So, I have been asked by your GP to have a chat with you because you are having some difficulties in judging. So, as far as I know, you have, you were in an accident. A few months ago and since then you've been having some difficulties. But if it's okay, I'll let you explain what led you to come in here already. Yeah, I just had an accident about six months ago. And ever since then, I just can't get out of my head. was it was a serious accident? Yeah, it was it could have been, you know, the car was all messed up in a way you know to sort of concussion to split a whiplash room in the car was really hard. I can see where you're getting a bit anxious even talking about it. If you find questions difficult to answer It's okay, we can move on. And you can take your time, too, if you're feeling anxious. So you had this unfortunate accident you said that, although you will not seriously injure the car was quite badly damaged, and you make the most depending on how

  Management Cognitive treatment for depressive disorder What is the cognitive treatment for depressive disorder? Cognitive behavioral therapy Cognitive treatment for depressive disorder Who and when was it developed? Beck et al in the 1960s Cognitive treatment for depressive disorder What does it combine? Cognitive and behavioral aspects Cognitive treatment for depressive disorder Is it available on the nhs? Yes Cognitive treatment for depressive disorder What is the individual told to focus on and consider? Focus on negative thoughts and then consider new ways of thinking Cognitive treatment for depressive disorder What are the 2 main focuses on cognitive behavior therapy?  -change distorted thinking present in those with depressive disorder -train patients to use more adaptive methods Cognitive treatment for depressive disorder What are the 3 main aims of the treatment? Challenge negative thinking and replace with constructive positive thoug

Orofacial chorea because of long-term antipsychotic use. 

  Lithium FAQ 01 What are the indications for lithium? We use lithium in the prophylaxis and treatment of mania, prophylaxis of bipolar disorder, as an augmentation strategy for patients with treatment -resistant depression. What are the common signs of lithium toxicity? Thirst, polyuria, memory problems, tremor, weight gain, tiredness, diarrhea. Cognitive dysfunction is the most common symptom that leads to non-compliance. Side effects are dose-related. What is the concentration at which toxic effects reliably occur? Toxic effects reliably occur at 1.5mmol/l but toxic effects can occur at MUCH LOWER LEVELS in many patients, especially in older patients, systemically ill patients, and in use of alcohol or other CNS active meds What are the two systems lithium causes the most damage to? Thyroid and kidneys What are the differences between the brands of lithium? There are differences in bioavailability, and recommendations are to keep to the patient on the same brand. If it is necess