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Mood & Affect

Terms Module 3 & SLO's

Hallucinations A perception in the absence of external stimulus that has qualities of real perceptions
Bereavement Exclusion Refraining from diagnosing major depression in the first two months of a significant loss
Vegetative Signs of Depression Disturbances of a persons functions necessary to maintain life
Affective Instability A psychophysiological symptom reported in psychopathologies such as borderline personality disorder and bipolar mood disorders.
Functional Status An individuals ability to perform normal daily activities required to meet basic needs, fulfill usual roles, and maintain health and well-being
Melancholy The undiagnosed mood state characterized by sadness, despair, and loss of functional status
Depression Diagnostic term to describe an overwhelming feeling of sadness and despair causing energy to be reduced
Hypomania A low-level and less dramatic condition that tends to be euphoric and increase functioning
Severe Mania A mood state where a patient experiences heightened perceptual disturbances accompanied by risky h=behaviors and a reduced need for sleep
Delusional A false belief held to be true even when given evidence to the contrary
Perceptual disturbance Changes in intensity and quality of reality
Mood How an individual feels internally
Affect the observable way that an individual feels
Physiological consequences of impaired mood & affect Dependent on symptom duration and intensity and degree of functional impairment. Chronic sympathetic activation on renal, cardiovascular, endocrine, gastrointestinal, immune, neurologic and psychiatric systems.
Psychosocial consequences related to mood and affect The mind and body have equal potential to both influence and be influenced by the other.
Interrelated concepts to Mood & Affect Stress- clinically significant anxiety Coping - response to stress Interpersonal Violence - potential for harm to self or others
Assessment Procedures to examine mood and affect Medical History - Risks, Mental , Substance abuse, Current medical problems, Familial, trauma Exposure Physical Examination - Vitals, Heart and lung sounds, palpation of thyroid, Cranial nerve, Labs MSE - Appearance, Attitude, Behavior, M&A, Speech,
Risk factors for impaired mood & affect Stress, Early trauma, Neglect, Abuse, Family history, comorbid medical and psychiatric disorders, substance dependence
Populations at risk for impaired Mood & Affect Females (2-3 times more than men) People in their 2nd and 6th decades of life Being recognized in younger and younger children
Pathophysiology of Mood and Effect Neurotransmitters (NE, Serotonin, Dopamine) send signals to different parts of the brain to regulate appetite, sleep, thought, emotion, mood, learning, memory, motivation, and concentration. Too much or little levels indicate mood disorders/mental health
Health promotion to support mood and affect Reduction in poverty, racism, violence, and stress Psychotherapy Pharmacotherapy Brain Stimulation Therapy Managing potential for suicide and violence toward others
Psychotherapy Many types: Cognitive- changes thoughts and beliefs Behavioral - changes patterns of behavior Interpersonal - communication and relation to others (grief) Family focused - problem solving and managing conflict Play - Children, toys, games
Pharmacotherapy Antidepressants: SSRI's, SNRI's, Tricyclic's, MAOI's Mood Stabilizers: Lithium, Antiepileptic, 2nd gen antipsychotic's
Brain stimulation Electroconvulsive therapy: headache, muscle aches, nausea, occasional loss of memory Transcranial magnetic stimulation (preoperative/postoperative care: monitor airway, mental status, reorient to person, place, situation)
Managing potential for suicide or violence Continuous observation Immediate full evaluation Signs: Patient statements, writing or art about death, giving away prized possessions, joking about death, dying, suicide, or leaving LOSS: loved ones, pets, jobs, separation, health, self-esteem
Evidence based collaborative care
Created by: Jennwyo83