Mood Disorders Flashcards
What are the main risks we assess for in mood disorders
Self-harm
Harm from/to others
Relapse
Neglect
Abuse (financial included)
Falls
Developing other conditions
Types of Mood disorders
Depression (mild, moderate, severe, psychotic, anti/post-natal)
Anxiety
Bipolar 1 or 2
Cyclothymia
Stress
Interventions for Mood disorders
Psycho-education
Medication
DBT
Remove stressors
Sensory Modulation
Family interventions
What is Anxiety
A mental illness characterised by feelings of worry, anxiety or fear that are strong enough to interfere with daily living
Types of anxiety
Generalised anxiety
OCD
PTSD
Panic disorder
Phobias
What is OCD
When a person has persistent, intrusive thoughts and obsessions that cause anxiety.
What is PTSD
A reaction to a highly stressful event outside the range of everyday experience, where a person feels unsafe or threatened. Usually accompanied with flashbacks, or repeated nightmares
What is panic disorder
A disorder where a person has panic attacks, these are intense feelings of anxiety along with physical symptoms.
What are phobias
Irrational and extreme fears of particular things
What is depression
Mental illness where mood is considered low, lasts for weeks to years
Symptoms of Depression
Fatigue
Too much or too little sleep
Feelings of worthlessness
No energy
Low self esteem
Loss of appetite or over-eating
Thinking about death or irrational crying
Common age range for depression to begin
25-45 (although can occur at any age)
Suicide assessment and inteventions
- Establish rapport
- Assess MSE, Past HX (including attempts) and current risk
- Assess level of observations
- Consult Psychiatrist
- Evaluate with Pt and family
Risk Levels (inpatient) of observation
- Hourly obs - every inpatient must be sighted every hour
- Significant risk - those with risk to self/others, sighted every 10 min
- High risk - expressing suicidal or aggressive behaviour, kept in same room and within eyesight
- Extreme high risk - Impulsive and imminent risk of violence, within eyesight and arms reach
Purpose of risk assessment
To keep the person and others around them, safe
What are the 4 ‘P’ factors
Precipitating: factors causing person to present now
Predisposing: factors that have occurred previously to increase susceptibility
Perpetuating: factors that cause the continuation of problems
Protective: factors that mitigate or reduce risk
Common mood stabilisers
Lithium
Carbamazepine
Valproate
Clonazepam
Common Antidepressants
SSRI - selective serotonin reuptake inihibiters:
Citalopram
Fluoxetine
Sertraline
Paroxetine
What is our body’s main stress hormone
Cortisol - a steroid hormone responsible for mood, motivation and fear
What role does cortisol play in our body
-Increases body’s metabolism of glucose, carbs, fats and proteins
- Regulates BP
-Weight gain / hair loss
- Manages body’s use of carbs, fats, proteins
-Controls sleep and wake cycles
What is adrenaline responsible for
-It is the immediate stress hormone
-Fight or flight mode
‘Eustress’ is
A positive response to a stressor
Panic attack physical symptoms
Sweating
N+V
Blurred vision
Tachycardia
Shaking