ICD Diagnosis of Dependency syndrome
Need 3 simultaneously in past year from the list below:
- Craving
- Control (loss of)
- Continued use despite harm
- Primacy
- Physiological withdrawal
- tolerance
3 Cs, 2 Ps, one T
what is serotonin syndrome?
Typically caused by use of 2 or more antipsychotic medications and in about 15% SSRI overdoses Symptoms include: -seizures -hyperthermia -dilated pupils -agitation -increased reflexes -brisk reflexes -tremor -sweating diarrhoea
what is discontinuation syndrome?
when you abruptly stop an SSRI, sleep disturbances, anxiety, movement disturbances including tremor and tardive dyskinesia
ICD 10 for depression
At least 1 of ..... for >2 weeks -Low mood -Anhedonia -Anergia and then any of -decreased conc/indecisiveness -low self esteem -feelings of guilt, hopelessness, worthlessness -increased or decreased appetite -agitation or slowness of movements -sleep disturbance suicidal thoughts or acts
mild depression
4 of the 10 symptoms (one needs to be low mood, anergia, or anhedonia)
moderate depression`
5-6 OF THE 10 SYMPTOMS
severe depression
7 or more of the 10 symptoms
what are the cluster A personaity types?
-WEIRD-
paranoid
-schizoid
-scizotypal
what are the cluster B personality types?
-WILD DRAMATIC EMOTIONAL borderline -histrionic -antisocial -narcissistic
what are the cluster C personality types?
-WORRIED
avoidant
-dependent
-obsessive compulsive
features of paranoid personality type
- irrational suspiscion and mistrust of others
- questions motives of friends and family
- blame problems on others
- do not trust others
- preoccupation with hidden meaning
features of schizoid personality type
SCHIZOID=AVOID
- avoid solial interaction
- prefer to be alone
- indifference to praise/criticism
features of schizotypal personality type
-odd and eccentric behaviour
-odd and eccentric beliefs
-ideas of reference
-paranoid suspicions and belief
(a weird person)
features of borderline personality type
- efforts to avoid abandonment
- unstable relationships which vary between idealization and devaluation
- identity problems
- mood swings
- splitting
- hx abuse :(
FEATURES OF ANTISOCIAL PERSONALITY
- often break rules/laws
- psychopath/sociopath
- disregard for feelings or rights of others
- lack empathy
- understand social cues so are manipulative
how can you manage BPD?
dialectical behavioural therapy which is based on recognising triggers for mood swings/impulsivity and finding ways to deal with them
histrionic personality type features
excessive emotion
attention seeking
difficulty forming long lasting relationships
sexually provocative / inappropriate
narcissistic personality type
-grandiosity need for admiration lack of empathy often criticize others / exploit others full of themselves need constant admiration
avoidant
- scared of rejectoin and thus withdraw from social situations
- intense fear
- extreme sensitivity to criticism
- desire companionship
dependent
- psychological need to be cared for by others
- poor self confidence
- indecisive
- fear of being alone
obsessive compulsive personality disorder
rigid conformity to rules
perfectionsism
orderliness to the point of satisfaction (egosyntonic)
-exclusion of leisurely activities and friendships
primitive defences
-acting out
-denial
-splitting
-
less primitve defences
- RATIONALISATION
- intellextualisation
- undoing
mature defences
- assertiveness
- compensation
- sublimation
