Rapid Psychiatry (eBook)

Clare Oakley is Specialty Registrar in Forensic Psychiatry, Birmingham and Solihull Mental Health Foundation Trust, UK Amit Malik is Consultant Psychiatrist, Hampshire Partnership NHS Trust, UK

Preface, ix

Acknowledgements, x

List of Abbreviations, xi

Introduction to Psychiatry

Summary, 3

Signs and symptoms, 4

Psychiatric history, 7

Mental state examination, 9

Classification systems for mental disorders, 11

Assessment of suicide risk, 12

Deliberate self-harm, 13

Suicide, 15

Multidisciplinary team, 16

Ethical issues, 17

Mental Capacity Act, 18

Adults With Incapacity (Scotland) Act 2000, 19

Mental health legislation, 20

Differential Diagnosis

The anxious patient, 27

The depressed patient, 28

The elated patient, 29

The hallucinating patient, 30

The patient with obsessions/compulsions, 31

The unresponsive patient, 32

General Adult Psychiatry

Anxiety disorders - agoraphobia, 35

Anxiety disorders - generalised anxiety disorder, 36

Anxiety disorders - social phobia, 37

Anxiety disorders - specific phobia, 38

Chronic fatigue syndrome, 39

Dissociative disorders, 41

Eating disorders - assessment, 42

Eating disorders - anorexia nervosa, 43

Eating disorders - bulimia nervosa, 45

Mood disorders - bipolar affective disorder, 46

Mood disorders - depression, 49

Obsessive-compulsive disorder, 51

Personality disorders, 53

Postnatal mental disorders - postnatal blues, 56

Postnatal mental disorders - postnatal depression, 57

Postnatal mental disorders - puerperal psychosis, 58

Reactions to stressful events - abnormal grief reactions, 59

Reactions to stressful events - acute stress disorders, 60

Reactions to stressful events - adjustment disorder, 61

Reactions to stressful events - post-traumatic stress disorder, 62

Schizophrenia, 64

Somatisation disorder, 67

Substance misuse - assessment, 68

Substance misuse - alcohol, 70

Substance misuse - illicit drugs, 72

Neuropsychiatry

Epilepsy, 77

Head injury and associated psychiatric sequelae, 79

Huntington.s disease, 80

Motor neuron disease, 81

Multiple sclerosis, 82

Parkinson.s disease, 83

Syphilis, 84

Wilson's disease, 85

Child and Adolescent Psychiatry

Special considerations for assessment, 89

Attachment and development, 90

Attention deficit hyperactivity disorder, 92

Child abuse, 93

Conduct disorder, 94

Other psychiatric disorders of childhood and adolescence, 95

Old Age Psychiatry

Special considerations for assessment, 99

Delirium, 100

Dementia, 102

Depression, 105

Very late-onset schizophrenia, 107

Psychiatry of Learning Disability

Learning disability, 111

Autism, 113

Down.s syndrome, 115

Genetic disorders, 116

Forensic Psychiatry

Special considerations for assessment, 119

Violence and mental disorder, 120

Risk assessment, 121

Structure of forensic services, 122

Legal terms and criminal proceedings, 123

Psychotherapy

Special considerations for assessment, 127

Cognitive-behavioural therapy, 128

Psychodynamic psychotherapy, 129

Supportive psychotherapy, 130

Psychopharmacology

Introduction - general points on prescribing, 133

Antidepressants - selective serotonin reuptake inhibitors, 134

Antidepressants - tricyclic antidepressants, 135

Antidepressants - monoamine oxidase inhibitors, 136

Antidepressants - others, 137

Antipsychotics - atypicals, 138

Antipsychotics - typicals, 139

Antipsychotics - clozapine, 140

Anxiolytics, 141

ADHD medication, 142

Electroconvulsive therapy, 143

Dementia medication, 145

Hypnotics, 146

Medication for alcohol dependence, 147

Medication for opioid dependence, 148

Mood stabilisers - carbamazepine, 149

Mood stabilisers - lithium, 150

Mood stabilisers - sodium valproate, 152

Rapid tranquillisation, 153

Appendices

Culture-specific disorders, 157

Eponymous syndromes, 158

Physical disorders - psychological consequences, 160

Medication - psychological consequences, 161

Glossary