Mental Health

Question 1

What is the mnemonic for and the diagnostic criteria for alcohol dependence?

Answer 1

3 or more of:

• withdrawal on cessation
• tolerance
• compulsion to drink
• persistent desire to cut down
• feels like alcohol uses up their time
• neglect other interests
• continued use despite negative effects

Mnemonic = Never Sip Cheap Wine That Tastes Nasty —> Negative effects, Stop (wants to), Compulsion, Withdrawal, Tolerance, Time, Neglect (of other interests)

Question 2

Describe the routine blood test results of someone suffering with alcohol dependence?

Answer 2

Macrocytic anaemia (low Hb, high MCV)
High GGT
High AST and ALT (due to liver damage)

Question 3

For how long must symptoms of anxiety symptoms persist to diagnose anxiety disorder?

Answer 3

6 months

Question 4

Recall some symptoms of anxiety disorder

Answer 4

General demeanour: restless, easily fatigued, difficulty concentrating, irritable, muscle tension + sleep disturbance
Autonomic: palpitations and sweating
Chest/ abdominal symptoms: pain, nausea

Question 5

What classification system is used to diagnose depressive disorders?

Answer 5

DSM-IV

Question 6

What % of women are treated for depression in their lifetime?

Answer 6

25%

Question 7

What is it important to rule out when diagnosing depression?

Answer 7

Endocrinological cause such as Cushing’s/hypothyroid