Mental Health
OCD
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Self harm
Bipolar
Ensuring the person has a care plan and crisis plan.
Referral for psychological interventions, if needed.
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an intentional act of self-poisoning or self-injury, irrespective of the motivation or apparent purpose of the act, and is an expression of emotional distress.
The majority of self-injury episodes involve cutting.
Self Harm includes suicide attempts as well as no suicidal intent.
Following self harm, suicide attempts are common.
Reassess risk after every episode
Harm minimization techniques and developing alternative coping strategies, where appropriate.
Characterized by recurrent obsessional thoughts or compulsive acts or, commonly, both. People with OCD often fear stigmatization and fail to disclose their symptoms spontaneously, leading to low rates of recognition and, consequently, undertreatment.
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Diagnosis of OCD involves:
Screening people with symptoms of depression, anxiety, alcohol or substance misuse, body dysmorphic disorder, or an eating disorder.
Excluding other conditions, which can be misdiagnosed as OCD, including body dysmorphic disorder, illness anxiety disorder, and autism.
Assessing the severity of functional impairment as mild, moderate, or severe (to guide management).
Assessing the risk of self harm and suicide (especially if there is coexisting depression) as well as the impact of compulsive behaviours on others (in particular children).
Management
Cognitive-behavioural therapy (CBT), ideally including exposure and response prevention (ERP).
A selective serotonin reuptake inhibitor (SSRI) or clomipramine. SSRIs should only be prescribed to people under 18 years of age following assessment and diagnosis by a child and adolescent psychiatrist.
Specialist referral (depending on factors including the person's age, severity of symptoms, and previous treatment failures).
Referral for urgent psychiatric assessment should be made for people at suspected high risk of self harm or suicide.
Characterized by episodic depressed and elated moods, and increased activity (hypomania or mania).
Manic Episode
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Mixed Episode
Depressive Episode
Hypomanic Episode
Acute Episodes
Financial difficulties from overspending.
Traumatic injuries and accidents.
Sexually transmitted infections and unplanned pregnancy from disinhibition and increased libido.
Damage to reputation, income and occupation, and relationships.
Self-neglect, exhaustion, and dehydration.
Exploitation by others.
Alcohol and substance misuse.
Harm to others.
Referral
Specialist mental health assessment, management, and follow-up.