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Past Essay papers

12 posts in this topic

Was feeling kinda jobless so got around to listing all the essay papers from autumn 2001 to spring 2006

Theres also a link below to the trickcyclist site that has essays from autumn 1995 to spring 1999. The spring 99 link is especially useful as it has college reccomended essay plans and guidance to examiners.

Spring 2006

1. The concepts of personality disorders and mental illness is artificial. Discuss this critically.

2. 'The distinction between neurology and psychiatry is no longer relevant' Discuss with reference to schizophrenia.

3. Mentally ill offenders should be dealt with by the criminal justice system alone. Discuss advantages and disadvantages.

Autumn 2005

1. Discuss the concept of 'compliance'. critically review this in relation to the management of patients with scizophrenia.

2. 'Adult mental health services are overly foccused on individual patients rather than families' Discuss this statement in relation to the treatment of eating disorders.

3. 'Multi-axial classification is essential in the understanding and treatment of psychiatry disorders.' Discuss with specific refernce to autism and its diagnosis and management.

Spring 2005

1. Depression occurs in schizophrenia. Discuss the aetiology, epidemiology, phenomenology and treatment of this depression.

2. “Work related stress is the second largest occupational health problem in the UK.' Discuss critically the factors which may lead to this.

3. there are as many ?medically associated syndromes/?functional somatic syndromes as there are medical specialities. discuss critically the statement arguing for and against a unitary syndrome?

Autumn 2004

1. Why is diagnosis and management of hyperkinetic and attention deficit hyperactivity disorder in children controversial? What is the evidence that the condition persists into adulthood?

2. What factors need to be considered in the psychiatric assessment of risk of harm to others? Discuss the relative advantages and disadvantages of clinical methods and structured risk assessment instruments in this process

3. Discuss how the assessment and presentation of psychopathology in the field of learning disability differs from in general psychiatry. What implications does this have in terms of diagnosis and treatment of schizophrenia and mood disorders?

Spring 2004

1. Dual diagnosis is a valid diagnostic category when considering people with Schizophrenia who use drugs which demands a seperate and specialised service. Discuss critically.

2. The assessment and treatment of medically unexplained symptoms should always involve psychiatry.

Discuss with particular reference to chronic fatigue syndrome.

3. Cognitive behavioural therapy is the only treatment needed to meet the needs of adults with common mental health problems. Critically discuss this statement in relation to treatment of depression and eating disorders.

Autumn 2003

1. Psychotherapeutic approaches should be considered in the care of the older adults with mental health problems. Discuss this statement critically with reference to the range and efficacy of psychological treatment in the elderly.

2. You are asked to brief your services managers on factors involved in prolonging stay on acute admissions. Outline your response and suggest how these problems could be ameliorated.

3. Describe the criteria that a new syndrome would need to satisfy in order to be added to the classification system of psychiatric disorders, discuss in relation to PTSD and social phobia.

Spring 2003 does the presentation,assessment and treatment of depression differ in children and adolescents when compared to adults. discuss the implications of the difference.

2. how would you organise high quality psychiatrc services in the mentally disordered population in prisons

3. Discuss the pharmacological and psychological treatment of bulimia nervosa and the implication for primary and secondary care services.

Autumn 2002

1. 'There is no association between severe and enduring mental illness, physical ill health and social disadvantage.'; Discuss in relation to schizophrenia.

2. 'Gender has no relevance in psychiatric illness. Discuss this with specific reference to schizophrenia and mood disorders'

3. Harm reduction and abstinence targeted treatments are both used in the treatment of addictive disorders. &nbsp:lol:iscuss the relative advantages and disadvantages of each approach with reference to alcohol and opiate addiction.

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Spring 2002

1. Treatment resistant depression must only be treated by biological methods and be provided by tertiary services.Discuss this critically with reference to the evidence base.

2.Early intervention in schizophrenia is critical for good long term outcome. Discuss this assertion and outline its implications for the provision of psychiatric services.

3. Discuss the relationship between adverse childhood experience and the development of psychiatric illness in adulthood and beyond paying particular reference to personality disorder and affective disorders

Autumn 2001

1. Use PD and LD as reference, discuss the principle and ethical dilemma of mental health legislation.

2. Use of psychological treatment in schizophrenia and depression with support from literature evidence.

3. Use of atypical neuroleptics in first onset schizophrenia with support from literature evidence

Autumn 95 to Spring 99

Trickycyclists URL for past essays autumn 95 to spring 99. Again the 99 has a useful link to the answers given to examiners by the Royal College for that exam. Also has several nicely written essay plans.

Also.. for completions sake, I would be very grateful if people could post the missing essays i.e. autumn 99 to spring 01

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Got an email saying that the 2006 Q1 was 'The distinction between personality disorder and mental illness is an artificial one.' Discuss this statement critically... and not as originally posted..

apologies for that..

there really oughta be a way to modify previous posts..

thanks fer the kind words.. happy to be of help.. you could pay me back by doing something similar and paying it forward..

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Hi Slartibartfast,

There is a way to modify your posts! There's a 'modify' icon but only above your own posts.

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that is wonderfull collection. guys could u try to try some of them:) :'(

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3. Mentally ill offenders should be dealt with by the criminal justice system alone. Discuss advantages and disadvantages

Might go sth like this...


The population - mentally disordered offenders

Includes diverse groups in terms of

psychopathology/ care needs - higher rate of offending amongst those with SMI, high rate of MI/PD/suicide in prisons

stage of 'journey' thru crim justice system (i.e. arrest, remand/bail, sentencing, etc)

Probably would mention here the need for diversion of those whose illness has led to their offence via MHA - morally is crim justice system right place for them?

Level of security needed

Service needs

I would look specifically at services for prisoners at this stage

specific problems in that they can't come to clinic etc.

In this sense, delivery of a service entirely within the prison system would appear sensible. In a healthcare wing, Trained staff could be employed, medication administered, and therapeutic activities provided.

Specific groups - women, those with LD, PD (could write another essay on this!) ethnic minority groups, etc

Advantages of service provided within prison

Fairness - JUst because a prisoner has a mental illness, why should their punishment differ from anyone else's?

security maintained

may be less disruptive for patient/relatives

similar rationale for community treatment in non offenders - treat people in their environment

Can maintain any friendships that have been made which may be positive


Relatively small numbers of prisoners who require secondary care

therefore sometimes have to be moved to distant prisons with suitable healthcare facilities, making family visiting difficult

Prisons generally stressful/ crowded/ full of drugs

Goffmann's total institution- end of sentence issues - adjusting to life outside.

mentally ill prisoners may be vulnerable to other inmates

care more appropriately provided in secure hosp setting where focus is on treatment, as well as security.

Regional centres allow resources to be concentrated where needed

Secure units also avoid punishing those whose offence was committed through no fault of their own.


Services need to be provided across a wide range of settings to meet needs of all degrees of offender, with all degrees of mental illness.

Crim justice and health need to work closely

Sorry, this was meant to be a plan but came out a bit too long i think....

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