CH 12 Psychosocial Complications Flashcards
What is a dual diagnosis?
the relationship of a set of symptoms including behaviors which are or resemble symptoms of a known psychiatric disorder
How do psych problems create barriers to rehabilitation?
inhibit access to full physical rehab
result in early d/c and decrease access to resources
difficulty in re-entering community and independence
*may occur near end of formal rehab and interfere with above
In addition to the effects of brain injury to the brain, what are 4 factors that play a role in determining the duration of symptoms?
genetic bias
stressors r/t living with a disability
psychological resiliance
quality of support network
What are 4 factors to consider and monitor for post-injury development of a psychiatric disorder
neuropsych effects of the injury
psychological vulnerability
self-awareness of deficits
social influences
Why is monitoring and f/u so important for mTBI?
early symptoms are often masked 2/2 injury itself and not psychiatric
What are 4 areas of the brain associated with depression post injury?
lateral and medial frontal lobe
hippocampus
pre-frontal cortex
amygdala and basal ganglia
disturbances in serotonin, glutamate and dopamine
lateralization of depression and/or anxiety
R hemi anxiety + depression
L hemi depression alone usually
list 6 symptoms of a major depressive episode
annedonia-loss of interest
depressed mood
change in appetite
weight loss or gain
decreased energy
feelings of worthlessness
suicidal ideations
List 3 factors contributing to the development of post-traumatic stress disorders after brain injury
pre-morbid anxiety
psychosocial adversity
early post-TBI depressive symptoms
List 4 changes in personality often reported in organic personality disorder
apathy
affective/lability
uncontrolled emotion
aggression
What are contexts of social and environmental stressors that can contribute to mental health problems?
social roles
lost work opportunities
economic hardship
difficulty sustaining independence
different ability to tolerate stress and psychological resiliency
List 4 ongoing supports that individuals with co-occurring brain injury and psychiatric illness will need to avoid crisis
connect them with trained physician for med mgmt
Community based mental health pro with tbi training
Address long term needs to avoid social withdrawal
Provide support to caregivers and family/friends