Chapter 13 Flashcards
Stress and Mental Health
this is going to be review from the last lecture but de Marco is explaining it
typically before you start a patient on psychosocial you want to rule out what?
medical
tumors and endocrines are the two most famous things that cause what?
psychotic episodes, so treat those two first before you give them psychotics
a huge judgment call is based on some general observations ?
their appearance
- simply like winter clothes in the summer??
- summer clothes in the winter?
mood is what?
affect is what?
patient saying sad
how you think the patient feels
mood and affect can be what?
and means what?
congruent and incongruent
match or not match
what 3 words apply for mood?
euthymic
euphoric
dysphoric
what does these words mean ?
euthymic
euphoric
dysphoric
describe someone who is in normal mood, not too happy not too sad, appropriately acting
overall happy, manic, happy for no reason, smile, dancing
(not eating or sleeping)
sad, depressed
what are the 4 words for affect?
board
restricted
blunt
flat
what does these words mean?
board
restricted
blunt
flat
showing an emotionally board, when happy they are happy
showing emotions little less
even less than restricted
not expressing any emotion, saying you’re happy but not moving or smiling, just not expressing anything
what are the 4 terms that apply to speech?
pressured
hyperverbal
poverty of speech
cadence
what do these term mean?
pressured
hyperverbal
poverty of speech
cadence
quick, very fast, no periods, nonstop, dont even get a breathe. all the words are pushed together and no spaces, all one word
saying a lot of words at once! very talkative
( mania, super euphoric )
lack of speech, their not talking to you
rate and the rhythm! they speak, singly, and up and down in pitch!!
illusion
hallucination
delusion
meaning
something is actually there, but youre perceiving it different
- shadow in your room, but you think its a person
5 senses, there is nothing, you’re just hearing your voices in your head
belief or thought that you have that is incorrect!!!
you believe youre seeing angels that is ?
saying youre seeing angels that is ?
delusions ( belief )
hallucinations
what is ideas of reference mean?
give the 2 ways this can happen
patient thinks that the outside world is about them
- larger picture, reason why the president wore purple, is because he knows it my favorite color
- someone walks into the room, and people stare at you, you think they all hate you
circumstantial?
tangential?
flight of ideas?
loose of association ?
every piece of information around that point and answer
(staying on topic, but giving also un-needed information)
they never get to the point, all these facts about the question but never answer the actual question
jumping from idea to idea ( they all match, logical connection )
jumping from idea to another idea but they dont make sense
( literally jumping everywhere and nothing makes sense )
lets practice
which is which?
circumstantial
tangential
flight of ideas
loose association
im asking a questions
about your family disease?
my grandpa has a history of prostate cancer, he was in the military, and his favorite color was blue !
my grandpa use to be in the military, he went to the hospital, and was going to die soon, and he hated the nurses !
my grandpa loves the rain, oh its raining outside, the bugs are in the trees,, the cicadas are coming out next year!
my grandpa loves games! dude I love the color red, my dog is so kind, I love chips!
circumstantial
tangential
flight of ideas
Loose association
what is thought blocking mean ?
mainly associated with what ?
when the patient is trying to communicate with you and then stop mid sentence
appropriate speech, but just stop
psychosis cause they lose tract or get distracted
what is word salad?
the words in the sentence make zero sense
fly water peach orange paper peach dog
no connection to each other
what are the 4 things in memory?
recall
short term
recent
remote
recall
short term
recent
remote/long term
definition and how we test it ! (2 for each )
instant recall, I say a list of objects/numbers, then you say it right after!!
ill give you a list, recall it, then 8mins later, I ask you what that list is again, can you remember a few mins later
(MINTUES!)
what happens recently in the world, what was the weather like yesterday, anything in the past few days or maybe a week
(DAYS TO WEEKS)
months to years to decades, family history, child history, 1975 memories?
now onto the real chapter study : stress!
stress is a normal part of life!
there are two types of experiences of stress
what is positive and negative experience?
positive
- helps develops successful coping skills
negative
- can result in negative mental and physical health consequences
( can’t change usually )
how is stress defined as?
an environmental pressure or force that puts strain on a persons system