Mental Health Test Two

Front 1

Cure

Back 1

usually applies to symptoms, fix that which is broken

Front 2

Recovery

Back 2

applies to the entire person (thinking, attitudes, physical, eotional, spiritual, social, lifestyle, intimate relationships)

Front 3

Phases of the recovery journey

Back 3

1. Overwhelmed by the disability
2. Struggling with the disability
3. Living with the disability
4. Living beyond the disability

Front 4

WRAP

Back 4

Wellness Recovery Action Plan

Front 5

DA

Back 5

Dopamine: neurotransmitter that transmits pleasure signals, may be a factor in craving and addiction

Front 6

Addictive personality:

Back 6

Need to feel self worth, need for control, need for intimate contact, need to accomplish something, need to eliminate pain

Front 7

Substance abuse

Back 7

Recurrent use that affects work, home, or school...leads to risk behaviors while intoxicated

Front 8

Substance dependance

Back 8

Can no longer be controlled and continues despite negative effects, develops tolerance and withdrawal

Front 9

Mechanism of ETOH

Back 9

Increases GABA and decreases Glutamate

Front 10

Wernike's encephalopathy

Back 10

caused by chronic thiamine deficiency due to alcohol results in lack of coordination, abnormal eye movements, and periods of confusion

Front 11

Korsakoff's syndrome

Back 11

Psychosis that results in loss of long-term memory or inability to retain new information

Front 12

Alcoholic dementia

Back 12

impaired abstract thinking, poor judgement, personality changes, and memory loss

Front 13

Management of ETOH withdrawal

Back 13

Main goal is prevent delirium, benzos are med of choice, dosage determined by symptoms, neuroleptics may be used if delirium ensues, thiamine given in high doses to decrease the rebound effect of CNS as it adapts to no ETOH, encourage fluids and lytes

Front 14

Antabuse

Back 14

Disulfiram; takes 14 days to clear the body after discontinuation

Front 15

Maltrexone

Back 15

approved as tx for opiod abuse as well as etoh, targets alcohol's effects on the brain

Front 16

Opiate detox

Back 16

Buprenex and Catapres used together, methadone sometimes used, ibuprofen for aces, hydroxyzine for anxiety, bentyl for abdominal cramps, antacids

Front 17

anxiety

Back 17

An uncomfortable feeling of apprehension or dread that occurs in response to internal or external stimuli and can result in physical, emotional, cognitive, and behavioral symptoms

Front 18

Examples of anxiety disorders:

Back 18

Panic disorder c and s agoraphobia, GAD, OCD, Phonias, social anxiety d/o, PTSD, dissociative d/o

Front 19

Neurobiology

Back 19

Response is hard-wired, doesn't change, triggers can be learned/conditioned

Front 20

NE and anxiety

Back 20

Implicated in panic disorder b/c of its effect on the brain which result in the cardiovascular, respiratory, and GI symptomes seen in a panic attack

Front 21

5-HT

Back 21

Mechanism unknown, drugs that facilitate serotonin transmission relieve symptoms of panic attacks, may regulate NE

Front 22

GABA

Back 22

decreased in those w/ GAD, benxodiazepine antagonist triggers panic attacks in panic d/o but not normal control pts, meds that increase GABA are anxiolytic

Front 23

Panic d/o diagnostic criteria

Back 23

Persistent, intense fear, at least four physical or psychological symptoms of anxiety, recurrent and unexpected attacks followed by one month or more of consistent concern about having another attack, worrying about consequences of another attack, or changed behavior out of fear

Front 24

GAD

Back 24

excessive worry and anxiety about several issues, occurs more days than not for at least six months, little or no control over anxious behavior, no other d/o, significant impairement at work, home, school, no substance or medical causation

Front 25

SSRI for tx anxiety

Back 25

Pros: minimal s/e, safer, more effective over long period, less lethal in OD
Cons: takes 4-6 wks to work, sexual s/e, initial increase in anxiety is possible

Front 26

Benzodiazapines

Back 26

Pros: rapid alleviation, well-tolerated, useful as PRN, reduces SSRI induced anxiety
Cons: sedation w/ psychomotor and cognitive impairment, potential for abuse and OD, not effective for comorbid depression

Front 27

Tiagabine-Gabatril

Back 27

Anticonvulsant, off-label use for anxiety, GABA reuptake inhibitor, no derect activity on GABA receptors

Front 28

Dissociative d/o

Back 28

Disruptions in the integration of memory, consciousness, and identity, person loses a conscious awareness of behavior, affect, thoughts, and memories, and experiences an alteration in personality, alteration in identity occurs

Front 29

Dissociative identity d/o

Back 29

AKA Multiple personality d/o, dx is given when at least two personalities coexist in the same person, hx of childhood abuse, sever, sadistic. Usually triggered as a response to current trauma or abuse, dissociation and repression are used to manage overwhelming emotions, the only way to survive th etrauma is to push it from conscious awareness through self-hypnosis

Front 30

Tx of dissociative identity d/o

Back 30

Combination of psychopharmacology and psychotherapy most effective, antidepressant and anxiolytics useful b/c d/o is comorbid w/ a number of other d/o such as anxiety and depression

Front 31

Diagnostic criteria for personality d/o

Back 31

based on manifestation of abnormal, inflexible behavior patterns of long duration, traced to adolescence or early adulthood, pervasive across wide range of personal and social situations, cause significant impairment to social or occupation, deviate markedly from norms in 2+ areas: cognition, affectivity, interpersonal functioning, impulse control

Front 32

General symptoms of personality d/o

Back 32

Difficulty getting along w/ others, irritable, demanding, hostile, fearful, or manipulative, deviate mardedly from society's expectations and are consistent over time, affects thought, emotion, relationships, and impulse control,

Front 33

Cluster A

Back 33

paraniod personality d/o, schiziod personality d/o, schizotypal personality d/o, distrust and suspiciousness in which other's motives interpreted as malevolent, social inhibition, acute disconfort in close relationships

Front 34

Etiology of personality d/o

Back 34

Unclear, but in all three there is some evidence of dysfunction in lymbic, reticular, or sympathetic/parasympathetic areas of the brain

Front 35

Paraniod personality d/o

Back 35

Suspicious w/o sufficient basis, preoccupied w/ doubts of friends, reluctant to confide b/o of fear, misinterprets remarks or events, unforgiving of insults or injuries, preceives attacks not apparent to others and reacts w/ quick anger

Front 36

Schiziod personality: asocial

Back 36

Neither desires nor enjoys close relatioshops, chooses activities that don't involve others, little interest in sexual relations, enjoys few activities, lacks close friendships outside of family, indifferent to praise or criticism, emotionally cold, detached

Front 37

Schiotypal personality: eccentric

Back 37

Ideas of reference, odd beliefs inconsistent w/ norms that influence behavior, unusual perceptual experiences, odd thinking and speech, excessively suspicious thinking, inappropriate and/or constricted emotions, lack of friends or confidantes, social anxiety even in familiar situations

Front 38

Cluster B

Back 38

Over-emotional, dramatic, impulsive. Borderline personality d/o, antisocial personality, instability in interpersonal relationshops, self-image, and affects and marked impulsivity

Front 39

Borderline personality: unstable

Back 39

Frantic efforts to avoid abandonment, intense and unstable relationships, identity disturbance, sudden and dramatic shifts in self-image, suicidal/self-abusive behavior, sudden mood changes, chronic feelings of emptiness and boredom, intense anger w/ less control, stress-related psychosis

Front 40

Borderline personality: splitting

Back 40

exaggerated response, all or nothing, projective identification, testing and manipulation, approach avoidance conflict, need-fear dilemma,

Front 41

Dialectical Behavior therapy

Back 41

DBT: most effective, combines numerous cognitive and behavior therapy strategies, focus on interconnected behaviors, pts actively participate in goal setting, skill building,

Front 42

Antisocial personality: aggrandizing

Back 42

repeated criminal acts, episodes of deceitful behavior, impulsiveness or failure to plan, irritability and or aggressiveness, lack of remorse and consistent indifference

Front 43

Cluster B types:

Back 43

Histrionic and narcissistic personality d/o

Front 44

Histrionic personality:gregarious

Back 44

discomfort unless center of attention, freq. inappropriate seductive or provocative behavior, reapid shifts and shallow expresion of emotions, draws attention to self w/ physical appearance, overly dramatic speech, easily influenced by others or circumstances, inaccurate perception of intimacy in relationships

Front 45

Narcissitic personality d/o

Back 45

inflated sense of self-importance, overly concerned w/ fantasies of success, power, brilliance, beauty, beleives in own specialness, requires excessive admiration, unreasonable sense of entitlement, lacks empathy, often jealous of others, arrogan

Front 46

Cluster C d/o

Back 46

Dependent personality d/o, avoidant personality, O-C personality, submissive and clinging behavior r/t an excessive need to be taken care of

Front 47

Avoidant personality

Back 47

Avoids work-related activities that involve social contact, unwilling to get involved unless sure to be liked, excessive shyness in intimate relationshops

Front 48

Dependant personality

Back 48

difficulty making decisions w/o help, avoids responsibiilty for major life areas, difficulty starting projects, seeks approval, helpless wwhen alone, seeks support when relationship ends,

Front 49

Obsessive compulsive personality

Back 49

overly concerned w/ details, loses focus, unable to complete tasks, excessive emphasis on work, overly conscientious about morals, ethics and values, reluctant to delegate tasks