Medicine Notes Psychiatry Notes
Clinically-relevant notes for medical finals. Includes all the common psychiatric conditions along with notes on dementia and child psychiatry. Colour coded per topic. Easy to follow and breaks down the main presenting features and treatments (both drugs, psychological therapies and ECT)
Very useful for finals revision....
The following is a more accessible plain text extract of the PDF sample above, taken from our Psychiatry Notes. Due to the challenges of extracting text from PDFs, it will have odd formatting:
Child Psychiatry
Conduct Disorder
Main features
Persistent antisocial behaviours (fighting, bullying, starting fires, stealing, truancy)
Persistent + defiant disobedience
1/3 cases have specific reading disorder
Considerable overlap with ADHD
Common in boys 12-16
Two types
Socialised
Able to make friends who usually also behave in an antisocial way
Bad behaviour most evident away from home
Relationships with adults may be good but often difficulties with authority figures
Unsocialised
Children do not have friends
Usually some degree of emotional disorder
Aetiology
Parenting = major factor
Improving parenting skills likely to improve behaviour
Other approaches
Family therapy
Behavioural therapy
Remedial teaching
Provision of alternative peer group activities
Outcome is better for socialized group
2/3 of unsocialised will have persisting dissocial behaviour into adulthood
Attention deficit hyperactivity disorder (ADHD)
Epidemiology
1% of population
M>F
Increased incidence in lower socioeconomic class + inner city areas
Commonly diagnosed aged 6-9 years
Aetiology
Genetic factors
Neurochemical balance theory
Increased dopamine receptors causes dopamine to be drained from nerve terminals – therefore decreased inhibitory effect on brain
Associated with low birth weight
Cannabis, heroin or smoking during pregnancy
Clinical features
A triad of symptoms
Inattention
Poor attention to detail, unable to concentrate on task, appears not to listen, unable to follow instructions
Hyperactivity
Fidgeting, leaves seat in classroom, runs/climbs excessively in inappropriate places, unduly noisy playing
Impulsivity
Blurts out all answers before questions completed, fails to wait in line, interrupts
Symptoms must be present in >1 setting and last > 6 months
Symptoms must cause significant functional impairment
Onset no later than 7 years old
Management
Adjust environment to decrease distraction
Restricting stimulants e.g additives in diet
Help parents with advice re setting boundaries for behaviour
Medication
Stimulants e.g methylphenidate (block dopamine transporters therefore increase inhibition and decrease activity, and increase attention) ADR = weight loss. Only works in the day time
Atomoxitine - Acts on Noradrenaline system a(nalogous to antidepressants) 2 months to become effective. ADR = GI disturbances
Prognosis
Typically resides in adolescence (but no cure)
May carry through into adulthood
Underachievement
Substance misuse
Antisocial personality disorder
Autistic Spectrum Disorders (Autism/Aspergers)
M:F 1:100
Genetic predisposition
Triad of impairments in;
Social...
Buy the full version of these notes or essay plans and more in our Psychiatry Notes.
Clinically-relevant notes for medical finals. Includes all the common psychiatric conditions along with notes on dementia and child psychiatry. Colour coded per topic. Easy to follow and breaks down the main presenting features and treatments (both drugs, psychological therapies and ECT)
Very useful for finals revision....
Ask questions 🙋 Get answers 📔 It's simple 👁️👄👁️
Our AI is educated by the highest scoring students across all subjects and schools. Join hundreds of your peers today.
Get Started