DPR behavior medicine II

Question 1

Mental illness epidemiology

Answer 1

-41 % of those with mental illness receive treatment
-50% are compliat
reason:
-stigma
-affordability
-shortage of psychiatrists
-incorrect diagnoses

Question 2

history taking of depression

Answer 2

check for:
-mood changes
sleep changes
indication for mental health screening:
high symptom count
high severity of symptom
symptoms greater than 6 weeks
recent stressor

Question 3

depression diagnosis

Answer 3

REMEMBER to ask about suicidal ideations

-if they have a plan that means they are actively suicidal and are an emergency

Question 4

Major depressive disorder

Answer 4

five or more of the following symptom present for atleast a 2 week period and atleast one symptoms is either depressed mood or loss of interest:

• depressed mood
• diminished interest
• change in sleep
• fatigue
• decreased ability to concentrate

cannot be due to other causes

Question 5

physical complaints of those with depression

Answer 5

-gi-vague,nausea,vomiting,change in appetite
cardiac-vague chest discomfort
sleep-changes in sleep
pulmonary-shortness of breath
headaches
neurological-difficulty concentrating
social-loss in interest

Question 6

anxiety patient physical symptoms-

Answer 6

-excessive worrying
-appetite changes
-sleep changes
-somatic somplaints- palipitations
cognitive changes

Question 7

anxiety history taking

Answer 7

Ask:

• over the last two weeks have you been feeling anxious
• have you been unable to control worrying
• use screening tool Prime -MD and GAD-7

5- mild symptoms
10-medium symptoms
15-severe sympoms

Question 8

diagnosing anxiety disorder

Answer 8

• excessive anxiety and worry happening for atleast 6 months
• assx with three or more of the following symptoms:
• restlessness
• easily fatigued
• irritability
• muscle tension
• sleep disturbances
• difficulty concentrating

-not better explained by another disorder

Question 9

somatic symptoms of anxiety

Answer 9

cardiac-i think im having a heart attack'gi-change in weight and appetite
pulmoary -shortness in breath
-headaches
loss of focusing
social-isolating

Question 10

rule out for mental illness

Answer 10

-important to do medical workup to rule out other things that could rule out other possibilities

also do a physical exam:
for example depression can be linked to thyroid disease and anxiety can be linked to cardiac disease

Question 11

routine diagnostic tests to include

Answer 11

-cbc
CMP
-urinanalysis
-thyroid function

Question 12

treatment plan

Answer 12

1/medication management

2. psychotherapy
3. clinical coordination

remember OMM consideration