7% Psychosocial Issues (EBIG chapters 12 and 13) Flashcards

1
Q

Characterize some co-occuring brain injuries and psychiatric illnesses and crisis events

A

Integration of psychiatric & psychological services into rehabilitation programming can ensure treatment for individuals with co-occurring psychiatric disorders who might otherwise have been excluded from rehabilitation due to the dual diagnosis problems

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2
Q

Depression after TBI

A

Self awareness plays a role in depression. Serotonin levels are linked to depression. Depression alone tends to relate to the left hemisphere injury.

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3
Q

Define organic personality disorder

A

the traditional diagnosis for individuals who develop personaility disorders following TBI.
23% of those with TBI have personality disorder

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4
Q

What are some changes that fall into the category of personality disorder?

A

Apathy
Affective lability
Uncontrolled emotions
Aggression

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5
Q

Define pseudobulbar affect (Kyle)

A

a neurological condition involving involuntary, sudden, and frequent episodes of laughing or crying
5%-48% of people with TBI have PBA

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6
Q

Describe a substance use disorder (SUD)

A

involves continued use despite health, psychological, or social consequences

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7
Q

Prevalence of SUD

A

If an individual misused alcohol or other drugs prior to injury the risk is 10 times higher.
Up to two thirds of people in rehabilitation had history of a TBI and substance misuse.
Children with TBI before age 5 are more likely to develop a SUD

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8
Q

Screening tools for SUD

A

Open-ended questions
Reflective listening
Standardized assessment tools: CAGE, AUDIT, CRAFFT, ASSIST

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9
Q

Describe CAGE

A

C= have you ever felt like you should Cut down on your drinking?
A= Have people Annoyed you by criticizing your drinking?
G= Have you ever felt bad or Guilty about your drinking?
E= Have you ever had a drink first thing in the morning to steady your nerves? (Eye opener)

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10
Q

What are some deficits affecting treatment for SUD?

A

People with cognitive deficits are more likely to drop out of treatment early due to problems developing rapport.
Be aware that unawareness of deficits can arise as a result of specific damage to the brain and may not always be due to denial.

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11
Q

TBI and SUD

A

Having a tbi relates to increased issues with substance misuse
Increased severity
Earlier age of first substance use
Higher likelihood of other disoders

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