AOTA Mental Health Practice with Adults Flashcards
Define delirium, dementia, amnesia and other cognitive disorders
essential features - aphasia, apraxia, agnosia, loss of executive function.
all areas of performance are affected and require assessments.
interventions: environmental adaptations for safety, caregiver education, behavioral interventions to manage fatigue and sleep wake cycles.
define substance-related disorders
classifications: substance dependence, abuse, intoxication and withdrawal
all areas of performance are affected
interventions: psychosocial therapies includiung coping, stress management, and social skills training. cognitive-bhased interventions geared toward increasing client’s motivation and control of life.
what are the criteria for schizophrenia and other psychotic disorders
at least two of the following for at least 1 month:
delusions, hallucinations, disorganized speech, disorganized or catatonic behaviors, negative symptoms
what are the subtypes of schiziophrenia and other psychotic disorders
paranoid, disorganized, catatonic, undifferenetiated
what are the impacts on performance for schizophrenia
cognitive impairemtsn, compromised health and wellness, recovery and reintergration hindered by community barrier and social stigma
what are the interventions used with schizophrenia
illness management and recovery, assertiveness community tratment, family psychoeducation, supported employment, integrated dual diagnoiss treamtnet.
what are the pharmacological treatments for schizophrenia
typical antipsychotics including chlorpromazije, haloperidool, and fluphenaize.
what are the three categories of mood disorders
depressive disorders
bipolar disorders (1 and 2); 1 = manic; 2 = depressive
cyclothymic - flucuation in low to high.
what are the impacts on performance for mood disorders
los self-esteem and motivation levels, family and work roles affected, daily rountines disrupted by manic episodes, high work loss rates.
what are some interventions for mood disorders
cognitive-bheavioral therapy to uncover distorted beliefs an dfaulty thinking patterns.
interpersonal psychotherpay to improve interpersonal and psychosocial functioniong.
electroconvulsive therapy
what are the pharmacologicla interventions for mood disorders
depressive disorders - SSRIS, SNRIS, antidepressants.
bipolar disorders - mood stabiliziers and anticonvulsants.
what are the different types of anxiety disorders
panic disorder, agoraphobia, GAD, OCD, PTSD, social phobia, specific phobia, substanceinduced anxiety disorder, anxiety disorder attributeable to generalized medical condition.
what are the impacts on performance for anxiety disorders
physical impairments, cognitive impairments, psychosocial impairments,
what are some interventions for anxiety disorders
cognitive behavioral training, relaxation therapy, expressive writing.
what are some pharmacological treatment for anxiety disorders
benzodiazepines, SSRIs, tricyclic antidepressants.
what are somatoform disorders
when person experiences physical symptoms that have psychiatric source.
what are the two types of eating disorders
bulimia and anorexia
what are the impacts on performance for eating disorders
maladaptive eating habits and lifestyle habits
impaired communication, assertion and stress management skills.
resistance to change.
what are some interventions for eating disorders
physicla harm reduction, cognitive reconstruction, psychosocial functional enablement menu planning and meal prep lifestyle redesign and indepedent living skils communication and assertiveness training stress management projective artowrk and use of crafts relapse prevention body image improvement.
define personality disorders
enduring poattern of inner experiecne and behavior that deviates markedly from the expectations of the indiviuduals culture.
pervasive and inflexible
onset in adolescence or early adulthood.
what are the clusters of personality disorders
a - paranoid personality, schizoid, schiotypal
b - antisocial, borderline, histrionic, narcissistic
c - avoidant, depedent, OCD
what are the impacts on performance for personality disorders
decreased social participation,emotionatl modulation, and coping skills.
what are the interventions used for personality disorders
development and maintenance of collaborative relationhips
consistency during tx
validation of clients feeling
devleopmetn and maintenacne of motivation for change
mood stabilization and expression of appropriate moetions
promotion of increased elf concept, self esteem, insight and judgement
development of interpersonal relationships.
define inpaitent treatment settings
brief and designed to manage behavior, stiabulize clients on medcs, and refocus clients on enegagement in occupation
define long term hospitalzation setting
hospitazlied for extended periods of time, stabilize symptoms, ensure adherence to medication rotocols, and habituative patterns of daily activiyt and self care.
define mental health clincs
medication management, lifestyle management, self-care activities, and group therapies.
define consumer-based, nonprofit, health system-based day treatment program
designed to assist clients over an extended period and provide meaningful occupational engagement as tolerated for clients with more chronic mental health condition
define community residential settings
transitioning from long term hospitalzation ora period of residence in skilled nursing facility may move to halfway house of foster care setting.
define supported employment, transitional employment, and prevocational and vocational rehab
clubhouse porgrams that are used to engage people with mental health conditions.
define allens cognitive disabilities model
hierarchal continnuum of cognitive ability dericed from Piaget’s devleopmental theory. functional abilities improve as cognitive levels increase
define behavior modification theory
based on operant conditioning. behavior is shaped by connecting a positive or negative reinforcement to a behavioral repsosne.
define CBT
distorted thinking leads to the behavior and emotional problems related to mental illness. focus of therapy is to increase awareness of an eventually change cognitive distortions to ultimately alter behavior and the moetional impact on function.
define intentional relationship model
use of therapeutic use of self; shows what impact the therapist-client relationship has on improving function.
define the Kawa model
present concept of cultural safety as a key component of the model.
define the MOHO model
classic model of OT that describe impact of volition, performance, and habituation on engagement in occupation
define the PEOP model
emphasis essential interaction among person, performance of a desired, emaingiful occupation, and the contet in which the person engages in occuoation. describes experiences of indivudla dna poopulations and expklains the impact of the key componenets of the model on health, wellness, and quality oflife.
define the psychoanalytic and psychodynamic theory
used primarily in contemporary mental health interventions and within occupational therpay as a mechanism for improving self-o=identity and improving interpersonal relationships, the concepts from psychoanalytic-psychodynamic theory are the concerstone of mental health practice help explore underlying depe-seated origins of huna emotion and motivaiton.
what are the types of clinical reasoning used in mental health practice
scientific reasoning diagnostic reasoning procedural reasoning narrative reasoning pragmatic reasoning ehtical reasoning interactive reasoning conditional reasoning