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