behavorial health 1 Flashcards
Axiom #1
mental and medical conditions often co exist
-Co occurrence of disorders is called comorbidity. Successfully addressing one requires addressing both disorders.
Axiom #2
many mental disorders present with chronic and disabling physical sx.
-physical sx obscure psychological sx
-pts will talk about what hurts and the more severe, chronic and disabling the physical sx–> more likely there is an associated mental disorder
-psychological sx become apparent when providers have a suspicion of them
Axiom #3a
mental disorder paired with a chronic medical dx.
severe physical sx become a red flag for associated mental disorder
Axiom #3b
chronic MUS that have little to non identifiable disease or pathoph. basis
patients dont express their psychological and physical sx at the same bc?
-the stigma of mental disorders
-providers not interested
-not aware of their disorder
chronic dx leads to
mental disorder
mental disorder leads to
chronic dx
what dx tx leads to the mental disorder of depression and anxiety
-steroids
-HRT/OCP
-digoxin
-metaclopramide
what dx tx leads to the mental disorder of depression
-BB
-clonidine
-opiates
what dx tx leads to the mental disorder of anxiety?
-albuterol
-dicyclomide
SSRI causes
-obesity
-tremor
-Sex dys
-nausea
SNRI
-HTN
-tachcardyia
-sex dys
Bupropion
-lower seizure threshold
-anxiety
-night sweats
Mirtrazapine
-sedation
-obesity
Lithium
-thyroid dys.
-ECG changes
Lamotrigine
-hepatitis
-skin changes
antipsychotics
-obesity/hyperlipidemia
stimulants
-HTN
-insomnia
-MI
pyschological sx =
mental disorder
physical sx
medical disorder
MUS
-94%
no medical explanation
-medical disorder sx are more severe than expected
-unclear etiology
RE FLAG FOR MENTAL DISORDER
person had chronic nack pain, poor control of DM, opioid misuse = ex?
depression
mental health model:
this is a biopsychosocial model too!!!
-establish communication and effective pt provider relationship
-educate pt
-obtain pt commitment
-determine pt goal
-negotiate a plan
patient centered
-self determination
-shared decision making
-motivational interviewing
-social cognitive theory
-chronic care model
