Admissions & Mood disorders Flashcards
What are the differences between a voluntary, involuntary, and informal mental hospital admitall? Provide examples
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
True or false? A FORM 1, that is completed by the admitting psychiatrist or physician is valid for 3 days and cannot be contested.
False, it is valid for 7 days. It cannot be contested
When would a form 2 be completed? and by whom?
Completed by a Judge, when a person is deemed unsafe. Directs patient to be brought to ER for assessment.
Name the 3 admission requirements for admission.
- Danger to self or others
- Risk of physical impairment of person
- Context of mental illness (addiction included)
When must a psychiatric assessment be done by after admission?
Within 72 hours
How long does a form 3 or form 4 last?
Form 3 - 2 weeks
Form 4 - 1 month
What is the purpose of a form 5?
To cancel the actions of a form 3 or 4
What methods might be applied to stabilize patient’s condition?
- Medication
- Electroconvulsive therapy
- Psychotherapy (CBT)
- Psychological education
- Assessment of stressors
- Social network of support
What does a mental status exam evaluate?
Cognitive functioning of an individual evaluating their: Perception Sensorium Thinking Feeling behaviour
What is the difference between mood and affect?
Mood - Subjective experience of the person (feelings, thoughts).
Affect - The external state of a person, visible emotional state
Define Depression
Over-expression or elaboration of sadness or grief
What are some risk factors of depression?
- History (Personal/Family)
- Prior suicide attempts
- Female
- Post-partum period
- Medical co-morbidity
- Poor social support
- Low socioeconomic status
- Workplace stress
- Stressful life events
- History of sexual abuse
- Substance abuse
What are some symptoms of depression?
- Sadness/guilt
- Worthlessness
- Irritability/withdrawal
- Loss of interest
- Change in weight and sleep patterns
- Reduced ability to make decisions
- poor concentration
- Lack of motivation
- Anxiety & Restlessness
- Constipation/Intestinal issues
- Decreases libido
- Recurring thoughts of suicide/harm
What hormone is hyper-secreted during depression?
Cortisol
WHat is the difference between Depression and Major Depressive Disorder (MDD)?
Depression can fluctuate from day to day.
MDD typically lasts for at least 2 weeks of continuous symptoms
For a diagnosis of Major depressive disorder, how long must symptoms be present? give examples of some symptoms.
symptoms must last more than 2 weeks.
Agitation Loss of energy Sadness/guilt Sleep disruption Changes in weight Preoccupation with previous failures Hopelessness guilt
What is Dysthymia?
“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
What is atypical depression?
Reversed symptoms of depression. Increased appetite Increased sleep Sensitive to rejection Mood reactivity
What is seasonal Affective disorder?
Mood disorder related to the seasons and the lack of sunlight.
More frequent in northern climates
Treatment includes light therapy
Symptoms similar to depression
What is depression with psychosis?
Depressive disorder accompanied by a loss of reality via hallucinations/delusions and typically requires hospitalization
What are some warning signs for suicide?
- Sudden change in mood or behaviour
- Sense of hopelessness or helplessness
- Expresses wish to die
- Increased substance abuse
- Withdrawal from people and activities
- Changes in sleeping patterns
- Decreased appetite
- Giving away prized possessions/making preparations for death
