Intro Mental Health Flashcards
Mental Disorder
clinical significant behavior or psy syndrome w/stress or disability
Diagnose
DSM- cluster of sx, impact cultrue, gives guidelines, tx, prognosis
Too often HCP tx sx- USE SX TO GUIDE DX
TREAT THE DISEASE
DMS-5
updated d/t: changes in research, society norms, undersaing theory, politics, power, science
Contain bias
5 AXis
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
Biopsycho social Model
Biophysical-overlaps: drugs, family relatioship, tempermetn, IQ, trauma
Bio-psycho-social-spirtual-cultrual
Theory- people who have no sense of purpose in community, relationship, planet, universe…leads to struggle with mental illness and substance abuse.
MSE-Thought processes
logical, goal directed
word salad- talks with relationship btwn words
loose- respond but not related to question
MSE-Thought content
fears, (anxiety) ruminative ideas
MSE-Perceptions
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.
MSE-Emotions
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.
MSE-Cognition
MMSE- GOOD for CORTICAL dfx- Alzheimer’s.
MMSE-POOR for SUBCORTICAL dfx- HIV Parkinson
Psychotrophic RX
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
Uptake
slow rate of NT uptake by pre-synaptic fiber
Serotonin
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-Methylenedioxymethamphetamine)
Dopamine
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