Mental Health Flashcards

1
Q

Mental Health

A

Mental health is a state of well-being in which the individual realises his or her own
abilities, can cope with the normal stresses of life, can work productively and fruitfully and is bale to make a contribution to his or her community.

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2
Q

What are the most common mental health problems in the UK?

A
  • Depression
  • Generalised Anxiety Disorder
  • Panic disorder
  • Phobias
  • Social Anxiety Disorder
  • Obsessive-compulsive disorder (OCD)
  • Post-traumatic stress disorder (PTSD)
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3
Q

Why are mental health problems dangerous?

A
  • They have a negative impact on quality of life (employment, ADLs, family)
  • They increase the risk of physical illness (chronic conditions)
  • They increase mortality from physical illness (e.g. heart disease)
  • Depression is a major risk factor for suicide
  • There is a correlation between household income and the incidence of CMHPs - better-off men are three times less likely to suffer from CMHP.
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4
Q

What types of mental health interventions are there?

A

• Community level
• Service organization level
• Individual level
• IAPT service model (Improving Access to Psychological Therapies) (designed to provide faster access for people with mental health disorders)
- high intensity care (severe depression, panic disorder, social phobia, PTSD)
- low intensity care (mild depression, mild OCD, mild GAD)

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5
Q

What is stress?

A

Stress occurs when the demands made upon an individual are greater than their ability to
cope. (Atkinson, 1999)

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6
Q

What are two types of stress?

A

1) DISTRESS -ve
a negative stress which is damaging and harmful
2) EUSTRESS +ve
a positive stress which is beneficial and motivating

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7
Q

What are acute and chronic causes of stress?

A

Acute - noise, danger, infections, injuries, hunger

Chronic - health, home, finances, work, family, friends

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8
Q

Give some examples of internal and external stressors

A

Internal stressors

a. physical -inflammation, infection
b. psychological - attitudes, believes, personal expectations, worries

External stressors - environment, work, social and cultural pressures

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9
Q

What are the main responses to stress?

A

Fight or flight

  • this is an automatic response to external acute stressors
  • this elicits a physiological response
    a) hypothalamus: sympathetic system and andrenocorticostreoid system
    b) both adrenal medulla and adrenal cortex (cortisol) activated
    c) activation of various organs and inhibitions of the others : (depending Flight/fight)
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10
Q

What are the body’s responses to stress?

A

a) lungs - take in more oxygen, hyperventilation
b) blood flow -increases by up to 400%
c) skeletal muscles - tense
d) spleen - more RBCs are discharged
e) skin - blood flow directed away to support skeletal muscles and heart
f) mouth - drier as salvia and mucus dry up
g) immune system - WBCs are redistributed

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11
Q

What is general adaptation syndrome?

A

General adaptation syndrome are three predictable stages the body uses to respond to stressors

1) Alarm stage - burst of energy when the threat was identified
2) Resistance/Adaptation stage - the body attempts to resist or adapt to the stressor
3) Exhaustion - body runs out of energy

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12
Q

What are the five signs of stress?

A

1) BIOCHEMICAL - endorphin and cortisol levels altered
2) PYSIOLOGICAL - shallow breathing, raised BP, more HCL produced
3) BEHAVIOURAL - overeating, anorexia, insomnia, more alcohol, smoking
4) COGNITIVE - negative thoughts, no concentration, , worse memory, tension headaches
5) EMOTIONAL - mood swings, irritability, aggression, boredom, apathy, tearfulness

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13
Q

What is the stress-illness model?

A

An individuals susceptibility to disease or illness is increased because an individual is exposed to stressors which cause strain upon the individual, leading to psychological and physiological changes.

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14
Q

What is the diagnostic criteria of PTSD

A

• The person experienced an event that involved actual or threatened death or serious
injury or a threat to physical integrity
• The person’s response involved intense fear, helplessness, or horror.

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15
Q

What are the symptoms of PTSD

A
  • The event is persistently re-experienced in recollections and dreams
  • Persistent avoidance of stimuli associated with the event
  • Persistent symptoms of increase arousal (insomnia, irritability etc.)
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16
Q

Give some examples of traumatic events?

A
  • Childhood physical/emotional/sexual abuse
  • Violent attacks
  • Natural catastrophes
  • Rape, war or combat exposure (shell-shock)
17
Q

What physical illnesses can stress (partly) lead to?

A
  • Coronary heart disease
  • Chronic Fatigue Syndrome
  • Infertility/Miscarriage
  • Peptic Ulcers HCl (H pylori bacteria)
  • Irritable Bowel Syndrome & Inflammatory Bowel Disease
  • Karoshi (a death from overwork - commonly a heart attack or stroke)
18
Q

What are some ways to manage stress?

A
  • Exercise
  • Meditation
  • Yoga, Tái Chi
  • Cognitive Behavioural Therapy