Living with Mental Health Flashcards
Depressive disorders include:
- disruptive mood dysregulation disorder
- major depressive disorder (including major depressive episode)
- persistent depressive disorder (dysthymia),
- premenstrual dysphoric disorder
- substance/medication-induced depressive disorder
- depressive disorder due to another medical condition
Major depressive disorder is characterized by
- discrete episode of at least 2 weeks duration
- involve clearcut change in affect, cognition, and neurovegetative functions and inter episode remissions.
Chronic illnesses and depression conditions:
- Medication side effects (antibacterial, fungal, viral agent, antiHTA, statins, antineoplastics, dermatologics (accutane + finasteride), hormone contraception, respiratory agents, steroids and smoking cessation
- Neurologic disorders (CVA, tumor at temporal lobe, alzheimer’s, Parkinson’s, MS
- Electrolyte disturbance
- Hormonal Disturbance
- Nutritional Deficiencies
- Others physiological conditions: SLE, poluarteritis nodosa, cardiovascular disease, cardimyopathy, heart failure, MI, hepatitis, mononucleosis, pneumonia, syphilis, dabetes,, HIV, neoplasia.
Gold standards of recovery:
- Self-esteem
- empowerment
- hope
- self-responsability
- Meaningfull role in life
Tips for Mental Health:
- Talk positively
- Eat right and keep fit
- make time for family and friends
- Give and accept support
- Create a realistic budget and stick to it
- Volunteer and give of yourself
- Manage stress
- Find strength in relations
- Identity and deal with moods
- Learn to be at peace with yourself
- Remember that practicing cultural traditions promotes good mental health
Suicide rate higher for:
- persons aged 40-59 y.o and second in 15-34 y.o.
- Quebec rate higher than Canada rate, but Canadian inuit highest rate.
- 90% of suicide are associated with a psychiatric diagnosis.
% of mental illness in Canada:
1/5, 20%
People who commit suicide have seen a physician in the week or months prior to their death (%):
50%-80%
Single emergency room visits for an overdose, suicidal ideation or self-harm are strongly associated with
subsequent suicide
Risk factors for suicide:
Psychiatrics diagnosis
Personnality traits and disorders
Medical
Biochemical factors (low level of serotonin, deficiency in 5-HT neurotransmitters)
Familial/genetic
Psychosocial factors (divorced, widowed, social isolation, single status)
Environmental factors (easy access to means, arm)
Protective factors for suicide:
Cognitive style and personality (self-worth, coping skills, ability to communicate, impulse control)
Family patterns (marriage, a child who are dependent, good family relationships)
Cultural and social factors (adherence to positive values, norm, and traditions, active religious affiliation)
Evaluation of suicidal risk: Low risk
- No suicidal ideation
- vulnerable state of mind
Evaluation of suicidal risk: Moderate risk
- Suicidal ideation present
- Hope for future
- Accept help
Evaluation of suicidal risk: High risk
- Suicide plan more precise (How, where, when)
- Mean available
- Medical intervention required
Therapeutic techniques:
- Active listening to understand their perspective
- Explore recent stressors
- Combination of therapeutic methods (psychotherapy, CBT, DBT, mindfulness)
- COMMUNICATE HOPE
