Coping, Adaptation and Mental Health Flashcards
What is happiness?
- A positive evaluation of life that is not unique to any one phase of development
- More likely to be experienced by individuals less sensitive to social comparison, less self absorbed, and more positive outlook on life.
Key dimensions of well being?
Positive self evaluation positive relationships with others self-determination environmental mastery sense of purpose
Internal vs. external locus of control
Internal-you control
External-you have no control, all based on environment
Symptoms of depression
- Loss of appetite
- Trouble sleeping
- depressed mood
- loss of interest
- thoughts of worthlessness
- thoughts of suicide
SIG: E CAPS
Causes of depression?
- Runs in families
- Imbalance of neurotransmitters
- Diathesis model-already pre disposed because of genetics, then stress-causes disorder
Risk factors for depression?
- Biological relative with disorder
- Severe stressor
- low self esteem
- female
- poverty
Symptoms in older adults?
-more somatic symptoms i.e insomnia, weight loss vs. feelings of worthlessness
Treatment for depression?
- Cognitive behavioural therapy
- Psychotherapy
- Reminisce and life review
- Antidepressants-6 weeks to work
Why is it under diagnosed?
- Lack of time
- Lack of training
- False belief they will just get better
- Atypical symptoms in older adults
Signs of substance abuse?
- Memory
- Trouble finishing sentences
- Loss of coordination
- unexplained bruises
- not clean
Acute alcohol withdrawl
=medical emergency
- 6 to 12 hours after last drink
- tremors, anxiety, nausea, insomnia
How to treat acute alcohol withdrawal?
-short acting benzodiazepines, one half to one third the original dosage
Anxiety
- unpleasant or unwarranted feeling of apprehension
- unrealistic and excessive worrying
Medical causes?
- delirium
- depression
- dementia
- heart failure
- hypothyroid
- withdrawal
Medication causes?
- anticholergenics
- caffeine
- anti hypertensives
Treatment for anxiety?
- family support
- therapists and group therapy
- cognitive behavioural therapy
- antidepressants
- short acting benzodiazepines
Risk factors for suicide?
- older age
- previous attempt
- mental illness
- substance use
- social, physical, financial loss
- lonely, little socialization
How to assess for suicide?
-Ask frank, specific questions
‘Have you thought of killing yourself?’
‘How?’
‘With what?’
