Depression and Mania Flashcards
What is depression?
Loss of interest in life activitites
Negative view of the world
Depression
Anhedonia
Loss of pleasure in usually pleasurable things
Depression
Usually r/t ?
Loss (death, job, mastectomy, self esteem [rape])
Depression
What does client look like?
Poor kept appearance
Depression
Weight
Gain in mild
Loss in severe
Depression
Crying
Crying spells with mild-mod
No tears with severe
Depression
Clients may be ___
Irritable
Depression
Do they have energy?
No
Depression
Do they need help with self care?
Yes
Depression
What do we need to do to help them?
Help them experience accomplishments
Depression
What do we need to be careful about?
With compliments, these may make client feel worse
Depression
Prevent what?
Isolation
Depression
What makes them feel better?
Interacting with others, even if they say they don’t want to
Depression
Severely depressed what is the best to do?
Sitting with client and making no demands may be the best thing that you can do
Depression
Can these people make simple decisions?
No
Depression
Assess
Suicide risk
Depression
As depression lifts, what is suicide risk?
Increases (more energy to do the task)
Depression
What indicates that client has made decision to kill themselves
Suden change in mood
Depression
Who are at risk for suicide?
Who are successful by using very lethal methods?
Elderly
Elderly men
Depression
Can they have delusions/hallucinations?
Yes
Depression
Are their thoughts slowed?
Yes (use silence to give them time to process information
Depression
Can they concentrate?
No
Depression
What disturbances are common
Sleep
Depression
Sleep for mild? sleep for severe?
Mild: hypersomnia
Severe: Insomnia
Depression
Generally depressed clients have difficulty with what?
Falling asleep
Staying asleep
Early morning wakening
Mania
Continuous ___
High
Mania
Emotions
Labile
Mania
Thoughts
Flight of ideas
Mania
Delusions
False idea
Mania
Example of delusions of grandeur
Think you are jesus
Mania
Example of delusion of persecution
Client thinks someone is out to get them
Mania
Do you argue the belief?
No
Mania
Do you talk about the delusion?
No
Mania
Let the client know what?
You accept that he/she needs the belief but you do not believe it
Mania
Look for underlying need in delusion?
Persecution: Client needs to feel safe
Grandeur: Client needs to feel good about self/meet self-esteem needs
Mania
Constant motor activity leads to ?
Exhaustion
Mania
Dress
Inappropriate
Mania
Eat
Cant stop to eat; altered sleep patterns
Mania
$
Spending sprees
Mania
Poor ___
No ____
Poor judgments
No inhibitions
Mania
___ and may exploits other clients
Hypersexual
Mania
Manipulates – fails – they get mad
What does manipulation make them feel?
Secure and powerful
Mania
Set limits–staff must be ?
Consistent
Mania
Decreased ____
Attention span
Mania
Do they have hallucinations?
Yea they can
Mania Treatment
Decrease what
Stimuli
Mania Treatment
Limit what?
Group activities
Mania Treatment
feel most secure in ?
One on one relationships
Mania Treatment
Remove ?
Hazards
Mania Treatment
Stay with client as what increases
Anxiety
Mania Treatment
Scheduled
Structured
Mania Treatment
Activity
- Provide activity to replace purposeless activity
- Writing activities provide energy outlet without too much stimulation
Mania Treatment
Staff contact
Brief, frequent contact with staff–too much intense conversation stimulates client
Mania Treatment
Meals
Weight
Finger foods–*keep snacks available
Stay with client during meals
Weigh daily
Mania Treatment
Don’t try to ?
Argue or reason
Mania Treatment
T/F: they will try to charm you
T
Mania Treatment
Blame who?
They blame everyone
Mania Treatment
Make sure what is maintained?
Dignity (client may do things or say things that they wouldn’t normally do)
