Module 1 Part 2: Mental illness/medications Flashcards
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
Physical consequences
What are the physical consequences of 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
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
Social/emotional consequences of
What are the social/emotional consequences of 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
What is reactive depression?
- 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.
What is psychotic depression?
- 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.
What is paraphrenia?
It is characterized by delusions of persecution, often accompanied by auditory hallucinations. Older adults with this typically exhibit preoccupied, suspicious and aggressive behaviors.
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.
Reactive depression
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.
Psychotic depression
What is the most common anxiety disorder among older adults?
Generalized anxiety disorder
Define generalized anxiety disorder
Characterized by constant worrying about many things, fearing the worst in every situation, and feeling a lack of control over emotions.
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.
Generalized anxiety disorder
Is generalized anxiety disorder more common in men or women?
Women (particularly those who have experienced divorce, separation or the loss of a spouse/partner.
Describe social 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
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
Social anxiety disorder
What is the percent of individuals with schizophrenia that also have dementia at 66 years of age?
28%
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?
Fewer
Are those with alzheimers disease more likely to have visual or auditory hallucinations?
Visual
What are the 2 types of bipolar disorder?
- Late onset
- Early onset
Describe late onset bipolar disorder
Refers to older adults experiencing a manic episode in old age
Is the following late or early onset bipolar disorder?
Refers to older adults experiencing a manic episode in old age
Late onset
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
Late onset
True or false:
There is no difference in mortality rate between EOBD and LOBD
True
True or false:
Brain injury, epilepsy, brain tumors, encephalitis and various forms of cerebral infection are associated with LOBD?
True
What are extrapyramidal symptoms?
Involuntary and uncontrollable movement disorders caused by certain drugs, especially anti-psychotic drugs
What age range has the highest rate of suicide?
45-64
What age range has the second highest rate of suicide?
85+
Do age range 45-64 or 85+ have the highest range of suicide?
45-64
