Psychotherapy

Question 1

What constitutes a psychiatric mental health emergency

Answer 1

Suicidal ideations
Overdose
Harm to self or others

Question 2

Warning signs for a manic episode

Answer 2

Becoming more religious; aggressive, loud, hostile behaviors; self-harm; diminished impulse control; risky sexual behavior; depression; suicidal statements

Question 3

What tools can you use for to prepare for mental health emergencies

Answer 3

Safety plans, psychiatric advance directives, escape plans, environmental assessments

Question 4

What are signs of a state of delirium

Answer 4

Slurred speech, gape when walking, eye contact

Question 5

What can be a differential diagnosis for neurocognitive disorders?

Answer 5

Normal signs of aging, use of legal or illegal drugs, symptoms of other medical conditions

Question 6

What should be ruled out by a physician prior to diagnosing any neurocognitive disorders?

Answer 6

Rule out any medical condition that might be contributing to the symptomatology observed

Question 7

Agnosia

Answer 7

Inability to recognize objects despite intact sensory function. Person has all senses but cannot correctly recognize objects

Question 8

Aphasia

Answer 8

Disturbance in language; difficulty in speaking

Question 9

Apraxia

Answer 9

Inability to carry out motor activities previously produced without impairment of motor function

Question 10

What symptoms are present for delirium

Answer 10

Disturbance in attention manifested by reduced ability to direct, focus, sustain, and shift attention.
Develops over short time period (hours or days) and tends to fluctuate during course of day, often worsening during evening/night when external orienting stimuli decrease

Question 11

What can delirium be a psychological consequence of?

Answer 11

An underlying medical condition, substance intoxication or withdrawal, use of medication, toxin exposure, or in combination with these factors

Question 12

What is the prevalence of delirium

Answer 12

Highest among hospitalized older individuals.

Question 13

What are differential diagnoses for delirium

Answer 13

Psychotic disorders
Bipolar and depressive disorders with psychotic features
Acute stress disorder
Malingering and factitious disorder
Other neurocognitive disorders

Question 14

Major neurocognitive disorder (dementia)

Answer 14

Significant cognitive decline from previous levels of performance in one or more cognitive domains.
Deficits interfere with independent independence in everyday activities (at min requiring assistance with complex instrumental activities of daily living)
Deficits do not occur exclusively with in context of delirium and are not better explained by another mental disorder

Question 15

What symptoms are present for major neurocognitive disorder (dementia)

Answer 15

Significant cognitive decline from previous levels of performance in one or more cognitive domains.
Deficits interfere with independent independence in everyday activities (at min requiring assistance with complex instrumental activities of daily living)
Deficits do not occur exclusively with in context of delirium and are not better explained by another mental disorder

Question 16

What symptoms are present for major neurocognitive disorder

Answer 16

Evidence of modest decline in one or more cognitive domains
1. Mild decline in cognitive function
2. Modest impairment in cognitive performance
Cognitive deficits do not interfere with independence in everyday activities
Deficits do not occur exclusively with in context of delirium and are not better explained by another mental disorder

Question 17

What are the cognitive domains?

Answer 17

Complex attention, executive functioning, learning and memory, language, perceptual-motor, and social cognition)

Question 18

What are symptoms of major or mild neurocognitive disorders due to Alzheimer’s disease

Answer 18

Criteria met for major or mild NCD
Insidious onset and gradual procession of impairment in one or more cognitive domains (for major NCD, at least 2 domains must be impaired)
Criteria met for possible Alzheimer’s disease