cram for exam Flashcards
Criticism of DSM-5 (5)
too many diagnosis
combined some
added some
comorbidity
lowered criteria for many diagnosis
Critisism of pathologising (6)
over pathologising what are constructs of our society should adapt society lose uniqueness of person focus on diagnosis negative effect on person stigma
Suicide etiology (6)
Heritability
Socio cultural
Trait
heritability 48% socio-cultural : eg celebrity, economy, social isolation impulsiveness (action) hopelessness low reasons to live poor problem solving
Suicide prevalence (2) and high sup populations (4)
ideation 9% attempt 2.5% male elderly divorced, widowed 1/3 depression
Suicide neurobiological (2)
serotonin
high activity hpa axis
Suicide treatment (3)
underlying mental illness
CBT
hotlines
Aging - mild neurocognitive disorder symptoms (2)
lower functioning but not impaired independence
between third and sixth percentile
Aging - major neurocognitive disorder symptoms (3)
severe decline
below third percentile
interfere with independence
Aging - Fronto-temporal dementia symptoms (6)
decreased empathy, inhibition, executive functioning
increased apathy, hyper orality, compulsion
Aging - Fronto-temporal dementia brain
decreased neurons in prefrontal and temporal lobes
Aging - Fronto-temporal dementia - death
5-10 years
Aging - vascular (4)
cerebalvascular (stroke)
symptom vary
rapid onset , stepped deteriation
Aging - Dementia with lewy bodies
comorbidity and brain,
80% of people with parkinsons
lewy bodies
Aging - Dementia with lewy bodies symptons (4)
fluctuating cognitive symptoms
hallucinations
dellusions
intense dreams - movement and vocalising
Aging - Dementia with lewy bodies - pills not to use
anti psychotics - sensitive to side effects
Dementia - Treatment
4 types and descriptions
calm, routine, caring environment
Psycho-education: family therapy to increase quality of life and manage plus enjoy whats left.
cognitive: music, word games, thinking activities
reality: calender, date, menu,days activities, news, talk about interests and families
validation: agree with them even when wrong and distract
medication: not significantly helpful
Aging - Delirium: description (9)
confusion
varies throughout day
sudden onset
fragmented, undirected thoughts and speech attention diffuculty lethary hyperactivity mood swings disorientation
Aging Delirium - causes (8)
underlying medical problem: over medication full anesthetic malnutrition dehydration brain infection high fever head trauma endocrine problems
Aging - Delirium prognosis
reversible if treat underlying medical condition
can be fatal if not treated
Dementia - general differences from delirium
gradual onset and progressive deterioation
increases with age (delirium high in very young and old)
decreased short-term memory
it is a disease
non reversible
likely to die from bronchial pneumonia
