mental health

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Across
  1. 2. – Lithium remains the mood stabilizer of choice for bipolar. An alternative is -
  2. 3. – Drug treatments for PTSD should not be used as a routine first-line treatment for adults. If drug treatment is used then paroxetine or are recommended
  3. 4. – Adult dose IV injection 200mcg over 15 seconds then 100mcg every 1 minute if required for benzo overdose
  4. 6. disorder –Disorder. Examples include GAD, panic disorders, OCD, PTSD and adjustment disorders
  5. 8. nervosa – The most common cause of admissions to child and adolescent psychiatric wards. Diagnosis is now based on the DSM 5 criteria
  6. 12. personality disorder – A man asks for help with social anxiety. He prefers to be alone and doesn't like to share his beliefs, which other people think are odd. He has a strong interest in the paranormal and talks in a high-pitched voice when talking about his 'spirit-guide'. Personality disorder
  7. 13. – SNRIs are very similar in action to SSRIs, but they act on noradrenaline as well as serotonin. They're sometimes preferred for treating more severe depression and anxiety. Examples include duloxetine and
  8. 14. – Indicated for status epilepticus, short-term anxiety, short-term insomnia associated with anxiety, acute panic attacks, and conscious sedation. Dose ranges 1-4mg
  9. 16. personality disorder – A young woman takes a paracetamol overdose after splitting with her boyfriend. Two days later she is in a new relationship which is troubled by her repeated outbursts of anger. Personality disorder
  10. 17. gain – One of the main causes of non-adherence to antipsychotic medications
  11. 18. bicarbonate – Correction of acidosis with IV is the first line in management of tricyclic induced arrhythmias and seizures
  12. 19. (Attention Deficit Hyperactivity Disorder) – Diagnosed in about 5% of American children, and in the UK, where the term hyperkinetic syndrome is preferred, only 0.1% are diagnosed
  13. 20. – In overdose use N-acetylcycteine
  14. 21. – Antipsychotic drugs are also known as -
Down
  1. 1. side effects – May cause dry mouth, blurred vision, impaired glucose tolerance, akathisia, urinary retention, neuroleptic malignant syndrome, and extra-pyramidal side effects
  2. 2. – First generation antipsychotics act predominantly by blocking dopamine D2 receptors in the brain - this can lead to extra-pyramidal side-effects. Examples include chlorpromazine and
  3. 4. – Tricyclic antidepressant
  4. 5. – Same class of drug as carbamazepine
  5. 7. – Tricyclic antidepressants may cause urinary retention, dry mouth, lethargy/drowsiness and -
  6. 9. – Toxicity includes coarse tremor, hyperreflexia, acute confusion, seizure, coma
  7. 10. history – The strongest risk factor for developing a psychotic disorder (including schizophrenia)
  8. 11. – SSRIs work by blocking the reuptake of serotonin into the nerve cell that released it, which prolongs its action in the brain. Examples include escitalopram, fluoxetine, paroxetine, sertraline and
  9. 12. Bonnet syndrome – An elderly man with a history of macular degeneration presents with visual hallucinations but reports no other psychiatric symptoms
  10. 13. Behavioural Therapy (CBT) – Treatment of choice for Generalised Anxiety Disorder
  11. 14. personality disorder – A woman presents to her male family doctor wearing a low-cut top and a short skirt. She tries to flirt with the doctor. The consultation is filled with drama and she becomes annoyed with the centre of attention shifts from her. Personality disorder
  12. 15. – Adult dose by IV injection, subcut or IM; 400mcg initially to treat opioid overdose
  13. 16. spectrum disorder – All 3 of the following features must be present for a diagnosis to be made; global impairment of language and communication; impairment of social relationships; ritualistic and compulsive phenomena
  14. 17. – Antipsychotic drugs like olanazapine, quetiapine, and are useful in acute episodes of mania. If response is inadequate, lithium or valporate may be added
  15. 18. – May be helpful in the initial stages of treatment for behavioural disturbances or agitation. Not for long term use as risk of dependence. An example is midazolam