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Mental Health 4/24

3 concepts of trust: Caring- being concerned Empathy- relating to others feelings Advocacy- to empower pts.
Primary intervention in mental health Encouraging responsibility
3 things to do if the client does not meet their goal 1)Do not assume, assess 2)Provide encouragement 3)Provide consistancy
2 guidelines to provide consistency 1)Set limits 2)Focus on positive changes
What is a crisis? And upset in homeostasis
3 types of coping mechanisms 1)psycho motor- physical attempts to deal directly with the prob. (Running away) 2)cognitive- ignoring and making comparisons 3)affective- denial and suppression (emotional non intellectual response)
4 stages of a crisis 1)Denial "This can't be happening to me" 2)Crisis "This is real" 3)Disorganization- only thinking about the problem 4)Recovery- Reorganization
Main goal with a crisis situation help individuals and families manage their crisis situations by offering immediate emotional support
Steps to crisis intervention(6) 1)Immediate care (Safety) 2)gain control 3)Assessment 4)Disposition and determined(how is the pt feeling?) 5)Referral 6)Follow-up
maladaptive Hiding the problem
Skills needed for mental health(4) 1)self awareness 2)Caring 3)Advocacy 4)Insight
What does is the DSM? Diagnostic and Statistical Manual of Mental Disorders
DSM Axis (5) 1) Clinical disorders 2)Personality disorders and retardation 3)Medical conditions 4)Psychosocial/environmental issues(lob loss) 5)GAF (Global assessment of functioning)
Alert Responsive to verbal stimuli
Lethargic "Eyore"
Stupor very drowsy, physically having to keep the client awake
Coma Unresponsive to verbal or painful stimuli
Hallucinations perceptions that have no external stimulus
Illusions alterations in perceptions that have a basis in reality
What is the main goal in an interview? Determine the pts. perception of their illness
Flight of ideas One thought to another related thought
Loose Poorly organized or connected thoughts
MMSE (Mini mental state exam) consists of 1)Orientation to time and place 2)Attention span and ability to calculate 3)Registration and recall 4)Language, commands, and ability to write
S.A.V.E.S (Risk factor assessment) Suicide Abuse Violence Elopement Seizures
Levels of Anxiety 1)Mild 2)Moderate 3)Severe 4)Panic
Panic Disorder Repeated panic attacks
Agoraphobic Fear of having a panic attack in a public place
Generalized Anxiety disorder A lifelong disorder Broad long lasting excessive anxiety Usually develops in adolescents or early adulthood Can't concentrate long enough to complete a task Sleep disturbances, IBS, headaches
Defense Mechanisms Psychological strategies used to help reduce anxiety
Displacement Redirecting to another person
Undoing Acts to "take away" an inappropriate action
Reaction formation Attitudes that are opposite of a way a person wants to feel (a gay person pretending to be straight)
Intellectualization Focus on logical aspects of the situation
Isolation separation of feelings from content
Risk factors for anxiety Female Triggers Substance abuse traumatic event
Acute stress disorder -lasts 2-4 weeks -Occurs weeks from a traumatic event (witnessing a murder)
Anxiety Meds Anxiolytics - Diazapam (valium) Dependency Nonbarbituate- BuSpar no dependency Mood Stabilizers - lithium
Suicide risk factors Male Adolescents Native americans person with comorbid mental disorder Untreated depression in older adults Feelings of powerlessness, lonliness Pysical disorders (Cancer, aids)
Ambivalent thinking about it (death doesn't sound much better than life)
Created by: 100000696638194