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Health And Healing > Admissions & Mood disorders > Flashcards

Admissions & Mood disorders Flashcards

1
Q

What are the differences between a voluntary, involuntary, and informal mental hospital admitall? Provide examples

A

Voluntary - Agreement to admission. Patient typically seeking help

Involuntary - Patient admitted by police or physician. Against patient choice.

Informal - Admitted by substitute decision maker, due to individual’s lack of capacity

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2
Q

True or false? A FORM 1, that is completed by the admitting psychiatrist or physician is valid for 3 days and cannot be contested.

A

False, it is valid for 7 days. It cannot be contested

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3
Q

When would a form 2 be completed? and by whom?

A

Completed by a Judge, when a person is deemed unsafe. Directs patient to be brought to ER for assessment.

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4
Q

Name the 3 admission requirements for admission.

A
  • Danger to self or others
  • Risk of physical impairment of person
  • Context of mental illness (addiction included)
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5
Q

When must a psychiatric assessment be done by after admission?

A

Within 72 hours

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6
Q

How long does a form 3 or form 4 last?

A

Form 3 - 2 weeks

Form 4 - 1 month

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7
Q

What is the purpose of a form 5?

A

To cancel the actions of a form 3 or 4

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8
Q

What methods might be applied to stabilize patient’s condition?

A
  1. Medication
  2. Electroconvulsive therapy
  3. Psychotherapy (CBT)
  4. Psychological education
  5. Assessment of stressors
  6. Social network of support
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9
Q

What does a mental status exam evaluate?

A 
Cognitive functioning of an individual evaluating their:
Perception
Sensorium
Thinking
Feeling behaviour
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10
Q

What is the difference between mood and affect?

A

Mood - Subjective experience of the person (feelings, thoughts).

Affect - The external state of a person, visible emotional state

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11
Q

Define Depression

A

Over-expression or elaboration of sadness or grief

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12
Q

What are some risk factors of depression?

A
  1. History (Personal/Family)
  2. Prior suicide attempts
  3. Female
  4. Post-partum period
  5. Medical co-morbidity
  6. Poor social support
  7. Low socioeconomic status
  8. Workplace stress
  9. Stressful life events
  10. History of sexual abuse
  11. Substance abuse
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13
Q

What are some symptoms of depression?

A
  1. Sadness/guilt
  2. Worthlessness
  3. Irritability/withdrawal
  4. Loss of interest
  5. Change in weight and sleep patterns
  6. Reduced ability to make decisions
  7. poor concentration
  8. Lack of motivation
  9. Anxiety & Restlessness
  10. Constipation/Intestinal issues
  11. Decreases libido
  12. Recurring thoughts of suicide/harm
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14
Q

What hormone is hyper-secreted during depression?

A

Cortisol

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15
Q

WHat is the difference between Depression and Major Depressive Disorder (MDD)?

A

Depression can fluctuate from day to day.

MDD typically lasts for at least 2 weeks of continuous symptoms

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16
Q

For a diagnosis of Major depressive disorder, how long must symptoms be present? give examples of some symptoms.

A

symptoms must last more than 2 weeks.

Agitation
Loss of energy
Sadness/guilt
Sleep disruption
Changes in weight
Preoccupation with previous failures
Hopelessness
guilt
17
Q

What is Dysthymia?

A

“Bad state of mind”

Chronic low mood with some symptoms of depression; typically 2 or more symptoms lasting 2 or more years. Symptoms often managed but can develop into depression

18
Q

What is atypical depression?

A 
Reversed symptoms of depression.
Increased appetite
Increased sleep
Sensitive to rejection
Mood reactivity
19
Q

What is seasonal Affective disorder?

A

Mood disorder related to the seasons and the lack of sunlight.

More frequent in northern climates

Treatment includes light therapy

Symptoms similar to depression

20
Q

What is depression with psychosis?

A

Depressive disorder accompanied by a loss of reality via hallucinations/delusions and typically requires hospitalization

21
Q

What are some warning signs for suicide?

A
  1. Sudden change in mood or behaviour
  2. Sense of hopelessness or helplessness
  3. Expresses wish to die
  4. Increased substance abuse
  5. Withdrawal from people and activities
  6. Changes in sleeping patterns
  7. Decreased appetite
  8. Giving away prized possessions/making preparations for death

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