Week 8 - Functional Management of Psychiatric Symptoms Flashcards
name 3 aspects of the therapeutic relationship that contribute to illness management.
- trust
- locus of control
- communicating fear or confidence
feeling a sense of control or responsibility (so that they feel they are in charge/control of themselves)
locus of control
what is the #1 reason for mental health relapses?
medication noncompliance
what is the #2 reason for mental health relapses?
stress (can lead to an increase in symptoms and hospitalizations)
not used anymore; considered to blame the family
high expressed emotion environments
piece of paper that outlines who is involved - client, psychiatrist, case manager, and family member - lists medications client is taking, target symptoms and behaviors to watch out for - everyone knows that this is what we’re watching out for - also lists what to do if you start seeing symptoms again and the steps that should be taken.
relapse contract
trying to keep pt. in the community and out of the hospital.
hospital diversion
name 3 lifestyle components of the effective management of illness.
- healthy routine
- exercise
- healthy diet
-abnormality of movement and behavior arising from a disturbed mental state (typically schizophrenia).
catatonia
name the 2 most common signs of catatonia.
- immobility
- mutism
feeding an agitated person is one of the best ways to calm them down
“Feed the bear”
comfortable environments ex: sensory rooms
holding environment
setting is not full of rules
high tolerance levels
name 2 negative symptoms of schizophrenia.
- avolition
- anhedonia
- fatigue or loss of energy almost everyday
- feelings of worthlessness or guilt almost everyday
- impaired concentration, indecisiveness
- insomnia or hypersomnia almost everyday
- markedly diminished interest or pleasure in almost all activities
- psychomotor agitation or retardation
- recurring thoughts of death or suicide
- significant weight loss or gain
depression
- aggressive behavior that harms or threatens other people or animals
- destructive behavior that damages or destroys property
- lying or theft
- truancy or other serious violations of rules
- early tobacco, alcohol, and substance use and abuse; and precocious sexual activity.
conduct disorder
- persistent resistance towards taking direction from others
- stubbornness or non-compliant behavior
- an unwillingness to compromise
- frequent arguing with, talking back to, or challenging of authority
oppositional defiant disorder
MOHO is a ____ ____.
volitional subsystem
name the 3 main aspects of MOHO.
- personal causation
- values
- interests
describe MOHO in the management of psychiatric symptoms.
- we want to start our interventions with this population by looking at this area.
- most pts. are at the exploration of occupational function and have to relearn interests and values, etc.
the degree to which interests are based on past experiences and influence present action
potency of interests
name MOHO’s 3 levels of occupational function.
- exploration
- competence
- achievement
the curious investigation aimed at discovering one’s potential
exploration
- leaving objects out on tables and day rooms for pts. to pick up on their own free will
- gives them opportunities to engage on their own rather than nothing and just thinking about what’s going on in their heads
- ex: games, coloring books
environmental press
finding something that pt. is passionate about
simple hook
the person experiences competing motivations bc there are benefits and costs associated with both sides of the conflict.
decisional balance
what underlies the perceived importance of change?
discrepancy (no discrepancy, no motivation)
name the 5 stages of change.
- precontemplation
- contemplation
- preparation
- action
- maintenance
do not intend to take action in the foreseeable future; not ready
precontemplation
stage in which people intend to change in the next 6 months. they are more aware of the pros of changing, but are also acutely aware of the cons, profound ambivalence that can cause people to remain in this stage for long periods of time. behavioral procrastination; not ready for traditional action-oriented programs; getting ready
contemplation
people intend to take action in the immediate future, usually measured as the next month; they have already taken some significant action in the past year; have a plan of action; ready
preparation
people have made specific overt modifications in their lifestyles within the past 6 months.
action
people have made specific overt modifications in their lifestyles and are working to prevent relapse.
maintenance
name the 4 aspects of change talk.
- disadvantages of the status quo
- advantages of change
- optimism of change
- intention to change
how will things be if they stay the way they are right now, how do you imagine it will be 6 months from now
disadvantages of the status quo
name the 4 general principles that underlie motivational interviewing.
- express empathy
- develop discrepancy
- roll with resistance
- support self-efficacy
name 5 early methods of supporting patients with psychiatric symptoms.
- ask open questions
- listen reflectively
- affirm
- summarize
- eliciting change talk
a specific type of CBT to help better treat borderline personality disorder. since its development, it has also been used for the treatment of other kinds of mental health disorders.
dialectical behavior therapy (DBT)
name 3 characteristics of DBT.
- support-oriented
- cognitive-based
- collaborative
name the 2 components of DBT.
- individual weekly psychotherapy sessions
2. weekly group sessions
name the 4 modules of DBT.
- interpersonal effectiveness
- distress tolerance/reality acceptance skills
- emotion regulation
- mindfulness
this module focuses on situations where the objective is to change something or to resist changes someone else is trying to make.
interpersonal effectiveness
concerned with tolerating surviving crises and with accepting life as it is in the moment.
distress tolerance
