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mental health
18, 19
| Question | Answer |
|---|---|
| personality = | enduring patterns of : thinking, feeling, and behaving ingrained, self others, enviroment - perceptions attiutudes emotions |
| personality disorders = | maladaptive, inflexible patterns causing impairment dx when implairment of personality function and traits are maladaptive |
| core problems | lack of insight - awareness dysfuctional relationships rigid thinking (my way or highway ) poor coping |
| treatment for = | no pharmalogical txt for personality it develops as grows trauma usually reason (narsicitic ) |
| identity issues | unstable or disorted self image - un health inmage (+ or -) not relistic or moderate,, exagertive |
| self- worth based on | power , control, external validation, egocentrism |
| cannot be dx till age of | 18 |
| interpersonal dysfunction | lack of empathy - self inothers perspective lack of remorse limited insight rigid beliefs - narcisitc there perspectives |
| behavioral | impulsivity poor judgment socaial norms violations |
| MAadaptive traits | manipulative deceitful lying hsotile irratible labile mood no remore emotionally col |
| maladpative traits contiunued | impulsive distrctabe poor judgement irresbosible risk taking misturts exhibitionism entitilment dependency insecurity eccentric perception |
| percentage of those with personalilty disorders | 30% |
| CLUSTER A - WEIRD | Paranoid schizoid schizotypal |
| CLUSTER B - WILD | ANTISOICAL BORDERLINE (ALL OR NOTHING) HISTRIONIC (EXTRA ATTENTION SEEKING ) NARCISSISTIC (ALL ABOUT ME) |
| CLUSTER C WORRIED | AVOIDENT DEPENDENT OCPD (PEROSNALITY DISORDER) |
| CLUSTER A DETAILS | PARANOID- distrust, suspicious , hyperviligiant, grudges , projection, guarded |
| schizOID | ' oh i dont need people ' isolation no relationship flat affect no pleasure fantsy life |
| schizoTYPAL | 'dressed odd, eccentric' magical thinking odd beliefs eccentric social anxiety - poor soical skills desire for brief psychosis |
| CLUSTER B high yield | antiscoial - TRAIT / PERSONALITY - 'CRIMINALS' no remores manipulative criminal behsvior impulsive explitave |
| BORDERLINE | ( usually young women/adolesent females) feal abandoment (trauma) - multifactorial - gentic componant ^possible self harm mood swings SPLITTING emptonness dissociation emulsivness |
| histrionic | LOOKING FOR APPROVAL 'LOOK AT ME' ATTENTION SEEKING DRAMATIC SEDUCTIVE SHALLOW EMOTIONS NEEDS APPROVAL |
| NARCISSITICE | look diff then they feel ' always ur ault' grandiosity - the best comparitve enititlemt no empathy - difficulting relating fragile self esteem needs admiraton -inferiod feeling |
| CLUSTER C | Avoident feear of rejection - so much cant be around people low self estem avoids people wants relatiionship - worried not like them |
| dependent | clingy - cant make descion- need help needs reasurance canot decide fear seperation |
| OCPD | Perfectiionism sontal rigid - no gray area- work focused |
| treatment | therapy CBT DBT (BPD) GROUP THERAPY |
| MEDICATION BASED SYMPTONS | SSRI's Mood stabilization medication anti psychotics (AVOID BENODIAZEPINES) abuse risk |
| 3 important things about personality disorders | envirment and gentic play a role dont choose this cant change there perosnailty |
| nurisng interventions | settlimits be consistnet avoid power struggle |
| BPD | monitor suicide structure care validate feelings- matter of fact - ith meds- dont be unsure |
| paranoid | be direct build trust |
| avoident | encourage slowly |
| mastery notes | BPD - SELF HARM ANTISOCIAL NO REMORES NARCISSTICE - FRAGILE EGO |
| SUBSTANCE USE DISORDES | CHRONIC DISEASE WITH RELAPSE CYCLES |
| HARD TIME STOPING DUE TO | RELAPSE PATTERN |
| ALCOHOL + BEZOOS CAN | KILL WHEN GOING COLD TURKEY |
| INTOXICATION | INIBITION LOWERED JUDMENT |
| WITHDRAWL | PHYSICAL/PSYCOLOGICCAL |
| DETOX | HALUTINATION = EMERGENCY |
| DEPENDENCE | NOT ADDICTION UNLESS PSYCHOLOICAL NEED |
| EPIDIMIOLOGY | 29.5 MILLION WITH ALCOHOL DISORDER cna depressent and addicted 140000 deaths per year opiods 300/dy |
| percentage of relapse | 40-80% |
| risk factrios | genectice family enviroment mental illness |
| key issues | fentanyl = highly potent 100* more then morpine polysubstnce use |
| NALAXONE | REVERSES OVERDIOSE SAVES LIVES |
| ALCHOLODISORDER = | ALCOHOLISM - moving away from |
| starts= | early peaks 20-30 y.o chronic relpase - CONDITION |
| WWITHDRAWL TIEMLINE (chronic users) | 4-12 hr- TREMORS 24-48 SIEZUERS 48-72 DT's |
| DT's EMERGENCY | NEEDS MEDICAL SUPPORT confusion haucioatio #1 HTN Siezures ICU leval care |
| drug classes | alcholo opiods stimulants cannabis sedetives |
| stimulants | euphoria tachycardia hallucinations cocaine-meth-stimulants wie taking |
| withdrawl | depression fatigue |
| effects | euphoria respitory depression pinpoint pupils |
| withdrawl | flu-like cravings |
| detox | suboxine benzodiazepines - withdraw can kill too methadone lnger 1/2 life |
| maintence | help person less urge to use disulfiram antibuse - no alcohol violently sick acamprosate - lowers craving naltrexone- alcholo and opiod avoidenbce lowers cravings and self injusry behavior |
| nursing care | nonjudgemental monitor withdrawl teach coping structure time - no time to focus on using or craving |
| dual dx | SUD (SUBSTANCE USAGE DISORDER) AND mental illness increes rate, increased in mental health disorders |
| health professionals | high risk must report |
| family impact | co dependecny enabling |
| 12 step program | sponsers leads is fellow recovering addict teahces abstence and motivatiion |
| alcholo withdrawl | deadly |
| opiod overdose | naloxone |
| benso withdraw | seizures |
| relapse | common |
Created by:
mmishue