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3920: Mental Health > Week 11 & 12 > Flashcards

Week 11 & 12 Flashcards

1
Q

Stress Definition

A
  • Short term
  • Response to recognized threat
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2
Q

Anxiety Definition

A
  • Feeling of apprehension, uneasiness, uncertainty
  • Result from real/perceived threat
  • Can be an adaptive response to perceived threat that motivates to act
  • May linger
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3
Q

Anxiety Disorder

A
  • Excessive fear/anxiety
  • Interferes in everyday life as core symptom
  • Greater than expected in intensity/duration
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4
Q

Generalized Anxiety Disorder

A
  • Unwarranted enduring anxiety across life situations
  • Functioning associated physical symptoms
  • Early in life onset
  • Chronic course
  • Severe symptoms following acute stressors
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5
Q

GAD DSM 5

A
  • Excessive anxiety/worrying for more days than not in 6 month period about a number of events
  • Difficult to control worry
  • 3+ associated symptoms for more days than not in 6 month period
  • Focus of anxiety/worry is not confined to features of another anxiety disorder
  • Cause significant stress & impairment to social, occupational functioning
  • Disturbance not attributed to effects of substance of other medical condition
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6
Q

GAD Associated Symptoms

A
  • Restlessness/feeling on edge
  • Difficulty concentration or mind going blank
  • Irritability
  • Muscle tension
  • Sleep disturbance
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7
Q

Social Anxiety Disorder

A
  • Terrified of being humiliated in public
  • Intense fear of social situations
  • Impacts QOL & support system
  • Early adolescence onset
  • Generalized to all social situations
  • Specific isolated to 1-2 specific situations
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8
Q

Panic Disorder

A
  • Repeated episodes of panic
  • Abrupt surges of fear/discomfort associated with multiple psychological/cognitive symptoms
  • Impacts QOL, social/occupational engagement
  • More common in women
  • Early adulthood onset
  • Chronic course with remissions & exacerbations
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9
Q

Phobias

A
  • Specific fear causes so much anxiety
  • Impacts functioning & social engagement
  • May be related to traumatic event
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10
Q

Agoraphobia

A
  • Fear of certain environments
  • Can be related to fear of panic attack with difficult to escape situations
  • Feeling helpless/trapped
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11
Q

OCD

A
  • Severe obsessions driven by anxiety
  • Compulsions attempt to reduce anxiety
  • Repetitive, intrusive thoughts/behaviors
  • Impacts functioning, reality, judgement
  • Early 20/mid 30 onset
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12
Q

Hoarding Disorder

A
  • Excessive acquisition of or inability to discard material possessions
  • Increase severity with age
  • Impacts function, social/occupational, health & wellbeing, family/pets, insight
  • Co-occurs with mood/anxiety disorder
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13
Q

Body Dysmorphic Disorder

A

Extreme discrepancy between one’s body and body image

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14
Q

Trichotilomania

A

Severe obsession/compulsion for hair pulling

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15
Q

Excoriation Disorder

A

Severe obsession/compulsion for skin picking

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16
Q

PTSD

A
  • Triggered by terrifying event (experience/witness)
  • Impacts QOL, functioning, social/occupational engagement
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17
Q

PTSD Symptoms

A
  • Flashbacks
  • Nightmares
  • Severe anxiety
  • Uncontrollable thoughts about the event
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18
Q

Assessment - Anxiety & Trauma

A

Investigate symptoms, worries, impact, coping strategies

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19
Q

General S/S - Anxiety & Trauma

A
  • Sweating
  • Headache
  • GI upset
  • Shaking
  • SOB
  • Sleep disturbances
  • Muscle tension
  • Increased HR
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20
Q

Adaptive Coping

A
  • Social supports
  • Cognitive framework
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21
Q

Maladaptive Coping

A
  • Avoidance
  • Dismissal
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22
Q

Impacts

A
  • QOL
  • Social
  • Occupational
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23
Q

Health Teaching - Anxiety & Trauma

A
  • Substance use
  • Sleep patterns (sleep hygiene)
  • Physical activity (change negative associations)
  • Nutrition (decreased dietary stimulant)
  • Breathing control
  • Relaxation tools
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24
Q

Psychotherapies - Anxiety & Trauma

A
  • CBT
  • Positive self-talk
  • Distraction
25
Pharm Interventions - Anxiety & Trauma
- SSRIs - SNRIs - TCAs - Pregabalin - Wellbutrin
26
Complex PTSD
- Experiences multiple traumatic events - Nearly all survivors of human trafficking - Caregiver must understand behaviors as trauma responses
27
Impact of Personal Bias - Trafficking
1. Be aware of bias in the workplace / agency mandates/values / policies / protocols 2. History of the individual – what is in the chart 3. Inclusion / diversity 4. Trauma informed 5. Are we treating them differently based on assumptions / preconceptions 6. Are we discounting / minimizing their experience based on mental health / addiction 7. Male vs female vs LGBTQ2R++ 8. Cultural differences
28
Psychosis
Episode where individual is detached from reality
29
Psychotic Disorders
- Group of mental health disorders - Characterized by episodes of psychosis
30
Schizophrenia
- Psychotic disorder effecting one's thought processes, emotions, behaviors - Mix of positive & negative symptoms - Possession by demons type symptoms
31
Schizoaffective Disorder
- Characterized by uninterrupted period of illness - Includes major mood episode - major depressive, manic, mixed - Some symptoms of schizophrenia - delusions & hallucinations
32
Delusional Disorder
- Non-bizarre delusions - logical, could occur in reality - Ability to function not impaired
33
Brief Psychotic Disorder
- Sudden onset of psychosis (catatonic behavior) - Lasts less than a month - Precipitated by extreme stressors but return to pre-morbid functioning
34
Substance-Induced Psychosis
- Direct result of physiological effects of medication/substance - May develop during, after, withdrawal of a substance
35
Schizophrenia + Symptoms
Excess/distortion of normal functions
36
Schizophrenia - Symptoms
Lessening/loss of normal functions
37
Trajectory of Psychotic Disorders
- First episode (adolescence/early adult) - Acute illness & stabilization of symptoms - Maintenance - Relapses
38
Assessment - Psychotic
- MSE - Psychosocial support - Physical function - Risk assessment - Pharmacological history
39
MSE Impairments - Psychotic
- Perception - Insight - Cognition - Though content/process
40
Non- Pharm - Psychotic
- CBT - Individual therapy - Group
41
Meds - Psychotic
- Atypical antipsychotics - Typical antipsychotics - Risk of EPS
42
Personality Disorder Diagnosis
- Evaluation of long term patterns of functioning & symptoms - 18+ - May have insight impairment - May have multiple personality disorders
43
Cluster A
- Odd, eccentric behaviors - Social adversion
44
Paranoid Personality Disorder (PPD)
- Mistrust of others, avoidant of relationships, suspicious, guarded - Argumentative & emotionally reactive - Believe they can't trust others - Cluster A
45
Schizoid Personality Disorders (SZPD)
- Expressively impassive, unengaged interpersonally, anhedonia - Emotionally detached - Interested in things not people - Cluster A
46
Schizotypal Personality Disorder (STPD)
- Difficulty forming social relationships - Ideas of reference - Circumstantial & metaphorical thinking - Constricted mood - Avoid behavior patterns - Cluster A
47
Cluster B
- Dramatic emotional - Erratic behavior
48
Antisocial Personality Disorder (ASPD)
- Sociopath - Disregard/violation or the rights of others - Do not follow ethical & social standards - No remorse - Cluster B
49
Borderline Personality Disorder (BPD)
- Intense emotions, poor self-image, impulsive behaviors - Lack of stable relationships, fear of abandonment - Sudden shift in values/life path - Cluster B
50
Histrionic Personality Disorder (HPD)
- Dramatic, emotional, attention seeking - Need for approval - Difficulty forming interpersonal relationships - Cluster B
51
Narcissistic Personality Disorder (NPD)
- Need for admiration - Grandiose sense of self - Lack of empathy - Easily wounded - Fantasize about success, power, beauty, perfect love - Cluster B
52
Cluster C
- Anxious - Fearful behavior
53
Avoidant Personality Disorder (APD)
- Avoids social situations due to fear of rejection - Timid, shy, hesitant, sadness, anger - Cluster C
54
Dependent Personality Disorder (DPD)
- Desperate to keep others close - Difficulty decision making - Fearful of responsibility - Excessive advice & reassurance required - Cluster C
55
Obsessive-Compulsive Personality Disorder (OCPD)
- Inflexibility, perfectionism - Need to maintain control - Preoccupied lists, rules, schedules - Difficult with change - Cluster C
56
Interventions - Personality
Limited research & validated interventions for personality disorders outside of BPD
57
Psychotherapy - Personality
- Long term intensive therapy - Dialectical Behavioural Therapy (DBT)1 year
58
Meds - Personality
- Anti-depressants - Mood stabilizers

3920: Mental Health (7 decks)

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