Intro Mental Health Flashcards

1
Q

Mental Disorder

A

clinical significant behavior or psy syndrome w/stress or disability

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2
Q

Diagnose

A

DSM- cluster of sx, impact cultrue, gives guidelines, tx, prognosis
Too often HCP tx sx- USE SX TO GUIDE DX
TREAT THE DISEASE

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3
Q

DMS-5

A

updated d/t: changes in research, society norms, undersaing theory, politics, power, science
Contain bias

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4
Q

5 AXis

A

no longer use
I- infancy schizo, ED, sleep issue- treatable
II- intrinisc to personality disorder
III- systemic dz- parasite, URI, GU dz-that lead to Axis I disorder
IV- Pyschosocial enviroment disorder that lead ot Axis I- school, economic
V- Global assessment scale 0-100. not accurate, all guessed range. ll

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5
Q

Biopsycho social Model

A

Biophysical-overlaps: drugs, family relatioship, tempermetn, IQ, trauma

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6
Q

Bio-psycho-social-spirtual-cultrual

A

Theory- people who have no sense of purpose in community, relationship, planet, universe…leads to struggle with mental illness and substance abuse.

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7
Q

MSE-Thought processes

A

logical, goal directed
word salad- talks with relationship btwn words
loose- respond but not related to question

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8
Q

MSE-Thought content

A

fears, (anxiety) ruminative ideas

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9
Q

MSE-Perceptions

A

Hallucinations- dys of senses, smell, hears, sees but not noticed by others

Delusions- bizzare beliefs (adultery, paranoia, extremes),cognition imagination

Someone’s reality but not true.

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10
Q

MSE-Emotions

A

Affect- HCP describes subjective (flat not registering on face
Mood- Pt describes subjective

Ideal- should see emotion as appropriate to context of convo and congruent w. stated mood.

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11
Q

MSE-Cognition

A

MMSE- GOOD for CORTICAL dfx- Alzheimer’s.

MMSE-POOR for SUBCORTICAL dfx- HIV Parkinson

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12
Q

Psychotrophic RX

A

treat via neurotransmitters (mider) at synaptic cleft

NTS- released at end of nerve fiber via nerve impulse, diffuse across synapse. L/t transfer of another impulse at receiving nerve, muscle fiber or other.
NO ONE truly understands (theory)
Like a spider web, if 1 NT is effect will cause others to be affected

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13
Q

Uptake

A

slow rate of NT uptake by pre-synaptic fiber

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14
Q

Serotonin

A

FX-regulates sleep, mood, anxiety, sexual fx, eating

RX: SSRI-selective serotonin re-uptake inhibitors
maintains release of serotonin DOES NOT inc. the release, SNRI, some antipsychotics
MORE w/ Anxiety
Depression
Psychosis

Abused drug stimulates: MDMA (ecstasy,molly) (3,4-Methyl​enedioxy​methamphetamine)

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15
Q

Dopamine

A

FX-Reward center- substance abuse inc. this release
Feel good, movement, perceptions (H&D)

RX: antipsychotics, psychostimulants
Depression
Addiction
Schizo
psychosis-reduce hallucination

Abused drug stimulates: amphetamine, cocaine

NOTES-Block too much L/t Parkinson’s (dopamine mutation), movement issues
New meds that affect this now inc. WT gain

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16
Q

Norepinephrine

A

FX-NT arousal, learning, mood regulation, pain experience

RX-Tricycle antidepressants (TCA), bupropion
Depression and Anxiety

Abused drug stimulates:N/A

17
Q

Acteylcholine

A

FX- NT used by PNS and CNS for muscle contractions, HR, digestion, Cognition and Memory

RX-Cholinesterase Inhibitors, Alzheimers, Dementia, Drug side effects

Abused drug stimulates

18
Q

GABA- gamma aminobutyric Acid

A

FX-NT inhibits firing of neurons, slows things down, sleep, relax, calm

RX: Meds will be used to slow neurons.
Bensodiazepines,
Anxiety
Sleep 
Addiction

Abused drug stimulates: Alcohol, GHB (gamma-Hydroxybutanoic acid)

19
Q

Glutamate

A

FX- NT excitatory strengthen synapse connections.
New info.

RX: Ketamine, NMDA (N-Methyl-D-aspartic acid) receptor antagonist
Mood
Psychosis

Abused drug stimulates: PCP (Phencyclidine) (angel dust, wet)

20
Q

Endorphin

A

endongenous opioids bind to opiate receptors to control pain, Wellness
Pain assoc.

RX-Methadone, buprenophrine, Opioid use disorders

Abused drug stimulates- Heroin

21
Q

Psychodynamic Therapy

A

Theories of Freud
Expensive
NO EVB

22
Q

Interpersonal Therapy

A

Focus personal issues that cause stressors

Effective in psychiatric conditions

23
Q

Supportive

A

PCP most common

24
Q

Behavioral Therapy

A

rigid structured
behavioral change
Ideal for phobias and anxiety

25
Q

Cognitive BT

A

Focus on fault thoughts and cognition that cause stress

Depression and Anxiety

26
Q

Dialectical BT

A

mindfulness and symptom control

Borderline Personaliy Disorder

27
Q

Peer Based

A

AA, NA, WRAP (Wellness Recovery Action Plan)

28
Q

Limits of Mental Health

A

access
Shortage of providers or hospitals
Evidence- TX imperfect, focuc on improved fx
No cure