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13.04.15 Lecture notes

Suicide assessment 
  • Characteristics of the act
    • Seriousness
    • Planning
    • Intent
    • Rescue
  • Characteristics of the person
    • Personality
    • Psychiatric illness
    • Physical illness
    • Hopelessness
  • Circumstances
    • Socioeconomic
    • Isolation
    • Berevement
 
Personality disorder
  • Personality?
    • Charcteristics, Behaviours, Thought processes, Interactions, Feelings
    • Predictable / Stable over time
  • Personality disorder?
    • Maladaptive, Inflexible
    • Deviation from cultural norms
    • Causing distress in self or others
    • Developemental origin (must be >18 for diagnosis)
    • No other cause apparent
  • Clusters
    • A - Mad
      • Odd, Eccentric, Suspicious
      • Paranoid, Schizoid, Schizotypal
    • B - Bad
      • Dramatic, Emotional, Erratic
      • Antisocial, Borderline, Histrionic, Narcissistic
    • C - Sad
      • Anxious, Fearful
      • Avoidant, Dependent, OCD
 
Triangle
 
 
 
Assessment tools
  • SCID-II, SCID-IV
  • Eysenck
  • MMPI
  • NEO PI-R (Ocean)
  • SAPAS
 
Alcohol dependency syndrome - PR COST TO REWIRE
  • PR - Primacy of drink (over other activities)
  • CO - Compulsion to drink
  • ST - Stereotypical pattern of drinking
  • TO - Tolerance
  • RE - Relief of withdrawal symptoms by drinking
  • WI - Withdrawal symptoms
  • RE - Reinstatement after abstinance
 
Notes
  • Dr Killary
  • Personality disorder (rasberry ripple) vs Mental illness (cherry)
  • Can't properly define personality disorder as a disease
    • Always had it/part of who they are
    • No physical cause apparent
    • No diagnostic test
  • P drugs for Panic
    • Citalopram
    • Paroxetine
  • SSRIs can paradoxically increase anxiety in the short term
  • Agomelatine: Melatonergic antidepressant for the treatment of major depressive disorder
  • Mindfulness-based therapy
  • Dialectical behavour therapy (esp. for BPD)
  • Categorical (assignment of categories) vs Dimensional (quantification of attributes) diagnosis
    • Dimensional systems work best in describing phenomena that are distributed continuously and that do not have clear boundaries
    • Report clinical attributes that might be subthreshold in a categorical system
  • Cyclothymia
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