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Mental Health Final

Situational/external crisis Crisis develops due to lack of support; divorce, job changes, etc
Maturational/internal crisis crisis where individual must develop new skills; marriage, having a baby, empty nest syndrome.
Adventitious crisis natural disasters, crimes, or national disaster(terrorist attacks). critical for crisis intervention to avoid PTSD.
Primary level of management prevention strategies; providing info and education to at risk populations for suicide.
secondary level of management managing suicide crisis; helping someone who attempts suicide; commitment..
tertiary level of management post-vention for family/friends of successful suicide.
Axis I mental conditions due to medical condition, schizophrenia, substance related disorders, mood disorders(bipolar), etc...
Axis II personality disorders and mental retardation: OCD, narcisstic, paranoid, borderline, etc..
Axis III general medical Dx/condition: DM, CHF, cancer
Axis IV psychosocial/environmental problems that impact Dx, Tx, or prognosis: homeless, layer off, accident
Axis V global assessment of functioning. lower the number, less they can do..
Lithium avoid NSAIDs, diuretics, TCAs, antihistamines. toxicity begins at 1.5 mEq/L
ADHD drugs avoid MAOIs, caffeine, dilantin, warfarin, phenobarb, OTC cold meds,
projection-dysfunctional blaming others for unacceptable thoughts/feelings: "I failed because..."
acting out-dys actions used to manage conflicts rather than self-reflection, "tantrums, hitting the wall, throwing things"
dissociation-dys temporarily blocking memories/perceptions "I can't remember what they were wearing"
devaluation-dys expressing negative thoughts of self or others "I am so fat, ugly, skinny, etc..."
idealization-dys expressing extremely positive thoughts of self/others. "my child never does anything wrong"
splitting-dys inability to reconcile negative/positive attributes of self/others. manipulative. "you are awesome, she is stupid."
passive agression-dys appears to be compliant, but indirectly is aggressive. "of course i will get that job done!!"
denial-dys pretending the truth is not reality (mark hacking case)
repression-intermediate putting unacceptable ideas, thoughts and emotions out of conscious awareness, happens unconsciously. "forgot to go to the dentist... again"
reaction formation-int overcompensating or demonstrating opposite behavior of what is really felt. "you are so sweet and helpful" but really you find them lazy and smelly.
somatization-int physical symptoms that replace anxiety: stomach ache on test day
displacement-int shifting feelings to a less threatening object: kicking the cat
rationalization-int creating a reason for unacceptable behavior: 14 yr old: "i took the car because we needed milk"
undoing-int most common in children, doing something to make up for a previous behavior: child does all their chores without being asked following an argument with a parent.
altruism-healthy always constructive, reaching out to others "may i help you" and meaning it.
sublimation-healthy always constructive, dealing with unacceptable feelings/impulses are replaced unconsciously with acceptable forms of expression. (racquetball too care of frustration and anger)
Humor-healthy positive if you can laugh at yourself and the situation. negative if you are laughing at someone else, and they arent laughing.
suppression-healthy voluntarily denying unpleasant thoughts and feelings "i will deal with that later"
alcohol withdrawal diazapam(valium), lorazepam(ativan), carbamazepine (tegretol), clonidine (catapres) - drugs not given until s/s appear.
alcohol abstinence disulfiram(antibuse), naltrezone(revia)- suppresses craving for and pleasurable effects of alcohol/opioids
actual loss loss of valued person/item
perceived loss loss is defined by individual, and may not be obvious to others
maturational loss due to developmental process-expected
situational loss unanticipated loss, external event causes loss.
beneficence promotes good of others, charity
autonomy respect pts rights to make decisions
justice fair and equal Tx for all - regardless of race, creed, opinion, attitude.
fidelity(nonmaleficence) loyalty, commitment to pt, do no wrong
veracity honesty, communicate truthfully.
mild anxiety normal everyday living, identifiable cause, feelings of mild discomfort, impatiences, apprehension
moderate anxiety leads to slights decrease in perception, clear thinking is slowed but learning and problem solving still occur, difficult to concentrate, fatigue, increased HR and RR, muscle tension, will benefit from direction of others.
severe anxiety distorted perceptions, learning and problem solving does not happen, confusing, impending doom, aimless activities occur, ritualistic behaviors. not able to take direction from others, nausea, dizziness, insomnia, HA, hyperventilation,
panic anxiety markedly disturbed behaviors, unable to process what is occurring, loss of reality, immobility. feelings of extreme fright/horror. may have speech impairment, inability to sleep, delusions and hallucinations.
Created by: klevans21