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Behavioral and psych

behavioral and psych emergencies

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



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