Behavioral And Psychiatric Disorders

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Delirium

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is an abrupt disorientation of time and place that usually includes illusions and hallucinations

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Somatoform Disorder

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are a group of conditions in which there are physical symptoms for which no pysical cause can be found and for which there is definite or strong evidence that the uderlying cause is psychological.

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Anorexia Nervosa

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An eating disorder characterized by an intense fear of being obese, severe weight loss, and , eventually, amenorrhea is

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A Phobia

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is a type of anxiety disorder in which a patient has transferred anxiety into a situation or object and has an irrational intense fear of that situation or object

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Unlawful, socially unacceptable or self harmful

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Impulse control disorders are characterized by the inability to resist an impulse or temptation to perform some act that is

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Bipolar disorder

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is a manic-depressive illness in which manic and depressive episodes alternate with one another

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Factitious disorders

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are a group of disorders in which symptoms mimic a true illness but actually have been invented and are under the control of the patient and used as a means of receiving attention.

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Obsessive-Compulsive disorder

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is a psychiatric disorder in which the person feels stress or anxiety about thoughts or rituals over which he or she has little control

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Schizophrenia is

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characterized by recurrent episodes of psychotic behavior that may include abnormalities of thought process, thought content, perception, and judgment.

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Alzheimer disease

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is an irreversible, gradual loss of brain cells and shrinkage of brain tissue.

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affect

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an outward manifestation of a person's feelings or emotions

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anxiety

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a state or feeling of apprehension, uneasiness, agitation, uncertainty, and fear resulting from the anticipation of some threat or danger

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behavioral emergency

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a change in mood or behavior that cannot be tolerated by the involved person or others and that requires immediate attention

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delusions

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persistent beliefs or perceptions held by a person despite evidence that refutes them (false beliefs)

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depression

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a mood disturbance characterrized by feelings of sadness, despair, and discouragement

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dyskinesi

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an impairment of the ability to execute voluntary movements: often an adverse effect of prolonged use of antipsychotic medications

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hallucinations

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the apparent perception of sights, sounds, and other sensory phenomena that are not actually present

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mania

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a mood disorder characterized by extreme excitement, hyperractivity, agitation, and sometimes violent and self-distructive behavior

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mental status examination

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an evaluation tool that includes an assessment of appearance and behavior, speech and language, emotional stability,and cognitive abilities

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paranoia

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a condition characterized by an elaborate, overly suspicious system of thinking

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psychosis

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maladaptive behavior involving major distortions of reality

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schizophrenia

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a group of disorders characterized by recurrent episodes of psychotic behavior

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personality disorders

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conditions characterized by failure to learn from experience or to adapt appropriately to changes

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threat of suicide

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is an indication that a patient has a serious crisis

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impulse control disorders

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are characterized by the inability to resist an impulse or a temptation to so some act that is unlawful, socially, unacceptable or self harmful

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anxiety disorders

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may cause a panic attack

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cognitive disorders

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result in a disturbance in thinking that may manifest as delirium or dementa

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Communication and support

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what specific skills are typically required to prevent the escalation of a behavioral or psychiatric emergency?

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Biological, psycosocial, and sociocultural behaviors

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Typical causes of behavioral emergencies include

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Unlike dementia, delirium:

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Is often associated with delusions and hallucinations

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Dopamine

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Medication designed to treat schizophrenia includes antipsychotic drugs and agents that block the action of the brain chemical:

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Perceived personal grandeur

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The mania phase of bipolar disorder is characterized by:

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A 86 year old male with a history of heart failure

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Statistically, which of the following patients poses the greatest risk for committing suicide?

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Alcohol

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The substance most commonly used by patients with a substance-abuse disorder is:

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four

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What is the minimum number of capable individuals necessary to restrain a physically violent patient?

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Lorazepam

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Which of the following drugs would be appropriate for chemicaly restraining a violent patient in the prehospital setting?

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Reasonable force

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When the decision has been made to restrain a patient, you should exert: