Common Mental Disorders — Flashcards

Flashcard 51: What is the mechanism of action for Z-drugs? _____

Answer: GABA agonist

Flashcard 52: Are patients with avoidant personality disorder content with social isolation? _____

Answer: No, they crave social contact

Extra: Avoidant PD vs. Schizoid PD:\n- **Avoidant PD:** Crave social interaction but avoid it due to fear of rejection/criticism.\n- **Schizoid PD:** Prefer social isolation and have no desire for close relationships.

Flashcard 53: Which personality disorder is characterised by preoccupation with details, cleanliness, order & control over all aspects of life? _____

Answer: Obsessive-compulsive (cluster C)

Flashcard 54: How does OCD differ from obsessive compulsive personality disorder (OCPD)? _____

Answer: OCPD patients are ego-syntonic = they are unaware their behaviour is problematic

Flashcard 55: What cluster of personality disorder is Obsessive-compulsive Personality Disorder? _____

Answer: C

Flashcard 56: Should SSRIs be routinely prescribed for the initial treatment of mild depression?\n_____

Answer: No (Not routinely)

Flashcard 57: Management of acute stress disorder: _____ (and psychological first aid)

Answer: Trauma-focused CBT

Flashcard 58: First-line pharmacological management of PTSD includes _____ (e.g., Sertraline, Paroxetine) or the SNRI Venlafaxine.

Answer: SSRIs

Flashcard 59: What is the first-line behavioral management of OCD? _____

Answer: CBT; including exposure & response prevention (ERP)

Extra: OCD management involves: 1. Behavioral: CBT with Exposure and Response Prevention (ERP). 2. Pharmacological: SSRIs (high dose, longer duration than MDD). 3. Refractory: Clomipramine (TCA) is highly effective but has more side effects.

Flashcard 60: Short-term insomnia = < _____ Long-term insomnia = ≥ 3 months

Answer: 3 months