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Mental Health Eval > Week 8 - Functional Management of Psychiatric Symptoms > Flashcards

Week 8 - Functional Management of Psychiatric Symptoms Flashcards

1
Q

name 3 aspects of the therapeutic relationship that contribute to illness management.

A
  • trust
  • locus of control
  • communicating fear or confidence
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2
Q

feeling a sense of control or responsibility (so that they feel they are in charge/control of themselves)

A

locus of control

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3
Q

what is the #1 reason for mental health relapses?

A

medication noncompliance

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4
Q

what is the #2 reason for mental health relapses?

A

stress (can lead to an increase in symptoms and hospitalizations)

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5
Q

not used anymore; considered to blame the family

A

high expressed emotion environments

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6
Q

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.

A

relapse contract

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7
Q

trying to keep pt. in the community and out of the hospital.

A

hospital diversion

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8
Q

name 3 lifestyle components of the effective management of illness.

A
  • healthy routine
  • exercise
  • healthy diet
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9
Q

-abnormality of movement and behavior arising from a disturbed mental state (typically schizophrenia).

A

catatonia

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10
Q

name the 2 most common signs of catatonia.

A
  • immobility

- mutism

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11
Q

feeding an agitated person is one of the best ways to calm them down

A

“Feed the bear”

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12
Q

comfortable environments ex: sensory rooms

A

holding environment

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13
Q

setting is not full of rules

A

high tolerance levels

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14
Q

name 2 negative symptoms of schizophrenia.

A
  • avolition

- anhedonia

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15
Q
  • 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
A

depression

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16
Q
  • 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.
A

conduct disorder

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17
Q
  • 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
A

oppositional defiant disorder

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18
Q

MOHO is a ____ ____.

A

volitional subsystem

19
Q

name the 3 main aspects of MOHO.

A
  • personal causation
  • values
  • interests
20
Q

describe MOHO in the management of psychiatric symptoms.

A
  • 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.
21
Q

the degree to which interests are based on past experiences and influence present action

A

potency of interests

22
Q

name MOHO’s 3 levels of occupational function.

A
  1. exploration
  2. competence
  3. achievement
23
Q

the curious investigation aimed at discovering one’s potential

A

exploration

24
Q
  • 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
A

environmental press

25
Q

finding something that pt. is passionate about

A

simple hook

26
Q

the person experiences competing motivations bc there are benefits and costs associated with both sides of the conflict.

A

decisional balance

27
Q

what underlies the perceived importance of change?

A

discrepancy (no discrepancy, no motivation)

28
Q

name the 5 stages of change.

A
  • precontemplation
  • contemplation
  • preparation
  • action
  • maintenance
29
Q

do not intend to take action in the foreseeable future; not ready

A

precontemplation

30
Q

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

A

contemplation

31
Q

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

A

preparation

32
Q

people have made specific overt modifications in their lifestyles within the past 6 months.

A

action

33
Q

people have made specific overt modifications in their lifestyles and are working to prevent relapse.

A

maintenance

34
Q

name the 4 aspects of change talk.

A
  1. disadvantages of the status quo
  2. advantages of change
  3. optimism of change
  4. intention to change
35
Q

how will things be if they stay the way they are right now, how do you imagine it will be 6 months from now

A

disadvantages of the status quo

36
Q

name the 4 general principles that underlie motivational interviewing.

A
  1. express empathy
  2. develop discrepancy
  3. roll with resistance
  4. support self-efficacy
37
Q

name 5 early methods of supporting patients with psychiatric symptoms.

A
  1. ask open questions
  2. listen reflectively
  3. affirm
  4. summarize
  5. eliciting change talk
38
Q

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.

A

dialectical behavior therapy (DBT)

39
Q

name 3 characteristics of DBT.

A
  • support-oriented
  • cognitive-based
  • collaborative
40
Q

name the 2 components of DBT.

A
  1. individual weekly psychotherapy sessions

2. weekly group sessions

41
Q

name the 4 modules of DBT.

A
  • interpersonal effectiveness
  • distress tolerance/reality acceptance skills
  • emotion regulation
  • mindfulness
42
Q

this module focuses on situations where the objective is to change something or to resist changes someone else is trying to make.

A

interpersonal effectiveness

43
Q

concerned with tolerating surviving crises and with accepting life as it is in the moment.

A

distress tolerance

Mental Health Eval (16 decks)

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