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3 Mental Health EJR > week 2 > Flashcards

week 2 Flashcards

1
Q

what is mania

A

episodes of elevated moods with high energy and euphoric moods

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2
Q

symptoms of mania

A 
restlessness
talkativeness
difficulty concentration
decreased need for sleep
increased sexual energy
increased sociability
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3
Q

difference between hypomania and mania

A

severity of symptoms
impact on function
presence of psychosis

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4
Q

what are behavioural characteristics of someone with mania

A 
restless
increased eye contact
agitation
excitation
overfamiliar
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5
Q

what is pressure of speech

A

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

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6
Q

what is bipolar disorder

A

cycling between episodes of depression and mania

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7
Q

what is mix-affective state

A

rapid cycling of states within a day

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8
Q

when does peurperal depression usually present

A

about a month after delivery

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9
Q

what does peurperal psychosis usually present

A

2-14 days after delivery

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10
Q

what is the primary cause of post-natal blues

A

hormonal imbalances after delivery

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11
Q

what antidepressants can be given

A

SSRI
SNRI
TCA
MAOI

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12
Q

what medication to give for mania

A

mood stabilisers

lithium
valproate
lamotrigine
carbamazepine

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13
Q

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

A

ECT

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14
Q

what is depersonalisation

A

when a patient believes they themselves are not real

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15
Q

what is derealisation

A

when a patient believes everyone around them is not real

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16
Q

what GI symptoms do anxiety patients often describe

A

butterfly in my stomach

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17
Q

what is agoraphobia

A

fear of being in a space where escape is unavailable

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18
Q

what is the social/psychological risk of someone with agarophobia

A

being housebound

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19
Q

what behaviour does someone with agarophobia have

A

social avoidance

20
Q

difference between panic disorder and generalised anxiety disorder

A

panic disorders consist of discrete episodic panic attacks

GAD is a continuing baseline anxiety about everything and anything

21
Q

what behaviours does someone with OCD have

A

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

22
Q

characteristics of compulsive thoughts in someone with OCD

A

intrusive, repetitive, recognised as irrational and as own thoughts

23
Q

what stress related anxiety disorders are there

A

adjustment disorder
PTSD
acute stress disorder

24
Q

what specific thing must happen for PTSD to be diagnosed?

A

life threatening event

25
Q

3 core symptoms of PTSD

A

flashbacks
hyperarousal/vigilance
avoidant behaviour

26
Q

when to treat adjustment disorder

A

if more than 6 months

27
Q

what is somatoform disorder

A

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

28
Q

when can somatoform disorder by diagnosed

A

by exclusion after ruling out every other known possible cause

29
Q

what is a dissociative disorder

A

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

30
Q

what 4 domains would personality affect/determine

A

cognitions - attitudes and interpretations of others

mood - range/intensity/appropriateness

impulse control and gratification needs

relationships

31
Q

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

A

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

32
Q

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

A

pervasive
problematic
persistent

33
Q

what are the 3 clusters of personality types

A

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

34
Q

what types of personalities are there in Cluster A

A

paranoid

schizoid

35
Q

what types of personalities are there in Cluster B

A

borderline
dissocial
narcissistic
histrionic

36
Q

what types of personalities are there in Cluster C

A

anankastic
anxious
dependent

37
Q

traits of a dissocial personality type

A 
unempathetic
antisocial
failure to learn/accept responsibility
lack of guilt
impulsive
anger issues
38
Q

what type of people are dissocial personality types usually found in

A

young men

39
Q

traits of a borderline/EUPD person

A

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

40
Q

who tend to have borderline/EUPD personalities

A

young women

41
Q

difference between someone with borderline personality and someone with histrionic type

A

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

42
Q

describe someone with anankastic pesonality type

A

anal
obsessive compulsive personality type
inflexible
humourless

43
Q

how to borderline personality disorder types present

A

dramatic plea for help
overdose/self harm
quasi psychotic symptoms

44
Q

what kind of behaviour are dissocial personality types usually associated with

A

criminal behaviour

45
Q

how to find out a patients personality?

A

ask about

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

3 Mental Health EJR (4 decks)

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