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51 Cards in this Set
- Front
- Back
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Mental Health Professionals
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Psychiatrist
MD trained in diagnosis treatment prevention of mental illness |
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Psychologist
nonmedical person trained in methods of psycotherapy analysis and research has Masters or Ph.D. |
Counselor nonmedical person trained in different methods of therapy hold B.A. or Masters degree
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anxi/o uneasy anxious
hallucin/o hallucination hypn/o sleep iatr/o treatment |
ment/o mind
neur/o nerve phil/o attraction to love phren/o mind |
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psych/o mind
schiz/o split somat/o body |
SUFFIXES
-genic produced by -leptic to seize hold of -mania obsessive preoccupation |
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-phobia irrational fear
-phoria feeling , bearing -thymia mind |
PREFIXES
a- an- no not cata- down hypo- less than para- abnormal |
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mental health field wide range of psychiatric disorders
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DSM IV-TR
Diagnostic and Statistical Manual of Mental Disorders***** 4th edition making acccurate diagnosis |
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DSMIV-TR info and accurate diagnosis of patients criteria gives practitioners one universal language to use when diagnosing and discussing mental disorders
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DSM IV-TR used so health care professionals have one solid reference tool to use in diagnosis of particular disorders
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MULTIAXIAL ASSESSMENT OF MENTAL DISORDERS
DSM IV-TR uses multiaxial way of assessing each patient |
each axis represents specific category in diagnostic process individual category 5 different Axis used
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AXIS I
conditions/disorders of clinical attention diagnosed in childhood***** NOT MENTAL RETARDATION Axis I diagnosticc criteria reason for visit or presenting problem Dr. will specify if Axis II disorder |
AXIS I
cognitive disorders amnesia dementia learning****** disorders substance abuse disorders schizophrenia mood disorders anxiethy disorders somatoform disorders facitious disorders dissociative disorders |
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sexual/gender identity disorders
sleep disorders eating disorders anorexia bulima impulse control disorders adjustment disorders |
Axis II
assess personality disorders***** and mental retardation disordered pattern of behavior within individual |
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paranoid personality disorder
schizoid personality antisocial personality borderline personality histrionic personality |
narcissistic personality
avoidant personality dependent personality obsessive-compulsive personality mental retardation |
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Axis III
assess general medical conditions |
diseases of blood
diseases of nervous circulatory respiratory digestive genitourinary systems |
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complications of pregnancy and childbirth
diseases of muscculoskeletal system |
any type of injury or poisonings
congenital abnormalities diseases of the skin |
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Axis IV
assess psycosocial and environmental**** problems |
problems with family friends/support groups
problems related to social environment life transitions death or loss of a loved one |
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educational issues
occupational problems economic problems problems with access to healthcare system |
problems related to crime or legal system
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Axis V
assess global****** functioning assessment tool gives each patient rating how they are funcitoning within their environment overall |
GAF number assigned using scale 1-100
100 superior functioning 1 very low functioning danger of hurting self or others |
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if patient goes into hospital with GAF of 2 released with GAF of 90 great improvement
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if assessed with GAF of 90 later with 60 has been a decline in overall functioning
current level of functioning in comparison with previous to help diagnostic process |
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SAMPLE OF MUSTIAXIAL ASSESSMENT
Axis I 315.9 learning disorder not otherwise specified NOS 780.9 Delirium not otherwise specified |
Axis II 302.83
borderline personality disorder frequent use of projection Axis III none Axis IV threat of eviction due to job loss Axis V GAF=40 current |
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Mood Disorders
dysthymia mild depression bipolar disorder cyclothymia mild type bipolar disorder depressive and elation states less intense AXIS I |
Personality disorders
many people display some of the characteristics but level of prevalence and severity higher AXIS II |
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Paranoid*** personality disorder
distrust and suspiciousness of others severe degree |
Schizoid*** personality disorder detachment from social relationships very aloof prefer to be alone
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schizotypal personality disorder severe discomfort in close intimate relationships
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Antisocial*** personality disorder
total disregard for rights of other people prison system filled with antisocial personality disorder |
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Borderline*** Personality disorder
intense patterns instability interpersonal relationships lack of self-perception or understanding shifts from idealizing people to devaluing them foro silightest perceived wrongs very impulsive self-destructive acts cutting/reckless driving/unprotected sex/over-spending/substance abuse fear abandonment yet push away intense rage |
Histrionic*** personality disorder
need excessive drama in speech behavior excessive emotionality attention-seeking behaviors |
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Narcissistic*** personality
persistent belief in one's own grandiosity love themselves need for admiration of others |
Avoidant*** personality
severe pattern intense inhibition poor self-esteem hypersensitive to criticism |
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Dependent personality
excessive ned to be taken care of cling to other people |
Obsessive-compulsive
obsessions dealing with cocntrol hightly orderly indulge in compulsive behavior checking stove/door 100's of times worry about germs |
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why do personality disorders develop
far from clear but genetic component develop at yougn age to cope with stressful environment |
Anxiety disorders
fear and physiological symptoms without any rational explanation AXIS I |
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Agoraphobia
intense fear of leaving one's safe placce and/or being any place where escape would be impossible or difficult |
Panic/Anxiety attacks
intense periods of fear and body symptoms can come out of the blue or in reponse to minor perceived threat |
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Generalized anxiety
persistent state of worry GAD constantly feeling worried/nervous |
Somatoform
group of disorders body dysmorphic disorder or hypochondriasis physical complaints no medical explanation psychologiccal factors involved |
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Factitious disorders
feigning or acctual inducction of illness in themselves gather sympathy support extreme cases Muncchausen syndrome by proxy |
Dissociative disorders
severe childhood abuse/trauma defense mechanism dealing with abusive situation mainly in memory theen dissociative amnesia or fugue results important events cannot be reccalled result from rape/war dissociative fugure diagnosed when loss of meemory and person moves to different locccation assumes whole new identity used to be multiple personality disorder |
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eating disorders
anorexia nervosa bulimia nervosa anorexia extreme control of food and undereating severe weight loss/illness bulimia eating large amounts of food inducing vomiting laxatives distorted body image |
sleep disorders
sub-types primary sleep disorders dyssominias parasomnias |
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dysssomnias disturbances in quality amount timing of sleep
Parasomnias disturbances in ;hysiological behavioral aspects occuring during sleep stages or asleep-wake transitional period |
narcoplepy
attacks of sudden uncontrollable brief deep sleep may have paralysis/hallucinations |
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sleep apnea
stop breathing wake up many times during night do not fully wake don't realize they have slee apnea sometimes need continuous positive airway pressure machine mask connected to machine blow air down throat |
Impulse control disorder
intermittent explosive disorder not being able to resist violent urges |
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kleptomania urge to steal
pyromania setting fires for pleasure pathological gambling trichotillomania pullout one's own hair gratification/reduciton in tension/stress |
Adjustment disorder
emotional/behavioral symptoms occur specific stressful event or situation job loss/divorce/seperation are excessive impair social or occupational functioning/relationships |
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Schizophrenia
group of psychotic disorders withdrawal from reality illogical patterns of thinking |
delusions hallucinations accompanied varying degrees emotional behavioral intellectual problems chemical imbalace of dopamine in brain problems in frontal lobe thought to be caused by genetic biological psychosocial factors
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PSYCHIATRIC ASSESSMENT/DIAGNOSIS
DSM IV-R diagnostic tool also other methods diagnose mental health problems |
Aptitude tests***
focus on determining individuals potential not what they currently know |
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Achievement tests***
educational systems determine level of student achievement |
Personality tests***
widely used Minnesota Multiphasic Personality Inventory MMPI Rorschach Thematic Apperception tests |
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Intelligence tests***
measure intelligence Stanfor-Binet Wechsler Adult Intelligence scale |
Interest inventories***
used in career centers assess potential career interests |
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MENTAL HEALTH THERAPIES
also electro-convulsive therapy ECT medications drug therapy |
Cognitive*** Behavior
psychotherapeutic approach alter distorted inappropriate attitudes and problem behaviors first identifying then replacing negative and/or inaccurate thoughts changing rewards for behaviors |
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Affective*** approaches
humanistic approaches to therapy variety different affective approaches holistic approach to treatment characterized by therapist helping client self-growth |
Pssychoanalytic theory***
different types psychoanalytic theories deal with going bacck to childhood healing wounds of past talk based therapy |
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LAB TESTS
psychiatrists order lab tests to check threapeutic levels of meds in patient |
therapeutic drug tests are
Lithium Valproic Acid carbamazepine |
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drug screenings for illicit drug use in patients
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TSH tests may be used to check for hyper or hypoactive thyroid conditions
urinalysis used to check Lithium levels |
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possible for patient to get Lithium poisoning if level not checked
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possible/not cocmmon psychiatrist to check B12/Folate levels determine delirium dementia present
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Adapin *******doxepin
Anafranil clomipramind Asendin amoxapine Aventyl nortriptyline |
Desyrel ********trazodone
Effexor venlafaxine Elavil amitriptyline Ludiomil maprotiline |
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Norpramin ****** desipramine
Pamelor nortriptyline Pertofrane desipramine Remeron mirtazapine |
Serzone *****nefazodone
Sinequan doxepin Surmontil trimipramine Tofranil imipramine |
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Vivactil ****protriptyline
Wellbutrin bupropion Xanax alprazolam |
Luvox SSRI fluvoxamine****
Prozac SSRI fluxetine Paxil SSRI paroxetine Zoloft SSRI sertraline SELECTIVE SEROTONIN (BRAIN CHEMICAL) REUPTAKE INHIBITOR |
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Marplan MAOI isocarboxazid
Nardil MAOI phenelzine Parnate MAOI tranylcypromine ***** |
MAOI= monoamine(brain chemical) oxidase inhibitor
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EMOTIONAL DEFENSE MECHANISMS
used as coping strategies for DEALING WITH STRESS OR INTERNAL CONFLICT BY... |
acting out****
dealing with conflict or stress by actions rather than reflection or feelings |
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altruism
internal conflict by meeting needs of others receives relief from stress through reaction of person they are assisting |
denial
denying reality surrounding problems |
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dissociation
breakdown in functions of memory consciousness and perception of self and environment |
displacement
transferring feeling about object or person onto another (mad at boss hit wife) |
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projection***
falsely attributing their own thought or feelings onto another |
rationalization****
concealing their own motivations through elaborate explanations |
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regression****
regressing back to when person feelt safe maybe 10-12 years |
repression*****
refusing to think about any type of disturbing thoughts or experiences completely casting them out of conscious awareness |
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sublimation****
channeling inappropriate feelings or impulses into socially acceptable behaviors angry=hit pillow |
suppression****
simply refusing to think about it |
