Mental health

Rural Health West au Feb 11 mental health

Rural Health West au Nov 11 Mental Health Case Studies

NICE CG123 Common mental health disorders May 2011

Royal College of Psychiatrists UK

psych.org

Psychiatry Teacher Newcastle Vimeo 

youtube

Mirocommunity

MBBS Psychiatry Newcastle

thepsychguru.com

youtube Doctor of Mind MD

Opening Skinner’s box

Stockholm Psychiatry Lectures youtube

iTunes U ALTC multidisciplinary mental health practice

youtu.be/s58vH20LwUE

youtu.be/5jGiEolSWCA

youtu.be/ha9vnLMrXeQ

 

Mental health examination / psychiatric interview

Psychiatric equivalent of a physical examination and should be used for formal assessment of suspected psychiatric disorders.
Mini Mental State should suffice for general health assessments particularly when screening for/assessing cognitive impairment including dementia or acute confusional states.

PC
HPC
FH
PH
SH
PPH
PMH
Premorbid Personality
Current Circumstances
MSE
Appearance Behaviour
Speech
Mood
Thoughts
Perception
Cognition
Insight
Formulation

hacking-medschool/mse

ABC of mental health: Mental health assessment BMJ 1997

MSE frontier psychiatrist.co.uk

MSE fastbleep.com

youtu.be/3cFHSxLPf9w

youtu.be/rDzvikUVt6A

httyoutu.be/dO7QxvHLy9c

youtu.be/RD4i3te8bK8

youtu.be/NVRP9Umpz4M

youtu.be/Mmv52k7d24s

 

Mini mental state examination MMSE

hacking-medschool/mmse1

Mental state examination – “Assessed Mental State To Be Positively Clinically Unremarkable”
Appearance and behaviour [observe state, clothing…]
Mood [recent spirit]
Speech [rate, form, content]
Thinking [thoughts, perceptions]
Behavioural abnormalities
Perception abnormalities
Cognition [time, place, age…]
Understanding of condition [ideas, expectations, concerns]

youtu.be/9qRH8dUOIKM

youtu.be/yMTWbUk19c4

 

QOF and mental health review

hacking-medschool/qof-mental-health

 

International classification of diseases ICD10

ICD 10 Classification In Psychiatry

International standard diagnostic classification for  epidemiological, health management purposes and clinical use.

youtu.be/JnLCMSa1wHU

 

DSM IV American Psychiatric Association

youtu.be/hfOfy3jXuCo

youtu.be/Bc1uL1Gz0D0

youtu.be/j-wMP2Q0Ifs

youtu.be/i1uWRMvGfp4

 

Affective Disorders

Depression
Mania / Hypomania

 

Depression

SIGN qrg 114 non-pharmocological Rx depression Jan 10

NICE CG90 Depression in adults (update) Oct 2009

NICE CG91

7 As of depression
Anhedonia
Appetite loss
Anergia
Am waking
Amenoorhoea
Asexual – decreased libido
Affective

DESPAIRS
Depressed mood/Disinterest
Energy loss
Sleep disturbance
Pessimism hopelessness worthlessness
Appetite loss
Impaired Concentration
Retardadtion or agitation
Suicidal thoughts

Diagnosing depression
presence of at least four indicates clinical depression:
1 low mood, loss of happiness or equanimity lasting 4 weeks
2 mood not improved by pleasant events or relationships
3 loss of enjoyment of everyday life, lasting 4 weeks
4 loss of interest in things and people, lasting 4 weeks
5 sleep disturbance from insomnia to spending most of the day in bed
6 difficulty in concentrating and making decisions
7 withdrawal from personal relationships
8 motor retardation’ slowing of thought processes and physical activity

youtu.be/g-WED-k2IVo

youtu.be/NOAgplgTxfc

youtu.be/sABLI55YSog

youtu.be/KHQmQSUGIT8

 

Depression screening

No Benefit, Possible Harm From Routine Depression Screening Medscape News Sep 2011

youtu.be/eDgBSSSVtrU

 

HAD

Hospital Anxiety and depression score

 

PHQ9

PHQ9 PUK

http://youtu.be/DtQCp5350as

 

Depression treatments

Newer antidepressants BMJ Feb 2012

youtu.be/UtopldcoNRM

youtu.be/akXGOLu9r7g

youtu.be/WmTXiLndbsc

youtu.be/Ii7JkkRZQQo

youtu.be/HryOhK4E7aU

youtu.be/at-B4UuMrW0

 

Seasonal affective disorder SAD

sada.org.uk

Seasonal Affective Disorder PUK

SAD rcpsych.ac.uk
NHS Choices Beating the winter blues

youtu.be/p_xsLOpPaY4

youtu.be/XrCoef7r2JU

youtu.be/BKSIgu0_QBM

 

Post natal depression PND

NICE CG45 Antenatal and postnatal mental health Feb 2007

Edinburgh Post Natal Depression ScaleDownload pdf

Post Natal Depression direct.gov

youtu.be/Ey3M6hFo3Mw

youtu.be/5qz-gdWtKaM

youtu.be/pecCbMtqjos

Suicide and DSH

fms teaching ncl.ac.uk suicide and DSH

Suicide and Chronic Ill Health – Demos Pamphlet @ NHS Networks

http://hacking-medschool.com/suicide-parasuicide-deliberate-self-harm

youtu.be/tr-cT3igqkg

youtu.be/FAwMPvjSVV0

youtu.be/KVp04VQJNEI

 

Bipolar disorder BPD

Hypomania
persistant mild elevation of mood lasting at least several days

Mania
as hypomania + psychotic symptoms including grandiose delusions and auditory hallucinations

NICE CG38 Bipolar disorder Jul 2006

youtu.be/lMDlufiaylY

youtu.be/3PURi75GaxA

youtu.be/sl95tsiLvyM

youtu.be/QOf4uKAv9Hc

youtu.be/jfEhXaghRVk

youtu.be/9ZnAG38CWZI

 

Lithium

http://hacking-medschool.com/lithium-toxicity

http://hacking-medschool.com/lithium-2

http://youtu.be/zlQN8cKZKzA

Anxiety

NICE CG113 Anxiety Jan 11

Gad-2
GAD-7

youtu.be/RV4T8IUJ4BE

youtu.be/bRogMdOkgus

youtu.be/bnYWDHpFnFE

youtu.be/GlerJZKbBoc

youtu.be/xI3sVuH7rms

youtu.be/l_6Jo566acY

youtu.be/atcFteRXc7k

 

Panic Disorder

 

Phobic anxiety disorders

Agoraphobia
Social phobia

 

Post-traumatic stress disorder PTSD

Condition brought on by experiencing or witnessing extremely stressful often life-threatening  event such as assault, abuse, battlefield trauma etc.  Features include anxiety, panic attacks,  hypervigilance and increased arousal,  insomnia nightmares and flashbacks, avoidance behaviour, depression and substance abuse

NICE CG26 PTSD Mar 2005

PTSD Clinical review BMJ 2007;334:789–93

PTSD algorithm RACGP

EMDR

youtu.be/gZ5MLn1Cc94

emdrassociation.org.uk

EMDR Training

youtu.be/tqxiEe0RH-Y

youtu.be/1HrYDHnO6EM

youtu.be/BrnlgN7F6dY

youtu.be/xfsTec-EdfA

youtu.be/yQ8pZVfcIjk

youtu.be/G-M9C-VeFsk

 

Obsessive-compulsive disorder OCD

NICE CG31 Obsessive compulsive disorder (OCD) and body dysmorphic disorder (BDD) Nov 2005

Recurrent repetitive intrusive and distressing thoughts leading to compulsive stereotyped behaviours or rituals despite the patients attempts to resist. Examples include ritual hand washing or other hygiene rituals, checking locks and doors repeatedly, unpleasant obsessive thoughts and ruminations to the extent that they may severely impact on daily living.

youtu.be/k1fz_r6fM7I

youtu.be/GjgbPdzUyfk

youtu.be/ysFPLrt7UD0

youtu.be/tPFQMRx2l3Y

youtu.be/rh8TLaXGvMs

youtu.be/Ps6datZOQXI

Anxiety treatments

NICE CG 113 GAD

NICE Self-Help Resourses pdf

 

Benzodiazepines BZDs

BZDs medscape

Benzodiazepines RACGP

youtu.be/lDKlpRpszYI

youtu.be/b8X5hWVwIwI

youtu.be/nIH63pAfc7A

youtu.be/UsjhqdE7-6A

 

Eating disorders

Internal Link to Paeds/Teenage Health

Cardiff University online Resource

NICE CG9 Eating disorders Jan 2004

Anorexia  nervosa deliberate and significant weight loss (15%+) usually through calorie restriction accompanied by a distorted body image where the patient  views themselves as obese even though underweight

Bulimia nervosa repetitive and excessive binge eating followed by compensatory vomiting and or laxative or diuretic abuse. There is preoccupation with body image and weight but not the distortd body image as in anorexia nervosa.

youtu.be/1O-fIt-GYx4
youtu.be/FPVK_HkKYYg

youtu.be/O09gYKuh8BI

youtu.be/zi2xXEz0JOg

youtu.be/VrUA8kLjkSk

youtu.be/XYuM3FyU8wA

 

Personality disorders

Diverse group of conditions in which the patient thinks feels and behaves dysfunctionally and maladaptively wrt cultural norms causing either personal distress and/or impairement of social and occupational functioning.

Psychopathic
Avoidant
Borderline
Dependant
Histrionic
Narcissistic
Paranoid
Schizoid

NICE CG78 Borderline personality disorder (BPD) Jan 2009

NICE CG77 Antisocial personality disorder Jan 2009

mind.org.uk personality disorders

rcpsych.ac.uk personality disorders

personalitydisorder.org.uk

4degreez.com personality disorder test

youtu.be/EG6UMUmhEmU

youtu.be/QiADrPQSBTg

youtu.be/Do6owMR1hSY

youtu.be/eOphgCJX1FY

youtu.be/FFgoGtt7wu4

http://youtu.be/xdPuSnP8YY8

 

Schizophrenia and psychosis

NICE CG82 Schizophrenia (update) Mar 2009

Group of disorders characterised by
abnormal thoughts (delusions)
disorders of thought process and speech
abnormal perceptions – hallucinations
abnormal affect
passivity phenomena – thought insertion or broadcasting
cognitive impairement
lack of insight

Positive symptoms
Negative symptoms
Cognitive impairment
( Clinical finals and how to pass them – Henretty et al CL 2008)

youtu.be/gtLjiXDBTeg

youtu.be/9YtOiwB1Nwg

youtu.be/NYZauBSRuWQ

youtu.be/hdQ1z3JkVVw

youtu.be/nAzu6yQ3OEY

 

Schizo affective disorder

Schizo affective disorder MIND

Diagnostic category to describe patients showing features of both schizophrenia and affective disorder during a single episode of illness – without satisfying diagnostic criteria of either single diagnosis  (I feel like I’m making this up)

youtu.be/tk0rZbNW9-w

 

Delusional disorder

Condition in which patients show persistant  (>1 month) delusional symptoms in the absence of frank psychosis or significant mood disorder. Delusions may relate to patients own life circumstances rather than being bizarre or psychotic. Examples include  persecutory and hypochondriacal delusions,  morbid jealousy and erotomania.

 

Catatonia

youtu.be/zAEJ-Jvndms

youtu.be/_s1lzxHRO4U

 

Antipsychotics

rcpsych antipsychotic medication

Antipsychotics & Behavioural Disturbance in the elderly Internal Link

Antipsychotics PUK

MHRA antipsychotics

youtu.be/oo7vnKFo-P4

youtu.be/1O6BwI1eM2g

youtu.be/nGqo7ZQc6Sg

youtu.be/Q_bKIamzzFQ

youtu.be/MrzXFCGslPQ

youtu.be/HtQNbm-RDxo

 

Atypical antipsychotics

NICE CG82

nimh.nih.gov mental health medications

understand-schizophrenia.com Atypical antipsychotics

MHRA Drug Safety Update CON111764

youtu.be/CHB5Ku5XiXM

 

Psychopharmocology

youtu.be/JQ3sl_WxZQU

youtu.be/gWzvi98pbVg

youtu.be/NLh5qeX2hUY

youtu.be/79if3Q5ItB4

 

Paranoia

mind.org.uk paranoia

youtu.be/vkqgxIh_okY

 

Delusions

http://youtu.be/xIrA6iCke2M

http://youtu.be/Gc2Nox6PMnc

http://youtu.be/zX9OTDzyNdQ

Thought Block

youtu.be/0u9d96b-Tyc

Pressure of Speech

youtu.be/F_YPZt7CuNY

 

Hallucinations

Hallucinations medline plus

youtu.be/0tn8xLQY53U

<a href="http://youtu.be/PAY1qysiTvo"youtu.be/PAY1qysiTvo

youtu.be/ApEo_ifOP2A

youtu.be/h1tMrwvbosw

 

@@@ Psychosis – breaking the ice

I gather your (mum) is worried about you. I wonder why that is? [pause] or Do you know why this is?

Some Useful Screening Questions
Do you hear voices when no-one is around? What do they say?
Do you ever think that people are talking about you or gossiping about you, maybe even thinking about trying to get you?
Do you ever think that somehow people can pick up on what you are thinking or can manipulate what you are thinking?

Assessing perception hallucinations
Visual olfactory or gustatory hallucinations should make you consider an organic cause?
Does your imagination ever play tricks on you?
Do you ever get the feeling that there is something odd going on that you cannot explain?
Is there anything unusual about the way things look sound or smell?

Auditory Hallucinations?
Do you

Assessing Delusions
Is there any subject you often get into arguments with others with?

Assessing Thought Block
Do you ever experience your thoughts stopping quite unexpectedly so that there are none left in your mind even when your thoughts were flowing freely?

Assessing Thought Interference
Does anything interfere with your thoughts in any way?

 

Dementia and memory loss

see also in Older People Internal Link

Dementia Alliance

Providing support for dementia patients and carers NPC Rapid Review May 2011

Alzheimers
Lewy Body dementia
Multi-infarct (vascular) dementia

youtu.be/XgqeuNqXQGk

youtu.be/ezBtsBWWh6s

youtu.be/y3g4emLQ1Ic

youtu.be/Eq_Er-tqPsA

youtu.be/R7njRvIIJJU

youtu.be/r870iOEUG_s

youtu.be/VnsJOKc5YcU

youtu.be/emf50RXLr70

youtu.be/CMlp_qvPSHk

youtu.be/_08KnITQCN0

 

Insomnia

Insomnia BMJ April 2011

Melatonin @ MedlinePLus

Melatonin @ Priory.com

NHS choices Insomnia

Insomnia PUK

deep sleep App andrew johnson

Sleep Diary PUK

youtu.be/v_Eyp53uGF8

youtu.be/SgetQGRB8Mw

 

Psychiatric emergencies

250textbooks/psychiatric-emergencies

bryanbledsoe

Understanding Psychiatric Emergencies ppt Emergencies Brian Bledsoe

lifeinthefastlane.com mental health in the ed

psychiatrist-blog psychiatric emergency

youtu.be/MdyTDQSA_6U

youtu.be/soX2URA8oLo

 

Acute confusion / delirium

 

250textbooks/acute-confusion

Acute confusion Medscape

Acute Confusional State PUK

acutemed.co.uk Acute Confusional State

nmhdu.org.uk delirium or acute confusional state

youtu.be/BiUt_UrEKU4

youtu.be/MFFvvVFPLoc

 

Managing aggression

Aggresive patients medscape

youtu.be/vKzKYAnX7Mc

youtu.be/wnfn8AwClv4

youtu.be/npjPEyKeP00

 

Emergency sedation

Childrens Hospital Melbourne Emergency Restraint & Sedation

Emergency Sedation of Agitated Patients Journal Watch (password)

Treatment of Psychiatric Patients in Emergency Settings primarypsychiatry.com

ferne.org Violent patients

 

MHA 1983 Mental Health Act

250textbooks/mha

mind.org.ukMental Health Act 1983

direct.gov.uk Mental Health Act

MHA Downloadable Forms

youtu.be/eXwiFty5qd8

youtu.be/o4T-RAWpNok

 

Mental Health Commission – now CQC

Care Quality Commission

Mental Welfare Commission Scotland

 

Section 12 MHA

rcpsych.ac.uk mental health act 2007

 

Psychology / psychiatry / psychotherapy

Psychology, psychiatry and psychotherapy NHS careers

youtu.be/_QWu83ai6qs

 

Anti psychiatry

Critical psychiatry website

Anti-Psychiatry @ Critical Psychiatry

youtu.be/1n46ohBsrPI

 

Mind body dualism molecular and neuro-psychiatry

youtu.be/uimUsuvXyjc

youtu.be/ZEUGzNXHPjE

youtu.be/eYXhwhD1SV0

youtu.be/bjABUhyu6dw

youtu.be/2rXrhfoWJ0U

youtu.be/fpYF2nX3vik

 

Psychology Skinner Lacan

youtu.be/7VZUjncC_SY

youtu.be/4MvOwqNB_CQ

youtu.be/874fNhM4QV4

 

History of psychotherapy

History of Psychotherapy psychcentral.com

just noticeable differences psychology blog history of psychotherapy freud

youtu.be/ztj8SisVNvo

 

Freud

youtu.be/EnVARmZxA-Uhttp://youtu.be/6a8mwidjG8s

youtu.be/CDvVz8bO1j0

 

Jung

cg jung page.org

youtu.be/eLJsiQ4h3fY

youtu.be/ou9fizJKnWQ

 

Cognitive behavioural therapy

Ten Minute CBT

10 minute CBT videos Scion

CBT rcpsych.ac.uk

CBT NHS Choices

CBT mind.org.uk

 

NLP neurolinguistic programming

anlp.org

acuity dr.com

the nlp doctor.com

youtu.be/hBdDq7TKytM

youtu.be/BalZpNbnw6I

youtu.be/beXd_e39Uqc

 

Choice theory

wglasser.com

choicetheory.com

youtu.be/-2BzLKGx_ng

youtu.be/FckebmElMa8

youtu.be/J0tWB-gD9UM

 

Anger management

thecalmzone.net

mind.org.uk dealing with anger

NHs Choices Anger management

apa.org anger control

youtu.be/WiDXqp9zbYo

youtu.be/xI3sVuH7rms

youtu.be/HJP8aUt-uoA

youtu.be/_kECf8NUKLM

 

Relaxation techniques

helpguide.org stress relief meditation_yoga_relaxation.htm

mindtools.com stress and relaxation techniques

Relaxation techniques University Maryland Medical Centre

Relaxation Techniques brianmac.co.uk

youtu.be/zjh3pEnLIXQ

youtu.be/hnpQrMqDoqE

youtu.be/-j5Z4E2wkh4

youtu.be/IsRMFr59QSo

 

Community psychiatric services

History of mental health and community care mind.org.uk

Mental Health direct.gov.uk

Community Care mind.org.uk

mental health services mentalhealthcare.org.uk

 

Crisis intervention

Crisis Intervention PUK

 

Early intervention in psychosis

iris initiative.org.uk

Early intervention Rethink.org

 

Mental health self help

Self-Help and Serious Mental Illness Medscape

mentalhelp.net online self-help book

National Mental Health Consumers Self-Help Clearinghouse

Substance abuse and mental health services.gov Recovering Your Mental Health A Self Help Guide

lifeline.org.au Mental Health Resource Centre

 

Bibliotherapy

Book Prescription Scheme Wales

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