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Mental Health Evaluation
Dr. Skaer's Pharmacotherapy Material
24
Other
Professional
04/09/2012

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Cards

Term
Axis I
Definition
Principal Mental ILlness (e.g. schizophrenia), developmental disorders or provisional diagnoses present in patient
Term
Axis II
Definition
mental retardation and personality disorders (eg antisocial, borderline)
Term
Axis III
Definition
exiting physical disorders or conditions (e.g. diabetes, hypertension, chronic back pain)
Term
Mania
Definition
Faster thoughts than you can say them, change in amount of sleep, spent a lot of money lately, extra energy
Term
Depression
Definition
Cry without reason, guilty feelings, change in weight, change of interest in hobbies/activities, change in energy level
Term
Suicidal Potential
Definition
Feel life isn't worth living, think about hurting yourself, seeing no improvement in the future, any plans/ideas how to hurt yourself
Term
Schizophrenia Delusions
Definition
People plot against you, feel watched or spied upon, feel you have special abilities, feel people mess with or bother you, feel others read your thoughts
Term
Schizophrenia Hallucinations
Definition
Think TV/radio tells you to do things, you hear voices, voices tell you to hurt yourself or others, see strange things you cannot explain
Term
Schizophrenia thought broadcasting
Definition
Head acts as a radio, people stranding next to you can hear your thoughts
Term
Delusions
Definition
fixed, false beliefs that are not based in reality or consistent with the patient's religion or culture. Delusions can be paranoid, somatic, or grandiose.
Term
Thought broadcasting
Definition
ones thoughts are audible to others
Term
Illusions
Definition
Visual misperceptions involving a misinterpretation of a real sensory stimulus
Term
Obsessions
Definition
unwanted thoughts or ideas that intrude into a persons thinking
Term
Compusions
Definition
Actions performed in response to the obsessions or to control anxiety associated with the obsession
Term
Insight
Definition
awareness that he or she has a mental illness and the consequences of that illness in their life.
Term
Judgment
Definition
ability to make decisions appropriate to the situation and can be impaired in a variety of mental illnesses; assessed by asking how they would handle a situation hypothetically
Term
Diagnostic Testing for those on atypical antipsychotics:
Definition
Metabolic disturbances (wt, waist, hip size, BP, lipid panel, glucose)
Term
Diagnostic Testing to evaluate seizures or neurologic conditions
Definition
EEG
Term
Diagnostic Testing to detect structural abnormalities
Definition
CT scan or MRI
Term
Diagnostic Testing to rule out medical causes and medication monitoring
Definition
General Laboratory screening
Term
Diagnostic testing to detect autoimmune disorders
Definition
ESR and antinuclear antibodies
Term
Diagnostic testing for lithium patients
Definition
PG test, electrolytes, renal function, ECG, thyroid panel prior to initiation of therapy
Term
Diagnostic testing for TCA patients
Definition
ECG
Term
Mini-mental exam (MME)
Definition
Structured interview that globally assesses many cognitive domains including orientation, visual-spatial organization, memory, and reasoning to determine an overall score of cognitive function. Maximum score is 30, a score of 23 or less is indicative of cognitive impairment. Only takes 5-10 minutes to administer
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