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
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2
Q

Negatives of psychiatric medication

A
  • Side-effects more harmful than the illness
  • COST
  • Feelings of being controlled
  • Stigma attached
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3
Q

Do 1st generation medications affect both positive and negative symptoms?

A

YES

- By affecting negative symptoms, patient has more energy and motivation

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4
Q

Do 1st or 2nd generation medications have more side effects?

A

1ST

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5
Q

Can 1st generation drugs improve cognitive impairment?

A

NO - 2nd

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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
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7
Q

2nd generation side effects

A
  • Increased sleepiness
  • Hypersalivation
  • Increased hunger -> weight gain -> diabetes
  • Sexual dysfunction
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8
Q

Factors that increase compliance

A
  • Improve drug efficacy
  • Minimise dose to achieve affect
  • Decrease side effects
  • Depot shots
  • Edu
  • Behavioural techniques
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9
Q

Treatment for depression

A
  1. Do nothing
  2. GP - early intervention
  3. Psychologist
  4. Psychiatrist
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10
Q

What is ECT?

A
  • When you are resistant to antidepressants
  • Controlled seizure is induced
  • Temporary confusion/memory loss
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11
Q

Personality disorder treatment

A
  • DBT
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12
Q

Management of anxiety disorders

A

Edu on:

  • normal anxiety (symptoms)
  • need to confront fear
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13
Q

Management of minor conditions

A
  1. Relaxation training
  2. Problem solving
  3. CBT approached
  4. Referral to psychologist
  5. Medications
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