Medicine Notes Clinical Psychiatry Notes
This series of notes is on psychiatry. It includes psychiatry basics, treatments and complications. Each disease is separated into a different document, with it's own classification. These notes were made using a variety of textbooks, notes from tutorials with consultants and knowledge gained on the ward with doctors. These notes helped me a achieve a good grade of 78% in the end of year exams....
The following is a more accessible plain text extract of the PDF sample above, taken from our Clinical Psychiatry Notes. Due to the challenges of extracting text from PDFs, it will have odd formatting:
Bipolar Affective Disorder (BPAD)
Categories
Type 1
Mood swings across mood scale (both mania and depression)
Untreated
Mania= 3-6 months
Depressive= 6-12 months
Type 2
Prevalence of depression
>1 severe depression
Hypomania (6-8 on scale) rather than extreme manic episode
Rapid cycling BPAD
Mood swings change faster
4 in year
Can happen in T1 & T2
Epidemiology
Lifetime prevalence 1%
M 1:1 F
Mean age= 21
Aetiology
Genetics
Neurochemical abnormalities
Life events/Environmental factors
Organic causes
Features of Mania
Period of elevated/expansive/irritable mood (>1week)
3/4 of these are present
Inflated self-esteem
Distractibility
More talkative/Pressure to talk
Flight of ideas/Subjective thoughts racing
Increase in goal directed activities or psychomotor activities
Pleasurable activities that can have painful consequences
Decrease need sleep
Other features
Social & occupation functioning impaired
Psychotic symptoms
Hospitalisation
DDx
Organic causes
Schizoaffective disorders
Cyclothymia
Puerperal disorders
Treatment
Antipsychotics [OLANZIPINE/RISPERIDONE/HALOPERIDOL]
Benzodiazepines (ST)
Mood stabilisers [LITHIUM; CARABAZEPINE; VALPROATE; LAMOTRIGINE]
ECT [Rapid/ST improvement; Severe; Others ineffective
Long-term (if risk; T1->2 acute episodes; T2 effecting function; Suicide)
[LITHIUM; OLANZIPINE; VALPROATE]
Depression
Epidemiology
Lifetime 10-20%
Mean age= 27
M 1:2 F
Co-morbid w/ anxiety & substance abuse
Aetiology
Genetics
Neurological
low 5HT/Tryptophan
Low DA metabolism
Low NA
HPA axis- High cortisol
Psychological- negative beliefs
Environmental- Parental; Relationships; Life events; Poverty
Personality- OCD; Histrionic
Physical- Chronic pain; Hypothyroid; MS; PD; Stroke; Hyperparathyroidism; Cushing's
Medications- Anti-HTN; Steroids; Sedatives; Chemo; Antipsychotics
Life events
Clinical...
Buy the full version of these notes or essay plans and more in our Clinical Psychiatry Notes.
This series of notes is on psychiatry. It includes psychiatry basics, treatments and complications. Each disease is separated into a different document, with it's own classification. These notes were made using a variety of textbooks, notes from tutorials with consultants and knowledge gained on the ward with doctors. These notes helped me a achieve a good grade of 78% in the end of year exams....
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