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17 Cards in this Set
- Front
- Back
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What a person brings to treatment?
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Distress
Dysfunction Deviance |
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What are the areas of need in mental health?
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Internal
Social Intimacy Transcendent |
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What is the William James Formula?
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Self Esteem= Success/Pretensions
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Mental =
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Thinking
Mood Self (personality) Experience Relational functioning Behavior |
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What is freud's heritage?
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Emphasis on mental life
Structured psyche Unconscious influence Symbolic relationships Instinctual drives Determinism Objectivity not possible Everyone is pathological Emphasis on developmental explanation |
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DSM-IV-TR
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Atheoretical
No Etiology Menu approach Number system for diagnosis Multi-axial (5) |
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DSM Axes
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Major Mental Disorders
Personality Disorder & Mental Retardation General Medical Conditions Psychosocial and Environmental Problems Global Assessment of Functioning V codes |
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AXIS I - DSM guide
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Disorders usually diagnosed in childhood
Delirium, Dementia, Amnesia & Other Cognitive Disorders Mental disorders do to a general medical condition Substance related disorders Schizophrenic and other psychotic disorders Mood disorders Anxiety disorders Somatoform disorders Factitious disorders Dissociative disorders Sexual and gender identity disorders Eating disorders Sleep disorders Impulse control disorders Adjustment Disorders |
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Disorders on Axis II
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Personality disorders
Mental retardation Axis II can be used to list prominent maladaptive personality features or defenses |
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Axis IV: Categories of psychosocial and environmental problems listed in DSM
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Problems with primary support group
Problems related to the social environment Educational problems Occupational problems Housing problems Economic problems Problems with access to health care Problems with legal system/crime |
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Axis V : global Assessment of functioning
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Scale from 1-100
1=lowest functioning & 100=Highest Divided into 10 “ranges” Two component guide to rating 1-Symptom severity 2-Functioning Example: 41 - 50 “Serious symptoms (e.g., suicidal ideation, severe obsessional rituals, frequent shoplifting) OR any serious impairment in social, occupational, or school functioning (e.g., no friends, unable to keep a job)” |
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Problems associated with mental illness
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Sleep
Anxiety Sex Somatazation |
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factors that predict a better outcome for mental health...
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Better physical health
Socially responsive Greater sense of autonomy Higher socio-economic status Cohesive family Good Pre-morbid functioning Sudden onset Well-defined symptoms |
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defense mechanisms
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Systematic Distortion
Manage Anxiety Properties of Defenses Unconscious Developmental Relational Self-Reinforcing |
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When do you refer...
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Safety first
Somatic treatments should be accompanied by counseling Non-responsive to first line treatment Complicating medical conditions Specific or poorly controlled suicidal ideation PLAN FOR EMERGENCIES |
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Four lessons from investigating patient complaints:
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Tell patients what’s going on and what to expect, even if they aren’t going to like it.
Pay attention to the process Allow patients to feel ambivalent about treatment Relationships |
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Indictators of mental health
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Flexibility
Stable values Reciprocal relations with others Stable relationships Little distortion of “reality” Meaningful use of time Enjoys leisure time Likes self and realistic about abilities Varied social relations Able to consider the point of view of others Sees self as more like than unlike others Likes and trusts others in general Admits error, but doesn't always take blame Spontaneous without impulsiveness having adverse affects |
