Mental Health Flashcards
The capacity to cope and adjust to the ongoing stresses of everyday life
mental wellness
Difficulty coping with ongoing everyday stresses, which results in psychological pain and possibly affects physical health
mental illness
Standard classification of mental disorders used by mental health professionals containing a listing of diagnostic criteria for every psychiatric disorder recognized by the U.S. healthcare system
DSM-V
Five-axis system to categorize mental illness
DSM-V
Axis: mood and thought disorders; responds to medication and psychotherapy
Axis I
Axis: mental retardation and personality disorders; unresponsive to treatment/medication
Axis II
Axis: medical conditions contributing to the psychological condition
Axis III
Axis: stressors that contribute to the overall psychological condition
Axis IV
Axis: GAF (Global Assessment of Functioning) score
Axis V
Conditions/disorders that must be ruled out before diagnosing a learning disorder
- hearing/vision issues,2. inadequate schooling,3. language barriers,4. lack of opportunity,5. poor teaching
What mental health condition appears to be a major factor in stuttering?
anxiety
___ therapy can be beneficial or stuttering can resolve spontaneously
speech
GAF (Global Assessment of Functioning) is a number from __ to __ indicating the level of functioning
0 to 100; 0 lowest level, 100 highest level
Brain’s ability to receive and process information is affected; causes children to learn in a manner that is not normal; standardized test performance are lower than expected for age
learning disorders
Learning disorders are also called learning ___ or learning ___
differences; disabilities
T or F. Children with learning disorders have a lower level of achievement despite the child’s normal/above normal intelligence and adequate schooling
T
T or F. Learning disorders are no indication of intelligence level
T
Learning disorders are caused by underlying abnormalities in ____
cognitive processing
Children with learning disorders may respond to special instructional techniques and what type of drug therapy?
stimulants
Stuttering is a phonological or communication disorder with frequent ____ or ____ of sounds or syllables
repetitions; prolongations
Stuttering is also considered a ___ disorder
speech
Stuttering is treated through ___ therapy but may resolve spontaneously
speech
Severe impairments in several areas of development including communication and social interaction skills; includes particular behaviors that cause failure to develop peer relationships and interactions with others, including lack of nonverbal communication and lack of reciprocation of emotions
Pervasive Developmental Disorders (PDD)
PDD are related directly to the person’s ____ level or ____ age
developmental; mental
PDD category of disorders is called the ____ which consists of a broad group of developmental delays and disorders
autism spectrum
PDD affects these 3 skills
- social communication2. motor3. language
5 specific disorders in PDD
- autism2. PDD-NOS3. Rett’s Syndrome4. childhood disintegrative disorder5. Asperger’s Syndrome
Syndrome of extreme withdrawal and obsessive behavior; impairment in socialization, communication, activities, and normal peer relationships
autistic disorder and asperger’s
Autism/Asperger onset occurs in infancy; manifestations apparent by __ or __ years
2/3
Four main symptoms of autistic disorder:
- social isolation 2. cognitive impairment 3. language deficits 4. repetitive naturalistic motions
T or F. Autism has a delay in onset of speech while Asperger’s has no delay in speech
T
Mild form of autism spectrum disorder without cognitive impairment; issues are more with social interaction and communication
Asperger’s
Autism is not a ___ disorder so there is no singular cause
single
3 possible predisposing factors for autism
- maternal rubella, 2. encephalitis, 3. phenylketonuria
Autism is __ times more common in males than in females
four
Autism/Asperger’s treatment options
- behavioral therapy2. self instructed training3. risperidone4. SSRI antidepressants5. antiepileptics6. stimulants
Persistent inattention leading to hyperactivity and impulsivity
attention-deficit hyperactivity disorder (ADHD)
ADHD was previously called ___
attention-deficit disorder (ADD)
3 subtypes of ADHD
- Predominantly Inattentive 2. Predominately Hyperactive-Impulsive 3. Combined
6 or more symptoms if inattention and fewer than 6 symptoms of hyperactivity-impulsivity going on for at least 6 months
predominantly inattentive ADHD
6 or more symptoms of hyperactivity-impulsivity but fewer than 6 of inattention going on for at least 6 months
predominately hyperactive-impulsive ADHD
6 or more symptoms of inattention and 6 or more symptoms of hyperactivity-impulsivity going on for at least 6 months
combined ADHD
ADHD is commonly treated with what type of drugs
stimulants
3 common stimulants to treat ADHD
- dexedrine2. ritaline3. adderall
Other treatments for ADHD include ___ patch and vitamin supplementation including __ and ___
methylphenidate transdermal; zinc; melatonin
Behavior disorder in which children demonstrate behaviors that are oppositional toward adults
oppositional defiant disorder (ODD)
Most common referral complaint to counselors and a major source of family stress and is a strong predictor of poor outcomes
ODD
Four main causes of ODD
- Negative child temperament and ADHD 2. Negative parent temperament 3. Ineffective child management 4. Parent and family stress events
3 treatment options for ODD
- mood stabilizers2. family therapy incorporating patient training3. psychotherapy
Syndrome of multiple motor tics coupled with one or more vocal tics, appearing either simultaneously or at different times
Tourette’s Disorder
Tourette’s Disorder is also called ____
Gilles de la Tourette Syndrome
Tourette’s patients have ___ tics combined with ___ tics
motor; vocal
Tourette’s can be caused by ___ infections
streptococcal
Streptococcal infections in Tourette’s are caused by a reaction of antibodies to ____ and ____
Group A β-hemolytic streptococcus ; neuronal tissue
T or F. Tourette’s is curable
F
Dementia: progressive degenerative disease of the brain that produces a typical profile of lost mental and physical functioning
Alzheimer’s Disease (AD)
Most common cause of dementia, the deterioration in intellectual capacity
Alzheimer’s
Alzheimer’s is __ related and has __ basis in some families
age; genetic
There is a higher rate of Alzheimer’s in people with a history of ___
head trauma
There is no cure for Alzheimers but treatment goal is to help ___
alleviate symptoms
Other causes of Alzheimer’s include ___ changes in brain growth; ___ reaction; deficiency of ___ in the brain
biochemical; autoimmune; neurochemical
Drug that can alleviate cognitive symptoms, slowing the decline that occurs with Alzheimer’s disease; can slow progression
Aricept
3 types of dementia
- alzheimer’s2. vascular dementia3. dementia due to head trauma
Dementia: reduction in blood flow to the brain resulting from narrowed and stenosed arteries
vascular dementia
In vascular dementia, the resulting hypoxia from stenosed arteries and reduced nourishment to the brain cells causes a general loss in ____
intellectual abilities
In vascular dementia, ____ grows in the carotid and cerebral arteries, blood flow to brain tissue is reduced
Atherosclerotic plaque
Ischemia from the resulting hypoxia in vascular dementia leads to irreversible ____ of the brain cells
necrosis
The treatment goal for vascular dementia is to increase the ___ to the brain
blood supply
Surgical intervention for vascular dementia that may limit the progress of the condition
carotid endarterectomy
Medications for vascular dementia have ___ effects to prevent stroke
antiplatelet
Traumatic insult causing reduced blood flow to the cerebrum; deprivation of oxygen and nutrition (ischemia) results in death of brain cells
dementia caused by head trauma
Dementia due to trauma is caused by ____, increased ____, or damage to the ____
edema; intracranial pressure; vessel walls
Dementia due to trauma can also be caused by ___ and ___ head injuries, hematomas and skull fractures
closed and open
Disorder of physical and psychological dependence on daily or regular excessive intake of alcoholic beverages
substance-related disorders: alcohol abuse or alcoholism
In alcoholism, chemical dependency can be ___ or can be accelerated by an ___ event
insidious; acute traumatic
Examples of non-substance related addictions
sex/ pornography/ gambling/ food/ shopping/ plastic surgery
6 possible causative factors for alcoholism
- genetic/biologic factors2. depression3. emotional conflict4. social factors5. cultural attitudes6. stress
Alcoholism is managed with group therapy and participation in this 12-step program
Alcoholics Anonymous
Major psychiatric disturbance; group of disorders that may result in chronic mental dysfunction, producing varying degrees of impairment
schizophrenia
2 important features of schizophrenia
- disorganized thinking2. inappropriate affect
schizophrenic feature: reflected by disturbances in language and communication
disorganized thinking
schizophrenic feature: lack of emotional expression or unreasonable outbursts of emotion
inappropriate affect
4 prodromal signs of schizophrenia
- withdrawal2. odd behavior3. disheveled appearance4. loss of interest in school or work
In its active phase, shizophrenia has a vast range of ___ and ___ manifestations along with ___ dysfunction
behavioral; perceptual; social
*Schizophrenia manifestation: an excess or distortion of normal functions
positive manifestations
5 positive manifestations of schizophrenia
- delusions2. hallucinations3. disorganized speech4. grossly disorganized5. catatonic behavior
*Schizophrenia manifestation: loss of normal function
negative manifestations
3 negative manifestations of schizo.
- affective flattening2. alogia3. avolition
Fixed false beliefs
delusions
Loss or lack of emotional expressiveness
affective flattening