Advertisement Upgrade to remove ads

depression, mood disorders, bipolar,anxiety, suicide, and neurotransmitters

Safety

when it comes to anything in Mental health our number one concern is always ______.

Maturational

A/An _____ crisis occurs throughout life (most people have these but can handle the stress)

Situational

A/An ______ crisis is external

Adventitious

A/An ______ crisis is related to a disaster.

Positive

______ response to stress includes problem solving, using social support, reframing.

Negative

______ response to stress includes avoidance, self blame and wishful thinking

Cognitive restructuring

Looking at things differently, Looking at outcomes are all examples of ______ stress reduction.

Assertiveness training

Learning to say no, and knowing It is alright to have limits are all examples of something learned in ______ .

stress reducers

Sleep, Exercise, Decreased caffeine intake, Music, Pets, and massage are all excellent _______.

Mild anxiety

Physiologic signs of ____ includes slight discomfort Increased perceptual field, Increased ability to learn, Mild tension relieving behaviors such as nail biting, fidgeting, Grasps more information, Is alert, Able to work effectively toward a goal, Physical characteristics of mild anxiety, A slight discomfort, Attention seeking behaviors Restless, irritable, May see finger tapping or fidgeting.

Moderate anxiety

Physiologic signs of ____ includes occasional SOB, selective inattention, narrowed perceptual field-sees, hears and grasps less information, learning and problem solving are still in place-may need help with directions, physical signs of moderate anxiety, butterflies in stomach and other somatic complaints, facial twitches, voice tremors, increased pulse, perspiration, trembling lips, change in voice pitch, muscle tension, may pace, bang hands on table

Severe anxiety

Physiologic signs of ____ includes distorted perceptions, can't see connections between details, extremely narrowed , perceptual field- only focuses on one thing or self. Difficulty problem solving, not able to learn

Severe anxiety

Physical signs of ____ includes Frequently experience hyperventilation, increased HR, PVC's, BP, dry mouth, upset stomach, gastric symptoms, Somatic complaints, Purposeless activity, Feeling of dread

Anxiety disorders

Assessing for ______ remember to rule out medical conditions like hypoglycemia, hyperthyroidism, hypoparathyroidism, mitral valve prolapse, drug withdrawal, mental illness-mood & eating disorders, schizophrenia

Panic level

Someone in the _____ may experience SOB, smothering feeling, decreased BP, chest pain, palpitations (can feel very similar to MI), loss of control, agitation, trembling, completely disrupted perceptual field, hallucinations, may lead to exhaustion, may not be able to talk, feelings of terror and/or severe shakiness

Anxiety

when trying to reduce the _____we need to be calm and direct, gentle voice, simple directions direct them to take slow deep breaths, use of imagery, let them express their fears.

Anxiety

For it to be considered_____ Persistent or recurrent dysphoric mood lasting at least 1 month
Will exhibit at least 4 of the following
Difficulty concentrating, Sleep disturbance, Fatigue or low energy, Irritability, Worry, Cry easily, hyper-vigilance, anticipate the worst, hopeless, low self-esteem (Have to have at least 4 of these to say it is a disorder)

GAD (general anxiety disorder)

Examples of ______ include Panic Disorder, social phobia, OCD (obsessive compulsive disorder), PTSD

Anxiety disorders

General anxiety disorder, Chronic disorder, Persistent anxiety without panic attacks

Triggers

____ for anxiety includes things like that persistent "never go away" worry and that nagging feeling that something bad is about to happen.

GAD

Signs of ____ includes excessive worrying, overall fatigue-have trouble sleeping, muscle tension, restlessness-keyed up, difficulty concentrating, sleep disturbances, stomach aches, diarrhea, headaches, irritable , impairment of social, occupational functioning

Anti-anxiety agents

Goal is to limit unpleasant symptoms to return person to a higher level of functioning

Tricyclics

____ work for anxiety because of dysregulation of 5-HT and NE-Trofranil (Effexor(SSRI), Lexapro, and Paxil)

Buspar

blocks 5-HT, making it better than benzodiazepines, it has Less sedation effects, although you won't see an immediate effect, doesn't interact with alcohol

Cognitive Behavioral Therapy (CBT)

______ includes thought stopping, seek support, education and self-monitoring, relaxation training-deep breathing, cognitive therapy, graduated behavioral practice, cognitive restructuring, guided self-dialog, control worrying thoughts

Panic disorders

_____ are the highest level of anxiety, very intense, recurrent attacks

Agoraphobia

a condition characterized by an irrational fear of public or open spaces

Panic disorders

Treatment of _____ goal is to reduce intensity and frequency of panic attacks, decrease anticipatory anxiety, and treat associated depression. SSRI's, antihistamines. Takes up to 4 weeks for a response. Some people take 8-12 weeks. May combine anti-anxiety with antidepressants for a quicker response

Phobic disorders

Fear of losing control, Fear of appearing inadequate, Defense against threats to self esteem, Perfectionist standards of behavior

Phobic disorders

Anxiety disorders characterized by excessive and irrational fear of, and consequent attempted avoidance of, specific objects or situations. Dominated by fear

Mild OCD-severity

less than 1 hour a day

Moderate OCD-severity

1-3 hours a day

Severe OCD-severity

3-8 hours a day

Extreme OCD-severity

nearly constant

Behavioral

______ OCD-assessment includes asking what kinds of things do you feel a need to check and recheck, How much time do you spend checking? Describe any movements you are forced to repeat. What kinds of things do you count?

Affective

______ OCD-assessment includes describing feeling of anxiety. What happens when you feel out of control. Describe significant other relationships . Greatest fears

Cognitive

_______ OCD-assessment includes: Qualities you like about yourself. What are your thoughts about compulsive behavior?
Would you like to decrease your need for compulsive behavior?
How much time a day do you spend doubting what you have done?

OCD

Treatment of _____ patients respond best to SSRI's, Paxil, Zoloft, Prozac.

Post-traumatic stress disorder

an anxiety disorder associated with serious traumatic events and characterized by such symptoms as survivor guilt, reliving the trauma in dreams, numbness and lack of involvement with reality, or recurrent thoughts and images

PTSD

Symptoms of ______ occur within the first 3 months after trauma. May see a delay of months or years.

PTSD

behavioral characteristics of Hyper-alertness, Aggressive or bizarre behavior, Avoidance of stimuli associated with the trauma, Exaggerated startle reflex, Difficulty sleeping

Affective

characteristics of ______ PTSD includes Chronic tension, Anxiety, Guilt Numb emotions, Cognitive, Memory loss, or Flashbacks, Self-devaluation

Cognitive

PTSD _______ assessment, Difficulties with concentration, Memory problems, How often recurrent thoughts, Nightmares?

Social

the _____ aspect of PTSD includes being distant from family and friends, changes in communication patterns.

PTSD

Treatment of ____ includes Help with depression, sleep, suppress intrusive thoughts, jumpiness, and explosive anger.
The best are the antidepressants. Zoloft and Paxil are approved. May use beta blockers to reduce anxiety and restlessness. CBT, Exposure therapy, Family therapy

Acute stress disorder

With _______ we expect the pt experienced or witnessed an extreme traumatic stressor.

Acute stress disorder

_______ Occurs within a month of event, lasts for 2 days and goes away in 4 weeks. the pt experiences subjective sense of numbing, experience recurrent images and flashbacks. detachment, reduction in awareness of surroundings, derealization, depersonalization, or dissociative amnesia.

Dissociative disorders

Amnesia, fugue, DID, depersonalization (abuse related) are all examples of _______.

Dissociative and somatoform disorders

With __________ they go "out" of their body

Dissociative and somatoform disorders

when assessing for ____ we must rule out MS, Brain tumors, Hyperparathyroidism, Lupus, Myasthenia gravis, hyperthyroidism, 50-70% of people with a mental illness present with a somatic complaint initially.

Somatization

______ the expression of psychological stress through physical symptoms, Precipitated by a traumatic event. and are complex mind body interactions.

Dissociative amnesia

Memory loss not caused by an organic problem

Dissociative fugue

a dissociative disorder in which a person suddenly and unexpectedly travels away from home or work and is unable to recall the past

Depersonalization disorder

emotional dissociative disorder in which there is loss of contact with your own personal reality accompanied by feelings of unreality and strangeness

Dissociative identity disorder

a rare dissociative disorder in which a person exhibits two or more distinct and alternating personalities. Also called multiple personality disorder. Most severe form.

Somatoform disorders

disorders characterized by physical symptoms for which no known physical cause exists

Somatoform disorders

Conversion, hypochondriasis, somatization disorder, pain disorder, body dysmorphic disorder are all example of ___.

Somatization

the expression of psychological distress through physical symptoms

Somatization

Must include all of these in order to be a ______ History of pain in at least 4 different sites or functions, At least 2 GI symptoms At least 1 sexual symptom, History of 1 symptom suggesting neuro disorder

Conversion disorder

Sensorimotor symptoms, Impaired balance, Paralysis Dysphagia, Seizures, gait disturbances, Precipitated by trauma
Only 1 symptom, Show a lack of emotional concern about the symptoms

Conversion disorder

a mental disorder characterized by the conversion of mental conflict into somatic forms (into paralysis or anesthesia having no apparent cause)

Body dysmorphic disorders

An imagined or slight defect in physical appearance

Pain disorder

a somatoform disorder marked by complaints of sever pain with no physical cause

Factitious disorder

a condition in which an individual acts as if he or she has a physical or mental illness when he or she is not really sick; previously known as Munchausen syndrome

Malingering

__________ is usually observed by someone who is facing jail time.

Malingering

characterized by the intentional creation of false or grossly exaggerated physical or psychological symptoms

Please allow access to your computer’s microphone to use Voice Recording.

Having trouble? Click here for help.

We can’t access your microphone!

Click the icon above to update your browser permissions above and try again

Example:

Reload the page to try again!

Reload

Press Cmd-0 to reset your zoom

Press Ctrl-0 to reset your zoom

It looks like your browser might be zoomed in or out. Your browser needs to be zoomed to a normal size to record audio.

Please upgrade Flash or install Chrome
to use Voice Recording.

For more help, see our troubleshooting page.

Your microphone is muted

For help fixing this issue, see this FAQ.

Star this term

You can study starred terms together

NEW! Voice Recording

Create Set