MH Dx 1 Flashcards

1
Q

adjustment disorder

A

emotional or behavioral symptoms in response to an identifiable stressor occurring within 3 months of onset of stressor

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2
Q

emotional or behavioral symptoms in response to an identifiable stressor occurring within 3 months of onset of stressor

A

adjustment disorder

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3
Q

adjustment disorder - sx do not persist for more than …

A

an additional 6 months once stressor is terminated

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4
Q

adjustment disorder - may be caused by

A
  1. single event such as termination of romantic relationship or multiple events
  2. business difficulties
  3. marital problems
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5
Q

adjustment disorder DD
3

A

MDD
PTSD
personality disorder

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6
Q

adjustment disorder education
2

A
  1. this is most often self-limiting
  2. important to try to continue and make healthy decisions - food, fluid, social, avoid triggers
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7
Q

adjustment disorder meds

A

none - talk therapy

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8
Q

adjustment disorder test

A

DSM 5 criteria

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9
Q

adjustment disorder f/u

A

2 weeks, refer to therapist

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10
Q

adjustment disorder red flags
4

A
  1. worsening of sx/s
  2. symptoms persist
  3. thoughts of harming yourself or others
  4. use of drugs/alcohol to cope
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11
Q

alcohol use disorder

A

problematic pattern of alcohol use leading to significant impairment or distress occurring within a 12 month period

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12
Q

problematic pattern of alcohol use leading to significant impairment or distress occurring within a 12 month period

A

alcohol use disorder

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13
Q

alcohol use disorder - 2 or more of these are present
6

A
  1. intake large amounts or over longer period than intended
  2. desire or unsuccessful effort to cut down
  3. great deal of time is spent in activities necessary to obtain alcohol or use alcohol
  4. craving it
  5. withdrawals
  6. has tolerance
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14
Q

alcohol use disorder DD
3

A

MDD
Antisocial personality disorder
PTSD

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15
Q

alcohol use disorder education
4

A
  1. drinking can have a negative impact on your life if you consume too much
  2. some thing that can happen while drinking too much are car accidents, suicide, drowning, and getting serious injuried
  3. AUD is a term used to describe alcoholism or alcohol addiction
  4. we recommend talking to a counselor and joining a support group like AA
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16
Q

alcohol use disorder meds

A

none - motivational counseling, mutual self help groups

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17
Q

alcohol use disorder test

A

dsm 5 criteria

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18
Q

alcohol use disorder f/u

A

2 weeks, refer to counseling

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19
Q

alcohol use disorder red flags
3

A
  1. worsening s/sx
  2. inability to quit
  3. thoughts of harming self or others
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20
Q

ADHD

A

persistent pattern or inattention and/or hyperactivity-impulsivity

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21
Q

persistent pattern or inattention and/or hyperactivity-impulsivity

A

ADHD

22
Q

ADHD - must have six or more of the following for inattention
9

A
  1. fails to give close attention to details
  2. difficulty sustaining attention in tasks or play activities
  3. doesn’t listen when spoken to directly
  4. doesn’t follow instructions or fails to finish work/duties
  5. has difficulty organizing tasks and activities
  6. avoids or dislikes tasks that require sustained mental effort
  7. loses things
  8. easily distracted
  9. forgetful in daily activities
23
Q

ADHD - duration must be for

A

at least six months

24
Q

ADHD - hyperactivity and impulsivity must be six or more
8

A
  1. fidgets or taps
  2. leaves seat
  3. runs about or climbs
  4. unable to play or engage in leisure activities quietly
  5. “on the go”
  6. talks excessively
  7. difficulty waiting turn
  8. interrupts or intrudes on others
25
Q

ADHD DD
3

A

anxiety disorder
ASD
bipolar disorder

26
Q

ADHD education
2

A
  1. ADHD is a condition that makes it hard to sit still, pay attention, or make good decisions
  2. you can help manage symptoms by exercising regularly, eating healthy, getting plenty of sleep, working on time management, and connecting with others.
27
Q

ADHD meds

A

stimulants

28
Q

ADHD test

A

dsm 5

29
Q

ADHD f/u

A

2 weeks, refer to therapy CBT

30
Q

ADHD red flags
4

A
  1. worsening of s/sx
  2. symptoms are being relieved with treatment
  3. thoughts of harming self/others
  4. harmful activities to cope - drinking, smoking
31
Q

bipolar 1 - must meet manic episode criteria which includes
7

A
  1. abnormally and persistently elevated, expansive, or irritable mood and abnormally and persistent increased activity or energy, lasting at least 1 week and present most of the day nearly daily
  2. inflated self esteem
  3. decreased need for sleep
  4. flight of ideas
  5. distractibility
  6. goal-directed activity increased
  7. excessive involvement in activities that have a high potential for painful consequences
32
Q

Bipolar 1 hypomanic episode features
3

A
  1. inflated self-esteem or grandiosity
  2. more talkative than usual
  3. distractibility
33
Q

bipolar 1 MDD features
9

A
  1. depressed mood most of the day
  2. diminished interest or pleasure in activities
  3. weight loss or weight gain
  4. insomnia or hypersomnia
  5. psychomotor agitation
  6. fatigue
  7. feelings of worthlessness
  8. diminished ability to think/concentrate
  9. recurrent thoughts of death
34
Q

Bipolar 1 must have what components

A

manic episode and MDD

35
Q

Bipolar 2 must have

A

current or past hypomanic episode and MDD

36
Q

abnormally and persistently elevated or irritable mood with increased activity lasting at least one week is…

A

BP 1 manic episode

37
Q

inflated self-esteem, more talkative, distractibility is…

A

hypomanic episode (BP)

38
Q

BPD DD
4

A

MDD
anxiety disorder
panic disorder
PTSD

39
Q

ADHD education
3

A
  1. follow your medication regimen
  2. avoid drugs and alcohol
  3. keep a routine and healthy habits - exercise, sleep, social, healthy eating
40
Q

BPD meds

A

atypical antipsychotic

41
Q

BPD test

A

dsm 5

42
Q

BPD f/u

A

2 weeks, refer to therapist

43
Q

BPD red flags
4

A
  1. worsening s/sx
  2. symptoms not improving with treatment
  3. SI/HI
  4. engaging in harmful activities
44
Q

complicated grief - loss of loved one had to of occurred when

A

at least a year ago

45
Q

complicated grief s/sx
8

A
  1. identity disruption - feeling as though part of oneself has died
  2. marked sense of disbelief about death
  3. avoidance of reminders of that person
  4. intense emotional pain
  5. difficulty with reintegration
  6. emotional numbness
  7. feeling that life is meaningless
  8. intense loneliness
46
Q

complicated grief DD
3

A

MDD
anxiety
PTSD

47
Q

complicated grief education
4

A
  1. choose healthy lifestyle choices - food, exercise, sleep
  2. avoid harmful activities
  3. talk to others about your grief
  4. reach out for support
48
Q

complicated grief meds

A

none - CBT first, and bereavement support groups

49
Q

complicated grief f/u

A

2 weeks

50
Q

complicated grief red flags
3

A
  1. worsening s/sx
  2. no improvement with help
  3. SI HI