Mental health Flashcards

(76 cards)

1
Q

Generalized anxiety disorder

A
  • GAD
  • persistent feeling of anxiety or dread that can interfere with daily life
  • restlessness, easily fatigued, difficulty concentrating
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2
Q

Panic disorder

A
  • frequent and unexpected attacks
  • usually some type of trigger
  • can develop aversion to what triggered it
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3
Q

Social anxiety disorder

A

fear of being watched or judged by others

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4
Q

Phobias:

A
  • intense fear or aversion to specific objects or situation
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5
Q

Agoraphobia

A
  • 2 or more needed
  • public transport
  • confined spaces
  • open spaces
  • standing in line or crowd
  • being outside of home alone
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6
Q

separation anxiety

A
  • fear of being away from people they are close to
  • can be problematic with kids
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7
Q

selective mutism

A
  • fail to speak in specific social situations despite normal language skills
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8
Q

Anxiety disorder risk factors

A
  • genetic
  • environment
  • idopathic
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9
Q

Anxiety disorders treatment

A
  • psychotherapy
  • medications
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10
Q

Psychotherapy as a treatment for anxiety disorders

A
  • typically talking/working with a therapist
  • cognitive behavioral therapy
  • acceptance and commitment therapy: give your brain another way of interpreting things
  • support groups
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11
Q

Medications for anxiety disorders

A
  • antidepressants: prozac, Paxil, lexapro, Zoloft
  • anti-anxiety: SSRIs, benzodiazepines, buspirone
  • beta blockers
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12
Q

PT considerations with anxiety disorders

A
  • side effect of the medications
  • be aware of possible triggers
  • discuss strategies for coping with patient
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13
Q

Autism spectrum disorder: overview

A
  • neurological and developmental disorder
  • affects how people interact with others communicate, learn, and behave
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14
Q

Autism spectrum disorder: signs and symptoms

A
  • Little or inconsistent eye contact
  • lack of interest or sharing (flat responses)
  • no response or slow response to ones name or attempts to get attention
  • fascial expressions may not match emotions or situation
  • socially awkwardness
  • repetitive behaviors
  • strengths-auditory learning, remembering details, excelling in an area, math, science, muscic or art
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15
Q

Autism spectrum disorder: diagnosis

A
  • children- developmental screening during wellness visits
  • more thorough screening: neurological, cognitive abilities, language abilities, age, appropriate skills
  • blood tests, hearing tests
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16
Q

Autism spectrum disorder: treatment

A
  • based on specific needs
  • medications
  • behavioral psychology and educational interventions
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17
Q

PT considerations with Autism spectrum disorder:

A
  • be cognizant of possible communication and behavioral concerns
  • may see in early intervention pediatric clinics for specific strategies related to learning
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18
Q

Borderline personality disorder

A

severely impacts ability to manage emotions

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19
Q

Borderline personality disorder: risk factors

A
  • genetic
  • environmental
  • social factors
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20
Q

Borderline personality disorder: signs and symptoms

A
  • intense mood swings
  • impulsivity
  • distorted self-image
  • unstable relationships
  • self-harming or suicidal behaviors or threats
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21
Q

Borderline personality disorder: diagnosis

A
  • usually late adolescence or early adulthood
  • psychiatrist, psychologist, social worker
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22
Q

Borderline personality disorder: treatment

A
  • psychotherapy: dialectical behavioral therapy (talk more specifically about what is going on) or cognitive behavioral therapy
  • Medications
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23
Q

Borderline personality disorder: PT considerations

A
  • watch for signs or self-harm or talk of suicide or hurting others
  • may ask about CBT or DBT strategies
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24
Q

Post Traumatic Stress disorder

A
  • may develop after experiencing a shocking, scary or dangerous event usually within 3 months following an event
  • can happen at any age
  • 6/100 people experience this at some point
  • Women>men
  • may recover in 6 months to a year or longer
  • may not realize what caused it at first
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25
Post Traumatic Stress disorder: diagnosis
**all of the following for at least one month** - 1 re-experiencing symptom - 1 avoidance symptom - 2 arousal and reactivity symptoms - 2 cognition and mood symptoms (focusing thinking etc)
26
Post Traumatic Stress disorder signs and symptoms | Childrenunder 6 and then teens
**Children younger than 6** - bed wetting - forgetting how to talk - acting scary - unusually clingy **teenagers** - disruptive - disrespectful - destructive - feelings of guilt - thoughs of revenge
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Post Traumatic Stress disorder: treatment
- psychotherapy: exposure therapy, cognition restructuring - medications: selective serotonin reuptake inhibitors, antidepressants - support groups: work really well if they are willing to talk
28
Post Traumatic Stress disorder: PT considerations
- be ware of effects of medications, with for changes in behaviors and listen for expressions of self-harm, suicide or threats to others
29
Depression
- can affect all ages, races, ethnicities, and genders - more common in women, LGBTQIA community, elderly, after life changing event or trauma
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Diagnosis of depression
- symptoms lasting at least 2 weeks that interfere with daily activities sleeping, eating, working
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Persistent depressive disorders
- less severe symptoms - longer duration (at least 2 years
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Perinatal depression
- occurs during or after pregnancy
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seasonal affective disorder
- comes and goes with seasons/time change
34
depression with symptoms of psychosis
- severe form of depression with delusions (disturbing, false beliefs) or hallucinations (hearing or seeing things other do not)
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depression symptoms
- sad - anxious - empty - hopelessness - loss of interest or withdrawal - restlessness or irritability - difficulty sleeping or oversleeping - change in appetite or unplanned weight - physical aches, pains - thought of death or suicide
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Depression treatment
- psychotherapy - brain stimulation - medications: antidepressants (do not stop taking without talking to healthcare provider) - support groups
37
PT considerations for depression
- exercise helps - watch for reaction to medications - self harming - suicide threats or threats to others
38
Bipolar disorder
- characterized bye unusually shifts in a person's mood, energy level - activity level and concentration - often diagnosed in late adolescence or early adulthood
39
Types of bipolar disorder
- bipolar 1 disorder - bipolar 2 disorder - cyclothymic disorder
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Bipolar 1 disorder
- manic episodes last 7 days - may be severe requiring immediate hospitalization - depressive episodes 2 week s
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Bipolar 2 disorder
- pattern of depressive episodes and hypomanic episodes
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Cyclothymic disorder
- recurring hypomanic and depressive symptoms - not as intense or do not last long enough to fit other categories
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Symptoms of bipolar disorder
- manic - depressive episodes
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Manic episodes with bipolar
- felling very up, high, elated or extremely irritable or touchy, - decreased need for sleep, talking fast, racing thoughts, feeling able t do many things without getting tired, - excessive appetite for food, drinking, sec or other - feeling unusually important talented or powerful
45
Depressive episodes with bipolar
- feeling down, sad, or anxious - trouble falling asleep or waking up too early - sleeping too much - talking very slowly - difficulty finding things to say or forgetfulness - trouble concentrating or making decisions - lack of interest feeling hopeless, worthless, thought of death or suicide
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Diagnosis of bipolar disorder
- history - rule out other possible causes - brain structure - genetics may play a role
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Bipolar disorders treatment
1. Medications: - mood stabilizers: lithium, valproate, depakote - antipsychotics: risperidone, diazepine, aripirazole - antidepressants: prozac, Paxil, lexpro, Zoloft 2. Psychotherapy: - cognitive behavioral therapy - interpersonal and social rhythm therapy - family-focused therapy 3. brain stimulation
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PT considerations: Bipolar disorders
- Medication side effects - recognizing changes - watching for signs of depression, suicide
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Schizophrenia
- effects how a person thinks, feels, and behaves - usually diagnosed between ages of 16 and 30
50
Risk factors: schizophrenia
- genetics - environment - brain structure - function
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Schizophrenia: Symptoms
- psychotic symptoms: hallucinations, delusions, thought disorder, movement disorder - negative symptoms: trouble planning activities, avoiding social interaction or awkward social interaction - cognitive symptoms: problems in attention, concentration and memory
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Schizophrenia; treatment
- psychotherapy: CBT - education and support - coordinated specialty care program - assertive community treatment - medications: antipsychotic medications: clozapine, aldol
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PT considerations for schizophrenia
- medication side effects - recognizing changes - watch for signs of depression, suicidee
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Eating disorders
- not a lifestyle choice - can frequently appear in teen or young adult years - genetic, biological, behavioral, psychological and social links
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Anorexia nervosa
- severely restrict food - altered sense of self-image
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Restrictive Anorexia nervosa
- limit amount and type of food
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Binge-purge Anorexia nervosa
- eat large quantities then purge or use laxatives or diuretics
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Anorexia nervosa symptoms
- emaciation - fear of gaining weight - deny seriousness of low body weight - skin and hair changes - bone loss - low BP - slow pulse - cold all the time - slow breathing - brain damage - lethargy - infertility - multiorgan failure
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Bulimia Nervosa
eating unusually large amounts of food and have lack or control over eating - compensate by vomiting - use of laxatives, diuretics, fasting, excessive exercise
60
Bulimia Nervosa symptoms
- slightly underweight - chronic sore throat - swollen salivary glands - worn tooth enamel - tooth decay - acid reflux or GI problems - dehydration - electrolyte imbalance
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Binge-eating disorder - what is it and symptoms
- overeat, but don't compensate - symptoms: overweight, eat after full, eat alone or in secret, distressed or ashamed about eating, frequently dieting without weight loss
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Avoidant restrictive food intake
- limit the amount or type of food eaten - normal body image - occurs in middle childhood - will not eat enough calories to grow and develop properly
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Symptoms of Avoidant restrictive food intake
- restricted food calories - lack of appetite - dramatic weight loss - upset stomach or abdominal pain - other GI issues with no other explanation
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Eating disorder treatments
- individual, group, and or family psychotherapy - medical care and monitoring - nutritional counseling - psychotherapy: CBT - medications: antidepressants, antipsychotics, mood stabilizers
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PT considerations for eating disorders
- education about healthy lifestyle, monitor vitals, track weight - watch for signs of depression and suicide - know side effects of meds
66
Attention-Deficit/hyperactivity disorder
- inattention: difficulty staying in task or focused, difficulty staying organized - hyperactivity: restlessness, tapping, talking, fidgeting - impulsivity: act without thinking
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Diagnosis ADHD
- onset early as 3-6 usually identified during elementary school years - genetics play a role more common in males
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ADHD: Treatment
- Medications: stimulants to increase brain dopamine and norepinephrine, non-stimulants such as antidepressants - psychotherapy: CGT, counseling for parents family , classroom behavioral therapy, stress management techniques
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PT considerations ADHD
- monitor response to medication - structured activities - closer monitoring when needed
70
Obsessive compulsive disorder
- person experiences uncontrolled (obsessions) and recurring thoughts engages in repetitive behaviors (compulsions) or both
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Risk factors for OCD
- genetics - biology - temperament - childhood trauma
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Symptoms of OCD
- obsessions of compulsions that can't be controlled - may spend more than 1 hour a day on their obsessions and compulsions - associated with anxiety
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OCD treatment
- psychotherapy CBT - exposure and response preventions therapy - deep brain stimulation - medications: antidepressants that target serotonin – selective serotonin reuptake inhibitors (SSRI)
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Overall considerations for PT
- listen without judgement - PLISSIT (permission, limited information, specific suggestions, intensive, therapy) - screening tool if suspect depression - assess risk of suicide or harm refer if needed - encourage appropriate professional help - encourage self help and other support strategies - stay healthy yourself
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Suicide warning signs
- negative self view - hopelessness - isolation - aggressiveness/irritability - possessing lethal means - feeling like a burden to others - drastic mood and behavior - frequently talking about death - self harm - engaging risking behaviors - funeral arrangements - giving away things - substance abuse - making suicide threats
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what to do when someone appears to be in need of immediate assistance
- call 988 suicide crisis lifeline