Flashcards in Dentistry and mental illness 2 Deck (11)
What is body dysmorphic disorder?
Belief in cosmetic defect in someone of ordinary appearance
Socially isolated, introverted, associated with stress
Can also be ethnic dysmorphia or gender dysmorphia
Describe eating disorders?
Lack of insight, psychopathological relationship with food
Anorexia = reduced weight (stop eating)
Bullaemia = maintain weight (vomiting)
Poor OH - acidic vomit so erosion
What is OCD?
People with OCD have insight - they know it affects daily life
Ritual performances / obsessive doubts
What is PICA?
Eating inappropriate products
Varies with culture
Pregnant women often want coal
Must be in kids >18 months as young babies use their mouths for perception
What is schizophrenia?
Can be acute or chronic
ACUTE - delusion, hallucinations, interrupted thoughts
CHRONIC - slow, apathy, lack of drive, inability to explain abstract ideas, over-inclusiveness, delusions, hallucinations
What 4 treatments are there for mental illness?
Drugs - psychotropic, neuroleptic, anxiolytics
Behaviour therapy - desensitisation, relaxation training, cognitive therapy
Psycotherapy - talking cures,
ECT - electro convulsive shock therapy - shock frontal lobe
What is CBT?
Cognitive behavioural therapy
completed in 10 sessions but psychotherapy is ongoing
What factors affect OH and access to care?
Type, severity and stage of illness
Side effects of medication - xerostaemia, dyskinesia
Mood, motivation, self esteem
Perception of OH problems
Lifestyle - language, diet, drugs
Lack of information - knowledge and attitudes
What are the 3 main issues that arise when dealing with a pt with poor mental health?
Clinical duty of care vs pt autonomy
Pt refusal of treatment vs best interests
Power of attorney - ill mentally incapable
What is competency?
The ability to consent for yourself:
-understand and remember information
-weight up choices
-believe information applies to you