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Mental Health #3
test material for 3rd Exam
| Question | Answer |
|---|---|
| affect is _________ | an individual's outward expression of emotion |
| What is classified as a Mood Disorder in the DSMIV-TR | Depressive Disorders, Bipolar Disorders, Mood Disorder due to a General Medical Condition, Substance-induced Mood Disorder |
| What are the 3 degrees of depression? | 1) grief 2) Mild 3) major |
| Which types of depression can lead to Major depressive disorders? | SAD & Postpartum mood disorder |
| what are some (7) signs of a Major Depressive Episode? | Depressed Mood, Anhedonia, Weight Loss, Appetite Change, Insomnia/Hypersomnia, Psychomotor retardation; Fatique |
| What is an affective symptom? | a symptom pertaining to the person's mental state |
| Affective symptoms of depression | Depressed mood, anhedonia, anxiety |
| Associated/vegetative symptoms of depression | sleep disturbance, appetite disturbance, loss of energy, decreased libido, psychomotor agitation/retardation |
| Motivational symptoms of depression | Loss of interest, Hopelessness/helplessness, suicidal thoughts or acts |
| Cognitive symptoms of Depression | Sense of guilt, worthlessness, low self esteem, Difficulty concentrating, Psychosis, disorganized speech |
| Psychosomatic symptoms of depression | Bodily complaints, headache, backache, muscle cramps, nausea, chest pains |
| Dysthymic Disorder | A mood disorder under DSM = chronic depressed mood for 2 yrs or more |
| Causes of depressive illness | Neurochemical abnormalities, genetics, hormone imbalance & other biological, personality, environ, situational, life event, stress |
| Classes of antidepressants (2) | Trycyclics, Monoamino Oxidase Inhibitors (MAO inhibitors) |
| Bipolar Disorder - types | Manic, Depressed, Mixed |
| Causes of Bipolar disorder | Catecholoemines, other biologic factors, genetics |
| Anti-manic agent | Lithium - slows down, stabilized mood, requires blood checked constantly, hand tremors |
| Cyclothymia/ aka hypomania | less than full blown mania, not severe enough to require hospitalization |
| OT tx for depression | promote self worth, assist with self-expression/assertion, encourage expression of emotions, help acknowledge emotions, physical activities, success oriented activities, problem solving |
| OT for depression | start with simple, ST, familiar activities; don't speak to like a child |
| Electroconvulsive therapy side effects | memory problems, seizures |
| precautions against suicide | determine potential, guard sharps, store potentially dangerous completed projects, watch for dangerous objects on unit |
| OT tx for bipolar disorders | provide diversional activities, satisfaction vs wonderful, realistic goals, set limits, observe for frustration, reinforce acceptable behaviors, don't confront, try to get pt to understand consequences of behav |