CH 12 Psychosocial Complications

Question 1

What is a dual diagnosis?

Answer 1

the relationship of a set of symptoms including behaviors which are or resemble symptoms of a known psychiatric disorder

Question 2

How do psych problems create barriers to rehabilitation?

Answer 2

inhibit access to full physical rehab
result in early d/c and decrease access to resources
difficulty in re-entering community and independence
*may occur near end of formal rehab and interfere with above

Question 3

In addition to the effects of brain injury to the brain, what are 4 factors that play a role in determining the duration of symptoms?

Answer 3

genetic bias
stressors r/t living with a disability
psychological resiliance
quality of support network

Question 4

What are 4 factors to consider and monitor for post-injury development of a psychiatric disorder

Answer 4

neuropsych effects of the injury
psychological vulnerability
self-awareness of deficits
social influences

Question 5

Why is monitoring and f/u so important for mTBI?

Answer 5

early symptoms are often masked 2/2 injury itself and not psychiatric

Question 6

What are 4 areas of the brain associated with depression post injury?

Answer 6

lateral and medial frontal lobe
hippocampus
pre-frontal cortex
amygdala and basal ganglia

disturbances in serotonin, glutamate and dopamine

Question 7

lateralization of depression and/or anxiety

Answer 7

R hemi anxiety + depression
L hemi depression alone usually

Question 8

list 6 symptoms of a major depressive episode

Answer 8

annedonia-loss of interest
depressed mood
change in appetite
weight loss or gain
decreased energy
feelings of worthlessness
suicidal ideations

Question 9

List 3 factors contributing to the development of post-traumatic stress disorders after brain injury

Answer 9

pre-morbid anxiety
psychosocial adversity
early post-TBI depressive symptoms

Question 10

List 4 changes in personality often reported in organic personality disorder

Answer 10

apathy
affective/lability
uncontrolled emotion
aggression

Question 11

What are contexts of social and environmental stressors that can contribute to mental health problems?

Answer 11

social roles
lost work opportunities
economic hardship
difficulty sustaining independence
different ability to tolerate stress and psychological resiliency

Question 12

List 4 ongoing supports that individuals with co-occurring brain injury and psychiatric illness will need to avoid crisis

Answer 12

connect them with trained physician for med mgmt
Community based mental health pro with tbi training
Address long term needs to avoid social withdrawal
Provide support to caregivers and family/friends