Mental Health Flashcards
What is a mental health disorder?
Significant cahanges in a person’s thinking, emotional state and behaviour, and ability to function in social and occupational settings. Meets defined diagnostic criteria
ex. Depression, anxiety, insomnia, bipolar, schizophrenia
How many people experience mental illness?
1 in 5 Canadians will experience mental illness per year
8% will experience major depression in their lifetime
Do most people with mental health issues get help?
No, more than 60% of people with mental health problems and mental illness won’t seek the help they need (stigma is one of the main reasons)
What is the bio-psycho-social model of mental health?
Today mental disorders are primarily seeen as biological disorders of the brain with psychological and social stressors as triggers of episodes of illness
How does culture impact mental illness?
Each culture has a unique perspective on mental health
Culture impacts the way people describe their symptoms
Cultures differ in meaning and level of concern given to mental illness
What is the purpose of the Mental Health Services Act (MHSA)?
Assist people suffering from serious mental illness in recieving treatment
What are two categories of mental health patients recognized by the Mental Health Service Act?
Voluntary (patient has the insight to recognize mental health issue and seeks care)
Involuntary (patient has lost insight to recognize their mental health issue, and must be admitted by a physician or apprehended by authorities)
What is the involuntary admission criteria?
All three criteria must be met including:
1. Being found to be a person with a mental disorder who needs inpatient care
2. Not being fully capable of making an admission or treatment decision
3. Likely to harm or others or suffer substantial mental or physical deterioration
Can non-mental health treatments be given by force to involuntary mental health patients?
No, only mental health conditions can be treated without patient consent
Can pyschologists prescribe medications for their patients?
No, only psychiatrists (MD) can prescibe drugs for mental health patients
Is psychiatry a very subjective field of healthcare?
No, it is very objective
Treatment is often based on the clinicians impressioon of the patient’s thoughts and feelings
What is the DSM-5?
Handbook used in the United States and much of the world as the guide to diagnose mental disorders and is often used in conjuction with clinical judgement
What is the purpose of a clinical psychiatric interviews?
To collect information about the revealed (behavious, intentions, prospects) as well as concealed (emotions, drives, conflicts) aspects of the interviewee’s world
What are the types of questions asked in a clinical psychiatric interviews?
- Patient demographics
- Cheif complaint
- History of presenting illness
- Medical History
- Family Psychiatric history
- and so many more (review slides 47-48)
What are the components of the Mental Status Exam (MSE)?
General Observations
Thinking
Emotion
Cogniton
What are the subcomponents of the general observations section of the Mental Status Exam (MSE)?
- Appearance
- Speech
- Behaviour
- Cooperativeness
What are the subcomponents of the thinking section of the Mental Status Exam (MSE)?
- Thought processes and form
- Thought content
- Perceptions
What are the subcomponents of the emotion section of the Mental Status Exam?
- Mood (patient reported)
- Affect (Interviewer reported)
What are the subcomponents of the cognition section of the Mental Status Exam (MSE)?
- Orientation/Attention
- Memory
- Insight/Judgement
What is a commonly used suicide risk assessment guideline?
The Columbia Protocol (C-SSRS), supports suicide risk assessment via a series of simple, plain-language questions that anyone can ask
What is measurement-based care (MBC)?
Refers to the systematic use of measurement tools, such as validated scales, to monitor outcomes and support clinincal decision-making (such as diagnosis and treatment)
What are some limitations of measurement-based care?
Patients can give false answers that can result in a intended outcome of ill and not ill
What are some concerns about the classification of psychotropic drugs?
They are arbitrarily based on indications the medications were first discovered to treat (based on an earlier period of scientific understanding). As a result differences exist between drugs with current classifications.
This can complicate treatment decision for HCPs
What are the four distinct components of stigma?
- Labelling someone with a condition
- Stereotyping people who have that condition
- Creating a division (creating superior us vs. inferior them)
- Discriminating against someone on the basis of their label