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mental health1
N/A
31
Nursing
Undergraduate 4
04/06/2013

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Term
Mild Anxiety
Definition
able to learn
helps you stay focused
Term
Moderate Anxiety
Definition
physical s/s
decreased perception
unable to learn at this level
Term
Severe Anxiety
Definition
problematic physical s/s
decreased concentration
apprehension
ritualistic
Term
Panic (anxiety)
Definition
terror
no concentration
decreased breathing
increased pulse
fear, suicidal
tunnel vision
feel like they're dying
Term
Coping
Definition
adaptive and problem solving with little anxiety
palliative anxiety transient with relief for problem solving
maladapative: constant/little problem solving
Dysfunctional: anxiety constant with terrible effects on functioning/new problems developing
Term
Causes of Anxiety: Biological
Definition
Genetic: 5Ht/limbic system/40-50% in family members
NT: decreased 5Ht/decreased GABA/increased NE
Oxygen: decrease in brain increase CV response/panic
Term
Panic Attacks
Definition
increased P/BP/R
chest pain
SOB
go to ER thinking they are dying
--15% of people have a panic attack at least one time in their life
panic disorder 3.5%
Term
Agoraphobia
Definition
situation is difficult to escape from embarrassing to escape from/no help available
Mild to severe/leads to retreating to ones’ home
Term
Panic disorder with Agoraphobia
Definition
apprehension
terror without clear precipitant
depression can occur
Term
Phobias
Definition
persistent irrational fear to object, activity, situation leading to avoidance
Patient knows it is irrational
-usually limited impairment
-outward behavior of inward conflict
Term
TX of phobias
Definition
classic conditioning (frightening w/neaural stimuli)
self help groups, social skills training, supportive treatment
Behavioral treatment
Term
Social phobias
Definition
Anticipatory negative thoughts before an event fear of being exposed to scrutiny/humiliation/embarrassment
Specific: choking in restaurant General: say foolish things
Term
Obsessive Compulsive Disorder (OCD)
Definition
Obsessions: repetitive thoughts/images that lead to anxiety:
themes: losing things/blasphemy/fear of disease/contamination/sex/aggression
Compulsions: ritualistic behaviors:counting/washing/checking/hoarding
Time consuming, feel shame & distress
Term
TX of OCD
Definition
Cognitive behavioral therapy: exposure with response delay/gradual extinction/thought stopping
Semantic satiation: write a few words of the obsession than rewrite or say aloud a lot until fear decreases
Term
Generalized Anxiety Disorder
Definition
5%/generalized anxiety disorder/6 months most days have anxiety/usually co-occurs with depression/alcoholism
feel inadequate in relationships, job, finances: worries about everything
Leads to sleep problems, fatigue, decreased concentration, irritability
Term
Post Traumatic Stress Disorder
Definition
intrusive/re-experiencing of trauma
repeated re-experiencing of highly traumatic events that involves actual or threatened death or serious injury to self/others.
--If a person has resilience: fewer s/s: connects with others/attempts to cope/internal locus of control
--If the person dissociates at time of event leads to increased s/s
Term
Therapy of PTSD
Definition
desensitization
--Stress management: cognitive restructuring to increase coping
--Expressive treatment: translate memories into meaningful symbols and verbal representations to be integrated
--Eye movement desensitization and reprocessing being researched: uses a patient's own rapid, rhythmic eye movements. These eye movements dampen the power of emotionally charged memories of past traumatic events
Term
Medications for PTSD
Definition
SSRI’s but not great with combat PTSD
Minipress: alpha antagonist: combat PTSD
Avoid MAOI’s/BZ if alcohol issue
Term
Acute stress disorder
Definition
resolves in 4 weeks, feels detached/ brought on by an acute issue
Term
Dissociative Disorders
Definition
response to intense stressors
Fails to integrate identity, memory and consciousness
--NO physical trauma
Term
Dissociative Amnesia
Definition
can't recall important but stressful content
Term
Dissociative fugue
Definition
travel & inability to remember past/takes on a new identity
Term
Depersonalization disorder
Definition
detached from onself
Term
Dissociative personality disorder
Definition
MPD: multiple personality disorder
Term
Medications for Dissociative disorders
Definition
SSRIs
Hypnotherapy
Uncover Triggers
Reintegration
Term
Somatoform Disorders
Definition
suffers from physical s/s
-multiple complaints of physical issues that are not intentional or fake
pain, GI issues, sexual issues, decreased coordination, balance, paralysis, weakness, "lump in throat"
Term
Conversion Disorders
Definition
emotional issues expressed via physical symptoms
Term
Pain Disorder
Definition
severe pain leading to seeking tx
TX: SSRIs, nonpharmicological pain management, determine stressors
Term
Hypochondriasis
Definition
misinterprets bodily sensations that cause them to fear a serious illness despite negative results
Term
Body Dysmorphic Disorder
Definition
focus of a certain body part
--disturbed body image
SSRIs and CBT
Term
Munchausen's Syndrome (be proxy)
Definition
patient deliberately produces signs of physical or mental issue and misrepresents their issue so that they can be in the patient role (or their child can be).
--Seizure disorder, wound healing, fever, etc.
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