Mental Health General

Question 1

What is taken into account when using the biopscychosocial approach?

Answer 1

Biological
Psychological
Social (role, family, purpose)

Question 2

What are the principles of recovery?

Answer 2

• Strengths based approach
• Empowerment
• Enriching quality of life
• Person finds their way
• Facilitating to make sense of distress and how and why it occurred
• Whole life and whole person

Question 3

What is the MHC definition of recovery?

Answer 3

To live well in the experience of illness or distress

Question 4

What are the health patterns that should also be assessed within mental health?

Answer 4

• Self care
• Nutrition
• Elimination
• Activity
• Sleep
• Values and beliefs.
• Cognitive and perceptual changes.
• Self perception/self concept.
• Roles and relationships.
• Sexuality.
• Coping and stress management.

Remember not to look just for health deficits – areas of coping and strengths need to also be identified.

Question 5

Give four key assessment questions when talking with a person with mental health issues?

Answer 5

“What is the person’s concern or problem?”

“To what extent does it distress the person?”

“To what extent does it interfere and in what way, with everyday living?”

“To what extent is the person able to exercise any kind of control over the situation?”

Question 6

What is solution focused therapy?

Answer 6

A goal-directed approach to psychotherapeutic change.

• Identify strengths, past experiences to work towards resolution
• Associating feelings with memories
• Creating anchoring to reframe contradictory states
• Managing emotions
• Seeing yourself as successful
• Affirming yourself through positive self talk
• Assuming posture and breathing
• Using a stimulus associated with the desired state (reframing the view)

Question 7

What are the various axis od DSM V?

Answer 7

Axis I - mental disorder
Axis II - personality/developmental issues
Axis III - physical/medical conditions of note
Axis IV - psychosocial issues
GAF - Global assessment of functioning 0-10 90-100

Question 8

What is a differential diagnosis?

Answer 8

Possible other causes for the persons condition

Question 9

Define rumination?

Answer 9

Rumination:

Repetitive and increasingly intrusive negative thoughts and ideas that can eventually interfere with other thought processes.

Question 10

Define resilience?

Answer 10

Resilience:

A person’s innate ability to achieve good outcomes in spite of adversity, serious threats and risks.

Question 11

Define psychosis?

Answer 11

Psychosis:

A condition in which a person has impaired cognition, emotional, social and communicative responses and interpretation of reality.

Question 12

Define incongruent affect?

Answer 12

Incongruent affect:

A mismatch between a person’s thoughts and their emotional expression in a given situation.

Question 13

Define Ideas of reference?

Answer 13

Ideas of reference:

belief that an insignificant or incidental object or event has special significance or meaning for that person.

Question 14

Define hypomania?

Answer 14

Hypomania:

a form of elevated mood that is less severe than mania.

Question 15

Define hypochondriasis?

Answer 15

Hypochondriasis:

a disorder in which the person is intensely preoccupied with their bodily functions and can report any of a wide range of symptoms. The person focuses on what the symptoms might signify and can misinterpret ordinary bodily functions as symptoms of a serious physical illness.

Question 16

Define hallucination?

Answer 16

Hallucination:

a sensory perception/experience that occurs without external/environmental stimuli. Types of hallucinations include visual, olfactory, tactile, auditory, somatic and gustatory.

Question 17

Define fugue?

Answer 17

Fugue: in a long-term dissociative state, the person is unable to remember the past and may also be confused about their identity and unable to remember their name or their occupation.

Question 18

Define form of thought?

Answer 18

Form of thought:

the amount and rate of production of thought, continuity of ideas and language. Disturbances in form of thought include circumstantiality, clanging, derailment (loosening of associations), distractible speech, echolalia, flight of ideas, illogicality, incoherence, irrelevance, neologisms, perseveration, tangentiality, thought blocking, thought disorder and word approximations. For descriptions of each, see individual entries in this glossary. citation for accuracy before use.

Question 19

Define flight of ideas?

Answer 19

Flight of ideas:

a disturbance in form of thought in which the person’s ideas are too rapid for them to express, and so their speech is fragmented and incoherent

Question 20

Define ego dystonic?

Answer 20

Ego dystonic:

when a person’s symptoms are experienced as distressing to themselves.

Question 21

Define disassociation?

Answer 21

Dissociation:

being focused on one’s own internal thoughts, and being unaware of the external environment (e.g. daydreaming is considered a mild form of dissociation).

Question 22

Define delusion

Answer 22

Delusion:

a false, fixed belief that is inconsistent with one’s social, cultural and religious beliefs and that cannot be logically reasoned with.

Question 23

Define clanging?

Answer 23

Clanging:

a disturbance in form of thought in which words are chosen for their sounds rather than their meanings; includes puns and rhymes.

Question 24

Define catatonia?

Answer 24

Catatonia:

a severe and debilitating condition with disorganisation of motor behaviour and inability to relate to external stimuli; one of the subtypes of schizophrenia.

Question 25

Define bipolar disorder:

Answer 25

Bipolar disorder:

a diagnosis outlined in DSM-5 when a person has previously experienced at least one manic episode and a depressive episode.

Question 26

Define avolition?

Answer 26

Avolition:

loss of motivation, resulting in impairment in goal-directed activities.

Question 27

Define anticholinergic?

Answer 27

Anticholinergic:

side effects of traditional antipsychotic medication, including dry mouth, blurred vision, orthostatic hypotension, tachycardia, urinary retention and nasal congestion.

Question 28

Define anhedonia?

Answer 28

Anhedonia:

loss of the feelings of pleasure previously associated with favoured activities.

Question 29

Define agranulocytosis?

Answer 29

Agranulocytosis:

a blood disorder characterised by severe depletion of white blood cells, rendering the body almost defenceless against infection.

Question 30

Define affect?

Answer 30

Affect:

the observable behaviours associated with changes in a person’s mood, such as crying and looking dejected.