generation side effects
A
EPSE
- Parkinsonism: rigidity, slowed movements, shuffling gait
- Dystonia: stiffness in muscles of head and neck
- Akathisia: restlessness in lower limbs
- Tardive dyskinesia: impacts muscles of mouth, tongue and jaw
7
Q
2nd generation side effects
A
- Increased sleepiness
- Hypersalivation
- Increased hunger -> weight gain -> diabetes
- Sexual dysfunction
8
Q
Factors that increase compliance
A
- Improve drug efficacy
- Minimise dose to achieve affect
- Decrease side effects
- Depot shots
- Edu
- Behavioural techniques
9
Q
Treatment for depression
A
- Do nothing
- GP - early intervention
- Psychologist
- Psychiatrist
10
Q
What is ECT?
A
- When you are resistant to antidepressants
- Controlled seizure is induced
- Temporary confusion/memory loss
11
Q
Personality disorder treatment
A
- DBT
12
Q
Management of anxiety disorders
A
Edu on:
- normal anxiety (symptoms)
- need to confront fear
13
Q
Management of minor conditions
A
- Relaxation training
- Problem solving
- CBT approached
- Referral to psychologist
- Medications