Aids associated and adolescent crisis emergencies, Biology

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Other Psychiatric Emergencies: 

1) Psychotropic Drug Withdrawal Abrupt cessation of antipsychotic, benzodiazepines result in symptoms of withdrawal including abdominal pain, insomnia, drowsiness, agitation, anxieiy, weakness, chills, delirium and in the extreme with benzodiazepines. Symptoms of  psychotropic drug withdrawal disappears with time and disappears with reinstitution of  the drug. Symptoms of antidepressant withdrawal can be successfully treated with anti cholinergic agents such as atropine. 

2) AIDS  Associated Emergencies:

AIDS related psychiatric emergencies include changes in behavior secondary  to illness due to infection with lymph adenopathy associated virus (LAV, Human T-Lymphocytic virus - 3rd  [H+]). 

Depression, anxiety. suicidal ideation and attempts, delusions, denial, sexual promiscuity, relative psychosis, hypochondriasis, mutism, agitation, restlessness, psychomotor retardation. 

Treatment: Evaluation  and management of  suicide risk and treatment of reversible organic illness are first task  in emergency situation. High  potency low dose antipsychotic (example 2 mg haloperidol) is used to counter agitation. 

Nursing care:  Consc-ious and  unconscious  fear  of  contamination  or stigmatization  leads family and others  to withdraw from patients with AIDS. That can result  in a depressive crisis severe enough  to provoke suicide. Peer support groups, provision of  information and enhancement of  social supports are effective at times of  crisis. 

3)  Adolescent Crisis:

Adolescents presenting crisis due to suicidal ideation or attempts are, due to decline in school performance, truancy, difficulty with the law, pregnancy, abortion, alcoholism, running away, eating disorders and psychosis 

Treatment Adolescent crisis is always a family problem of  suicidal potential, extent of substance use. Immediate management of crisis entails crisis oriented family therapy and individual therapy. When appropriate Hospitalization may be required. While all adolescent crisis represent family problems and require a family approach, not all  families are responsible for the behavioral aberrations, pressure (particularly with substance use and  suicide) and  genetic factors may be responsible.  

 


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