MENTAL HEALTH DISEASE CLASSIFICATIONS

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1 MENTAL HEALTH DISEASE CLASSIFICATIONS

2 DIAGNOSIS OF MENTAL DISORDERS DSM-IV-TR Published by APA ( 2000 ) Multiaxial system 5 categories called axes Facilitate holistic assessment for care Is a great resource & tool for psych

3 CRITICAL THINKING/COMPARISON DELIRIUM ACT. DEMENTIA

4 COMMON SYMPTOMS OF MENTAL DISORDERS BEHAVIORAL CHANGES SUDDEN LACK OF CONCERN ABOUT APPEARANCE

5 PHYSICAL SX. WITHOUT MEDICAL CAUSE OVERUSE OF DEFENSE MECHANISMS LOSS OF CONTACT WITH REALITY MORBID FASCINATION WITH DEATH

6 PSYCHIATRIC CATEGORIES MOOD DISORDERS PERSONALITY DISORDERS ANXIETY DISORDERS PSYCHOSIS DUAL DISORDERS

7 #1. MOOD DISORDERS CHARACTERIZED BY DISTURBANCE OF MOOD ALONG W/ LOSS OF CONTROL AND SUBJECTIVE FEELING OF DISTRESS CHARACTERIZED BY SEVERE AND INAPPROPRIATE EMOTIONAL RESPONSE

8 DEPRESSION Exaggerated feelings of sadness Affects 1 in 20 people/year May be so severe, suicide is contemplated Unipolor Depression Dysthymic Disorder Anhedonia

9 Major Depressive Episode Includes 5 or more of these symptoms during the same 2 week period: Sleep disturbances, weight or appetite changes, fatigue, loss of energy, feelings of worthlessness or excessive guilt, diminishted ability to think of concentrate, indecisiveness, recurrent thoughts of death or suicide

10 OTHER TYPES OF DEPRESSION ARE. ORGANIC---- What is it??? SITUATIONAL What is it???

11 BIPOLAR DISORDER Manic-depressive disorder Sudden shifts between depression & mania Medical Therapy will include: Antidepressants Lithium ECT & psychotherapy

12 #2. PERSONALITY DISORDERS Inflexible, maladaptive patterns of behavior Char. By : Lack of insight Distorted self-perception Impaired relationships Poor impulse control Do not handle change easily See Box 35-3 pg 1147

13 TYPES OF PERSONALITYY DISORDERS PARANOID SCHIZOID SCHIZOTYPAL ANTISOCIAL BORDERLINE HISTRIONIC

14 More Personality Disorders NARCISSISTIC AVOIDANT DEPENDANT

15 #3. ANXIETY DISORDERS CRITICAL THINKING EXERCISE: Define & give example; Signal Anxiety ---What is it?

16 Summarize and provide an example OBSESSIVE- COMPULSIVE DISORDER POSTTRAUMATIC STRESS DISORDER

17 #4. PSYCHOSIS THOUGHT DISORDER THAT INTERFERES WITH ABILITY TO RECOGNIZE AND TO DEAL WITH REALITY; ALSO INTERFERES WITH THE ABILITY TO COMMUNICATE SX: DELUSIONS, HALLUCINATIONS, IMPAIRED REALITY TESTING

18 CRITICAL THINKING/ COMPARISON ACTIVITY NEUROSIS PSYCHOSIS

19 SCHIZOPHRENIA Is a cluster of behaviors with bizarre, non-reality based thinking; is any one of a large group of psychotic disorders whose defining characteristics are gross distortion of reality

20 Positive Behavior Delusions Patterns Hallucinations Disorganized Thinking and Speech

21 Negative Behavior Patterns Withdrawal Isolation Flat Affect

22 TYPES OF SCHIZOPHRENIA PARANOID DISORGANIZED CATATONIC UNDIFFERENTIATED RESIDUAL

23 #5. DUAL DIAGNOSIS NOW COMMONLY USED TO MEAN MENTAL ILLNESS COMBINED WITH CHEMICAL DEPENDENCY (MI/CD)

24 Test Review Topics for you Characteristics of a mentally healthy person Review Hx of MI & early tx Freud- Father of

25 Review influences on MH Know Erickson s life cycles- ages & stages Warning signs of suicide-pg. 1147

26 Behavior Stress Anxiety Motivation Frustration Coping

27 Dementia Hallucinations lunacy -disorder caused by the moon Def. Mechanism Regression

28 Identification Rationalization Sublimation Know these MI Schizophrenia General mood disorders Bipolar *Unipolar depression- maj. depression lasting 2yrs

29 Panic attack Agoraphobia Posttraumatic stress disorder Antisocial Current tx for mood

30 Mental Health Care of Patient with Psychiatric Disorder

31 Therapeutic communication Is learned A helping, trusting relationship Verbal and non-verbal

32 Therapeutic Communication Techniques Review Table 3-3 pg. 43 Group work & Role Play

33 Intercultural Differences Communication style What are some examples of cultural differences?

34 Communication with Mentally Troubled Clients Difficulty with trust Loneliness Therapeutic process Climate of trust Need routine

35 Communication with Mentally Troubled con t Introduce self Introduce neutral subject Wait for client to respond: assess nonverbal

36 Communication with Mentally Troubled con t Therapeutic listening

37 Communication Assessment Hear and speak Note content, quality, and pace Physical speech problems Can client read and write? Assess culture communication

38 Speech patterns of Mentally Ill Blocking Echolalia Flight of ideas Mutism Neologism

39 Special H.C.W. Qualities needed to establish relationship Unconditional positive regard Empathetic Authenticity Explanations Allow to express feelings

40 Cont d Mutual trust Self-understanding Consistency Setting limits Reality

41 Admission to Inpatient Facility Voluntary Involuntary Criteria Baker Act Marchman Act

42 Crisis Stabilization Counseling Medications Stress management techniques Cognitive, relaxation and behavioral therapies

43 Therapeutic Environment Milieu Goal Principles of treatment Physical surroundings Structured activities JCAHO

44 Types of mental health care treatment

45 Community Mental Health Centers CMHC Community Mental Health Act Delivery modalities

46 Home care Least disruptive Natural environment Immediate family support

47 Residential programs 2 types: Crisis stabilization Community residential care

48 Inpatient psychiatry unit Acute care Types of admission: Voluntary Emergency hold Transportation hold

49 Direct court hold Assessment hold Court commitment Mentally ill / chemically dependant Mentally ill & dangerous

50 Methods of psychiatric therapy

51 1. Psychotherapy Individual psychotherapy Group psychotherapy Psychoanalysis

52 2. Therapeutic Milieu: Focus: importance of physical surroundings Mental health team

53 3. Treatment Model Clients set up their own council Set up their own rule/regulations

54 4. Behavior Modification Focus: what client does Specific mental disorders

55 5. Operant Conditioning Positive reinforcement Negative reinforcement

56 6. Group therapy Definition: individuals function in groups based on skills learned in their family

57 Codependency Traits Strong urge to solve other s problems Feeling the feelings Taking responsibility

58 Needing to deny own feelings, needing to please other, overcommitting time/energy, low self worth, worry frequently

59 Drug classifications Antipsychotics Antidepressants Antianxiety agents Sedatives

60 Electroconvulsive Therapy Read section in text Summarize for class

61

62 Psychopharmacology Antidepressants Antipsychotics Antianxiety Agents Sedatives

63 Tardive Dyskinesia is a s/e of antipsychotic Ataxia Antiparkinsonian agents Antimanic Drugs

64 Insulin Shock Therapy Google this topic and research it Be prepared to summarize for class

65

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