Which childhood onset disorder is characterized by gaze avoidance?

Delirium Tremens Delirium Tremens is an emergent situation, that we may regard as the most severe form of alcohol withdrawal syndrome. In most cases, it occurs after long-term heavy use. It may also occur in patients who stop benzodiazepines.  In most cases, it occurs after long-term heavy use of alcohol.  Presentation Psychological and behavioural manifestations Rapidly changing picture Clouding of Consciousness Disorientation Disorganised mental activity Short term memory disturbance Perceptual abnormalities Hallucinations Visual misinterpretations Illusions Cocaine bugs (formication) Behavioural manifestations Agitation Shouting Restlessness Fear Sleeplessness  Physical Manifestations General Physical Dehydration Electrolyte disturbances Autonomic Manifestations Autonomic manifestations of delirium tremens differentiate it from delirium (acute confusional state) that occurs because of organic causes other than substance use and alcohol withdrawal.  Sweating  Fever tachycardia Raised

Mnemonic: Clinical Signs of Anorexia Nervosa BE WICKED Bradycardia  Emaciation  Weak proximal muscles Cold hands and feet Erosion of teeth Dry hand, dependent oedema Swelling of the parotid and submandibular glands, Skin discolouration 

You need about 7-8 hours of sleep per 24-hour cycle. Some people, however, are short sleepers and need much less. With aging, your daily requirement of sleep decreases. If you feel fresh in the day, you are getting adequate amount of sleep.  If you are sleep-deprived, you are prone to a number of adverse physical and mental health outcomes. 

changes in mental health policies that have made dangerousness a relatively more common reason for admission (as non-violent patients are more likely tobe treated in the community) overcrowding lack of sufficiently experienced staff increased use of illegal substances.

Restrictions of diet and activities Increased self-care needs Prospect of complications problems due to complications eg loss of sight or impotence 

 Improving Medication Compliance Mnemonic : Informed Decision Activated Concerning Schizophrenia.  We should give Information before starting the medications. This should include the name, mechanism of action, effects, and side effects of the drugs.  The patient should actively take part in the decision , and he should actively discuss the information with the clinician.  At each visit, the clinician should ask the patient should if they have any CONCERNS or questions about the drug which he should address.  Family therapy for SCHIZOPHRENIA. 

Mental state findings: Mood: depression , mania, apathy Cognitions: cognitive decline  Thoughts: delusions Perceptions: hallucinations, cheifly visual .  Appearance and behavior : stupor  Conditions /Disorders: REM sleep behavior disorder  Sexual dysfunction  Mania Depression Delirium  Impulse control disorders

The following features suggest vascular dementia Patchy deficits Better free recall Fewer recall intrusions Early apathy Poor verbal fluency Vascular risk factors Relative preservation of personality Neurological signs e.g pseudobulbar palsy, brisk reflexes Erratic progression Signs of hypertension and arteriolocsclerosis on physical examination  The Hatchinski ischemic score is used to differentiate between the two. score above 6 suggests vascular dementia and below 5 suggestive dementia of Alzheimer type.

ADVOKATE: A Mnemonic Tool for Assessment of Eyewitness Evidence A tool for assessing eyewitness  ADVOKATE is a tool designed to assess eyewitness evidence and how much it is reliable. It requires the user to respond to several statements/questions. Forensic psychologists, police or investigative officer can do it. The mnemonic ADVOKATE stands for: A = amount of time under observation (event and act) D = distance from suspect V = visibility (night-day, lighting) O = obstruction to the view of the witness K = known or seen before when and where (suspect) A = any special reason for remembering the subject T = time-lapse (how long has it been since witness saw suspect) E = error or material discrepancy between the description given first or any subsequent accounts by a witness.  Working with suspects (college.police.uk)