Mental health articles
OF mental health care and mentally ill
research report
How to prescribe opioids
General practitioners may use blue FP10 (MDA) prescriptions, which allow daily instalments on a single prescription, thus reducing the risk of overdose or diversion into the black market. Prescriptions for controlled drugs must: • • • • • • Be written in indelible ink Be signed and dated by the doctor State the form and […]
Tags: opioids
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Withdrawal from non-opioid drugs
To withdraw a patient from any benzodiazepine, fi rst convert the misused drug into an equivalent dose of diazepam, chosen because of its long half-life. Reduce the diazepam dose by 2 mg a fortnight over a period of two to six months. Even those individuals on large amounts of benzodiazepines can be reduced fairly rapidly. […]
Tags: drugs, non-opioid, withdrawal
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Dependence syndrome
The dependence syndrome is a cluster of symptoms, not all of which need be present for a diagnosis of dependence to be made. The key feature is a compulsion to use drugs, which results in overwhelming priority being given to drug-seeking behaviour. Other features are tolerance (need to increase drug dose to achieve desired effect), […]
Tags: dependence, syndrome
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Clinical conditions associated with drug misuse
Acute intoxication: may be uncomplicated or associated with bodily injury, delirium, convulsions or coma. Includes ‘bad trips’ due to hallucinogenic drugs Harmful use: a pattern of drug misuse resulting in physical harm (such as hepatitis) or mental harm (such as depression) to the user. These consequences often elicit negative reactions from other people and result […]
Tags: drug misuse
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Relapse prevention for paedophilia
Relapse prevention for paedophilia Relapse prevention involves teaching the individual to do the following: identify situations in which they are at high risk of offending behaviour get out of the risky situation consider lapses as something to be learned from identify factors that led to relapse and plan how these could be avoided in the […]
Tags: paedophilia, relapse prevention
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Case for paedophilia
Case for paedophilia Mr J was a 30-year-old man, admitted to hospital as a result of a period of severe depression. Prior to his depression he had been a teacher in a school in the north of England. Although there was no evidence that he had engaged in paedophile acts with any children, his name […]
Tags: paedophilia
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What if the person does not improve?
If the person’s condition does not improve, consider the following possible reasons for this: • Poor compliance. Make sure the person has understood thedosage and reason for the prescription. Poor compliance with medicines may occur because the person feels better and decides that there is no more need for medicines. Another reason may be that […]
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What if there are side-effects?
First, make sure that the complaints really are side-effects. For example, someone may say that shehas felt tired since starting the medicine, but sympathetic questioning may show that thesymptoms were present even before the medicine was started and are therefore likely to be a resultof the illness. In such cases, reassure the person by pointing […]
Tags: side-effects
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When are injections needed in the treatment of mental illness?
Injections have a very limited role in the treatment of mental illness. Besides thesesituations, it is advisable not to use injections in the treatment of mental illness. Avoid usingunnecessary injections such as vitamins for complaints of tiredness and weakness, which areoften the result of a common mental disorder rather than a vitamin deficiency. The diagrams […]
Tags: Illness, mental, treatment
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Childhood foster care placement and adult mental health outcomes
Reports on studies of adults with placement in foster care are scarce. However, the studies document long-term detrimental mental health consequences. Some reported from a British longitudinal follow-up study of persons born in 1970 that adults who had experienced foster care during childhood had higher scores on the Malaise Inventory, indicative of current psychological morbidity, […]
Tags: adult, childhoodc, Health, mental
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- acute stress disorder signs and symptoms
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