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Behavioral and psych
behavioral and psych emergencies
| Question | Answer |
|---|---|
| Behavioral emergency | a change in mood or behavior that cannot be tolerated by person involved or others |
| Biological Disturbances | Mental disorders that result from a physical cause |
| Psychosocial causes | result from childhood trauma, child abuse,or dyfuntional family-related to a persons ability to resolve situational conflicts in life |
| Sociocultural causes | related to the way aperson balances emotions, thoughts and interactions in societyy-linked to a specific event, death of loved one |
| Cognitive disorders | have an organic cause-may be result of physical or chemical injury |
| Delirium | abrupt disorientation of time and [lace, ivolves delusions and hallucinations, |
| Agitated Delirium (excited delirium) | a person with delirium with acute onset,reduced clarity,bizarre, agressive,paranoa, profuse sweating due to hyperthermia |
| Dementia | loss of function in multiple cognitive domains, slow progressive loss of awarness, a result of CVA or alzheimers |
| Autism Spectrum disorder (ASD) | neurodevelopment disorder-impairment in social interaction, communication deficits, restricted reptative behaviors-common in boys |
| Aspergers Syndrome | impairments in social interactions |
| Schizophrenia | a group of disorders characterized by recurrent episodes of psychotic behavior-inability or unwillingness to recognise and acknowledge reality and relate to others. family hx excists ( due to increased release of dopamine) |
| Dyskinesia | abnormal muscular movements |
| Phobia | type of anxiety disorder-transferred anziety onto a situation or an object |
| OCD | feels stress or anxiety about thoughts or rituals over which the individual has little control-they usually realize its crazy thinking |
| PTSD-post traumatic stress disorder | an anxiety reaction to severe psychosocial events-repetitive, intusive memories |
| Depression | a mood disturbance characterized by feelings of saddness, depair-episodes usually last longer than 1 month( not enough neurotransmitters) |
| Anhedonia | inability to feel pleasureor happiness |
| Mnemonic IN SAD CAGES | interest,sleep, appetite, depressed mood,concentration,activity,guilt,energy,suicide |
| Bipolar diorder | biphasic emotional disorder in depressice and manic episodes alternate |
| Somatoform disorders | conditions that suggest a medical disorder when no physical cause can be found for the patients symptoms |
| Somatization Disorder | condition in which an individual has complaints lasting several years of various physical problems for which no physical cause can be found |
| Conversion disorder | a mental illness in which painful emotions are repressed and unconsiously converted into physical symptoms |
| Factitious disorders | A group of disorders in which symptoms mimic a true illness, but the symptoms have been invented |
| Munchausen syndrome | pt makes routine pleas for treatment and hospitalization for symptomatic but imaginary illnesses |
| Munchausen syndrome by proxy | a person injures or induces illness in others usually children to gain sympathy-considered child abuse |
| Dissociative amnesia | blocking out of critical personal information, usually traumatic or stressful |
| Dissociative fugue | a rare disorder, the pt suddenly and unexpectedly takes physicalleave of the surrounding |
| Dissociative identy disorder | multiple personalitys |
| Depersonalization disorder | a feeling of detachment or distance from ones own experience, body or self |
| Anorexia nervosa | intense feeling of being obsese-severe weightloss, malnutrition eventually amenorrhea(no period) |
| Bulimia nervosa | binge eating followed by purging |
| Impulse control disorders | -intermittent explosive disorder -kleptomania -patghologiocal gambling -pyromania -trichotillomania-pulling hair out |
| Antisocial personality disorder | >15yrs old,no disregard for the rights of others |
| Borderline personality disorder | unstable relationshipps, poor self image,mood swings and poor impulse control |
| Narcissistic personality disorder | grandiosity, need for admiration-development due to unstable relationships during childhood,family violence and childhood abuse and neglect |
| Antipsychotic drugs | -phenothiazines (thorazine,phenergan,compazine) -butyrophenones (HALDOL,DROPERIDOL) |
| Antidepressants | -TCA, SSRI, MAOI |
| bipolar drugs | lithium,depakote/tegratol |
| phenothazines | low potency |
| butyrophenones | high potency |
| Ach | excitatory transmitter-stimulates |
| Dopamine | inhibitory transmitter |
| Benadryl | antihistamine w/anticholinergic properties-blocks effects of ACh on basal ganglia leading to dystonic movement(tx dystonic reactions quickly) |
| Atypical antipsychotics | Clozaril and risperidol does not cause extrapyramidal symptoms |
Created by:
rebeccabelleth