Coping, Adaptation and Mental Health

Question 1

What is happiness?

Answer 1

• 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.

Question 2

Key dimensions of well being?

Answer 2

Positive self evaluation
positive relationships with others
self-determination
environmental mastery 
sense of purpose

Question 3

Internal vs. external locus of control

Answer 3

Internal-you control

External-you have no control, all based on environment

Question 4

Symptoms of depression

Answer 4

• Loss of appetite
• Trouble sleeping
• depressed mood
• loss of interest
• thoughts of worthlessness
• thoughts of suicide

SIG: E CAPS

Question 5

Causes of depression?

Answer 5

• Runs in families
• Imbalance of neurotransmitters
• Diathesis model-already pre disposed because of genetics, then stress-causes disorder

Question 6

Risk factors for depression?

Answer 6

• Biological relative with disorder
• Severe stressor
• low self esteem
• female
• poverty

Question 7

Symptoms in older adults?

Answer 7

-more somatic symptoms i.e insomnia, weight loss vs. feelings of worthlessness

Question 8

Treatment for depression?

Answer 8

• Cognitive behavioural therapy
• Psychotherapy
• Reminisce and life review
• Antidepressants-6 weeks to work

Question 9

Why is it under diagnosed?

Answer 9

• Lack of time
• Lack of training
• False belief they will just get better
• Atypical symptoms in older adults

Question 10

Signs of substance abuse?

Answer 10

• Memory
• Trouble finishing sentences
• Loss of coordination
• unexplained bruises
• not clean

Question 11

Acute alcohol withdrawl

Answer 11

=medical emergency

• 6 to 12 hours after last drink
• tremors, anxiety, nausea, insomnia

Question 12

How to treat acute alcohol withdrawal?

Answer 12

-short acting benzodiazepines, one half to one third the original dosage

Question 13

Anxiety

Answer 13

• unpleasant or unwarranted feeling of apprehension

- unrealistic and excessive worrying

Question 14

Medical causes?

Answer 14

• delirium
• depression
• dementia
• heart failure
• hypothyroid
• withdrawal

Question 15

Medication causes?

Answer 15

• anticholergenics
• caffeine
• anti hypertensives

Question 16

Treatment for anxiety?

Answer 16

• family support
• therapists and group therapy
• cognitive behavioural therapy
• antidepressants
• short acting benzodiazepines

Question 17

Risk factors for suicide?

Answer 17

• older age
• previous attempt
• mental illness
• substance use
• social, physical, financial loss
• lonely, little socialization

Question 18

How to assess for suicide?

Answer 18

-Ask frank, specific questions
‘Have you thought of killing yourself?’
‘How?’
‘With what?’