Treatment planning for behavioral and psychological disorders lecture 4 Flashcards
What is depression?
- Sadness apathy and loss of pleasure.
- Too much or too little sleep
- Too much or too little eating
- Decrease energy and libido
- Feeling of worthlessness and guilt
- Occasional halluciantions
- Very prevelant 15-20% of men and 25% of women
- Morbid thought and its usually associated with trauma
What are some features of depressions? What are some oral concerns? MEications side effects?
2-15% of people will turn to suicide.
- usually treatable
- antidepressants are most common
- patients can usually function
Oral concerns:
- Xerostomia
- Disinterest in personal oral hygiene
- Medication effects
- High plaque and carries rate
Medications:
- causes xerostomia, brusxism (SSRI especially zoloft)
- Orthostatic hypotension
- Electroconvulsive therapy
What is bioplar disorder?
Manic and depressive episodes.
manic episodes: highly euphoric and engage in dangerous acts. sleepless, rage, psychosis, delusions
Depressive episodes; depressed. Duh.
What are the types of biopolar disorder?
Bipolar I ; severe mood swings from mania to depression
Bipolar II : milder form
Cyclthymic disorder; even milder
What are the prevelance stats of Bipolar disorder?
3-5% of population
- Affects women and men equally
- Symptoms begin in childhood
- Associated with anxiety, conduct disorder, substance use, migraine, thyroid illness, obesity and type II diabetes and cardiovascular disease
What are associated features of bipolar disorder?
- Usually chronic
- approximately 20% risk of suicide.
- Shortens lifespan by 9 years (Due to suicide and risky behavior)
- 6th leading cause of disabilty in the world.
- durg abuse
- financial stress
- Can maintain a job if medicated and treated
What are the treatments of bipolar disorder?
Mood stabilizers: lithium
- Antidepressants
- Benzodiazapenes
- Antipsychotics
- ECT
What are the concerns of Bipolar patients when it comes to oral health?
- May complain about procedures
- They are concerned about things that arent there
- May not follow up with treatment
- Always fault finding
What are the side effects of antipsychotics, antidepressants, benzodiazepines and mood stabilizers?
- Anitdepressents: xerostomia and bruxism
- Benzodiazapenes: hyposalivation and xerostomia
- Mood stabilizers: sweet cravings.
What are some medication interactions for Biopolar medications?
- Benzodiaepines augemt other sedating agents
- some antibiotics interfer with mtabolism of mood stabilizers and result in toxicity
- Lithium can increase the sedation of benzodiazepines
- Diuretics and none steroidal anti inflammatory maybe increase lithium toxicity.
What is panic disroder?
-Sweating shaking, plapitations, nausea shaking, shortness of breath, fear of losing control, hot flashes and chills.
youre basically panicking
What are the symptoms of panic attack?
- Recurrent unxpected panic attacks, followed by 1 month or more of worry about having another one
- Can be with or without agoraphobia.
- Prevelance in 1.5-3.5% of people
1/3 to 1/2 of PD have agoraphobia
Is Panic disorder treatable?
yes, depending on duration and severity.
- Antidepressents and benziodazepienes are prescribed
- anxiety can be limiting
- associtaed with specific phobia
What are the oral concerns of PD?
- High anxiety
- Substance abuse
- psychosomatic complaints
- Medication side effects and interactions with other CNS depressants
What is Obsessions
Recurrent and pressitatnt thought and urges.
-Attempt to supress them but they dont go
Common obsessions;
-safety
-contamination
-need for symmetry
-unwanted and intrusive thoughts
