Mental Health

Question 1

Precipitating Factors/Triggers for deterioration of Mental Health

Answer 1

7 D’s:

• Drugs
• Did not take
• Death
• Divorce
• Disease
• Debt
• Developmental

Question 2

Components of the MSE

Answer 2

“ASEPTIC”

• Appearance, Attitudes & Activities (Behaviour)
• Speech
• Emotion (Mood & Affect)
• Perception
• Thought (Form & Content)
• Insight & Judgement
• Cognition

Question 3

Defining features of a Psychotic Disorder

Answer 3

Abnormalities in one or more of the following 5 domains:

1. Delusions
2. Hallucinations
3. Disorganised thinking (speech)
4. grossly disorganised/abnormal motor behaviour (incl. catatonia)
5. -ve symptoms

Question 4

Define Mental Illness

Answer 4

Mental illness - A condition that impairs, either temporarily or permanently the mental functioning of a person and is characterised by the presence of any one of the following symptoms:
a. Delusions
b. Hallucinations
c. Serious disorder of thought form
d. A severe disturbance of mood
Sustained or repeated irrational behaviour indicating the presence of any one or more of the symptoms referred to above

Question 5

Define Mentally Ill

Answer 5

A person is suffering from mental illness & owing to that illness, there are reasonable grounds for believing that care, Tx or control of the person is necessary for the protection of themselves or others from serious harm.
Continuing condition incl. any likely deterioration in their condition & its effects are to be taken into acct

Question 6

Define Mentally Disordered

Answer 6

A person (whether or not suffering from a mental illness) who’s behaviour for the time being is so irrational as to justify a conclusion on reasonable grounds that temporary care, Tx or control of the person is necessary for the protection of themselves or others from serious harm

Question 7

Name 3 things that cannot be used to judge someone as mentally ill/disordered

Answer 7

Exclusion from Definition of Mentally Ill/Disordered:
• A person is can not be determined to be mentally ill/disordered based on
○ political opinion/belief or acty
○ Religious opinion/belief or acty
○ Particular philosophy
○ Sexual preference/orientation or acty/promiscuity
○ Immoral conduct
○ Illegal conduct
○ Having an intellectual or developmental disability
○ Takes/has taken alcohol or another drug
○ Antisocial behaviour
SES, cultural or racial grouping

Question 8

What classifiers apply to all (or most of) DSM-V Diagnostic criteria?

Answer 8

• Condition/S&S must cause clinically significant Distress or Impairment (Disability) in social, occupational or other important areas of functioning
• Must not be attributable to physiological effects of a substance (e.g. drug of abuse, medication or other treatment)
  + changes must be different to that of baseline/normal for that individual