tx of Acute dystonia secondary to antipsychotics
procyclidine
describe Schizotypal personality disorder
lack close friends other than family and can have odd or eccentric behaviour, speech and beliefs
which anti psychotic has the fewest side effects
aripiprazole
what is important to always rule out before diagnosing GAD
thyroid disease
describe catatonia
stopping of voluntary movement or staying still in an unusual position
most effective antipsychotic for dealing with negative symptoms.
clozapine
whats a good anti depressant for OCD
clomipramine
sx of normal grief reaction
tearfulness, irritability, and even transient hallucinations of the deceased
aytpical woiuld be if it lasted more than 6-12m
what drugs can U not eat cheese with
MAOI
eg phenelzine
what is The first line treatment for an acute manic or mixed episode in Bipolar affective disorde
atypical antipsyhotic
what to add if someone with bipolar on long term lithium still struggling
valproate
treatment of delirium tremens
IV Pabrinex and high dose Benzodiazepine.
what is agoraphobia
fear of public spaces or fear of entering a public space from which immediate
escape would be difficult in the event of a panic attack
what findings would you expect with neuroleptic malignant syndrome
● Raised CK (creatine kinase) –> due to muscle rigidity
● Raised white cell count
● Deranged LFT’s
● Acute renal failure –> abnormal U&E’s
● Metabolic acidosis –> low pH, low HCO3
how to switch from fluoxetine to sertraline
withdraw fluoxetine, leave a gap of 4-7 days then start low dose sertraline
how to differentiate somatisation and hypochondriasis
Somatisation disorder requires the presence of multiple unexplained symptoms persisting for at least two years
most common endocrine disorder developing as a result of chronic lithium toxicity
hypothyroidism
how is cyclothymic disorder characterised by
Cyclothymic disorder is characterised by at least 2 years of symptoms, marked by periods of hypomanic symptoms that do not meet the criteria for a manic episode and periods of depressive symptoms that do not meet criteria for a major depressive episode
which drugs have increased VTE risk in elderly
antipsychotics
how to stop benzodiazepenes
the dose should be withdrawn in steps of about 1/8 of the daily dose every fortnight
first-line treatment for children and young people with anorexia nervosa
Anorexia focused family therapy
what is post concussion syndrome
a collection of symptoms that persist following a mild traumatic brain injury (TBI), typically for weeks or months
what to do for Patients with poor oral compliance to antipsychotics
considered for once monthly IM antipsychotic depot injections
when can u not give chlorodiazepoxide
if there is significant hepatic impairment eg cirhhosis
give lorazepam insteaad
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general Psychiatry15
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psych definitions43
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mental Health Act17
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Psychopharmacy89
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depression29
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bipolar affective disorder14
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schizophrenia30
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bipolar affective19
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anxiety disorders35
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addictive behaviours30
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eating disordrs26
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personality disorders18
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psychiatric emergencies15
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CAMHS20
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other pysch7
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post partum depression21
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self harm and suicide21
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learning diabilities13
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somatisation disorder7
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delusion disorders11
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psychosis8
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old age psychiatry2
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passmed i got wrong28
