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BCG > Module 1 Part 2: Mental illness/medications > Flashcards

Module 1 Part 2: Mental illness/medications Flashcards

1
Q

The following are examples of physical or social consequences of those living with SMI?

  • Somatic disease and physical health challenges
  • Cognitive decline
  • Polypharmacy and adverse side effects of medication
  • Accelerated molecular brain aging
  • Decreased physical function
A

Physical consequences

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2
Q

What are the physical consequences of living with SMI?

A
  • Somatic disease and physical health challenges
  • Cognitive decline
  • Polypharmacy and adverse side effects of medication
  • Accelerated molecular brain aging
  • Decreased physical function
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3
Q

The following are examples of physical or social consequences of those living with SMI?

  • Higher risk of experiencing abuse, neglect and involuntary seclusion
  • Psychiatric comorbidity
  • Barriers to accessing quality health care
  • Stigma and discrimination
  • Financial difficulties and low income
A

Social/emotional consequences of

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4
Q

What are the social/emotional consequences of living with SMI?

A
  • Higher risk of experiencing abuse, neglect and involuntary seclusion
  • Psychiatric comorbidity
  • Barriers to accessing quality health care
  • Stigma and discrimination
  • Financial difficulties and low income
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5
Q

What is reactive depression?

A
  • Also known as neurotic or exogenous depression
  • It is linked to significant life events such as the loss of a spouse, friends, financial security, physical health issue and social independence.
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6
Q

What is psychotic depression?

A
  • Also known as endogenous or unipolar depression
  • Associated with previous experiences at a younger age. Older adults with psychotic depression often have a history of psychiatric illness and signs of institutionaization.
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7
Q

What is paraphrenia?

A

It is characterized by delusions of persecution, often accompanied by auditory hallucinations. Older adults with this typically exhibit preoccupied, suspicious and aggressive behaviors.

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8
Q

What does the following describe?

  • Also known as neurotic or exogenous depression
  • It is linked to significant life events such as the loss of a spouse, friends, financial security, physical health issue and social independence.
A

Reactive depression

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9
Q

What does the following describe?

  • Also known as endogenous or unipolar depression
  • Associated with previous experiences at a younger age. Older adults with psychotic depression often have a history of psychiatric illness and signs of institutionalization.
A

Psychotic depression

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10
Q

What is the most common anxiety disorder among older adults?

A

Generalized anxiety disorder

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11
Q

Define generalized anxiety disorder

A

Characterized by constant worrying about many things, fearing the worst in every situation, and feeling a lack of control over emotions.

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12
Q

What type of anxiety disorder is described below:

Characterized by constant worrying about many things, fearing the worst in every situation, and feeling a lack of control over emotions.

A

Generalized anxiety disorder

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13
Q

Is generalized anxiety disorder more common in men or women?

A

Women (particularly those who have experienced divorce, separation or the loss of a spouse/partner.

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14
Q

Describe social anxiety disorder

A

Extreme nervousness and self-consciousness in everyday scenarios involving others

  • Fear of judgement from others
  • Avoidance of social situations
  • Difficulty maintaining or making friendships
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15
Q

The following describes what type of anxiety disorder:

Extreme nervousness and self-consciousness in everyday scenarios involving others

  • Fear of judgement from others
  • Avoidance of social situations
  • Difficulty maintaining or making friendships
A

Social anxiety disorder

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16
Q

What is the percent of individuals with schizophrenia that also have dementia at 66 years of age?

A

28%

17
Q

Do older adults with schizophrenia exhibit fewer or greater active positive symptoms such as hallucinations and delusions and more negative or passive symptoms including a lace of initiative and interest during the early stages of the condition?

A

Fewer

18
Q

Are those with alzheimers disease more likely to have visual or auditory hallucinations?

A

Visual

19
Q

What are the 2 types of bipolar disorder?

A
  • Late onset
  • Early onset
20
Q

Describe late onset bipolar disorder

A

Refers to older adults experiencing a manic episode in old age

21
Q

Is the following late or early onset bipolar disorder?

Refers to older adults experiencing a manic episode in old age

A

Late onset

22
Q

Do the following clinical features describe early or late onset bipolar disorder?

  • More affective episodes
  • Higher level of premorbid psychosocial functioning
  • Increased episode duration
  • Less severe psychopathology
  • Cognitive impairment
  • Extrapyramidal symptoms
  • Increased appetite/weight gain
  • Worse performance in psychomotor speed, selective attention, verbal memory, verbal fluency, executive function and psychosocial function.
  • Hypersomnia
  • Decrease in mental flexibility
  • Leaden paralysis
  • Higher rates of comorbid alcohol use, GAD and panic disorder
  • Extreme sensitivity to perceived interpersonal rejection
  • High risk of suicide
  • Neurological illness such as CVA are 2x as frequent
  • Higher prevalence of mixed episodes
  • Diagnosis of dementia has increased risk of manic episodes in BD
A

Late onset

23
Q

True or false:

There is no difference in mortality rate between EOBD and LOBD

A

True

24
Q

True or false:

Brain injury, epilepsy, brain tumors, encephalitis and various forms of cerebral infection are associated with LOBD?

A

True

25
Q

What are extrapyramidal symptoms?

A

Involuntary and uncontrollable movement disorders caused by certain drugs, especially anti-psychotic drugs

26
Q

What age range has the highest rate of suicide?

A

45-64

27
Q

What age range has the second highest rate of suicide?

A

85+

28
Q

Do age range 45-64 or 85+ have the highest range of suicide?

A

45-64

29
Q
A

BCG (3 decks)

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