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CLINICAL
PSYCHIATRIC DISORDER
1-ACUTE AGITATION
2-ANXIETY
3-A-D H D
4-BIPOLAR DISORDER
5-DEMENTIA
6-DEPRESSION
7-ISOMNIA
8-PSYCHOSES
1-ACUTE AGITATION
▪ ACUTE AGITATION IS DEFINED AS *STATE OF
ANXIETY ACCOMPANIED BY MOTOR
RESTLESSNESS *
▪ DELIRIUM IS CAUSED BY INFECTION
,NEUROLIGIC CONDITION-STROKE OR
TRAUMA ,DRUD WITHDRAWAL
WHAT IS YOUR PHARMACOLOGIC
CHOICES ?
▪ Haloperidol and lorazepam….. Intramuscular
injections of typical antipsychotics and
benzodiazepines, given alone or in
combination
ANXIETY DISORDER
▪ CLASS OF ANXIETY
▪ 1-PANIC DISORDER AND AGORAPHOBIA
▪ 2-OBSESSIVE –COMPULSIVE
.LET US MAKE TRIP WITH THIS POINT ….ARE U
FEAR ?
LOOK AT Anxiety disorders LEC.
ATTENTION*DEFICIT HYPERACIVITY DISORDER
▪ A-D HD IS THE MOST PEDIATRIC
NEUROPSYCHIATRIC DISORDER Although
there's no cure for ADHD, it can be managed
with appropriate educational support, advice
and support for parents and affected children,
alongside medicine, if necessary
▪ HAVE U EXPERIENCED WITH THIS TYPE OF
CHILDREN ?
Psychotherapy
▪ (counseling) can help someone with ADHD
learn better ways to handle their emotions
and frustration. It could help improve their
self-esteem. Counseling may also help family
members better understand a child or adult
with ADHD…..
TREATMENT
▪ . Medications called stimulants can help control hyperactive
and impulsive behavior and improve your attention span.
They include:
▪ Amphetamine (Adzenys XR ODT, Dyanavel)
▪ Dexmethylphenidate (Focalin)
▪ Dextroamphetamine (Adderall, Dexedrine)
▪ Lisdexamfetamine (Vyvanse)
▪ Methylphenidate (Aptensio, Cotempla, Concerta, Daytrana,
Jornay PM, Metadate, Methylin, Quillivant, Ritalin)
▪
BIPOLAR DISORDER
▪ COMPLEX ,RECURRENT MOOD DISORDER ,HAVE
EXPERIENCED AS MANIC /ELEVATED ,EXPENSIVE
,INCREASE IN ACTIVITY VS
.HYPOMANIC ,THE IS NO PSCHYTIC SYMPTOMS
Medicines for bipolar disorder
▪ These are commonly called mood stabilisers and include:
▪ lithium
▪ anticonvulsant medicines
▪ valproate
▪ carbamazepine
▪ lamotrigine
▪ These medicines are sometimes used to treat episodes of
mania. They're also long-term mood stabilisers.
▪ antipsychotic medicines…
Antipsychotic medicines
▪ aripiprazole
▪ olanzapine
▪ quetiapine
▪ risperidone
▪ They may also be used as a long-term mood
stabiliser. Quetiapine may also be used for long-term
bipolar depression.
▪ Antipsychotic medicines can be particularly useful if
symptoms are severe or behaviour is disturbed.
▪ As antipsychotics can cause side effects, such as
blurred vision, a dry mouth, constipation and weight
gain, the initial dose will usually be low.
NOTE.
▪ If you're already taking medicine for bipolar
disorder and you develop depression, your GP
will check you're taking the correct dose. If
you're not, they'll change it.
DEMENTIA
▪ SYNDROME OF ACQUIRED GLOBAL
IMPAIRMENT OF COGNITIVE FUNTION
SUFFICIENT TO INTERFERE WITH NORMAL
ACTIVITIES …..
▪ CAUSE 1-ALZHEIMER DISEASE
▪ 2-PARKISON DISEASE
Symptoms of Dementia
▪ Loss of memory – problems with day to day
memory with difficulty recalling events that
happened recently
▪ Concentrating, planning and organising –
difficulties making decisions , solving problems
or carrying out a sequence of tasks
▪ Language – difficulties in understanding what
people are saying and or finding the right word
for something
MEDICATION IN DEMENTIA العته
▪ he following are used to temporarily
improve dementia symptoms.
▪ Cholinesterase inhibitors. These medications
— including donepezil (Aricept), rivastigmine
(Exelon) — work by boosting levels of a
chemical messenger involved in memory and
judgment. ...
▪ Memantine. ...
DEPRESSION
▪ TWO TYPES OF DEPRESSION
▪ MAJOR DEPRESSIVE EPISODE
▪ 2 WEAKS OF DEPRESSED MOOD
▪ PERSISTENT DEPRESSIVE DISORDER
▪ 2 YEARS OF DEPRESSED MOOD
▪ if you’re feeling down or hopeless on a
regular basis, you could be dealing with
depression.
From which u get depression
▪ mood, such as anger, aggressiveness, restlessness
▪ emotional well-being, such as feeling empty, sad, hopeless
▪ behavior, such as loss of interest, no longer finding pleasure in
favorite activities, feeling tired easily, thoughts of suicide,
drinking excessively, using drugs, engaging in high-risk activities
▪ sexual interest, such as reduced sexual desire, lack of sexual
performance
▪ cognitive abilities, such as inability to concentrate, difficulty
completing tasks
▪ sleep pattern such aseep insomnia, restless sleep, excessive
sleepiness, not sleeping through the night
▪ physical well-being, such as fatigue, pains, headache, digestive
problems
INSOMNIA
▪ INSOMNIA IS DEFINED AS DISSATISFACTION WITH SLEEP
QUALITY OR QUANTITY
▪
▪ Types of Insomnia
▪ There are two types of insomnia: primary and secondary.
▪ Primary insomnia: This means your sleep problems aren’t linked to any
other health condition or problem.
▪ Secondary insomnia: This means you have trouble sleeping because of
a health condition (like asthma, depression, arthritis, cancer,
or heartburn); pain; medication; or substance use (like alcohol).
▪
PSYCHOSES
▪ Psychosis involves a loss of contact with reality
and can feature hallucinations and delusions. It
is a symptom of schizophrenia and bipolar
disorder, but there are many other causes.
Causes of psychosis
▪ Genetic factors: Research shows that
schizophrenia and bipolar disorder may share
a common genetic cause.
▪ Hormones: Some people experience
postpartum psychosis after giving birth.
▪ Brain changes: Tests have found differences
in brain chemicals — specifically, the activity
of the neurotransmitter dopamine — in
people who experience psychosis.
Antipsychotic drugs
▪ Antipsychotic drugs are the main form of treatment
for people with a psychotic illness.
▪ Antipsychotics can reduce psychosis symptoms in
people with psychiatric disorders, such as
schizophrenia. However, they do not treat or cure
the underlying condition.
▪ Examples of these medications include:
▪ haloperidol (Haldol)
▪ chlorpromazine (Thorazine)
▪ clozapine (Clozaril)
▪
*reference,comprehensive
pharmacy review
* canadian board books for
pharmacy
