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MENTAL HEALTH

MENTAL HEALTH. DISEASE CLASSIFICATIONS. DIAGNOSIS OF MENTAL DISORDERS. DSM-IV-TR Published by APA ( 2000 ) Multiaxial system 5 categories called axes Facilitate holistic assessment for care Is a great resource & tool for psych nurses. CRITICAL THINKING/COMPARISON ACT. DELIRIUM.

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MENTAL HEALTH

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  1. MENTAL HEALTH DISEASE CLASSIFICATIONS

  2. DIAGNOSIS OF MENTAL DISORDERS • DSM-IV-TR • Published by APA ( 2000 ) • Multiaxial system • 5 categories called axes • Facilitate holistic assessment for care • Is a great resource & tool for psych nurses

  3. CRITICAL THINKING/COMPARISON ACT. DELIRIUM DEMENTIA

  4. COMMON SYMPTOMS OF MENTAL DISORDERS • BEHAVIORAL CHANGES • SUDDEN LACK OF CONCERN ABOUT APPEARANCE

  5. PHYSICAL SX. WITHOUT MEDICAL CAUSE • OVERUSE OF DEFENSE MECHANISMS • LOSS OF CONTACT WITH REALITY • MORBID FASCINATION WITH DEATH

  6. PSYCHIATRIC CATEGORIES • MOOD DISORDERS • PERSONALITY DISORDERS • ANXIETY DISORDERS • PSYCHOSIS • DUAL DISORDERS

  7. #1. MOOD DISORDERS • CHARACTERIZED BY DISTURBANCE OF MOOD • ALONG W/ LOSS OF CONTROL AND • SUBJECTIVE FEELING OF DISTRESS • CHARACTERIZED BY SEVERE AND INAPPROPRIATE EMOTIONAL RESPONSE

  8. DEPRESSION Exaggerated feelings of sadness Affects 1 in 20 people/year May be so severe, suicide is contemplated Unipolor Depression Dysthymic Disorder Anhedonia

  9. Major Depressive Episode • Includes 5 or more of these symptoms during the same 2 week period: • Sleep disturbances, weight or appetite changes, fatigue, loss of energy, feelings of worthlessness or excessive guilt, diminishted ability to think of concentrate, indecisiveness, recurrent thoughts of death or suicide

  10. OTHER TYPES OF DEPRESSION ARE…. • ORGANIC---- What is it??? • SITUATIONAL ----- What is it??? • POSTPARTUM ----- What is it??? • SAD ----- What is it????

  11. BIPOLAR DISORDER • Manic-depressive disorder • Sudden shifts between depression & mania • Medical Therapy will include: • Antidepressants • Lithium • ECT & psychotherapy

  12. #2. PERSONALITY DISORDERS • Inflexible, maladaptive patterns of behavior • Char. By : • Lack of insight • Distorted self-perception • Impaired relationships • Poor impulse control • Do not handle change easily • See Box 35-3 pg 1147

  13. TYPES OF PERSONALITYY DISORDERS • PARANOID • SCHIZOID • SCHIZOTYPAL • ANTISOCIAL • BORDERLINE • HISTRIONIC

  14. More Personality Disorders… • NARCISSISTIC • AVOIDANT • DEPENDANT

  15. #3. ANXIETY DISORDERS • CRITICAL THINKING EXERCISE: Define & give example; • Signal Anxiety ---What is it? • Free Floating--- What is is? • PANIC --- List symptoms to summarize… • Agoraphoria- What is it??

  16. Summarize and provide an example… • OBSESSIVE-COMPULSIVE DISORDER • POSTTRAUMATIC STRESS DISORDER

  17. #4. PSYCHOSIS • THOUGHT DISORDER THAT INTERFERES WITH ABILITY TO RECOGNIZE AND TO DEAL WITH REALITY; ALSO INTERFERES WITH THE ABILITY TO COMMUNICATE • SX: DELUSIONS, HALLUCINATIONS, IMPAIRED REALITY TESTING

  18. CRITICAL THINKING/ COMPARISON ACTIVITY NEUROSIS PSYCHOSIS

  19. SCHIZOPHRENIA • Is a cluster of behaviors with bizarre, non-reality based thinking; is any one of a large group of psychotic disorders whose defining characteristics are gross distortion of reality

  20. Positive Behavior Patterns • Delusions • Hallucinations • Disorganized Thinking and Speech • Grossly disorganized behavior • Catatonia

  21. Negative Behavior Patterns • Withdrawal • Isolation • Flat Affect

  22. TYPES OF SCHIZOPHRENIA • PARANOID • DISORGANIZED • CATATONIC • UNDIFFERENTIATED • RESIDUAL

  23. #5. DUAL DIAGNOSIS • NOW COMMONLY USED TO MEAN MENTAL ILLNESS COMBINED WITH CHEMICAL DEPENDENCY (MI/CD)

  24. Test Review Topics for you… • Characteristics of a mentally healthy person • Review Hx of MI & early tx • Freud- Father of psychiatry-also coined the phrase "psychoanalysis • Therapies of the 20th Century • Insulin Therapy • ECT • Lobotomy • Psychoanalysis

  25. Review influences on MH • Know Erickson’s life cycles- ages & stages • Warning signs of suicide-pg. 1147 • Define: • Id • Ego • Superego

  26. Behavior • Stress • Anxiety • Motivation • Frustration • Coping • Neurosis • Psychosis • Delirium

  27. Dementia • Hallucinations • “lunacy”-disorder caused by the moon • Def. Mechanism • Regression • Repression • Compensation • Displacement • Denial

  28. Identification • Rationalization • Sublimation • Know these MI • Schizophrenia • General mood disorders • Bipolar • *Unipolar depression- maj. depression lasting 2yrs • *Postpartum depression • *Seasonal affective disorder

  29. Panic attack • Agoraphobia • Posttraumatic stress disorder • Antisocial • Current tx for mood disorders • ECT • psychotherapy

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