Podcast
Questions and Answers
What is an effective strategy to help someone experiencing a panic attack?
What is an effective strategy to help someone experiencing a panic attack?
- Call 111 and get an ambulance.
- Offer to make them a coffee.
- Offer reassurance and support with diaphragmatic breathing. (correct)
- Ask them about something completely unrelated to distract them.
What does the term 'Flight of ideas' describe?
What does the term 'Flight of ideas' describe?
- Someone discussing their worries in a linear fashion.
- Experiencing excessive worry.
- Someone talking quickly and erratically, jumping between thoughts. (correct)
- A method to calm anxiety through controlled speech.
Which of the following is a common side effect of typical antipsychotic medications?
Which of the following is a common side effect of typical antipsychotic medications?
- Akathisia. (correct)
- Bradycardia.
- Euphoria.
- Hyperthermia.
What is not a risk factor for experiencing psychosis
What is not a risk factor for experiencing psychosis
Which medication is not classified as a Benzodiazepine?
Which medication is not classified as a Benzodiazepine?
Which statement correctly reflects the mental health recovery philosophy?
Which statement correctly reflects the mental health recovery philosophy?
Which medications are categorized as mood stabilizers?
Which medications are categorized as mood stabilizers?
What is the correct interpretation of MSE in a clinical context?
What is the correct interpretation of MSE in a clinical context?
Which disorder is characterized by feelings of worthlessness and inappropriate guilt?
Which disorder is characterized by feelings of worthlessness and inappropriate guilt?
What should Miles be advised to do regarding his marked tremor after taking lithium?
What should Miles be advised to do regarding his marked tremor after taking lithium?
Fluoxetine and Citalopram are classified as what type of medications?
Fluoxetine and Citalopram are classified as what type of medications?
If Jenny experiences abdominal discomfort after starting Fluoxetine, what is the recommended course of action?
If Jenny experiences abdominal discomfort after starting Fluoxetine, what is the recommended course of action?
Which of the following principles is a key component of Dialectical Behavioural Therapy (DBT)?
Which of the following principles is a key component of Dialectical Behavioural Therapy (DBT)?
Which of the following disorders is classified under Neurocognitive Disorders?
Which of the following disorders is classified under Neurocognitive Disorders?
Which of the following strategies can clinicians utilize to encourage mindfulness?
Which of the following strategies can clinicians utilize to encourage mindfulness?
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Study Notes
Panic Attack Management
- Distraction can be helpful; asking about unrelated topics may help.
- Offering reassurance and diaphragmatic breathing techniques supports calming.
- Seek emergency assistance by calling 111 only if necessary.
Flight of Ideas
- Describes rapid and erratic thoughts leading to quick, disjointed speech.
- Represents a cognitive state where ideas are not logically connected.
Common Side Effects of Typical Antipsychotics
- Akathisia is a frequent side effect, characterized by restlessness.
- Hyperthermia and arrythmias are also potential side effects.
Communication in Psychosis
- Word salad refers to the use of unrecognizable or nonsensical words.
- Neologisms are invented words that have no common meaning.
Non-Risk Factors for Psychosis
- COVID-19 is not established as a risk factor for psychosis.
- Substance misuse and psycho-social stressors are known risk factors.
Clozapine Dosage Calculation
- Melanie, taking a daily increase of 25mg, would require 4 tablets (75mg total) today from 25mg tablets.
Managing Olanzapine Side Effects
- Support Kahu in discussing morning grogginess with his doctor for potential dosage adjustments.
- Advise against stopping medication abruptly but to maintain scheduled appointments.
Non-Benzodiazepine Medication
- Quetiapine is not classified as a Benzodiazepine, unlike Lorazepam, Clonazepam, and Diazepam.
Mental Health Recovery Philosophy
- Recovery is a personal, individual process and not solely reliant on professional support.
Mood Stabilizers
- Medications such as Lamotrigine, Carbamazepine, and Lithium are classified as mood stabilizers.
Manic Episode Characteristics
- Symptoms include decreased sleep, grandiose ideas, and irritability.
Mental State Examination (MSE)
- MSE refers to a structured assessment of a person’s mental state, helping to assess psychological functioning.
Neurocognitive Disorders
- Disorders include Dementia and may be associated with brain tumors but not with schizophrenia or bipolar disorder.
Lithium Toxicity Advice
- Advise Miles to increase water intake and seek urgent medical help due to marked tremor suggestive of lithium toxicity.
Major Depressive Disorder Features
- Symptoms include feelings of worthlessness and inappropriate guilt.
SSRIs Overview
- Fluoxetine and Citalopram are classified as Selective Serotonin Reuptake Inhibitors (SSRIs).
Fluoxetine Side Effects Guidance
- Encourage Jenny to continue taking Fluoxetine as abdominal discomfort is common at the start; do not stop or increase dosage without consultation.
Dialectical Behavioural Therapy (DBT) Principles
- DBT focuses on acceptance and includes strategies like emotional regulation and mindfulness.
Clinician Mindfulness Strategies
- Clinicians can promote mindfulness by suggesting sensory modulation and lifestyle changes alongside sleep hygiene practices.
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