Psychiatry Intro Flashcards
Difference b/w a mental health disorder and a mental health problem?
Mental health disorder: changes in affect, behaviour, and cognition that impairs functioning; meets diagnostic criteria (e.g. depression, anxiety, insomnia, etc.)
Mental health problem: umbrella term that includes both mental health disorder; also includes non-diagnostic, less srs sx’s (e.g. stressed, tired, anxious, worried, etc.)
Which gender is more likely to successfully commit suicide? Why?
Males > use more lethal avenues of killing themselves
Who was responsible for the first systematic classifications of mental disorders?
Emil Kraepelin (German psychiatrist, 1856-1926)
What kind of model is used to describe mental disorders today?
Bio-psycho-social model
What is the cognitive triangle?
It’s the idea that emotions, behaviours, and thoughts (affect, behaviour, cognition - ABC) all affect one another
T or F: Mental illness is described similarly across cultures.
F
Ea. culture has a unique perspective on mental health, and impacts the way ppl describe their sx’s
What’re the criteria needed for someone to be voluntarily admitted to a mental health centre (under the MHSA)? (EXAM)
- The person req’s care that can be given in a mental health centre
- the person consent to the admission
What’re the criteria needed for someone to be involuntarily admitted to a mental health centre (under the MHSA)? (EXAM)
- person suffers from a mental disorder and req’s inpatient care
- not fully capable of making an admission or tx decision
- likely to harm self or others or suffer sig mental/physical deterioration
How are psychiatric conditions classified/diagnosed currently?
By using a syndrome-based classification sys whereby a group of symptoms that occur together are determined to represent an overall psychiatric condition
(e.g. symptoms x, y, and z = schizophrenia)
Name of handbook used to diagnose mental disorders (current edition):
DSM-5
What’s a pro of the DSM?
It standardizes criteria of mental illnesses, therefore making diagnoses and treatments more consistent
What’re two cons of the DSM?
It oversimplifies human behaviour
It is largely based on expert opinion
The clinical psychiatric interview is also known as a “_____”
conversation with a purpose
(the aim is to collect information about the revealed (behaviour, intentions, prospects) as well as concealed (emotions, drives, conflicts) aspects of the interviewee’s world)
This psychiatric exam is analogous to the physical exam in physical medicine.
Mental status exam
What is assessed in a mental status exam?
- general observations (includes behaviours)
- thinking
- emotion
- cognition
Difference between mood and affect?
mood: inner feeling of emotion
affect: external expression of emotional responsiveness
What’s the Columbia Protocol?
A suicide risk assessment
aka: Columbia-Suicide Severity Rating Scale (C-SSRS)
T or F: Asking a depressed person about suicide may put the idea in their heads.
F
T or F: If asked, suicidal ppl will generally be honest about their intentions.
T
What’s the name of a simple, evidence-based, effective, universal, and free suicide risk assessment?
The Columbia Protocol (aka: Columbia-Suicide Severity Rating Scale (C-SSRS))
Why is the current psychotropic nomenclature misleading?
Because these drugs have multiple MOAs and indications (e.g. antipsychotics can be used for depression, anxiety, etc.)
Define stigma.
mark/sign of disgrace which distinguishes s.o from the rest of society and diminishes their worth as a person
i.e. When ppl have negative thoughts about a certain thing (e.g. mental illness)
