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:
Personality Disorder
Personality disorder- ICD10
Characteristic and enduring patterns of inner experience & behaviour= deviate markedly from culturally expected and accepted range
Manifest in two or more of following areas
COGNITION
AFFECTIVITY
CONTROL OVER IMPULSES & GRATIFICATION OF NEEDS
MANNER RELATING TO OTHERS & HANDLING INTERPERSONAL SITUATIONS
Organic brain disease, injury, or dysfunction must be excluded as cause
REPORT
Relationships affected
Enduring
Pervasive
Onset in childhood/adolescence
Result in distress
Trouble in occupational/social performance
Three broad groups/clusters (disorders co-exist)
A (Odd/Eccentric)= Paranoid, schizoid
B (Dramatic/Erratic/Emotional)= Histrionic, dissocial, borderline, narcissistic
C (Anxious/Fearful)= Anankastic (OCD), anxious, dependent
What causes personality disorder?
Genetic
Neurophysiology
Low 5HT levels
Decreased amygdala activity
Childhood development
Trauma=physical/sexual abuse
Violence
Behaviour problems (severe aggression, disobedience, temper tantrums)
Attachment issues
ADHD
Psychodynamic theories
Cognitive behavioural theories
CLINICAL PRESENTATION OF PERSONALITY DISORDERS
PARANOID PERSONALITY DISORDER (DDs: schizophrenia, persistent delusional)
Sensitive
Unforgiving
Suspicious
Possessive & jealous of partners
Excessive self importance
Conspiracy theories
Tenacious sense of rights
EMOTIONALLY UNSTABLE PERSONALITY DISORDER
2 subtypes. Both have
Affective instability
Explosive behaviour
Impulsive
Outbursts of anger
Unable to plan/consider consequences
BORDERLINE PD (DDs: adjustment disorder, depression, psychosis)
Self-image unclear
Chronic 'empty' feelings
Abandonment fears
Relationships intense/unstable
Suicide attempts/Self-harm
IMPULSIVE (DDs: affective disorder, adjustment disorder, ADHD)
Lacks impulse control
Outbursts/threats of violence
Sensitivity to being criticised
Emotional instability
Inability to plan ahead
Thoughtless of consequences
Differential diagnosis
Affective disorders
Psychotic disorders
Autism
Obsessive compulsive disorder
Anxiety disorders
Organic disorders
...
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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