Bradford VTS Online Resources:
- activities that are enjoyable.doc
- activity planning.doc
- anxiety – leaflet.doc
- anxiety – worksheet.doc
- bipolar disorder – lithium toxicity leaflet.doc
- bipolar disorder – worksheet.doc
- chronic fatigue syndrome – leaflet.doc
- chronic fatigue syndrome – worksheet.doc
- coping with psychiatric drug side effects.doc
- depression – coping with it – by aaron beck.pdf
- depression – leaflet.doc
- depression – worksheet.doc
- panic or heart attack leaflet.doc
- phobia leaflet.doc
- phobias – worksheet.doc
- problem solving and achieving goals.doc
- progressive muscle relaxation leaflet.doc
- psychosis recognition – worksheet.doc
- ptsd leaflet.doc
- schizophrenia – coping with difficult behaviour.doc
Severe Mental Illness (SMI) & Mortality
Did you know...
Did you know that patients with SMI die 15-20 years EARLIER than their peers in the general population. Mainly due to CVD problems. Hence ,the annual health check is important in this vulnerable group. Don’t just screen – intervene! Do something about these if present…
- Alcohol and illicit/non-prescribed drug use
- Obesity management & Obesity prevention
- Physical inactivity – brief advice, referral to exercise programmes and activities.social prescribing.
- Type 2 diabetes – prevention and treatment
- Lipid modification
- Current smokers: facilitate smoking cessation through pharmacotherapies,
intensive behavioural support, and methods such as carbon monoxide
Compared to the general population, people aged under-75 in contact with mental health services in England have death rates that are :
- 5 times higher for liver disease
- 5 times higher for respiratory disease
- 3 times higher for cardiovascular disease
- 2 times higher for cancer
Examples of SMI
- schizophrenia – more common in men than women. In men, it is more common between the ages 16 -24, whereas in women it is similar across all ages
- bipolar disorder – more common in women than men. In men is more common between the ages 35 -44, whereas in women the most common ages of first recording are between 25 and 34
- Other psychosis – more common in men than women. In men is most common between the ages 16 -24, whereas in women the most common ages of first recording are over 75 years old
Important features in the history
Important features in the Examination
Memory Assessment Tests & their Limitations
Please look under the DOWNLOADS section above under “memory assessment tests” for the different tests available.
The Limitations of all memory assessment tests like AMTS, MMS, 6-CIT:
- These tests DO NOT assess the frontal lobe! For example, things like frontal lobe dementia (often in younger people), frontal lobe dysfunctions like Wernicke-Korsakoff syndrome.
- So how do you pick up frontal lobe disorders? Answer – from relatives mentioning, or you noticing (if you know the patient well) a “coarsening of personality”. The characteristic coarsening of personality involves things like
- a loss of social, and sometimes sexual, inhibitions
- a tendency to irritability, a facile jocularity, and abusiveness.
- And this leads to…
- family disruption (violence in the home and marital separation);
- an increased rate of accidents at home, work and on the road;
- and increased rates of absenteeism, redundancy, offending and vagrancy.
- Sexual impotence may also develop.
- Sometimes, the syndrome of ‘morbid jealousy’ may emerge.
- May lead to a “Dysexecutive Syndrome” picture.
- In the case of alcohol-related disorders, this is not necessarily related to acute intoxication.