Anxiety disorders affect 1 in 6 Australians.

Used in bipolar disorder, schizophrenia and for the control of agitation.

2nd Generation antipsychotics all end in ...pine or ...done except aripiprazole.

Acute dystonic reactions usually occur within a few days of starting or increasing an antipsychotic medication.

Lithium is a choice drug for dialysis because it is small, not bound to proteins, dangerous and has a small volume of distribution (Vd 0.6l/kg).

Narcissism sure but not diagnosed with Manic Depressive illness.

Benztropine is an anticholinergic drug. In acute dystonic reactions give 1-2mg by slow IV injection. Works rapidly in 5 to 15minutes.

Most of the cardiovascular complications are dose dependant so they are most commonly seen in ED with overdoses.

The oral route is perferable if possible. If the patient already has an IV in place then using IV Droperidol initially is fine but if there is not an IV then IM is preferred.

< 65yr old patients can start with 10mg IM or IV of Droperidol then repeated 15min later--so a maximum of 20mg. Halve this for someone >65yrs age.

Remember Droperidol is contraindicated in patients with Parkinson's disease or Lewy Body dementia.

D is short for Dopamine. SHT is short for Serotonin.

The insanity defence is used in <1% of court cases in NSW. 90% of successful defendants have a history of mental illness. 5 not 10 states in the USA have abolished the "insanity" defence.

The picture is of Jack Nicholson in the movie "One flew over the cuckoo's nest". The main character feigns mental illness. It is considered one of the greatest movies ever made.