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32 Cards in this Set

  • Front
  • Back

what are the core/A symptoms of depression?

- low mood


- anhedonia


- anergia

what are the cognitive symptoms of depression?

- concentration troubles


- memory loss


- guilt


- worthlessness

what is the mnemonic for depression symptoms and what are they?

Sleep


Interest


Depressed mood


Energy


Concentratio


Appetite


Psychomotor retardation

what 3 criteria allow detention under the MHA?

- must have a mental disorder


- must have risk of harm to self/others


- must be a treatment

what are the sections of the MHA and how long can people be detained under them for?

- section 2 for assessment/treatment <28days


- secton 3 for treatment <6months


- section 5 for MHA assessment <72hrs (1 Dr)


- section 136 to put in a safe palce <72hrs (by police officer)

who is required to detain under section 2/3 of the MHA?

1 approved MH professional and recommendation of 2 doctors

what is needed to have capacity?

- understand info


- retain info


- weight up info


- communicate their decision

what are the physical causes of depression?

- hypothyroidism / parathyroid


- cushing’s


- alcohol/drug abuse


- renal failurefolate def


- cerebral tumour

what are the main classes of drugs used to treat depression?

- SSRIs


- SnRIs


- MAOIs


- NaSSa


- Lithium

what is the most common class of antidepressants and name some specifics

SSRIs


- citalopram / escitalopram


- sertraline


- fluxoetine

what are examples of SNRIs

- venoflaxine


- duloxetine



- what is an NaSSa and give the widely used agent

Nor-adrenergic and specific serotonergic antidepressant - MIRTAZPINE
what is the main tricyclic antidepressant used?

amitriptyline

what are obstrectic RFs for schizophrenia?

- pre-eclampsia


- LBW
- emergency c-section

which symptoms are best controlled by anti-psychotics and why?

positive symptoms because these are due to excess dopamine in the mesolimbic tract and antipsychotics are dopamine antagonists

what are the types of thought interference?

- though withdrawal


- thought insertion


- thought broadcasting

what are the delusions associated with schizophrenia?

- delusional perception


- passivity


- thought interference

what is delusional perception?

real stimulus is interpreted in a delusional way - eg it is raining therefore i am the queen

what is passivity?

belief that an outside force is controlling actions/sensations
what are the three phases of schizoprenia?

- ARM --> no psychotic symptoms


- acute --> positive symptoms


- chronic --> negative symptoms

what are the postive symptoms of schizophrenia?

- hallucinations


- delusions


- disorganised speech

what are the negative symptoms of schizophrenia?

- anhedinia


- alogia (poverty of speech)


- affective blunting


- apathy


- social withdrawal

what are the differences between atypical and typical antispsychotics?

typical = older, cheap, effective but non-specific so EPSEs common




atypical = newer, fewer EPSEs

what are examples of typical antipsychotics?

- chlorpromazine


- haliperidol



what are examples of atypical antipsychotics?

risperidone, olanzapine, aripiprazole, quetiapine

what are main extra-pyramidal SEs?

dystonia, akathisia (restlessness), parkinsonism, tardive dyskinesia, hyperprolactinaemia

what are symtoms of hyperprolactaemia?

- galactorrhoea


- amenorrhoea


- gynaecomastia


- hypogonadism

why does clozpine require monitoring?

agranulocytosis which can be fatal occurs in 3%, check for neutropenia every week.

what are symptoms of neuroleptic malignant syndrome?

- muscle stiffness & rigidity


- altered consciousness


- fever


- tachycardia


- labile BP


- raised CK and WCC

what are the treatments for BPAD and their properties?

- lithium = nephrotoxic


- sodium valporate = acute


- carbamepazine = liver toxicity, 2nd line prophylaxis

what defines a manic episode?

lasting >1week and distrupting work/social life etc

what are the symptoms/signs of mania?

Distractability


Impulsivity


Grandiosity


Flight of ideas


Activity/appetite increase


Sleep decreased


Talkativeness