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Questions and Answers
Which of the following is NOT a type of physical treatment for mental illness?
Which of the following is NOT a type of physical treatment for mental illness?
What is the biopsychosocial approach in the management of a patient with mental illness?
What is the biopsychosocial approach in the management of a patient with mental illness?
What is the biopsychosocial approach in managing patients with mental illness?
What is the biopsychosocial approach in managing patients with mental illness?
Which of the following is a physical treatment for mental illness?
Which of the following is a physical treatment for mental illness?
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Which of the following is a physical treatment for mental illness?
Which of the following is a physical treatment for mental illness?
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Which type of treatment involves interactions with family, community, workplace, school, and recreational activities?
Which type of treatment involves interactions with family, community, workplace, school, and recreational activities?
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What are the two types of antipsychotics?
What are the two types of antipsychotics?
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What is the main purpose of antipsychotics?
What is the main purpose of antipsychotics?
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Which of the following is a type of typical antipsychotic?
Which of the following is a type of typical antipsychotic?
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What is the difference between typical and atypical antipsychotics?
What is the difference between typical and atypical antipsychotics?
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What is the mechanism of action of atypical antipsychotics?
What is the mechanism of action of atypical antipsychotics?
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Which of the following is a typical antipsychotic?
Which of the following is a typical antipsychotic?
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What is the most important side effect of antipsychotics?
What is the most important side effect of antipsychotics?
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What is the mode of administration for antipsychotics?
What is the mode of administration for antipsychotics?
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What is the mechanism of action of typical antipsychotics?
What is the mechanism of action of typical antipsychotics?
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What is tardive dyskinesia?
What is tardive dyskinesia?
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What are the extrapyramidal movement side effects of antipsychotics?
What are the extrapyramidal movement side effects of antipsychotics?
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What is the mode of administration of antipsychotics?
What is the mode of administration of antipsychotics?
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Which of the following is a social treatment for mental illness?
Which of the following is a social treatment for mental illness?
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How can the extrapyramidal movement side effects of antipsychotics be minimized?
How can the extrapyramidal movement side effects of antipsychotics be minimized?
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What are the extrapyramidal movement side effects of antipsychotics?
What are the extrapyramidal movement side effects of antipsychotics?
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What is the purpose of social treatments for mental illness?
What is the purpose of social treatments for mental illness?
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What is the mode of administration for antipsychotics?
What is the mode of administration for antipsychotics?
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How can the extrapyramidal movement side effects of antipsychotics be minimized?
How can the extrapyramidal movement side effects of antipsychotics be minimized?
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Study Notes
MANAGEMENT OF THE PATIENT WITH A MENTAL ILLNESS Dr. Jacqueline Martin
• The approach to management is holistic. • It involves the biopsychosocial approach. • Biological treatments include physical treatments. • Psycho treatments include psychological treatments. • Social treatments involve all other interactions such as family, community, workplace, school, and recreational activities. The Physical Treatments • Antipsychotics • Antidepressants • Electroconvulsive Therapy • Mood stabilizers • Minor tranquilizers The Psychological Treatments • Supportive therapies • Psychotherapies (variety of) • Psychoanalysis Social Treatments • Rehabilitation • Community care Physical Treatments • Should be seen as only a part of the management, not the whole. • Must complement the psychological and social aspects of management. • Patients may be managed in the hospital (admitted), out-patient (clinics), or in the community. Antipsychotics • These drugs are noted to reduce delusions, hallucinations, and to have a sedating/calming effect. • Two types of antipsychotics are typicals and atypicals. Typicals Atypicals *Older type * newer type Typical Antipsychotics • Phenothiazines e.g. Chlorpromazine • Butyrophenones e.g. haloperidol • Thioxanthines e.g. clopixol • Diphenylbutylpiperidines e.g. pimozide • Substituted benzamides e.g. Amilsulpride Atypical Antipsychotics • Clozapine(Clozaril) • Olanzapine (Zyprexa) • Quetiapine (Seroquel) • Risperidone (Risperdol) • Zisprasidone (Geodon) • Aripripazole (Abilify) Mechanism of Action • Typical antipsychotics may block serotonin, dopamine, adrenergic, histaminergic, and cholinergic receptors. • Atypical antipsychotics also block serotonin receptors. • Some atypicals block dopamine receptors in the limbic system only. Mode of Administration • Orally (tablets, drops) • Sublingually (quicklets) • Intramuscularly • Intravenously • Long-acting preparations e.g. oil-based – modecate, haldol decano; H2O-based – Risperdal consta Side Effects The most important are the extrapyramidal movement side effects and NMS. • Acute dystonias – (torticollis, increases muscle tone/spasm) • Parkinsonism – shuffling gait, difficulty initiating movement, masked facies • Akathesia – a subjective feeling of restlessness • Tremors – trembling at rest or during activity • Tardive dyskinesia – abnormal movements of face/mouth/chorea form movements of body/limbs – may be irreversible in 50% of patients. • The EPS side effects may be minimized by the use of anticholinergic agents, which may also cause side effects. Other side effects include: • Weight gain • Sexual abnormalities/impotence • Side effects from the anticholinergics include dry mouth, blurred vision/confusion, const
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Description
Test your knowledge on the management of patients with mental illness with this informative quiz! Learn about the holistic approach to management and the various biological, psychological, and social treatments available. Explore the different types of antipsychotics and their mechanisms of action, as well as the potential side effects of these medications. Improve your understanding of this important topic and enhance your professional skills as a healthcare provider.
