Assessment and Intervention Planning Flashcards
Clozaril
most powerful drug for schizophrenia
most toxic - needs blood tests to monitor (mandated by law in many states)
anxiety best treated with which class of drug?
SSRIs
- Prozac (Fluoxetene)
- Zoloft (Sertraline)
- Paxil (Paroxetene)
- Lexapro (Escitalopram)
- Celexa (Citalopram)
Newer anti-depressants
- Cymbalta (Duloxetene)
- Effexor (Venlofaxine)
NOT BENZOS (valium, klonopin, ativan, xanax)
agitation/activation with anti-depressant
means person may have bipolar disorder
should be treated with Lamictal or Lithium
tardive dyskenisia
abnormal movements that come months or years (or sometimes in weeks) of being on anti-psychotics
common antipsychotics
Haldol Abilify Zyprexa Seroquel Risperadol Geodon Stelazine Thorazine
schizoid personality disorder
introverted, withdrawn, solitary, emotionally cold, distant
absorbed with own thoughts and feelings
fearful of closeness and intimacy with others
paranoid personality disorder
interpreting actions of others as deliberately threatening or demeaning
untrusting, unforgiving, prone to angry or aggressive outbursts
schizotypal personality disorder
peculiarities: odd, eccentric manners of speaking or dressing
strange, outlandish, or paranoid beliefs
display signs of “magical thinking”
antisocial personality disorder
impulsive, irresponsible, callous
history of legal difficulties
belligerent and irresponsible bx
aggressive and even violent relationships
no respect for others
borderline personality disorder
unstable interpersonal relationships, bx, mood, self-image
abrupt, extreme mood changes
stormy interpersonal relationships
fluctuating self-image
self-destructive actions
narcissistic personality disorder
exaggerated sense of self-importance
absorbed by fantasies of unlimited success
seek constant attention
oversensitive to failure
histrionic personality disorder
behave melodramatically, over the top, constant display of excessive emotionality
attention seeking
avoidant personality disorder
hypersensitive to rejection, needs to be sure of being liked before getting involved with others
avoidance of social events, work that involves interpersonal contact
dependent personality disorder
pattern of dependent, submissive bx
relying on others to make personal decisions
require excessive reassurance and advice
obsessive-compulsive personality disorder
conscientious, high levels of aspiration
strive for perfection
never satisfied with achievements
other personality d/o
personality change due to another medical condition
other specified personality disorder
unspecified personality disorder
ataxia
lack of muscle control during voluntary movements (picking objects up, walking)
agnosia
inability to recognize familiar objects
prosopagnosia
inability to recognize familiar faces
acalculia
inability to do basic arithmetic
paraphilic d/os
cts with atypical sexual interests that…
- they feel personal distress about their interests (not just distress from society’s disapproval)
- their sexual desire involves another person’s psychological distress, injury, or death
- their sexual bx involves unwilling persons, or persons unable to give legal consent
desires/behaviors don’t need to have resulted in legal involvement
Mental Status Examination
appearance
orientation
speech/pattern
affect/mood
impulsiveness/potential for harm
judgment/insight
thought process/reality testing
intellectual functioning/memory
comorbid
existing with or at the same time
2 different illnesses at one time
contraindicated
not recommended or safe to use
i.e. not prescribing medication because it could have serious consequences
