Mental health Flashcards
Pre 1960
- isolation, lobotomies, electroconvulsive shock therapy
Post 1960
- drugs, therapy, de-institutionalization
1955
- Spear’s chiropractic hospital very successful with mental disease
Theory of reasoned action
perception + family/friends + beliefs = action
Communication is based on
speech, eye contact, body language, body contact, and language
Funneling is
combination of open ended and direct questions
Hostility has a strong connection to
chronic heart disease
Non-reversible deterioration of cognition and behavior
Dementia
Often reversible acute confusion that may fluctuate
Delirium
Euthymic =
good/normal
Bipolar disease
Mania (necessary) and melancholia mood swings
- usually appears at 20 years of age
- potato chip disease = elevated obesity, HTN, DM, hyperlipidemia
- Tx: lithium, drug stabilizers, mood charting
Cyclothymic
- causes hypomanic & mild depressive episodes
Unipolar disease
- most common affect disorder (mood disorder)
- 50% are misdiagnosed/unrecognized, self inflicted injureis
- high incidence of: alzheimers, DM, parkinsons, heart, stroke, cancer, HIV, fibromyalgia, and chronic pain
- medications contribute: blood pressure, hormones, and anti-biotics
- more prominent in females, reoccurence is common
Major depression is _ weeks of at least _ of the following symptoms:
- 2 weeks of 4 symptoms from the following list:
- – loss of appetite
- – insomnia
- – agitation
- – worthlessness
- – suicidal
- – poor concentration
Dysthymia
- similar to depression
- diagnosis is 2 years of at least 3 symptoms from the list of depression symptoms
Treatment for both depression and dysthymia:
- personal therapy
- drugs
- ECT
- nutrition
- B6 = metabolizes tryptophan to serotonin
- magnesium
- vitamin D
- calcium
- omega 3
Seasonal Affect Disorder
Tx: light, exercise, comfort foods
Psychotic
- schizophrenia: young adults are more commonly affected
- reality is altered, episodic, perception is altered, hallucinations
- alogia: poverty of speech
- avolition: lack of purposeful action or motivation
Schizophrenic type: disorganized
- older term was hebephrenic
- unpredictable mood shifts
Schizophrenic type: catatonic
- rigid posture
- expressions flat affect (no expression for emotions)
- masked facies
Schizophrenic type: paranoid
- delusions of persecution
Schizophrenic type: schizophreniform
- adolescent/young adult onset
- contradictory messages
- short event (6 months)
Schizophrenic type: paraphrenia
- geriatric
Psychopath
- old term
- no regard for self or others
- abnormal lack of empathy
- verbal therapy not effective**
- strong amoral conduct masked by an ability to appear outwardly normal
Sociopath/ antisocial
- believes they are superior,
- grandiose (imposing)
- lack remorse
- shallow emotions
- need stimulation
- pathological liar
Dissociative
- multiple personalities
- childhood trauma
- can be a short term event
Somatoform disorder
- physical complaint with no organic pathology
- entirely unconscious process
Dysmorphic disorder
- convinced of a body flaw and preoccupied with it
Food disorders (3)
- anorexia nervosa: fear of fat
- Bulimia: binge and purge (Barrett’s)
- pica
Conversion disorder
psychic conflict causing physical symptoms
- single physical impairment caused by emotional event
Hypochondriac
- preoccupation with personal health or contracting illness
Somatization disorder
- aka Briquet’s syndrome
- females under 30 (starts in adolescence)
- multiple systems
- confusing
Somatoform pain disorder
- underlying emotional process
- pain often allows escape from responsibility
Morgellon’s disease
Delusional parasitosis
- believes they are invaded by insects, parasites, hair, etc.
Munchausen Syndrome
- individual exaggerates personal complaints
Munchausen by proxy
- caregiver inflicts harm on individual they are caring for
General anxiety disorder
- constant excessive fear, hypervigilant
- sx include: twitching, sweating, dry mouth, headache. stomach ache, urinary frequency
- condition causes: heart failure, head injury, hormone imbalance, endocrine disease, pneumonia, COPD
- drug causes: cannabis, analgesics, caffeine, amphetamines
Panic attacks
- occur with GAD, phobias, OCD, PTSD
Two types of phobias:
- social: provoked by people or performance issues
- specific: provoked by object or situation
Repetitive thoughts
obsession
Repetitive actions
compulsion
PTSD
- fear and anxiety following an emotional event
- flashbakcs, sleep disorders common
- fibromyalgia, MFS, restless leg syndrome
Neurosis
in reality most of the time, hard on themselves
- low self esteem
- defense mechanisms work overtime
- TX: support and enlighten
Masochist
likes abuse
Sadist
inflicts abuse
Voyeur
enjoys watching
Exhibitionist
enjoys showing
