week 5 psychotic disorders Flashcards

Question

Possible Side Effects of Antipsychotic Medications Central Nervous System Effects

Answer 1

Dizziness, agitation, confusion

Answer 2

Increased blood pressure, high blood sugar, weight gain, excess body fat around waist, abnormal cholesterol and triglyceride levels, diabetes,

Answer 3

Decreased sex drive and function, amenorrhea, galactorrhea

Answer 4

Tremors, muscle stiffness, tics (dystonia)

Answer 5

* Repetitive Involuntary movements-lots of the 1st generation medication do that

Answer 6

* Fever, muscle stiffness, delirium ** medical emergency- super fast and fever will spike up, assess quickly and act quickly "start low and start slow" when introducing new meds

Answer 7

-Cognitive Behavioral Social Skills Training (CBSST) Illness Management and Recovery (IMR) -Cognitive Behavior Therapy for Psychosis (CBT-P) -Cognitive Adaptation Training (CAT) -Family Intervention Training -(FIT)

Answer 8

-An empirically supported manualized intervention that helps individuals with schizophrenia achieve recovery goals * Interweaves three evidence-based practices: * Cognitive behavior therapy * Social skills training * Problem-solving training * CBSST is delivered over 12 sessions by appropriately trained practitioners in individual or group contexts * Offered as adjunct treatment to improve functioning and negative symptoms

Answer 9

BENEFITS * User friendly intervention * Structured activities are assigned to participants between sessions to reinforce new learning and solidify skills DRAWBACKS * Initial training is expensive * Cost of weekly clinical supervision to maintain fidelity to the model * Intervention may not always be available in all jurisdictions

Answer 10

-An evidence-based talk therapy that helps individuals diagnosed with psychosis to become aware of their thoughts and behaviors and explore how these impact their emotions * The “here and now” focus allows for the development of skills to identify and address unhelpful thinking patterns and behaviors * CBT-P is delivered over 12-16 sessions by appropriately trained practitioners in either individual or group contexts * CBT-P is recommended as an adjunct to pharmacological treatment

Answer 11

BENEFITS * Well tolerated -not painful or disruptive * No hospitalization or anesthesia required * No systemic side effects * No memory loss DRAWBACKS * Initial training is expensive * Cost of weekly clinical supervision to maintain fidelity to the model * Intervention may not always be available in all jurisdictions

Answer 12

* A family intervention that aims to improve family members’ support and resilience of one another and enhance the quality of their communication and problem solving * The intervention seeks to provide: * Education about schizophrenia * Skill teaching around identifying signs and symptoms of relapse * Strategies to improve family members; ability to anticipate and help reduce the risk of relapse * Families are offered 10 planned sessions facilitated by an appropriately trained practitioner

Answer 13

BENEFITS * Intervention is offered to anyone the client considers family relatives, caregivers or people from a broader circle * Recognizes the vital role family members play in supporting a person’s recovery, promoting their well- being and providing care * Can be delivered virtually or in person to meet needs of families DRAWBACKS * Initial training is expensive * Cost of weekly clinical supervision to maintain fidelity to the model * Intervention may not always be available in all jurisdictions

Answer 14

An evidence-based intervention designed to address functional impairment caused by cognitive deficits of schizophrenia * Individuals are taught environmental supports and compensatory strategies to use to improve their social & occupational functioning * Voice alarm clocks * Large Calendars * Checklists/schedules * Reminder signs

Answer 15

BENEFITS * Indepth cognitive assessment is conducted with the FRISBEE© tool prior * Approach can be used to address goals related to living, learning, working and socializing * Studies have found CAT improves community functioning, adaptive functioning, medication adherence, performance of ADLs and quality of life DRAWBACKS * CAT training/recertification is expensive * Costs of weekly clinical supervision * Intervention may not always be available in all jurisdictions

Answer 16

An evidence-based intervention designed to promote illness self-management * Psychoeducational content includes: * Recovery strategies * Using medication effectively * Building social supports * Coping with stress * Managing persistent symptoms * Reducing relapses * Getting needs met by the mental health system

Answer 17

BENEFITS * Can be delivered in individual or group contexts * User friendly intervention delivered by trained practitioners over 6 months DRAWBACKS * Training/recertification is expensive * Costs associated with weekly clinical supervision * Intervention may not always be available in all jurisdictions

Answer 18

A peer support group intervention developed & delivered by people with lived experience of psychosis The foundation of WRAP is a wellness toolbox A WRAP plan has six components: * Daily plan * Stressors * Early warning signs * Signs that things are breaking down or getting worse * Crisis plan

Answer 19

BENEFITS * Intervention incorporates key recovery concepts and wellness tools * Helps individuals to develop simple, safe and effective tools to create and maintain wellness * Helps individuals to develop a daily plan to stay on track with life and wellness goals * Encourages people to identify challenges that throw them off track * Helpspeopletoidentify ways to gain support and stay in control in a crisis DRAWBACKS * WRAP Level 2 Master Trainer certification courses may be cost prohibitive for many people * WRAPLevel1&2 courses may not be available in all jurisdictions especially in smaller communities

Answer 20

A peer support group intervention developed & delivered by people with lived experience of auditory hallucinations * Living and making sense of voices groups aim to: * Raise awareness of the diversity of voices * Challenge negative stereotypes, stigma and discrimination * Help create more spaces for people to talk freely about voice hearing * Raise awareness of different ways to manage distressing, confusing or difficult voices

Answer 21

BENEFITS * Groups are based firmly on an ethos of self help, mutual respect and empathy * Provide a safe space for people to share their experiences of hearing voices and support one another * Hearing Voices groups are available in large cities around the world DRAWBACKS * Group facilitator training is expensive which limits access for many individuals * Groups are not usually available in smaller communities

Answer 22

All individuals should receive Early Intervention in Psychosis (EPI) services to reduce the duration of untreated psychosis and reduce the probability of relapse ALL * Many individuals should receive community-based Intensive Case Management (ICM) services to promote optimal social & occupational functioning ICM EPI * Individuals with the most functional disability should receive m community-based Assertive Community Treatment (ACT) or Flexible Assertive Community Treatment (FACT) services provided by interprofessional teams

Answer 23

-Medication monitoring, management & administration -Skill Teaching- illness self- management -Supportive Counselling -Facilitating CBSST -Facilitating CAT -Facilitating FIT -Facilitating CBT-P -Facilitating IMR -Symptom and Behavior -Monitoring & Management -Crisis prevention & intervention -Delivering EPI, ICM, ACT & FACT Services -Individual & Systems level advocacy