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Sarvenaz

Some notes to remember for paper 3

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Helo every one

Here are some notes that I've made for paper 3 from evidence based mental health, Nice guidlines, biritsh journal of criminology, journal of forensic psychiatry and psychology and journal of child and adolescent psychology and psychiatry as well as american journal of psychiatry.

I'll add more to these some time later.

• &nbsp:lol:ifficulties in identifying odours predisposes elderly to Mild Cognitive Impairment

• ADHD associated with poorer academic performance

• Maintenance treatment with anti-depressants improves quality of life in elderly patients

• The most important factor in assertive outreach teams is team organization

• Intensive case management is most important in reducing rehospitalization of SMIs with previous high rate of admission

• psychopharmacology with brief intensive psychotherapy better in treatment of inpatients with depression

• Personalized feedback more efficient in reducing drinking behaviour in young adults as part of motivational interviewing

• 6 sessions of individualized treatment beneficial in treating depression in caregivers of patients with dementia

• New use of antipsychotic increases mortality in people with dementia

• People with Schizoaffective Disorder have highest risk of death

• Social phobia characteristics, receiving psychotherapy for social phobia, socioeconomic status, having a partner, or level of education does not affect the recovery

• Full time employment, absence of co morbid affective disorder, less anxiety, less stressful life and healthy mental health predictors of recovery in Social Phobia

• 1/3 of young women with Social Phobia recover completely in 1.5 years

• CBT and interpersonal therapy equally effective in Depression in outpatient

• Adding CBT to SSRIs does not improve outcome in treating depression in Ad• Group interpersonal therapy reduces Depression in adolescents postwar survivors

• Cognitive remediation therapy improves working memory of patients with Schizophrenia

• Brief personalized motivational interviewing reduces frequency of Cannabis misuse

• Low IQ and child externalizing behavior are predictors for future PTSD following trauma

• Behavioral inhibition in early childhood is risk factor for social anxiety in mid childhood

• Women with affective disorder and substance misuse more likely to have miscarriage

olescents

• Risk of Schizophrenia 3.1% in Caribbean women, elevated risk of affective psychosis in mixed black and white and white patients

• Predictors of violence in Schizophrenia: childhood conduct disorder, living situation, substance misuse, victimization and economic deprivation

• &nbsp:lol:epressive symptoms are related to non-lesion focal epilepsy

• No difference in depression relapse rates between maintenance electroconvulsive therapy and lithium plus nortriptyline

• Citalopram, but not interpersonal psychotherapy, improves major depression in people with coronary artery disease

• Response to SSRIs in unipolar depression occurs in the first week of treatment

• Quetiapine more effective than placebo for depression in bipolar I and II disorder

• Antipsychotic plus mood stabiliser co-therapy is more effective than mood stabiliser mono-therapy at reducing acute bipolar mania

• Combined fluoxetine plus cognitive behavioural therapy is more effective than monotherapy or placebo for adolescents with depression

• Cognitive behavioural therapy plus fluoxetine offers some safety advantages over fluoxetine alone in adolescents with depression

• The Webster–Stratton 'Incredible Years' parent training programme reduces conduct problems in children

• Cognitive behavioural therapy increases response in people with hypochondriasis

• &nbsp:lol:ihydrocodeine as effective as methadone for maintenance of treatment for opiate dependence

• Head injury slightly increases risk of non-affective psychosis but not schizophrenia

• Obsessive-compulsive disorder is uncommon but associated with high levels of comorbid neuroses, impaired function and increased suicidal acts in people in the UK

• Remission one year after emergency admission is higher for substance-induced psychosis than primary psychosis

• Significant and increasing depressive symptoms are associated with increased risk of new cardiac events in people with a heart attack in the previous year

• Phobic anxiety and depression increase the risk of ventricular arrhythmias in people with coronary artery disease

• The Child Trauma Screening Questionnaire predicts PTSD onset 6 months after traumatic accident better than the Children’s Impact of Events Scale

• Escitalopram 10 mg daily is more effective than paroxetine and placebo for generalised anxiety disorder

• &nbsp:lol:ecision support for primary care clinicians improves process of care but not symptoms in people with depression

• enhanced primary care programmes are effective for people with depression but are associated with increased healthcare costs

• pharmacotherapy and psychotherapy similarly effective for depr

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• Clozapine improves symptoms but not quality of life compared with other second-generation antipsychotics in people with treatment resistant schizophrenia

• Time to discontinuation similar for atypical antipsychotic drugs and placebo in people with Alzheimer’s disease

• Oxcarbazepine is no more effective than placebo for reducing manic symptoms of bipolar I disorder in children and adolescents

• Methylphenidate may improve symptoms but does not increase response compared with placebo in preschool children with ADHD

• Prevalence of non-fatal suicide attempts in black Americans is about 4%

• Parental report version of the Mood Disorder Questionnaire for adolescents has good sensitivity and specificity for diagnosing bipolar disorder in psychiatric outpatient clinics

• Combined olanzapine plus fluoxetine modestly improves symptoms of acute bipolar I depression compared to lamotrigine

• Continuing aripiprazole after stabilisation of a manic or mixed episode of bipolar I disorder delays relapse

• Mirtazapine and nortriptyline similarly effective third-line treatments for depressionHigher dose venlafaxine may improve response compared with standard doses in people with major depressive disorder and intolerance or non-responsiveness to SSRIs

• &nbsp:lol:ialectic behaviour therapy reduces suicide attempts compared with non-behavioural psychotherapy in women with borderline personality disorder

• Interventions targeting joint attention and symbolic play can improve aspects of these skills in young children with autism

• Bibliotherapy is more effective than waiting list for reducing childhood anxiety disorder, but not as effective as group cognitive behavioural therapy

• Pregabalin and venlafaxine improve symptoms of generalised anxiety disorder

• antipsychotic augmentation is effective for people with obsessive-convulsive disorder who are receiving, but not responding to, serotonin reuptake inhibitor monotherapy

• Group cognitive behavioural therapy increases complete remission of obsessive-compulsive disorder symptoms compared with sertraline, but not response

• Homocysteine-lowering vitamin B supplements do not improve cognitive performance in healthy older adults after two years

• About 1% of children in the South Thames region have an autistic spectrum disorder

• Lifetime prevalence of self-injurious behaviour among US college students is 17%

• Intermittent explosive disorder is common, has an early age of onset and is associated with the development of other mental disorders in the US population

• One in 10 elderly people with minor or subsyndromal depression develops major depression within a year

• Universal and targeted cognitive behavioural approaches do not reduce depression in young people at risk of depression

• The Youth-Nominated Support Team for Suicidal Adolescents (version 1) intervention does not reduce suicidal attempts

• psychotherapy plus antidepressant therapy increases response rate in people with panic disorder more than either treatment alone

• Cognitive behavioural therapy does not reduce overall episode recurrence in people with recurrent bipolar disorder

• Continuing paroxetine treatment reduces recurrence of major depression in the elderly

• Educational workshops anRisperidone maintenance treatment increases time to symptom recurrence in young people with disruptive behaviour disordersd decision support software increase detection of dementia in the elderly in primary care settings

• Training nursing home staff to improve psychosocial care reduces neuroleptic use in people with dementia without an increase in agitation

• Among middle aged men in Japan, non-drinkers and regular heavy drinkers are more likely to commit suicide than occasional drinkers

• Lifetime prevalence of paworldwide lifetime prevalence of anxiety disorders is 16.6%, with considerable heterogeneity between studies

• SSRIs and history of alcohol dependency can protect against metabolic syndrome in psychotic forensic patients

• Kidnapers : 5/100 will kidnap again in 20 years, 1/100 will homicide and 2/100 will rape in 20 years

• Kidnapers 4 times will commit sexual offences and 30 times more will commit homicide than men in general public

• Narcissistic Personality and childhood sexual abuse more common in sex offenders

• Psychiatric disorders in 1 and half year olds 16-18%

• the most common diagnoses in 1 and half year olds: emotional, behavioural and eating disorders

• significant genetic risk for intentional injury in girls and environmental risks for boys and girls

• Eyes test endophenotype for Autism

• NICE guidelines for anorexia Nervosa: outpatient psychological treatment with dietary treatment, if no answer consider inpatient, refeeding is a last resort, if no answer to psychology, Fluoxetine is only SSRI licensed

• NICE guidelines for Bulimia: self help psychology group, then CBT-BN and then / alternative Fluoxetine

• NICE guidelines for Binge eating Disorder: Self help group, the

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• As to NICE guidelines Fluoxetine and Fluovoxamine licensed for severe depression in children

• ECT not recommended for depression in children 5-11

• NICE guidelines for Bipolar in children: long term treatment atypical antipsychotic

• Second line for ling term treatment: lithium in females and Lithium/ Valproate in males

• Risk of Heart defects with Lithium 1-5 %

• Risk of Neural tube defects with Valproate 1-2%?

• Muscarinic receptor agonist, Xanomeline, new treatment for Schizophrenia

• As to CATIE-AD( CATIE for Alzhiemer Disease) Atypical antipsychotics don’t change care needs, functioning and quality of life

• Inhibition mediating prefrontal regions reduced in ADHD in children

• Posterior temporal-parietal performance monitoring regions reduced in conduct disorder in children

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Sarvenaz- thank you for sharing such a valuable info and wish you all the best.

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Yes, dude, just the thing I needed.

Keep 'em coming! ;)

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Ebrahimi, where are you these days?

Gimme a shout when you are free.

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Thanks Sarvenaz. This what I call altruism. Wish you all the best.

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Thanks very much Sarvenaz

I have tried to convert a few of them to MCQs:

1. Which of the following statement is correct in relation to improvement of quality of life

a. Maintenance treatment with anti-depressants improves quality of life in elderly patients.

b. Clozapine improves symptoms but not quality of life compared with other second-generation antipsychotics in people with treatment resistant schizophrenia

c. Maintenance treatment with anti-depressants improves symptoms but not quality of life in elderly patients.

d. A and B*

e. None of the above

2. The most important factor in assertive outreach teams is team organization

Which of the factors is most important in working with an assertive outreach

a. Giving patient depot to a non-compliant patient under community treatment order

b. Presence of doctor in each and every domiciliary visit

c. Informing patient’s next of kin before visiting his house

d. Team organisation *

e. All of above are equally important

3. Intensive case management is most important in reducing rehospitalisation of SMIs with previous high rate of admission

Which of the following is most important in reducing hospitalisation in people with severe mental illness

a. Regular CBT

b. &nbsp:lol:epot injections

c. Intensive case management *

d. A phone call to each patient every fortnight

e. Implication of community treatment order on basis of early symptoms of imminent relapse

4. 6 sessions of individualized treatment beneficial in treating depression in caregivers of patients with dementia

Damien Smyth is a son of Mr. Smyth – an 80 year old man Mr. Smyth admitted in your ward with severe dementia. Mr. Smyth was living with his son for the last 8 years. During a family meeting at 6 weeks you find Damien to be clinically at least mildly depressed. You decide treating Damien (Mr. Smyth’s son). What treatment is most beneficial for him.

a. SSRIs

b. CBT (6-8 sessions) *

c. Supportive psychotherapy

d. Counselling

e. Carer support groups

5. New use of antipsychotic  in elderly  people with dementia is associated with:

a. Reduction in mortality

b. Increase in mortality *

c. Poor quality of life

d. A high rate of neuroleptic malignant syndrome

e. None of the above

6. Among people with psychiatric disorders which of the patients have highest risk of death due to any cause

a. People with moderate depression

b. Schizophrenia

c. Borderline Personality Disorder

d. Schizoaffective disorder*

e. Postpartum psychosis

7. Which one of the following is not a predictor of good outcome in patients with social phobia

a. Full time employment

b. Absence of co-morbid affective disorder *

c. Presence of a co-morbid affective disorder

d. Less anxiety

e. Less stressful life

8. What percent of young women with Social Phobia recover completely in 1.5 years

a. 30-35 %*

b. 50-55%

c. 10-20 %

d. 5-10%

9. Which of the following statement is correct in relation to treatment of Depression in outpatients

a. CBT and interpersonal therapy are equally effective *

b. CBT is more effective than Interpersonal therapy

c. Interpersonal therapy is more effective than CBT

d. Family therapy is the most effective psychological treatment

e. None of the above statements is correct.

10. Risk of Schizophrenia in Caribbean women is

a. 1%

b. 2%

c. 3%*

d. 4%

e. 5%

11. Which one of the following is not a predictors of violence in Schizophrenia:

a. childhood conduct disorder

b. living situation, and economic deprivation

c. substance misuse

d. victimization

e. ADHD in childhood*

12. Which of the following has best evidence in prediction of PTSD in children after suffering from a major trauma

a. The Child Trauma Screening Questionnaire*

b. Children’s Impact of Events Scale

c. No questionnaire is able to predict development of PTSD

d. Both a and b are equal in predicting PTSD symptoms

e. Chidhood depression inventory (CDI)

13. A study funded by a leading pharmaceutical industry finds that  Escitalopram 10 mg daily is more effective than paroxetine for generalised anxiety disorder.

What type of bias it is:

a. Publication bias

b. Conflict of interest bias*

c. Hawthorne effect

d. Neyman’s bias

e. Therapeutic bias

(Continued)

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14. Which of the following statements is correct with regard to the prophylaxis and treatment of  bipolar 1 disorder

a. Oxcarbazepine is more effective than placebo for reducing manic symptoms of bipolar I disorder in children and adolescents

b. Oxcarbazepine is no more effective than placebo for reducing manic symptoms of bipolar I disorder in children and adolescents *

c. Oxcarbazepine is more effective than carbamezepine for reducing manic symptoms of bipolar I disorder in children and adolescents

d. Oxcarbazepine is at least as effective as carbamezepine for reducing manic symptoms of bipolar I disorder in children and adolescents

e. Carbamazepine is at least as effective as lithium for reducing manic symptoms of bipolar I disorder in children and adolescents

15. You read in an article that “Parental report version of the Mood Disorder Questionnaire” for adolescents has good sensitivity and specificity for diagnosing bipolar disorder in psychiatric outpatient clinics. Which graph would best represent the above finding

a. La Abbe plot

b. Galbraith plot

c. Receiver-operator curve*

d. Kaplan-Myer curve

e. Forest plot

16. You are an ST3 working in Newcastle. An 18 year old girl diagnosed with anorexia nervosa along with moderate depression comes to your clinic. Your consultant asks you to commence her on a suitable antidepressant;  which of the following you would start in her :

a. Fluoxetine*

b. Citalopram

c. Sertraline

d. Fluvoxamine

e. Escitalopram

Fluoxetine is the only SSRI licensed for anorexia nervosa as per NICE guidelines

17. Which of the following is the first line treatment for bulimia nervosa

a. Fluoxetine

b. CBT for Bulimia Nervosa

c. Self help psychology group*

d. &nbsp:lol:ialectic behavioural therapy

e. Family therapy

Ref. NICE guidelines

18. A 16 year old boy is brought to you in your clinic with history of severe depression. Which one of the following you would start in him:

a. Paroxetine

b. Citalopram

c. Escitalopram

d. Sertraline

e. Fluvoxamine *

Ref. NICE guidelines

19. Which of the following is a muscarinic receptor agonist used for the treatment used in treatment of schizophrenia

a. Paliperidone

b. &nbsp:lol:omperidone

c. Acrolidine

d. Xanomeline*

e. Cimeviline

Ref:  http://jpet.aspetjournals.org/cgi/content/abstract/299/2/782

   

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nocty me n you need to contribute also .....

all we do is say, good work and my fav ' u da maaannn'

:D

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AN 0.3%, BN 1%, Managed with Fluoxetine 60mg/d.

Self injurious behavior in LD occurs in 20% of patients.

Caffeine increases cortisol secretion, increases seizure length in ECTs and also increases lithium clearance by diuresis.

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Brilliant job! But what do you mean by Schizoaffective Disorder have highest risk of death?(who are the people at risk?Because if its any psychiatric diagnosis,surely answer would be Anorexia Nervosa!)

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I believe I've put these notes some where else in superego cafe however for completion , I put the notes that I made for paper 2 as well as some of them might come in this exam.

• CREB1 gene might increase the risk of suicidality in patients treated with antidepressants

• The risk of suicide or attempted suicide mostly increased if patients prescribed antidepressants by psychiatrists

• the same less likely to have suicide or DSH if prescribed by Primary care

• Fluoxetine first line treatment for depression in adolescent, then Sertraline and Citalopram if psychological treatment fails

• Suicide attempt increased before and in a month after taking antidepressants

• New antidepressants not increasing suicide

• &nbsp:lol:SH increased by old generation antidepressants in the first month after taking them

• 5HTTLPR, serotonin transporter gene, increases alcohol craving in alcohol dependent patients

• 5HTTLPR gene with fewer coping strategies in problem solving

• 5HTTLPR gene increases stress if stressors around

• &nbsp:lol:HEA useful in AIDS with depression

• Psychomotor slowness predicts non response to Fluoxetine as shows decreased dopaminergic activity

• Vardenafil, Phosphodiestrase 5 inhibitor, efficient in treatment of erectile dysfunction and mild depression

• AVPRB1 possible cause of mood disorders especially in females

• GRIK4 and HTRA2 in response to Citalopram suggests role of glutamate system in response to SSRIs in depression

• NMDA receptor antagonists being tested for treatment in depression

• Night eating syndrome is more common with substance misuse

• Recovery state most related to the time to relapse in Bipolar Disorder,

• Poor sibling relationship can be predictor of MDD in adulthood

• ?Higher risk of switch to hypomania/mania with Venlafaxine to Sertraline and Bupropione in treatment of bipolar depression

• Olanzapine beneficial in reducing relapse in Bipolar Disorder I

• Familial link between bipolar disorder in parents and behavioural disinhibition if the offspring

• Social endophenotype in Autism on chromosomes 11, 10, 8 and 17

• decreased Amygdala size in Autism

• Nalmefene, opioid antagonist beneficial in treatment of pathological gambling

• Pathological gambling 7% in Parkinson patients

• Panic disorder more common in old females with Bipolar disorder while generalized anxiety disorder more common in old males with bipolar Disorder

• Advise to continue Risperidone in disruptive behaviour disorder in children as prevents relapse

• Prefrontal neuronal dysfunction correlates with poor outcome in first episode of psychosis

• Enlarged lateral ventricles is an endophenotype for Schizophrenia

• CCR5, Chemokine receptor gene deletion is a susceptibility factor for late onset Schizophrenia

• Variation in DRD2, Dopamine receptor D2 affects response to treatment in first episode of Schizophrenia

• &nbsp:lol:TNP1, Dysbindin Gene, may be associated with negative symptoms in Schizophrenia

• Antisaccade spatial accuracy and latency deficits endophenotype in Schizophrenia

• correlates of adult ADHD: previously married, male gender, unemployed and non Hispanic white

• Cognitive therapy beneficial in prevention of psychosis in high risk patients

• Negative affect to minor stress is endophenotype for Depression

• Recent rape dating increases DSH in female adolescent but lifetime sexual assaults increases DSH in male adolescents

• deficits in olfactory identification may predict patient with persistent negative symptoms and cognitive dysfunction in first episode of psychosis

• 5-HT2A receptor related to social communication in autism

• offspring of depressed parents 3 times more likely to have depression and anxiety disorders than general population

• Family focused grief therapy useful in sullen families and intermediate for grief

• CBT for families for grief didn’t reduce depression or suicidal behaviour

• suicidal ideation in adolescents: 2 times more likely to have axis I diagnosis, 12 times DSH at age of 30, 15 times more likely to have suicidal ideas in last 4 years

• suicidal ideas in male adolescents more likely to have lower socioeconomic status and residential dependence at age 30

• Autistic spectrum disorders related to cluster A and C personality disorders

• ADHD related to cluster B personality disorders

• Low SI and Ferritin in Tourette’s syndrome

• Patients with Schizophrenia on Clozapine 53% had weight gain in 2008-05-28

• Patients with Schizophrenia and Diabetes more likely to have cognitive deficits

• reduced orbitofrontal and right inferior frontal and increased cingulated, stratial and parietal Endophenotype (impaired motor control) for OCD

• Monthly Interpersonal psychotherapy useful in maintenance treatment of recurrent depression if responded to IPS initially

• Familial aggregation for postpartum depression

• &nbsp:lol:ysbindin gene related to bipolar disorder

• &nbsp:lol:1 receptor down regulation Endophenotype of Schizophrenia

• Slynar Gene on chromosome 12 and affect

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• Impaired anterior cingulated activation in response to Stroop Test possible Endophenotype in Depression

• prevalence of PTSD 3 year after injury 4%, 1 year 6% and 2 year 2%

• Familial OCD: 6.2% higher for relatives of patients with OCD

• having 2 parents psychiatric admission increases risk of suicide 6 times

• psychiatric history in parents: 5-10 times increases risk of homicide in offspring

• Affective disorders in parents increases risk of mortality in offspring

• increasing factors of suicide attempt in males: past drug use, family history of suicide, early parental separation, cigarette smoking and borderline personality

• increasing factors for suicide attempts in females: previous DSH, depression, hostility, hopelessness, lethality of previous DSH, borderline personality and cigarette smoking

• Previous DSH increases risk of future suicide act 3 times in females every time

• Methylphenidate useful in treatment of Amphetamine dependence

• Chromosome 15 predisposing to MDD and chromosome 8 for related personality traits

• Psychodynamic psychotherapy useful for panic disorder

• Impaired cognitive flexibility and motor inhibition Endophenotype for OCD

• CATIE study on antipsychotic medication in Schizophrenia: Quetiapine and Olanzapine better than Risperidone

• Compulsive hoarding on chromosome 14 related to OCD

• Increased cortisol in saliva Endophenotype of Depression

• Event potentials Endophenotype for Schizophrenia

• Prevalence of ADHD 5% worldwide

• PICK1 gene predisposing to Amphetamine psychosis

• N-acetylcysteine reduces desire for Cocaine

• GRIK4 gene, Glutamate receptor gene related to response to SSRIs

• Olanzapine increases LBW and NICU in neonates

• Modafinil improves depression in Bipolar patients

• Prevalence of Anorexia Nervosa 2%, incidence 270 in 100,1000 in 2007

• Parent’s suicidal attempt increases risk of suicide attempt by 4 and suicidal event by 8% in the offspring

• decreased cortical thinning in medial inferior frontal and lat sensory motor cortex related to violent behaviour and possibly schizophrenia

• enlarged gyral crowns and thin sulci in preclinical Huntington Disease

• 1 in 7 women diagnosed with depression before and after 39 weeks of pregnancy

• GRIK2 and GRIA3 possible genes related to increased suicidality in treatment with SSRIs

• IGF-1 involved in Schizophrenia

• MAPT-2(tau protein) haplotype related to early age of onset in Front temporal dementia

• FKBP-5 gene related to PTSD following childhood sexual abuse

• Grey matter loss of anterior cingulated in Anorexia Nervosa

• BDNF Val and Met related to progressive changes in brain in Schizophrenia

• Subitramine useful in treatment of binge eating disorder

• Mumps and CMV in childhood predisposes to psychosis later in life

• MATRICS cognitive assessment tool in Schizophrenia

• STEPPS , a psychology treatment, useful in adjunctive therapy or borderline personality patients

• Nicotine dependence with low D2-D3 receptors

• patients with depression 2.7 times more likely to die of IHD

• Childhood treatment of ADHD with stimulants doesn’t increase risk of subsequent substance misuse in adulthood

• Mentalisation based treatment superior to usual treatment in borderline personality disorder

• adolescents with partial eating disorder syndrome 2-3 times more likely to have depression and anxiety in adulthood

• risks of DSH in first episode of psychosis: male gender, increased insight, social class I/II and longer untreated psychosis, around 50% commit DSH

• higher incidence of psychosis in black ethnics in the UK

• 36% of children with LD have psychiatric Disorders in the UK

• Social communication questionnaire best tool for screening for Autism

• DIALOG intervention for outpatients improves clinical outsome

• Unemployment strong risk factor for DSH in 2007, UK

• Heroin assisted treatment better than Methadone for Opiod dependent patients in the UK

• Prevalence of adult ADHD 4%

• Lower serotonergic response in childhood predisposes to antisocial personality disorder in adulthood

• Cognitive remediation therapy useful in improving memory and social functioning in Schizophrenia

• increased suicide rate in 7 days after ECT treatment for depression

• &nbsp:lol:SQIID, useful screening tool, observer rated, for screening Dementia in Down’s Syndrome

• Social problem solving useful in personality disorders

• lower risk of cancer in parents and siblings of patients with Schizophrenia

• fifth of suicide patients had contact with the police 3 months before the act

• increased prefrontal white matter in pathological liars

• Prevalence of adolescent onset psychosis 5.9%

• Mental ill-health in patients with LD related with: female gender, smoking, incontinence, no immobility, no physical problems, more consultations, type of transport and lower ability and more life events

• predictive factors for adolescent substance misuse: male gender, conduct disorder, ADHD and sibling use of tobacc

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• Risk factors for mental disorder in women: poverty, vaginal discharge, smoking, high psychological score at baseline, physical problems and being married

• Urban living increases risk of Bulimia Nervosa 5 times

• 60% of mild cognitive impairment patients develop Dementia

• Music therapy useful in Schizophrenia

• BDNF related to rapid cycling bipolar disorder

• &nbsp:lol:isabling fatigue possible endophenotype for depression

• only half of antisocial personality disorders are violent

• Bipolar patients with anxiety disorder: lower likelihood of recovery from depression, less days well, lower quality of life, earlier relapse and poorer function

• Brief CBT led by nurses useful in reducing duration of admission in first episode of Psychosis but not on psychotic symptoms itself

• CBT superior to brief psychodynamic psychotherapy in Avoidant personality disorder

• CRH1(Corticotrophin releasing hormone) moderates possible depression after child abuse

• Lifetime rate of suicide in Schizophrenia<0.5%, however now it has been increased 20 times

• 1/5 women with chronic psychosis commit a crime in 2 year; risk factors: previous convictions, previous violence, Cluster B personality disorder, victimisation, high level of unmet needs and black ethnicity

• ¼ patients commit suicide in 7 days after admission, majority by hanging. Post discharge mainly in 2weeks with highest number on 1st day post discharge

• common factors of suicide in elderly: drowning, depression, living alone, physical illness, suicide pact and recent bereavement

• violent methods of suicide in schizophrenia mainly inpatient

• 1/3 patients with depression commit suicide in a year of illness onset

• 34% of murder convicts have mental illness, 5% have life time Schizophrenia, 10% have mental illness at the time of crime

• intellectual asymmetry Endophenotype for Schizophrenia

• SCDC(social communicational disorder checklist) useful screening tool for autistic traits

• 42% of heroin addicts remain abstinent for 10 years

• Reality orientation therapy increases response to Donepezil in Alzheimer’s disease

• 27% of mothers with munchausen by proxy had insecure attachments as a child themselves and 60% had unresolved trauma

• mental incapacity related to: mania and psychosis, poor insight, minority ethnic group and delusion

• Guarana, a plant, increases memory performance and mood

• Ispronicine, Nicotine Acetylcholine partial agonist, useful in memory impairment

• Men with history of child sexual abuse and one parent, victims of non-family members and female predators and fondling

• possible increase of Bipolar disorder in black afrocaribbeans in the UK

• Incidence of anorexia 4.7 and Bulimia 6.6 in the UK

• prevalence of acute transient psychotic disorder 19%

• pregnant women on opiods, 59% died of HIV, if alive in 20 year follow up, 84% unemployed, 78% living on benefits and 74% substance misuse

• around 12% of consultants and 32% of SHOs are assaulted by psychiatric patients

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Thank you

These notes are from British and American journal of Psychiatry from 2005 onwards. Rarely there are some from BMJ and Schizophrenia Bulletin and Archives of General Psychiatry.

Sarvenaz

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more notes

• Emetics including Ipecac, catharsis and gastric lavage and bowel irritation should not be used in self poisoning as to NICE

• Flumazenil not licensed for BZD overdose in the UK, although widely used

• Flumazenil contraindicated in: epilepsy, BZD dependency and Tricyclics

• First line treatment for Schizophrenia as to NICE: Olanzapine, Quetiapine, Risperidone and Zotiepine

• Supportive Psychotherapy and counselling not advised by NICE for Schizophrenia

• Antipsychotic medication for 1-2 years in Schizophrenia

• Exposure based therapy reduces PTSD in patients with acute stress disorder

• &nbsp:lol:rug users in Scotland 12 times more likely to die

• Survival rate for Dementia 4.5 years

• Long term use of Aspirin does not change cognitive impairment in old women

• Folic Acid reduces facial cleft in pregnancy by third

• High IQ at age 10 is associated to becoming vegetarian at age 30

• Parental internalizing behaviour and feelings of rejection at home increase vulnerability for suicidal ideations in child victims of bullying

• 50% of adult mental disorders start in adolescence

• suicide third cause of death in adolescence

• 20% of C and A have SMI

• Very low birth weight children as adult are less negative, warmer in social interactions and more dutiful and cautious

• Interpersonal Psychotherapy useful in treatment of pregnant adolescents with depression

• Junior detective training programme improves social and emotional deficits in Aspergers syndrome

• Infants of mothers with social phobia are less socially responsive

• Life time prevalence of ODD( oppositional defiant behaviour) 10%

• In deaf children, 3 or more physical problems, sign language and low IQ, are related to having psychiatric disorders

• SWAN scale assess weaknesses and strengths in attention skills in ADHD

• IQ before 5, mental disorder, Epilepsy before 5, gender and speech before age of 5 predict outcome in adults with childhood onset of Autism

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