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OPP 4 FINAL TEST EVER > Osteopathic psychiatry > Flashcards

Osteopathic psychiatry Flashcards

1
Q

Osteopathic Principles

A
  • The Body is a Unit
  • Structure & Function are Reciprocally Interrelated
  • Self-Healing & Self-Regulating - Rationale Care is based on these 4 principles
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2
Q

Define Osteopathic Medicine

A

The preferred term for a complete system of medical care practiced by physicians with an unlimited license that is represented by a philosophy that combines the needs of the patient with the current practice of medicine, surgery and obstetrics. Emphasizes the interrelationship between structure and function, and has an appreciation of the body’s ability to heal itself.

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3
Q

Define Psychiatry

A

The medical specialty concerned with the prevention, diagnosis, and treatment of mental illness.

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4
Q

*Define Osteopathic Psychiatry

A

The field of psychiatry as approached through the lens of the osteopathic philosophy.

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5
Q

*Osteopathic Philosophy

A

a concept of health care supported by expanding scientific knowledge that embraces the concept of the unity of the living organism’s structure (anatomy) and function (physiology).

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6
Q

Elements of Body Unity

A
  1. Body - anatomy and Physiology
  2. Mind - interface between memory and anatomy
  3. Spirit - animation
  • all are reciprocally interrelated
  • The whole is greater than the sum of its parts = Synergy
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7
Q

Common sites of SD in Psychiatry?

A
  • Occipital bone - schizophrenia
  • SBS - manic depression
  • Frontosphenoid in involutional dementias
  • C2, T4-6
  • Cranial Rhythm alterations
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8
Q

Body Unity Models that encourage Physicians to look the patient as a whole rather than just parts of the disease? (2)

A
  1. Biopsychosocial Assessment

2. Non-reductionism

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9
Q

What is Psychoneuroimmunology?

A
  • the study of the interaction between psychological processes and the nervous and immune systems of the human body.
  • the body is trying to regain homeostasis (Allostasis)
  • Various stimuli result in Somatic, Visceral & Emotional sequelae by acting through the SNS and HPA systems
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10
Q

What is Neuroendocrineimmune?

A
  • the body’s hormonal response to stressors

- Ex: Increased cortisol release during stress acts on the hippocampal formation and impair memory

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11
Q

Body Unity: Ped and Adult patients with asthma

A

Relaxation training resulted in a reduction in asthma attacks and a reduction in bronchodilators use

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12
Q

Elements of Structure and Function in Psych?

A

Structure: Anatomy
Function: Physiology
Both are interrelated

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13
Q

Wide Dynamic Range Neurons (WDR)

A
  • spinal segmentation is fiction because the spinal cord is continuous
  • Convergence: Dermatome, Myotome, Sclerotome
  • Primary Afferents release inflammatory polypeptides locally resulting in increased Self-stimulation
  • WDR: Interneurons = root of “facilitated segments”
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14
Q

S & F of Treatment Modalities in Psychiatry

A
  • Psychotherapy & Pharmacotherapy induced neurobiology changes
  • Pharmacology includes Pharmacodynamics and Pharmacokinetics
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15
Q

OMM in Psych

A
  • Evaluate the whole patient
  • Autonomics
  • Cranial Strain pattern
  • C2, T4-6
  • HVLA is less effective
  • > 24 hours after electric convulsive therapy (ECT)
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16
Q

Effects of OMM in Psych patients

A
  • decreased inpatient days
  • Paxil + adjunct OMT effective
  • Cannabimimetic effects
  • reduces anxiety
  • reduces depression
17
Q

Self-Healing in Psychiatry

A
  • Neuro-protective antioxidants and macrophages
  • Neuron regeneration
  • Altering cognitions to cope with stressors and reconcile past experiences
18
Q

Self-Regulating in Psychiatry

A
  • receptors increase or decrease regulation in response to synaptic cleft NT concentration levels
  • Emotions serve as signals for internal states in response to external stimuli
  • Cortisol inhibits ACTH release in stress
19
Q

Rational Treatment

A
  • apply tenets
  • consultant to the patient
  • Patient owns their health
  • Body Unity Breakdown
20
Q

What to look for in Patient History?

A
  • areas of heath
  • sources of Body Unit Breakdown
  • Impaired Structure and Function
  • Impaired self-healing/self-regulating mechanisms
  • Modifiable vs static factors
21
Q

What do vital signs tell us?

A

a measurable account of sympathetic stress response on the body unit

22
Q

Treatment Plan should include?

A
  • Body, Mind, Spirit

- Patient Goal = Search and grown towards health

OPP 4 FINAL TEST EVER (12 decks)

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