Screening for Mental Health Flashcards
what is an anxiety disorder d/t a medical condition
sx of intense anxiety or panic that are directly caused by a physical health problem
what is a panic attack
sudden episode of intense fear that triggers severe physical reactions when there is no real danger or apparent cause
what are 3 general types of anxiety disorders
phobias
substance induced
separation anxiety
what are 8 risk factors for anxiety panic disorders
- late teens - early adulthood, women > men
- fam hx of anxiety disorders
- major life stressor (death or serious illness, work, finances)
- traumatic event (sexual assault)
- major life change (divorce, baby)
- smoking or excessive caffeine intake
- drugs or alcohol
- hx of childhood abuse
since anxiety/panic attacks can present similar to cardiac issues, how should sx of either be treated
considered a heart attack until r/o
- then can treat as anxiety disorder
what is the significance of anxiety and panic attacks having so many physical sx
these sx can resemble sx of other serious health problems (ie heart attack)
what are 7 main s/sx of anxiety/panic attacks
- rapid, pounding HR
- sweating
- trembling/shaking
- SOB, tight throat
- nausea
- abdominal cramping
- chest pain
what flag: worrying too much and it’s interfering w work, relationships, or other parts of life
yellow
what flag: fear, worry, or anxiety is difficult to control
yellow
what flag: depressed, excessive alcohol or drug use, or have other mental health concerns
yellow
what flag: concerned anxiety could be linked to physical health problem
yellow
what is a general indicator of when you should refer people off
when interfering and limiting their activity/daily function
what flag: suicidal thoughts or behaviors
red
- ED immediately
what flag: panic attack SOB, chest pain, or a rapid, fluttering or pounding heart (heart palpitations)
red
what are medical problems that can be linked to anxiety (7)
heart dz
diabetes
thyroid
respiratory disorders
withdrawal
chronic pain or IBS
rare tumor - fight/flight hormones
what is depression
mood disorder that causes persistent feeling of sadness and loss of interest
7 s/sx of depression
- sleep disturbances
- tiredness, lack of energy
- altered appetite, wt loss/gain
- anxiety, agitation
- feelings of worthlessness, guilt, self-blame, fixating on past failures
- trouble concentrating, impaired memory/cognition
- frequent/recurrent thoughts of suicide
what flag: pt responds yes to 2 of 3 depression screening questions
yellow
what flag: s/sx not explained by bereavement or physiologic effects of known substance and sx are causing significant impairment in social, occupational, or other areas of function
yellow
what flag: scoring above 5 on geriatric depression scale
yellow
what flag: suicidal
red
what are 8 suicide risk factors
- living alone
- hx of psychiatric illness
- previous suicide attempt
- hx of chronic progressive illness
- recent significant loss
- unemployed
- sense of hopelessness
- fam hx of suicide
what are 5 clinical manifestations of suicidal behavior
- “I don’t know how much longer I can take this”
- stop therapy w potential for progress
- stop other treatments
- pts express thoughts of death
- wishing they were dead
what is the management required of suicidal patients
ask if the pt has a plan in place and the means
- understand if there was contemplation
emergent referral is required
