F.A is a 25-year-old female who presented at the KATH psychiatry department with a four-day history of Excessive talking, Poor sleep, Irritability, poor appetite, seeing objects appearing bigger that no one else perceives in clear consciousness History of Presenting complaint:Patient is a user of mental health services for the past 6years. She defaulted medications due to financial constraints on the part of her father.Her mother also indicated that patient and her boyfriend intend to have a child hence she deliberately stopped taking her medications because they were worried that her medications are preventing her from conception.Mental State Examination at Presentation:Appearance: appropriately dressedBehaviour: Irritable and talkative but cooperativeSpeech: spontaneous, coherent, increased rate, tone and volume, pressuredMood: elatedAffect: reactivePerceptions: no auditory hallucinationThinking: stream is pressured, form is circumstantial, paranoid delusions of persecution (believe to be a target of harm by 'Ada Money')Orientation/Attention: well oriented in time, place and person Insight: partial (admits to a behavioral change, says she is not sick, but agreed to take medication)Judgment: goodSocial history:Lives with the boyfriend at BebuMedication History:Tab Quetiapine 300mg note X 1MonthTab Lamotrigine 100mg X 1MonthTab Amitriptyline 25mg note X 1 MonthNB: Amitriptyline was given to help with the patient poor sleep Diagnosis: Bipolar Affective Disorder, current episode mania with psychotic symptomsQuestions:Identify the drug-related problems in the case aboveSuggest appropriate interventions for the problems identified in question (1) above.Discuss three(3) risk factors for the patient's relapse.Review Madam FA's medicationas the PsychiatricPharmacist.Explain why it will not be appropriate to give F.A SodiumValproateWhat counseling measures will you give to this patient?DiscussWill this patient benefit from a long acting antipsychotic?Explain with justificationsState with reasons which of F.A's medications should be avoided if there is uncontrolled hyperglycemia?Mention three(3) symptoms suggestive of mania in F.A condition.State two(2) other mood stabilizers that can be used in F.A"s condition.

Which of the following is an example of a mental illness?Parkinson's DiseaseDown SyndromeBipolar DisorderDiabetes

Which is a pretended mental disorder?

Schizophrenia plus a mood disorder

A 38-year-old woman was referred to a psychiatrist after tellingher primary care physician that she had difficulty sleeping(awakening at 4 AM frequently for the past few months) anda lack of appetite causing a weight loss of over 20 lb. She alsosaid she no longer enjoyed going out with her friends or doingvolunteer service for underprivileged children. What type ofdrug is her doctor most likely to suggest as an initial step in hertherapy?A. A serotonergic receptor antagonistB. A selective serotonin reuptake inhibitorC. An inhibitor of monoamine oxidaseD. An amphetamine-like drugE. A drug that causes an increase in both serotonin anddopamine levels

Which psychological theories explains the predisposing, perpetuating and precipitating factors in this case "The client was brought from the Outpatient Department of Jinnah Hospital Lahore on May 6, 2024. She was referred with complaints of auditory and visual hallucinations, grandiose and persecutory delusions, frequent low mood, sudden bursts of energy following weeks of fatigue and low energy, inconsistent sleeping patterns, self-harm behaviors, and trembling hand. Her persecutory delusions began after her third miscarriage in March 2014. According to the client, she believes her son is alive and that her sister-in-law, who has no children, hid him from her. She also believes that her sister-in-law intends to kill her and her children. The informant, the client's eldest daughter, added that she had seen her brother's dead body, and although her mother had seen it too, she always denied it. She further mentioned occasional clashes between the client and her sister-in-law. Despite her efforts to resolve misunderstandings, the client perceived these attempts as attempts to portray her negatively. The informant reported that her aunt always treated her with care and affection. The client started having auditory and visual hallucinations in June 2020 after her daughter died suddenly. Her daughter started having difficulty breathing suddenly and she died on the way to the hospital. This disturbed the client so much. She was hospitalized as she fainted during her daughter's burial. After a month of her passing, she started having hallucinations of her son whom she believed was alive. Her son came to meet her as a 5-year-old in her hallucinations. Her son grew old over time in her hallucination, now he is 10 years old. The client reported that he often comes to talk to her. He told her that her belief about her sister-in-law was right and she was hiding him away from her. The client has no insight that these are mere hallucinations she believes it to be reality and that it is a blessing from Allah. The informant added that she and her other sibling saw her talking to someone but no one was there. She was holding a cushion in her arms and hugging him while crying. When they inquired about it then the client replied while pointing towards the cushion that their brother came to meet them. Moreover, the client admitted to occasionally seeing two old men wearing white clothes who come to advise her about doing good deeds. These hallucinations are a part of her life now. The client started having grandiose delusions and mood shifts in late 2021. This happened after her older daughter (informant) was kicked out of the house by her husband for having a secret love marriage. Her husband warned them to not meet her again and cut off all the ties with her. He also occasionally blames the client for not bringing up her daughters well. The informant added that the client's thoughts revolved around losing her other daughter too. The client's shift in mood