12: Severe Mental Health Disorders Flashcards
A mix of intrusive thoughts that produce worry combined with repetitive behaviors aimed at reducing the associated anxiety.
Obsessive-Compulsive Disorder (OCD)
80% of people with OCD will start having symptoms before the age of _____.
18
When do schizophrenic symptoms usually first occur?
Late adolescence and early 20s
What is the role of the FNP in schizophrenia?
Treatment is only in conjunction with psychiatry. So, FNPs address cleanliness, smoking, safety checks (living alone?), coordination of care, and side effects of meds (weight gain, elevated blood sugar).
Positive or negative symptoms of schizophrenia?
Indicates lack of a full emotional life.
Negative
Thought disturbances, disrupted social behavior, and inability to determine what is real.
Schizophrenia
This type of bipolar has dysthymia or another disorder attached to bipolar diagnosis, with cycling.
Mixed Bipolar
What is a concern to consider when medicating a depressed person?
Are they really bipolar? If so, giving them an antidepressant without a mood stabilizer can lead to a manic state.
Most severe form of bipolar. There is true differentiation between high-highs and high-lows.
Bipolar 1
T/F Cellulitis can be a sign of OCD.
True, from excessive hand washing.
Positive or negative symptoms of schizophrenia?
Patients experience things others do not.
Positive
T/F Bipolar requires treatment for life.
True. Recurs even if treated.
How do you manage OCD (3)?
- CBT + exposure-ritual prevention therapy
- Medications (SSRIs, SNRIs, tricyclics)
- ECT
What are s/sx of mania (6)?
- Racing thoughts
- Lack of needing sleep
- Excess energy
- Grandiosity
- Hyperactivity
- Impulsivity
T/F Schizophrenics may have word salad or poverty of speech.
True. Along with inability to experience pleasure, emotional blunting, inability to form relationships.
What are clues to bipolar (6)?
- Family hx
- Input from family members often different than patient
- Marked changes in mood, behavior, productivity
- Failure of multiple antidepressants
- On/off response to antidepressants
- Hypomanic response to antidepressants
T/F Benzos can help calm OCD patients so that they worry less and thus have fewer compulsions.
False. It will not treat OCD and may become a compulsion.
T/F Unless patient is stable, cooperation between NP and mental health counselor is required with bipolar.
True
Is schizophrenia more common in males or females?
Males
This is the most genetic of all mental illnesses.
Bipolar
This type of bipolar has low-lows but not high-highs. May get back to normal, or a little above normal (not completely manic).
Bipolar 2
Bipolar is often misdiagnosed as _____ in early childhood.
ADHD
T/F Schizophrenia is caused by genetics and prenatal development.
False. Definitive cause unknown. Likely a combination of genetics, prenatal development, early environment, neurobiology, psychological/social processes.
What are common compulsions with OCD (4)?
- Washing/cleanliness
- Repeat checking
- Hoarding/compulsive buying
- Harmful acts