Final Flashcards
Orientation is related to and includes
Time
Person
Place
Situation
Psychosis is
a detachment from reality; it is not a disease–it’s a symptom
EBP includes
Pt preference
Clinical/practitioner expertise
Available clinical research
Delusion
Something that is falsely believed; fixed false conviction; a common symptom in mental health conditions
Distress
Extreme anxiety, sorrow, or pain; significant difficulty; state of being in great trouble
Dysfunction
Abnormality or impairment in function; unhealthy interpersonal behavior/interaction
Hallucination
False perceptions; sensory based experiences that appear real but are created by your mind
Affect
Outward expression of emotion; feeling being displayed to others through facial expressions, hand gestures, posture, voice characteristics, or other physical manifestations
Positive symptoms
Symptoms in excess OT “added” to normal mental functioning; hallucinations, delusions, disorganized thinking
Negative symptoms
Symptoms dismissing brains ability to respond/behave in particular ways; anhedonia, apathy, alogia, flat affect
The absence of adequate caregiving during childhood is
Social neglect
Children diagnosed with reactive attachment disorder typically have the inability to consistently connect with their parent/caregiver. Common signs include
watching others closely but not engaging socially
refusing to make eye contact
detached and unresponsive; impulsive, destructive negative behaviors
T/F: In post traumatic stress disorder (PTSD), the symptoms must occur AFTER the exposure.
True
T/F: With neurodevelopmental disorders, there is usually a wide range of developmental deficits and many of these conditions co-occur with others.
True
T/F: Females are less likely to be diagnosed with anxiety disorders than men.
False
Persistent depressive disorder (formerly dysthymia), disruptive mood dysregulation, and premenstrual dysphoric disorder are all
Depressive disorders
Depressed individuals typically exhibit which of the following symptoms?
Behavioral, Cognitive, and Physical symptoms
Mania involves
Endless energy
Lots of ideas
Euphoria
T/F: Skin picking (excoriation) may be accompanied by a range of behaviors or rituals involving skin or scabs. The individual may examine, play with, or mouth or swallow the skin after it has been pulled. The condition coincides with or follows the onset of puberty. The disorder frequently begins with a dermatological condition such as acne.
True
This condition involves the preoccupation with one or more perceived defects or flaws in physical appearance. At some point, the individual has performed repetitive behaviors (mirror checks, excessive grooming, skin picking, etc.) or mental acts (comparing their appearance with that of others) in response to the appearance concerns. A related condition involves preoccupation with body build; we watched a clip on bigorexia in class. This primary condition is
Body dysmorphic disorder
Explain the relationship between DISABILITY, DYSFUNCTION and DISTRESS in mental health.
Occupational therapists work with mental health patients to target their treatment surrounding disability, dysfunction, and distress. As a clinician we cannot choose to focus on one without recognizing and considering the distress and dysfunction that accompanies disabilities within those struggling with their mental health. Being aware of signs and symptoms of mental health conditions is vital in treating the patient in a holistic manner and for a patients overall safety.
What are the fundamental differences between ENURESIS and ENCOPRESIS? Name the category that these two conditions fall in within the DSM-5.
Enuresis: drips
Encopresis: drops
When considering the diagnostic categories of the DSM-5, there is a relationship that exists across three conditions that we discussed this semester. Please use the picture to help you discuss the nature of the relationship of these 3 conditions (based on genetics, family history, and symptoms). Name each of the three below.
Bipolar and related disorders in the middle, is a bridge b/w other groups
Schizophrenia and psychotic disorders on one side, depressive disorders on the other side.
This condition is a neurological and developmental disorder; in the DSM-5 it is categorized with the neurodevelopmental disorders. People with this condition may have difficulties with social communication and interaction, and restricted or repetitive behaviors or interests. Which condition is this?
ASD
Which symptoms are commonly reported/seen in individuals with somatic disorders?
Stomach pain, headaches, fatigue
Janice was recently diagnosed with schizophrenia with negative (-) symptoms. In planning for your tx session, what do you anticipate as a problem area/deficit?
Motivation for activities
These two D’s are most frequently cited as factors that bring individuals forward for diagnosis/treatment of a condition/disorder in mental health.
Distress and Dysfunction
Describe the PEO model. Discuss the relevance of this model to this particular course, OTD 6432 (Lifespan: Mental Health).
The PEO model is a model focusing on the Person, Environment , and Occupation. However, within this course, the PEO is heavily involved when treating individual with mental health conditions. The PEO is a transactional model that focuses of Time and Space. Meaning that its approach to mental health conditions and treatment is catered to the whole person, the whole diagnosis, the whole identity of the patient, and their needs.
Anorexia, bulimia, and binge-eating disorders were a few of the conditions presented this semester. While these conditions might be more familiar to many, consider the lesser known feeding and eating disorders such as pica, rumination disorder, and avoidant/restrictive food intake disorder. Select one of these and discuss/describe the condition and the potential impact; explain the functional consequences of your selected condition.
Pica is a disorder in which people choose to eat non-food objects. An example being dirt. The potential impact this disorder can have can range from a social impact to a personal health impact. people may not want to be around someone that chooses to eat bizarre things. There is always the potential of eating something harmful as well. Functional consequences for this disorder include bowel obstructions, decreased social function, infection/illness, and more.
In class, a condition that is not classified in the DSM-5 was referenced during the feeding and eating disorder lecture. This condition is a genetic condition caused by an error in one or more genes (in the region of chromosome 15). A key feature of this syndrome is a constant sense of hunger that usually begins around age 2; these individuals never feel full and usually have trouble controlling their weight. What is this condition?
Prader - willi syndrome
Describe attention deficit hyperactivity disorder (ADHD). How could OT for ADHD based on your understanding of OT and the symptoms that surround this particular condition?
ADHD is a neurodevelopmental disorder that involves inattention, disorganization, and hyper-activity. OT could help those with ADHD with basic life skills such as time management, social skills, function, and routines.
Characterized by problems in self-control of emotions and behaviors.
Disruptive Behavior Disorders
Oppositional Defiant Disorder types
Angry/irritable mood
Argumentative/defiant
Vindictiveness
Severity levels of ODD
Mild 1 setting
Mod 2 settings
Severe 3 settings
Repetitive/persistent behavior that violates basic rights of others or major age-appropriate societal norms or rules
Conduct disorder
Severity levels of CD
Mild - lying
Mod - stealing
Severe - physical
closely connected to the spectrum of “externalizing” conduct disorders.
Antisocial Personality Disorder
An enduring pattern of inner experience and behavior that deviates markedly from the expectations of the individual’s culture, is pervasive and inflexible, has an onset in adolescence into adulthood, is stable over time, and leads to distress or impairment.
Personality Disorders
Cluster A - weird
Paranoid - distrust
Schizoid - detachment
Schizotypal - distortions
Cluster B - wacky
Antisocial - disregard
Borderline - instability
Histrionic - emotional and attention seeking
Narcissistic - grandiosity, admiration, lack of empathy
Cluster C - worry
Avoidant - distrust
Dependent - clingy
Obsessive-compulsive - perfection
10 substance classes
- Alcohol
- Caffeine
- Cannabis
- Hallucinogens
- Inhalants
- Opioids
- Sedatives
- Stimulants
- Tobacco
- Other (or unknown)
Extrapyramidal Effects
Abnormal movement patterns
Nonmotor Effects
Sedation, anti-cholinergic, orthostatic hypotension, light sensitivity, metabolic side effects
-azine
Antipsychotic drugs
the 1st of modern antipsychotic drug
Thorazine
SSRI
Serotonin