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the_ninth_sin

26 - Anger problems

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A man comes to your out-patient clinic. He gives you a history in childhood of conduct disorder. He recognises that he ahs a problem with anger and often gets into fights with his partner. He wishes to prevent this from happening. You interview him and find no evidence of mental illness or active symptoms. You decide:

1. To start no treatment but review him in three months.

2.Start an antipsychotic and review in 3 months.

3. Start an antidepressant and review in 3 months.

4. To discharge him.

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why not option 1

childhood hx of conduct disorder and long standing anger issues. what will change in 3 months?

He has anger problems and no enduring mental health problems so discharge him.

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A man comes to your out-patient clinic. He gives you a history in childhood of conduct disorder. He recognises that he ahs a problem with anger and often gets into fights with his partner. He wishes to prevent this from happening. You interview him and find [highlight]no evidence of mental illness or active symptoms.[/highlight] You decide:

1. To start no treatment but review him in three months.

2.Start an antipsychotic and review in 3 months.

3. Start an antidepressant and review in 3 months.

4. To discharge him.

Why does he need a review??

I agree with discharge

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hahaha I agree buddy....theres a big population out there with anger issues.

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agree with 4 maybe if there was an option to do a thorough risk assessment i wud hav gone for that.

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ofcourse a thorough risk assessment would be the desired option

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i can not remember ,one course has given the Ans 1

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A man comes to your out-patient clinic. He gives you a history in childhood of conduct disorder. He recognises that he ahs a problem with anger and often gets into fights with his partner. He wishes to prevent this from happening. You interview him and find no evidence of mental illness or active symptoms. You decide:

1. To start no treatment but review him in three months.

2.Start an antipsychotic and review in 3 months.

3. Start an antidepressant and review in 3 months.

4. To discharge him.

there is another option to this question which is

5.behavioural strateigies and anger management

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When there is no mental health problem, there is no justificaton for secondary mental care (severe and enduring MI) to stay involved. But it still has a duty to provide guidnce to primary care as specialists. The absolute right answer for this would have been &quot:lol:ischarge with advice/info about further counselling/behavioural management which can be accessed thru primary care'. In the absence of this option 5 would look the most optimum.

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in a perfect world flak...in a perfect world haiiii

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