Mental health

Question 1

Pre 1960

Answer 1

• isolation, lobotomies, electroconvulsive shock therapy

Question 2

Post 1960

Answer 2

• drugs, therapy, de-institutionalization

Question 3

1955

Answer 3

• Spear’s chiropractic hospital very successful with mental disease

Question 4

Theory of reasoned action

Answer 4

perception + family/friends + beliefs = action

Question 5

Communication is based on

Answer 5

speech, eye contact, body language, body contact, and language

Question 6

Funneling is

Answer 6

combination of open ended and direct questions

Question 7

Hostility has a strong connection to

Answer 7

chronic heart disease

Question 8

Non-reversible deterioration of cognition and behavior

Answer 8

Dementia

Question 9

Often reversible acute confusion that may fluctuate

Answer 9

Delirium

Question 10

Euthymic =

Answer 10

good/normal

Question 11

Bipolar disease

Answer 11

Mania (necessary) and melancholia mood swings

• usually appears at 20 years of age
• potato chip disease = elevated obesity, HTN, DM, hyperlipidemia
• Tx: lithium, drug stabilizers, mood charting

Question 12

Cyclothymic

Answer 12

• causes hypomanic & mild depressive episodes

Question 13

Unipolar disease

Answer 13

• most common affect disorder (mood disorder)
• 50% are misdiagnosed/unrecognized, self inflicted injureis
• high incidence of: alzheimers, DM, parkinsons, heart, stroke, cancer, HIV, fibromyalgia, and chronic pain
• medications contribute: blood pressure, hormones, and anti-biotics
• more prominent in females, reoccurence is common

Question 14

Major depression is _ weeks of at least _ of the following symptoms:

Answer 14

• 2 weeks of 4 symptoms from the following list:
• – loss of appetite
• – insomnia
• – agitation
• – worthlessness
• – suicidal
• – poor concentration

Question 15

Dysthymia

Answer 15

• similar to depression

- diagnosis is 2 years of at least 3 symptoms from the list of depression symptoms

Question 16

Treatment for both depression and dysthymia:

Answer 16

• personal therapy
• drugs
• ECT
• nutrition
• B6 = metabolizes tryptophan to serotonin
• magnesium
• vitamin D
• calcium
• omega 3

Question 17

Seasonal Affect Disorder

Answer 17

Tx: light, exercise, comfort foods

Question 18

Psychotic

Answer 18

• schizophrenia: young adults are more commonly affected
• reality is altered, episodic, perception is altered, hallucinations
• alogia: poverty of speech
• avolition: lack of purposeful action or motivation

Question 19

Schizophrenic type: disorganized

Answer 19

• older term was hebephrenic

- unpredictable mood shifts

Question 20

Schizophrenic type: catatonic

Answer 20

• rigid posture
• expressions flat affect (no expression for emotions)
• masked facies

Question 21

Schizophrenic type: paranoid

Answer 21

• delusions of persecution

Question 22

Schizophrenic type: schizophreniform

Answer 22

• adolescent/young adult onset
• contradictory messages
• short event (6 months)

Question 23

Schizophrenic type: paraphrenia

Answer 23

• geriatric

Question 24

Psychopath

Answer 24

• old term
• no regard for self or others
• abnormal lack of empathy
• verbal therapy not effective**
• strong amoral conduct masked by an ability to appear outwardly normal

Question 25

Sociopath/ antisocial

Answer 25

- believes they are superior, - grandiose (imposing) - lack remorse - shallow emotions - need stimulation - pathological liar

Question 26

Dissociative

Answer 26

- multiple personalities - childhood trauma - can be a short term event

Question 27

Somatoform disorder

Answer 27

- physical complaint with no organic pathology | - entirely unconscious process

Question 28

Dysmorphic disorder

Answer 28

- convinced of a body flaw and preoccupied with it

Question 29

Food disorders (3)

Answer 29

- anorexia nervosa: fear of fat - Bulimia: binge and purge (Barrett's) - pica

Question 30

Conversion disorder

Answer 30

psychic conflict causing physical symptoms | - single physical impairment caused by emotional event

Question 31

Hypochondriac

Answer 31

- preoccupation with personal health or contracting illness

Question 32

Somatization disorder

Answer 32

- aka Briquet's syndrome - females under 30 (starts in adolescence) - multiple systems - confusing

Question 33

Somatoform pain disorder

Answer 33

- underlying emotional process | - pain often allows escape from responsibility

Question 34

Morgellon's disease

Answer 34

Delusional parasitosis | - believes they are invaded by insects, parasites, hair, etc.

Question 35

Munchausen Syndrome

Answer 35

- individual exaggerates personal complaints

Question 36

Munchausen by proxy

Answer 36

- caregiver inflicts harm on individual they are caring for

Question 37

General anxiety disorder

Answer 37

- constant excessive fear, hypervigilant - sx include: twitching, sweating, dry mouth, headache. stomach ache, urinary frequency - condition causes: heart failure, head injury, hormone imbalance, endocrine disease, pneumonia, COPD - drug causes: cannabis, analgesics, caffeine, amphetamines

Question 38

Panic attacks

Answer 38

- occur with GAD, phobias, OCD, PTSD

Question 39

Two types of phobias:

Answer 39

- social: provoked by people or performance issues | - specific: provoked by object or situation

Question 40

Repetitive thoughts

Answer 40

obsession

Question 41

Repetitive actions

Answer 41

compulsion

Question 42

PTSD

Answer 42

- fear and anxiety following an emotional event - flashbakcs, sleep disorders common - fibromyalgia, MFS, restless leg syndrome

Question 43

Neurosis

Answer 43

in reality most of the time, hard on themselves - low self esteem - defense mechanisms work overtime - TX: support and enlighten

Question 44

Masochist

Answer 44

likes abuse

Question 45

Sadist

Answer 45

inflicts abuse

Question 46

Voyeur

Answer 46

enjoys watching

Question 47

Exhibitionist

Answer 47

enjoys showing