Computer generated transcript

Warning!
The following transcript was generated automatically from the content and has not been checked or corrected manually.

Hi guys. I think we're live now. Yes, we are. So. Hi, everyone. Welcome to today's session on Psychiatry. Um My name is LA and with me, I will let te introduce his health. Hi, everyone. Um I'm Chant. Um I'm an F one around um Grace Manchester. So welcome. So welcome. I'm an F one in the East Midlands region. Um So today's session is on psychiatry. We hope you find it interesting and you find it useful as always, feel free to ask any questions if anything isn't clear and um we'll get started. The QR code on the screen is for our research, which we're currently doing. So we would really appreciate it if you could scan that code and just fill in the questionnaire which is very, very short. I'll also put the link in the chat for anyone who is able to scan the QR code, please. Um fill in the link and share it with anyone else you think might be interested again. Thank you guys for joining us and we'll get started. Ok. So, but of the session outlined. So we'll just be covering some of the common conditions um that are sort of come under the Psychiatry um umbrella that we're expected to know for the UK MLA. So we'll be covering topics today from depression, anxiety, psychosis, bipolar eating disorders and mental health crisis. Um So sort of on the right to your screens, you can see as per the UK MLA guideline, you've got your common psychiatric um presentations that we should all be aware of and then common conditions as well. Um So if we go to the next slide, please, so we'll start on question one. I think I'll let you guys just kind of read, answering your head. There's also a poll in the chat. We'll give you about 60 seconds and then um we'll move on to the explanation. OK. So if we go to the answer slide, so an is d so provides information and self help strategies and monitoring. So, um according to nice guidelines, um so this lady presents with um depression, um individuals who have less severe depression, the initial approach is to provide information with self help strategies and then also monitor for the progress. So um often, oftentimes when patients present with um sort of low um low mood, sort of a lesser, a lesser severity of depression if you will, um they're mainly looking for somebody to sort of speak to. So a lot of times it can be self help strategies where they can maybe sort of maybe do like personalized, self help at home or if they want to speak to somebody, then you can potentially refer on. Um But often you will bring the patient back sort of in 4 to 6 weeks time to check up how they're doing. If we go to the next slide as well, please. Thank you so often with depression. Um the diagnosis is primarily clinical um based on sort of a comprehensive history and um a symptom criteria. So in GP, um there are sort of many different um questionnaires that um doctors can use, but a common one is P HQ nine. So you can either get the patients to fill it out themselves and then bring them in for a consultation or you can fill it out um with them whilst they're um in sort of at the, at the surgery then, um, and then in terms of depression criteria. So it's characterized as persistently low mood loss of interest, loss of um pleasure and activities and then accompanied by at least four different additional symptoms. Um, as we can see here, fatigue, sleep disturbances, um and changes in appetite and feelings of worthlessness. And that can also come with plus or minus suicide ideation as well. So again, I mentioned the screening tool about PHQ nine. Um but there are variety ones as well. Um And if we move on, um, so in terms of management, so we, like I mentioned, we can have like follow up appointments um to determine sort of how the patient is doing and then whether or not they need additional treatment such as um CBT or um or um Pharma um sorry, medication such as SSRI S or SNRI S um lifestyle in lifestyle changes as well. So physical activity change in the diet trying to um get health a better sleep as well. Um Special considerations for quite severe depression such as ECT. Um that's mainly for like treatment resistant depression as well. And then in extreme cases, potentially starting on um lithium augmentation as well. OK. So I think we can move on to the next question. So if you guys have a read and I'll just pop the pole in there, it means 60 seconds. Do you want me to move to the next slide? Yes, please. OK. So this patient um is presenting with anxiety. So again, according to um nice, um the 1st, 1st, the first set of guidelines in order to treat patients with anxiety, um such as generalized anxiety disorder is to offer structured um psychological therapy such as CBT. Now, um there are many, many forms of CBT depending on sort of the subtype of anxiety when you think of um obsessive compulsive disorder and social anxiety as well. So you can pretty much tailor it to the individual and their circumstances. Um So if we go into the next slide as well, please. Um So again, um you want to do the initial assessment, you want to try and determine what kind of anxiety that the patient might be presenting with. So you look to identify key key symptoms such as excessive worrying, restlessness, um fatigue, difficulty concentrating, irritability and sleep disturbances with anxiety and depression. Overall, there's quite a few sort of overlap uh as with symptoms also with presentations as well. A lot of patients don't tend to present with just one they might present with both. Um So it's, it can be quite difficult with trying to determine the best way to treat those patients as well. Um But generally you go with, I suppose what, what the feelings of the patient they're presenting more with if that makes sense. So if they're presenting with more features and their main concern is um anxiety, then, you know, you would offer the CB CBT route if they were to come back after, you know, a period of time and you reassess, reassess them and they're still experiencing, you know, signs of depression. That's when you can start to think about introducing um medication as well to, to assist with that. That's why.