Mental Health Final Flashcards
Veteran Tx
- ACT (acceptance & commitment)
True or false do veterans experience a latency period?
True- there may be a latency pd where ind do not want to talk to anyone
Warrior Transition Units
For wounded army vets who need to go back to service or become civilian
- 6 months+ of medical care needed and located close to medical tx facility
Insanity Acquitees
- Have MI + comorbidity
Alarm Stage
Fight or flight stage
- affects bp & blood sugar
for certain bodies if they have spike of adrenaline for certain period of time hypertension, weight gain, CVA, heart attack, cardio issue
Resistance Stage
Body shifts into homeostasis (can begin to think about potential problems)
Exhaustive Stage
Body depleted of energy used in earlier stages and is most hazardous stage
- thinking & memory can be impaired
Problem focused coping
Focus on changing a situation or its accompanying demands, used best when you have some control over situation
Emotional focused coping
Dealing with the emotions caused by situation, used best when you have little to no control over situation
Level 1 Psychotic defenses
Denial
Level 2 Immature defenses
- Projection
- Regression
- Dissociation
Level 3 Neurotic
- Repression
- Reactive formation
- Rationalization
An example of behavioral therapy
Ie: behavioral feedback game
Interoceptive Exposure
Inducing trigger that can start panic attack & utilizing coping mechanisms
Exposure & Response
Exposed to triggers, must respond not in usual way
- good for OCD and ED
- IE: compulsion to flicker lights but might turn off power
Progressive Muscle Relaxation
Tensing then relaxing
Contraindications: Arthritis, fracture, cancer, chronic regional pain
Autogenic Training
Vasodilation via relaxing muscles
Contraindications: SMI
True or False Most children have comorbidities of conditions instead of singular dx?
True
Pediatric MDD, PDD, DMDD
IPT
IPT & Rhythm Therapy - good for bipolar d/o
ODD Peds
Behavioral contract
Conduct d/o
- More severe than ODD, lack empathy
can use behavioral contract - token economy may not be the best
Continuous reinforcement
For new behaviors
Intermitten reinforcement
for established skills
Antecendent control approaches
Help decrease aggression & agitation and reduce need for physical restraints
Antecedent control strategy example
Start the group with “everyone who is in their seat when the group starts can pick their favorite sensory tool to use this morning”
3 Pillars of Positive Psychology
- Traits: joy, optimism
- Emotions: Love, curosity
- Institutions: ie. family
PBIS (Positive Bx Ix & Supports)
- Base: Primary Ix
- universal approach - Secondary: Targeted, selective
- Tertiary: Specialized, individualized, intensive
Role of OT in community
- Life skills
- Social skills
- Social participation
- Interpersonal skills
OT ROLE IN SCHOOL
Improve academic participation
Cluster A
~ Paranoid, schizoid, schizotypal
- Compliance training
- Emotional expression encouragement
-Support to reduce isolation
- Social skills training
Cluster B
~BPD, Antisocial, Histrionic, Narcissistic
- Emotional regulation, social skills, psychoeducation, mindfulness, DBT,
- Medication: antipsychotic + mood stabilizer
Cluster C
~Avoidant, Dependant, OCPD
-Increasing self concept and self worth, Encourage more risks and emotional expressions, Time-limited dynamic therapies are active and confrontational
-Medication: SSRI’s and other antidepressants, in addition to short term Benzodiazepines
DBT overview
- Both independent and group therapy
- Focus: emotional regulation, impulse control, reducing self harm and suicidal behaviors
- Targets acceptance & change
DBT: Mindfulness
Allowing experiences rather than suppressing or avoiding them
- Direct person’s attention to 1 thing in the moment
DBT: Interpersonal Effectiveness Skills
Focus on effective ways to achieve social relationships & maintain self esteem while interacting with others
- Teaches application of specific problem solving, social & assertiveness skills to enable participants to modify aversive environments and obtain personal goals in interpersonal encounters
DBT: Emotional Modulation
- Ways of changing emotional states includes techniques for putting up with the states if they can’t be changed
- ID & label emotion, recognize obstacles to change emotions, reducing vulnerability to being overly influenced by emotions
DBT: Distress Tolerance Skills
Ability to accept oneself and current situation/environment in a nonjudgement and tolerant manner
- Ability to experience an emotional state without attempting to change it and observing one’s thoughts and actions without attempting to stop or control them
- Crisis survival skills include distacting, self soothing, improvising the moment and thinking of pros and cons
