CH 12 Psychosocial Complications Flashcards

1
Q

What is a dual diagnosis?

A

the relationship of a set of symptoms including behaviors which are or resemble symptoms of a known psychiatric disorder

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

How do psych problems create barriers to rehabilitation?

A

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

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

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?

A

genetic bias
stressors r/t living with a disability
psychological resiliance
quality of support network

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

What are 4 factors to consider and monitor for post-injury development of a psychiatric disorder

A

neuropsych effects of the injury
psychological vulnerability
self-awareness of deficits
social influences

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

Why is monitoring and f/u so important for mTBI?

A

early symptoms are often masked 2/2 injury itself and not psychiatric

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

What are 4 areas of the brain associated with depression post injury?

A

lateral and medial frontal lobe
hippocampus
pre-frontal cortex
amygdala and basal ganglia

disturbances in serotonin, glutamate and dopamine

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

lateralization of depression and/or anxiety

A

R hemi anxiety + depression
L hemi depression alone usually

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

list 6 symptoms of a major depressive episode

A

annedonia-loss of interest
depressed mood
change in appetite
weight loss or gain
decreased energy
feelings of worthlessness
suicidal ideations

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

List 3 factors contributing to the development of post-traumatic stress disorders after brain injury

A

pre-morbid anxiety
psychosocial adversity
early post-TBI depressive symptoms

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

List 4 changes in personality often reported in organic personality disorder

A

apathy
affective/lability
uncontrolled emotion
aggression

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

What are contexts of social and environmental stressors that can contribute to mental health problems?

A

social roles
lost work opportunities
economic hardship
difficulty sustaining independence
different ability to tolerate stress and psychological resiliency

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

List 4 ongoing supports that individuals with co-occurring brain injury and psychiatric illness will need to avoid crisis

A

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

How well did you know this?
1
Not at all
2
3
4
5
Perfectly