mhGAP

Question 1

What is Mental health?

Answer 1

Mental health is defined as a state of well-being
in which every individual realizes his or her own
potential, can cope with the normal stresses of
life, can work productively and fruitfully, and is
able to make a contribution to her or his
community (WHO,1999)

Question 2

mhGAP (DOH definition)

Answer 2

Refers to a training program an intervention guide in the treatment and
management of MNS disorders and adapted for
use in the Philippine context

Question 3

Defined Burden

Answer 3

 Refers to the burden currently affecting persons
with mental disorders and is measured in terms
of prevalence and other indicators such as
quality of life indicators and disability adjusted
life years (DALY)

Question 4

Undefined Burden

Answer 4

 Is the portion of the burden relating to the impact
of mental health problems to persons other than
the individual directly affected.

Question 5

Hidden Burden

Answer 5

Refers to the stigma and violations of human
rights. Stigma is a mark of shame, disgrace or
approval that results in a person being shunned
or rejected by others.

Question 6

. Future Burden

Answer 6

 Refers to the buden in the future resulting from
the aging of the population, increasing social
problems and unrest inherited from the existing
burden.

Question 7

mhGAP VISION

Answer 7

promotes the well-being of all Filipinos

Question 8

mhGAP Mission

Answer 8

promote over-all wellness of all Filipinos, prevent
mental, psychosocial, and neurologic disorders,
substance abuse and other forms of addiction, and
reduce burden of disease by improving access to quality
care and recovery in order to attain the highest possible
level of health to participate fully in society.

Question 9

GOALS OF MHGAP

Answer 9

Closing the GAP between what is urgently
needed and what is currently available to
reduce the burden of mental, neurological, and
substance use disorders worldwide by:

Question 10

The priority conditions acknowledged by the
criteria mentioned above for mhGAP:

Answer 10

o depression
o schizophrenia
o suicide
o epilepsy
o dementia
o disorders due to use of illicit drugs
o mental disorders in children

Question 11

Psychosis

Answer 11

involves distorted thoughts, perceptions,
emotions, and behaviors, with symptoms like
hallucinations, disorganized behavior, and
emotional disconnect. The most common
disorder is schizophrenia

Question 12

Schizophrenia

Answer 12

characterized by delusions, hallucinations,
disorganized speech and behavior, and other
symptoms that cause social or occupational
dysfunction

Question 13

The treatment of schizophrenia is divided into three key
phases:

 Acute Phase

Answer 13

phase starts with new or worsening
psychotic symptoms and lasts until symptoms
return to baseline

Interventions include
reorientation, de-escalation, and rapid
neuroleptization to quickly control severe
symptoms.

Question 14

The treatment of schizophrenia is divided into three key
phases:

 Stabilization Phase

Answer 14

transition to a more stable
condition

3 to 6
months.

continue the
antipsychotic medication

Question 15

The treatment of schizophrenia is divided into three key
phases:

 Maintenance Phase

Answer 15

sustaining the patient’s
symptom control and preventing relapse

The
aim is to maintain remission, ensuring that the
patient continues to manage their symptoms
and maintain a functional state in their daily life

Question 16

Major Depressive Disorder (MDD)

Answer 16

persistent
low mood and loss of interest, impacting
thoughts, behavior, emotions, relationships,
and productivity.

Question 17

Bipolar Disorder (Bipolar i)

Answer 17

manic or hypomanic episodes, often with
depressive episodes, causing significant
functional impairment

Question 18

C. Bipolar II

Answer 18

is characterized by the predominance of
depressive episodes, its treatment mirrors the
treatment of bipolar I depression

Question 19

Dementia

Answer 19

is a term used to describe a large group of
conditions affecting the brain which cause a progressive decline in a person’s ability to
function

Question 20

ALZHEIMER’S DISEASE

Answer 20

It is the most common cause of dementia. It is
a progressive disease marked by
neuropathologic changes which include neuritic
plaques and neurofibrillary tangles

Question 21

VASCULAR DEMENTIA

Answer 21

It can occur when
blood flow to the brain becomes reduced.
Vascular dementia can also be called vascular
cognitive impairment and is sometimes split into
more specific types.

Question 22

Epilepsy

Answer 22

a disease of the brain defined by any of the
following conditions:
1. At least two unprovoked (or reflex) seizures
occurring >24 hours apart.

Question 23

Epileptic Seizure

Answer 23

Manifestation (s) of epileptic (excessive and/or
hypersynchronous) usually self-limited activity
of neurons in the brain

Question 24

CLASSIFICATION OF SEIZURE TYPES:

Focal Seizures

Answer 24

start in an area or network of
cells on one side of the brain. Focal to Bilateral
Seizure - a seizure that starts in one side or part
of the brain and spreads to both sides has been
called a secondary generalized seizure.

Question 25

CLASSIFICATION OF SEIZURE TYPES:

Generalized Seizures

Answer 25

engage or involve
networks on both sides of the brain at the onset.

Question 26

CLASSIFICATION OF SEIZURE TYPES

Unknown Onset -

Answer 26

if the onset of seizure is
unknown.

Question 27

. Alcohol Use Disorder (AUD)

Answer 27

• Conditions resulting
  from different patterns of alcohol consumption include acute alcohol intoxication, harmful alcohol use, the
  alcohol dependence syndrome, and the alcohol
  withdrawal state.

Question 28

. Alcohol Use Disorder (AUD)

Acute Intoxication

Answer 28

a transient condition
following intake of alcohol resulting in
disturbances of
consciousness, cognition,
perception, affect or behavior

Question 29

. Alcohol Use Disorder (AUD)

Harmful use of alcohol

Answer 29

a pattern of alcohol
consumption that is causing damage to
health

Question 30

. Alcohol Use Disorder (AUD)

Alcohol Dependence

Answer 30

a cluster of
physiological, behavioral and cognitive
phenomena in which the use of alcohol takes
on a much higher priority for a given individual
than other behaviors that once had greater
value.

Question 31

The Course of Treatment and Management of a Person
with Alcohol Use Disorders Undergoes 3 Phases:

Answer 31

1. Detoxification and Withdrawal Management
2. Rehabilitation Program
3. After-Care and Follow-Up.

Question 32

Mentally Ill Chemical Abuse (MICA)

Answer 32

Refers to individuals who have both a mental illness (like schizophrenia or bipolar disorder) and a substance abuse problem (e.g., alcohol or drugs).

Question 33

EXTRAPYRAMIDAL SYMPTOMS (EPS)

Answer 33

re side effects caused by certain medications (usually antipsychotics) that affect the nervous system and control of movement.