week 2

Question 1

what is mania

Answer 1

episodes of elevated moods with high energy and euphoric moods

Question 2

symptoms of mania

Answer 2

restlessness
talkativeness
difficulty concentration
decreased need for sleep
increased sexual energy
increased sociability

Question 3

difference between hypomania and mania

Answer 3

severity of symptoms
impact on function
presence of psychosis

Question 4

what are behavioural characteristics of someone with mania

Answer 4

restless
increased eye contact
agitation
excitation
overfamiliar

Question 5

what is pressure of speech

Answer 5

speaking very fast with no pause, as if there is an urgency to say things

Question 6

what is bipolar disorder

Answer 6

cycling between episodes of depression and mania

Question 7

what is mix-affective state

Answer 7

rapid cycling of states within a day

Question 8

when does peurperal depression usually present

Answer 8

about a month after delivery

Question 9

what does peurperal psychosis usually present

Answer 9

2-14 days after delivery

Question 10

what is the primary cause of post-natal blues

Answer 10

hormonal imbalances after delivery

Question 11

what antidepressants can be given

Answer 11

SSRI
SNRI
TCA
MAOI

Question 12

what medication to give for mania

Answer 12

mood stabilisers

lithium
valproate
lamotrigine
carbamazepine

Question 13

what treatment when medication and therapy has not worked for depression/mania

Answer 13

ECT

Question 14

what is depersonalisation

Answer 14

when a patient believes they themselves are not real

Question 15

what is derealisation

Answer 15

when a patient believes everyone around them is not real

Question 16

what GI symptoms do anxiety patients often describe

Answer 16

butterfly in my stomach

Question 17

what is agoraphobia

Answer 17

fear of being in a space where escape is unavailable

Question 18

what is the social/psychological risk of someone with agarophobia

Answer 18

being housebound

Question 19

what behaviour does someone with agarophobia have

Answer 19

social avoidance

Question 20

difference between panic disorder and generalised anxiety disorder

Answer 20

panic disorders consist of discrete episodic panic attacks

GAD is a continuing baseline anxiety about everything and anything

Question 21

what behaviours does someone with OCD have

Answer 21

obsessive and compulsive behaviours
obsession about something having to be done right, often associated with anxiety otherwise,

compulsive behaviours are rituals that calm the person

Question 22

characteristics of compulsive thoughts in someone with OCD

Answer 22

intrusive, repetitive, recognised as irrational and as own thoughts

Question 23

what stress related anxiety disorders are there

Answer 23

adjustment disorder
PTSD
acute stress disorder

Question 24

what specific thing must happen for PTSD to be diagnosed?

Answer 24

life threatening event

Question 25

3 core symptoms of PTSD

Answer 25

flashbacks hyperarousal/vigilance avoidant behaviour

Question 26

when to treat adjustment disorder

Answer 26

if more than 6 months

Question 27

what is somatoform disorder

Answer 27

when patient is experiencing specific somatic symptom without any identifiable organic cause

Question 28

when can somatoform disorder by diagnosed

Answer 28

by exclusion after ruling out every other known possible cause

Question 29

what is a dissociative disorder

Answer 29

psychological disorder causing disruption in cognitive function. e.g. amnesia

Question 30

what 4 domains would personality affect/determine

Answer 30

cognitions - attitudes and interpretations of others mood - range/intensity/appropriateness impulse control and gratification needs relationships

Question 31

what ways do personality disorders and psychiatric disorders overlap, interact and affect each other

Answer 31

PD and predispose to psych d/o PD can coexist with psych d/o PD and psych d/o can be mistaken for each other personality can be worsened by a psychiatric d/o clinical features of psych d/o can be modified by PD

Question 32

what are the 3 P's of something that characterisis a disorder

Answer 32

pervasive problematic persistent

Question 33

what are the 3 clusters of personality types

Answer 33

cluster A - odd/eccentric cluster B - dramatic cluster C - anxious

Question 34

what types of personalities are there in Cluster A

Answer 34

paranoid | schizoid

Question 35

what types of personalities are there in Cluster B

Answer 35

borderline dissocial narcissistic histrionic

Question 36

what types of personalities are there in Cluster C

Answer 36

anankastic anxious dependent

Question 37

traits of a dissocial personality type

Answer 37

``` unempathetic antisocial failure to learn/accept responsibility lack of guilt impulsive anger issues ```

Question 38

what type of people are dissocial personality types usually found in

Answer 38

young men

Question 39

traits of a borderline/EUPD person

Answer 39

multiple turbulent relationships impulsivity variable intense mood stress-related psychotic like symptoms

Question 40

who tend to have borderline/EUPD personalities

Answer 40

young women

Question 41

difference between someone with borderline personality and someone with histrionic type

Answer 41

histrionic types are very dramatic, crave attention, suggestible and tend to go on crushes/fads

Question 42

describe someone with anankastic pesonality type

Answer 42

anal obsessive compulsive personality type inflexible humourless

Question 43

how to borderline personality disorder types present

Answer 43

dramatic plea for help overdose/self harm quasi psychotic symptoms

Question 44

what kind of behaviour are dissocial personality types usually associated with

Answer 44

criminal behaviour

Question 45

how to find out a patients personality?

Answer 45

ask about ``` social interactions trust anger and temper control impulsivity - regrets worry/anxiety levels dependency perfectionism ```