Mental Health Flashcards
Major neurocognitive disorders (dementia) DSM-5 criteria
Loss of cognitive function that decreases independence in occupational performance in one or more of the following domains:
- Complex attention
- Executive function
- Learning and memory
- Language
- Perceptual-motor
- Social cognition
Schizophrenia spectrum DSM-5 criteria
At least 2 of the following symptoms lasting for at least one month:
- Delusions
- Hallucinations
- Disorganized thinking
- Abnormal motor behavior
- Negative symptoms
Type I bipolar
Manic episode with or without presence of major depressive episode
Type II bipolar
Hypomanic state with a major depressive episode and no episodes of mania
Cyclothymic disorder
Chronic mood disturbances with fluctuating between hypomanic and depressive symptoms that is not as severe as bipolar I or II
Medications for schizophrenia
Typical antipsychotics and atypical antipsychotics
Medications for depressive disorders
SSR, SNRI, antidepressants
Medications for bipolar
Lithium
Mood stabilizers, anticonvulsants
Medications for anxiety disorders
Benzodiazepines, SSRI, tricyclic antidepressants
Somatic symptom disorders
Significant physical symptoms such as pain or weakness without any underlying medical condition
Anorexia nervosa
Intense fear of being overweight, disturbance of body image, obsession with food and thinness
Bulimia nervosa
Recurrent binge eating and compensatory behaviors
OT intervention for eating disorders
Menu planning/meal preparation
Lifestyle redesign
Communication and assertiveness training
Stress mgmt
Projective artwork and use of crafts
Relapse prevention
Body image improvement
OT interventions for anxiety disorders
Cognitive behavioral training to approach situation that cause anxiety, understand fear cycle and challenge disordered cognitions
Relaxation therapy including breathing, meditation, visualization, progressive muscle relaxation
Expressive writing to help understanding and acceptance of stressors
OT interventions for mood disorders
Cognitive behavioral therapy to uncover distorted beliefs and faculty thinking patterns
Interpersonal psychotherapy to improve interpersonal and psychosocial function
OT interventions for schizophrenia
Illness management and recovery
Assertive community reintegration
Family psycho-education
Supported employment
OT interventions for substance abuse disorders
Coping and stress mgmt
Social skills training
Cognitive-based interventions to increase motivation and control of life
Cluster A personality disorders
Distorted thinking, odd/eccentric, social withdrawal
1) Paranoid personality disorder
2) schizoid personality disorder
3) schizotypical personality disorder
Cluster B personality disorders
Emotional, erratic, impulse, poor emotional regulation
1) Anti-social personality disorder
2) Borderline personality disorder
3) Histrionic personality disorder
4) narcissistic personality disorder
Cluster C personality disorders
Anxious, fearful, low social drive
1) Avoidant personality disorder
2) Dependent personality disorder
3) Obsessive personality disorder
OT intervention for personality disorders
Promotion of self-concept, self-esteem, judgement
Development and maintenance for change
Development of interpersonal relationships
MOHO
Describes effect of volition, performance and habituation on engagement in occupations
PEOP
Emphasizes interaction between person, performance desired, meaningful occupation and the context in which the person engages in the occupation
Canadian model of occupational performance and engagement
Human spirit is the central organizing structure impacted by physical, cognitive and affective factors. Occupations surrounding spirituality are critical in producing client centered outcomes centered on self-care, productivity and leisure
Intentional relationship model
Focuses on therapeutic use of self and effect of therapist-client relationship on improving function - triad among the client, OT and occupation following set of principles
Principles in intentional relationship model
- OT self-awarness and interpersonal self-discipline is critical for use of self
- OT must keep head before heart
- OT practice mindful empathy
- Client defines successful relationship
- OT balance focus on activity and focus on interpersonal
Allen cognitive disabilities model
Hierarchical continuum of cognitive abilities derived from piaget’s development therapy in which functional abilities improve as cognitive levels increase
Behavioral approach to learning
Based on operant conditioning as behavior is shaped by connecting a positive (add +) or negative ( remove -) reinforcement to a behavioral response
Cognitive behavioral therapy model
Based in idea that distored thining leads to behavioral and emotional problems related to mental illness. Focus of therapy is to increase awareness and change cognitive distortions to alter behavior adn emotional impact on function
CBT intervenion strategeis
Goal setting
Homework
Mindfulness
Restructuring cognitive thoughts
KAWA model
Centered on cultures effect on mental health intervention using river metaphor
Psychoanalytic/psychodynamic theory
Exploration of underlying and deep-seated origins of human emotion and motivation as mechanism for improving self-identify and interpersonal relationships
Common interventions using psychodynamic theroy
Creative and expressive media and journaling for reflection
Scientific reasoning
Use of applied logical and scientific methods
Diagnostic reasoning
Use investigative reasoning and analysis of the cause and nature of conditions
Procedural reasoning
Consideration and use of intervention routines for identified conditions
Narrative reasoning
Understanding people’s illness as it related to their life circumstance
Pragmatic reasoning
Practical reasoning used to fir therapy possibilities into realities of service delivery
Ethical reasoning
Reasoning directed toward and analyzing ethical dilemmas
Interactive reasoning
Reasoning directed toward building positive interpersonal relationships