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Aspects of Family Health > Common Mental Disorders > Flashcards

Common Mental Disorders Flashcards

1
Q

What are the four methods of Mental Disorder Diagnosis

A

History
Mental Status Examination
Lab Investigations
Physical Examination

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2
Q

What are the most important tools that the psychiatrist has to make a mental disorder diagnosis

A

History and

Mental Status Examination

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3
Q

What information is collected in psychiatric patient history

A 
Data
Chief Complaint
History of Present Illness
Developmental/Perinatal History
Social History
Past Medical History
Past Surgical History
Allergies
Past Psychiatric/forensic history
Family History
Medications
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4
Q

What is presented in the Case Report of the psychiatric patient

A

Present Complaint. eg: feeling sad for 6mths
History of presenting complaint
Review of psychiatric symptoms. eg: no mood or psychotic symptoms reported; tearfulness, insomnia

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5
Q

What is included in the Mental Status Examination (MSE)

A

COMMPAAASTT
Cognitive function (insight, judgement, attention, memory)
Orientation (time, place person)
Mood (Pts description of emotional state)
Motoric behaviour
Perception
Affect (observed emtional expressions)
Appearance (gait, dress, grooming)
Attitude (toward interviewer)
Speech (rate,loudness,clarity,spontaeity)
Thought process (flight of ideas,circumstantiality)
Thought Content (elusions, obsessions, suicidal thought)

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6
Q

What manual is used to help diagnose mental disorders

A

Diagnostic and Statistical Manual of Mental Disorders, Fouth edition, Text Revision (DSM IV-TR)

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7
Q

What information does Axis I in DSM-IV-TR provide

A

Axis I provided information about clinical disorders. Any mental health conditions, other than personality disorders or mental retardation

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8
Q

What information does Axis II in DSM-IV-TR provide

A

Axis II provided information about personality disorders and mental retardation

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9
Q

What information does Axis III in DSM-IV-TR provide

A

Axis III provided information about any medical conditions that were present which might impact the patient’s mental disorder or its management.

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10
Q

What information does Axis IV in DSM-IV-TR provide

A

Axis IV was used to describe psychosocial and environmental factors affecting the person

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11
Q

List some examples of disoders that would be listed in Axis I of DSM-IV-TR

A

Bipolar Disorder

Substance Related Disorder

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12
Q

List some examples of disoders that would be listed in Axis II of DSM-IV-TR

A

Antisocial Personality Disorder
Sleep Disorders
Anxiety Disorders

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13
Q

List some examples of disoders that would be listed in Axis III of DSM-IV-TR

A

Bronchial Asthma

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14
Q

List some examples of disoders that would be listed in Axis IV of DSM-IV-TR

A

Financial Stressors

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15
Q

What information does Axis V in DSM-IV-TR provide

A

Axis V was a rating scale called the Global Assessment of Functioning; the GAF went from 0 to 100 and provided a way to summarize in a single number just how well the person was functioning overall

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16
Q

What are the 6A s of the interview techniques, when interviewing a psychiatric patient

A 
Appropriate question styles (open and closed)
Attempt to build rapport
Always show respect
Achieve and demonstrate empathy
Appropriate opening and closing
Active listening
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17
Q

List four main types of mental disorders

A

Psychotic disorder
Major Depression
Anxiety Disorder
Bipolar Disorder

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18
Q

Define Psychotic Disorders

A

They have a difficulty in differentiating what is real from what is not and experience delusions and hallucinations

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19
Q

What is a delusion

A

a fixed false belief that is not amenable to argument and is out of keeping with the individuals culture

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20
Q

a fixed false belief that is not amenable to argument and is out of keeping with the individuals culture

A

Delusion

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21
Q

What are hallucinations

A

A false sensory perception occuring in the absence of any relevant external stimulation of the sensory modality involved

22
Q

A false sensory perception occuring in the absence of any relevant external stimulation of the sensory modality involved

A

Hallucinations

23
Q

List four examples of psychotic disorders

A

Schizophrenia
Schizophreniform Disorder
Brief Psychotic Disorder
Schizoaffective Disorder

also
Substance induced psychotic disorder
delusional disorder
shared psychotic disorder
psychotic disorder due to a general medical condition
24
Q

How is schizophrenia characterized

A

delusions, hallucinations, disorganized behaviour

also, affective flattening, alogia, avolition, anhedonia

25
Q

what are the three phases of schizophrenia

A

prodromal, active, residual

26
Q

How are the prodromal and residual phases of schizophrenia characterized

A

reduced forms of active symptoms

odd beliefs, magical thinking, self-care

27
Q

What are 5 types of schizophrenia

A 
paranoid
disorganized
cataconic
undifferentiated
residual
28
Q

what are the childhood clinical presentations of schizophrenia

A

unexceptional in early childhood

29
Q

What are the adolescent clinical presentations of schizophrenia

A

chnages in behaviour and personality and decrease in academic, social and interpersonal functioning

30
Q

What are some clinical presentations of schizophrenia

A 
Deficits in ability to pay attention
Hallucinations and Delusions
Loss of interest
Poverty of speech 
Poorly dressed 
decresed emotional range
Strange behaviour (hoarding, self-mutilation, sleep disturbance)
unpredictably violent or bizzare
31
Q

What is the management for schizophrenia

A

no cure

anti-psychotic medication

32
Q

What can be observed in the mental status examination of the schizophrenic patient

A 
oddly dressed
poor hygiene
delusions
flat affect
hallucinations
thought block 
poor attention
disorganized thinking 
odd movements
orientation usually intact
33
Q

What are the fivetypes of psychosocial therapy

A 
Supportive therapy
behaviour therapy
group therapy
family therapy
social skills training
34
Q

what is bipolar disorder

A

The disregulation of mood , attention and neurovegetative function

35
Q

What are the domains of bipolar disorder

A

Manic Mood and Behaviour
Dysphoric or Negative Mood and Behaviour
Psychotic Sympotoms
Cognitive Symptoms

36
Q

List some examples of Manic mood and behaviour in bipolar disorder

A 
pressured speech
excessive libido
reduced need for sleep
euphoria
grandiosity
impulsivity
recklessness
social intrusiveness
37
Q

List some psychotic symptoms in bipolar disorder

A

hallucinations

delusions

38
Q

List some dysphoric/negative moods and behaviours seen in the bipolar patient

A 
anxiety
violence/suicide
depression
iritability
hostility
39
Q

List some cognitive symptoms of bipolar disorder

A

distractability
racing thoughts
inattentiveness
disorganization

40
Q

List three therapeutic options for Bipolar Disorder

A

Anticonvulsants (mood stabilizers)
Lithium
Antipsychotics (conventional and atypical)

41
Q

What are the characteristics of major depressive disorder

A 
Sad
Irritable
empty
tearful
tense
decreased pleasure/interest
significant increase or decrease in appetite
loss of energy
restlessness
reduced abiity to think, concentrate, remeber
42
Q

What are some treatment options for MDD (major depressive disorder)

A

Medication
Psychotherapy/talk
combination

43
Q

List four types of anxiety disorders

A

Post Traumatic Stress Disorder
Obsessive Complusive Disorder
Social Anxiety Disorder
Panic Disorder

44
Q

Describe Panic Disorder

A

People with this disorder have feelings of terror that strike suddenly and repeatedly with no warning

45
Q

Describe Obsessive Compulsive Disorder

A

Plagued by constant thoughts or fears that cause them to practice certain rituals.
Germophobe- excess hand washing

46
Q

Describe Social Anxiety disorder

A

Overwhelming worry and self-conciousness about everyday social situations

47
Q

Describe phobias

A

A specific phobia is an intense fear of a specific object or situation, such as snales, heights or flying

48
Q

Describe PTSD

A

This is a condition that can develop following a traumatic and/or terrifying event, such as a sexual or physical assault, the unexpected death of a loved one or a natural disaster

49
Q

Describe Generalized Anxiety disorer

A

Ths disorder involves excessive unrealistic worry and tension, even if there is little or nothing to provoke the anxiety

50
Q

List some symptoms of generalized anxiety disorder

A 
restlessness
easily fatigued
difficulty concentrating 
muscle tension
sleep disturbances

Aspects of Family Health (1 decks)

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