MOD 4-6 Flashcards

1
Q

Your _______ interacts with life experiences good and bad to determine resiliency and sensitivity to stress

A

Genetic Makeup

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2
Q

Who provides mental health support?

A

-Occupational Therapist
-Counsellor
-Psychotherapists
-Clinical Psychologist
-Psychiatrist

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3
Q

What does the Stepped Care Model assume?

A
  1. Every step is evidence-based and effective
  2. This is a way to rationalizes and economize healthcare resources that are often limited
  3. Care provided is acceptable to patients so that it each level is convenient,
    accessible, and has flexibility
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4
Q

What are 4 indicators that differentiate stress from a mental health disorder

A
  1. Disproportionate Reaction
  2. Time
    (symptoms persitent for exteneded period/past stressor)
  3. Impairment
    (interfere with day-to-day life)
  4. Out of Character
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5
Q

Tipping Point

A

Point at which someone begins showing signs and symptoms of the strain/burden of perceived stress (exceed optimal performance stress)

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6
Q

The 3 R’s

A
  1. Reading
  2. Writing
  3. Resetting
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7
Q

Stress Diathesis Model

A

Stress- triggers biological systems
Diathesis- concept of vulnerability

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8
Q

Stepped care approach

A

Aims to match individual patients to the level of service indicated based on
intensity of need

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9
Q

Steeling Effect

A

Refers to evidence of more resistance to later stress having successfully coped with a stress or challenge earlier in life

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10
Q

Specialized primary care providers

A

-Psychiatry
-Psychological Therapy
-Self-Help and Peer Support
-Counselling

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10
Q

Social isolation

A

An objective measurement of the number of people you interact with a.k.a it ‘s a lack of quantity of social conenctions

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10
Q

Signs and Symptoms of Depression

A

Emotional
-Feeling sad
-Non-reactive mood
-Feeling despair

Physical
-Changes in sleep
-Changes in appetite
-Pain, headaches

Behavioural
-Withdrawing from friends and family
-Staying in more, missing work or university

Cognitive
-Feelings of guilt
-Suicidal thoughts
-Feelings of hopelessness

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11
Q

Signs and Symptoms of Anxiety

A

Emotional
-on edge
-irritable
-not fully enjoying things

Physical
-Restless
-Muscle Tension
-Shortness of breath/hyperventilation

Behavioural
-Short temper/angry
-Difficulty sleeping
-Difficulty concentrating

Cognitive
-Apprehension
-Over-worry
-Distracted

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11
Q

Self-Help and Peer Support

A

Talk to other students that have been through similar

Use available resrouces (books/websites) to work through a problem

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11
Q

Resiliency

A

ability to adjust or recover from a stressor, threat, or adversity

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12
Q

Recreation

A
  1. refreshment by means of some pastime, agreeable exercise, or the like.
  2. a pastime, diversion, exercise, or other resource affording relaxation and enjoyment
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13
Q

Recover from DAF

A

-Clear mind/take breaks
-Good sleep
-Allow mind to wander

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14
Q

Psychotherapist

A

Licensed healthcare professionals with training in group and individual
psychological talking therapies.

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15
Q

Psychologicla approaches

A

-Mindfulness-Based Stress Reduction
-Behavioural Activation
-Supportive Counseling
-Interpersonal Psychotherapy (relieving symptoms by improving interpersonal functioning)
-Cognitive Behavioural Therapy
Cognitive Processing Therapy (focuses on evaluating and changing upsetting thoughts)

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16
Q

Psychological therapy

A

Help young people with emotion/social/mental health isues of moderate severity

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17
Q

Psychiatry

A

Assess and treat moderate-severe mental health conditions/disorder that require combined psychological and pharmacological treatment

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18
Q

Psychiatrist

A

Medical doctors with extensive speciality training in the diagnosis and treatment of mental disorders, integrating pharmacological treatment

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19
Q

Proximal Protective Factors

A

-hleahty coping straegies
-good sleep hygiene
-no substance miuse
-study-life balance

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20
Q

Proximal (more recent/uni) Risk Factors

A

-social isolation
-abusive relationship
-alcohol binging
-poor sleep quality
-non-regular exercise

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21
Q

Primary Care Provider (family doctor)

A

-Coordinates your health and meath health
-First in line for mental health concerns assessment

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22
Q

Physiologic Response

A

The brain controls and coordinates the physiological, psychological, and behavioural response to perceived stress

The responses result through signalling of various systems including the HPA axis, autonomic nervous system, metabolic system, gut, and immune system

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23
Q

Physical exercise leads to

A

-Positive Emotion
-Unity of mind & body
-Higher self esteem
-Leisure
-Problem-Focused Coping

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24
Q

Percieved stress

A

The brain processes information from your internal (e.g. level of hydration, hormonal state) and external (work, friends, family) environment.
Given your genetics and life experience, your brain reacts differently to the same stress.

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25
Q

Other factors you must balance with studying

A

-Socializing
-Employment
-Voluntering
-Communiting
-Holidays
-Exercise
-Caring for someone
-Hobbies/Interest

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26
Q

Other factors to consider for diagnostic assessment of a mental disorder are

A

-Developmental history
-Family history
-Symptoms
-Treatment (worsening of treatment tried)
-Other factors (lifestyle, alcohol misuse)
-Relational and Social factors

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27
Q

Occupational therapist

A

Specialize in assessment and intervention focused on helping people resume or maintain participation in a variety of activities
(ex. helping students achieve helahty schedule/study-life balance)

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28
Q

Models of psychotherapy

A
  1. cognitive behaviour therapy (CBT)
  2. interpersonal psychotherapy (IPT)
  3. psychodynamic psychotherapy
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29
Q

Managing Distress

A

learning how to cope with negative or difficult emotional states

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30
Q

Loneliness can increase levels of teh sress hormone cortisol, causing

A

depression, stroke, or heart attack

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31
Q

Loneliness

A

The unpleasant feeling that accompanies the perception that one’s social needs are not being met by the quantity or quality of one’s social connections

32
Q

Involuntary Attention (fascination)

A

Effortless
Attention held when the subject is interesting and, therefore, automatically holds your attention.

33
Q

Impacts of Isolation

A

-Physical
-Emotional
-Cogntive

34
Q

Impact of over-studying

A

-Impact relationship with others
-Interfere with ability to fulfil non-study obligations
-Increase chances of unhealhty behaviours

35
Q

How does stress affect brain structure

A

Brain changes structure in an adaptive or maladaptive way
Loss of resilience (physiologically, neurologically, and behaviourally) is a key feature of disorders related to stress

36
Q

How can Allostatic load be alleviated

A

-healthy diet
-regular cardiovascular exercise
-social support
-connectedness (sense of belonging)
-good quality sleep

37
Q

GLAM

A

Galleries, Libraries, Arts, Museums

38
Q

Flow state

A

state you get into when you are so engaged in a creative task that your sense of time disappears and you temporarily forget yourself and your “internal chaos”

39
Q

Exercise releases feel-good chemicals called

A

endorphins

40
Q

Examples of Involuntary Attention

A

watching animals or birds, looking at nature scenes or water, watching sports, or listening to music

41
Q

Examples of Directed Attention

A

driving in heavy traffic, study, computer work, phone calls at working in

42
Q

Effects of Loneliness

A

-increased cortisol
-increased sleep disturbance
-reduced activity
-increased risk of heart disease
-challenge immune system

43
Q

Distal protective factors

A

-secure attachemnts
-compassioante relationship
-safe/secure home

44
Q

Distal (early on) Risk Factors

A

-trauma/abuse in childhood
-poor quality of nutrition/sleep/recreational opportunities
-family history of mental disorders

45
Q

Directed Attention Fatigue (DAF)

A

Neuropsychological phenomenon indicating overuse of the brain’s inhibitory system necessary for maintaining focused attention

46
Q

Directed Attention

A

Form of focused attention that requires great effort to remain on task and
process the information

Mentally demanding as more appealing external information must be blocked out.

47
Q

Determinants of mental helath can be thought in terms of

A

risk (distal, proximal) & protective factors

48
Q

Determinants of mental healht can be thought of in 3 domains

A

-Biological
-Psychological
-Social

49
Q

Depression and anxiety disorders are more prevalent in ____ compared to ____

A

females
males

50
Q

Current Campus Resources at Queens

A
  1. Queen’s Student Health and Wellness Services (QSWS)
  2. Queen’s Student Accessibility Services (QSAS) (part of QSWS)
  3. Psychology Clinic at Queen’s University
51
Q

Counsellor

A

Short-term
Problem-focused
-Support healthy coping, emotional and behavioural regulation, and healthy lifestyle choices

52
Q

Counselling

A

-Short term
-Problem focused
-Strengthen healthy coping, problem-solving, and emotional response management

53
Q

Connectedness

A

A personal sense of belonging
Can be made on the basis of
1. World views
2. Environment
3. Values
4. Relationships
5. Work
6. Recreational intrests

54
Q

Community Based Services

A
  1. Hospital-Based Services
  2. Publicly Funded Community-Based Services
  3. Private and Fee-for-Service Options
55
Q

Clinical Psychologist

A

Registered healthcare professionals regulated by the College of Psychologists of Ontario (CPO)
Well suited for mild-moderate mental health problems
Work with a team for moderate to severe mental disorders

56
Q

Categories of recreation

A

-Exercise
-Nature
-Cultural & Heritage Activities

57
Q

Brain responsibilities

A

Regulates an individual’s physical, emotional, behavioural, and cognitive response to stressors, events, and experiences

58
Q

benefits of Social Connectedness

A

-Improve Quality of Life
-Boost Mental Health
-Increased Life Expectancy
-Decrease Risk of Suicide
-Build More Inclusive Learning Communities

59
Q

Benefits of interacting with nature

A

-Physical Health
-Stress
-Emotional Regulation
-Social Life

60
Q

Benefits of GLAM lifestyle

A
  1. Longevity
  2. Resiliency
  3. Community Connectedness
61
Q

Benefits of achieving a healthy study-life balance

A

-Health & Absences
-Efficiency
-Engagement
-Focus & Concentration
-Academic Success

62
Q

Barrier to mental health care

A
  1. Stigma-Related Barriers
  2. Attitudinal Barriers (invalidate own/other’s concerns)
  3. Practical Barriers (cost, time, availability of services)
63
Q

Attention Restoration Theory

A

Suggests that you think better (or restore your attention) when you spend time in or connecting with nature

64
Q

Areas impacted by Directed Attention Fatique

A

-Input Deficits (misinterpretations, failure to notice social cues)
-Thinking Problems
-Behaviour (implusive)
-Executive Functioning (bad decision-making)
-Emotions
-Worrying and Rumination

65
Q

Allostatic Load

A

Refers to the wear and tear on the body and brain resulting from chronic dysregulation or overactivity/strain related to the process of allostasis.

66
Q

Allostasis-induced brain plasticity is triggered by

A

STRESS

67
Q

Allostasis

A

Process by which the body adapts to changes in body such as stress

68
Q

4 categories for symptom severity

A

No symptoms - Prevention and health promotion
Mild symptoms - Self-Help for Targeted Signs and Symptoms
Mild to Moderate symptoms - Social and/or Psychological Approaches
Moderate to Severe symptoms - Pharmacological and Psychological Approaches

69
Q

2 types of attention

A
  1. Directed Attention
  2. Involuntary Attention
70
Q

2 most common mental health disorders in Canada

A

-Anxiety disorders
-Depressive disorder

71
Q

3 S’s

A

-Stress
-Sleep
-Self-Regulation

72
Q

Synaptic pruning and myelination help the brain

A

Improve speed, efficiency, complexity of conflictive function

73
Q

Grey matter

A

contains cell bodies and synapses

74
Q

White matter

A

contains axons

75
Q

grey matter is highest in

A

childhood

76
Q

Grey matter begins to stabilize in

A

mid 20s

77
Q

prefrontal cortex and other frontal regions develop

A

LATEST (involved in high level cognitive functions)

78
Q

As grey matter decreases white matter

A

INCREASES

79
Q

Indicators of a possible mental health concern

A

-Changes in feelings (sad/anxious, mood swings)
-Changes in behaviour (stop attending class, poor sleep)
-Changes in thinking (self-criticism, poor concentration)
-Sustained Change (difficult feelings that persist, interfere with friendships/school)

80
Q

How to get mental health help

A

-24 hours hotline
-counselling
-family doctor

81
Q

Why is there an increased demand for mental health in uni

A

-brain is undergoing accelerated growth
-many students are experiences changes (leave home)
-stigma related to reporting mental health issues is decreasing
-adjusting to new life events

82
Q

Why are off-campus services not sufficient for students

A

-often target adult chronic illnesses
-Often not tailored to student demographic
-students need quick access

83
Q

Key characteristics for good student uni help services

A

-engaging
-accessible
-compassionate
-helpful from first contact
-health promotion-focused
-single accessible point of entry to all services
-partner with students to concrete wellness services