Flashcards in Treatment planning for behavioral and psychological disorders lecture 4 Deck (25):
What is depression?
-Sadness apathy and loss of pleasure.
-Too much or too little sleep
-Too much or too little eating
-Decrease energy and libido
-Feeling of worthlessness and guilt
-Very prevelant 15-20% of men and 25% of women
-Morbid thought and its usually associated with trauma
What are some features of depressions? What are some oral concerns? MEications side effects?
2-15% of people will turn to suicide.
-antidepressants are most common
-patients can usually function
-Disinterest in personal oral hygiene
-High plaque and carries rate
-causes xerostomia, brusxism (SSRI especially zoloft)
What is bioplar disorder?
Manic and depressive episodes.
manic episodes: highly euphoric and engage in dangerous acts. sleepless, rage, psychosis, delusions
Depressive episodes; depressed. Duh.
What are the types of biopolar disorder?
Bipolar I ; severe mood swings from mania to depression
Bipolar II : milder form
Cyclthymic disorder; even milder
What are the prevelance stats of Bipolar disorder?
3-5% of population
-Affects women and men equally
-Symptoms begin in childhood
-Associated with anxiety, conduct disorder, substance use, migraine, thyroid illness, obesity and type II diabetes and cardiovascular disease
What are associated features of bipolar disorder?
-approximately 20% risk of suicide.
-Shortens lifespan by 9 years (Due to suicide and risky behavior)
-6th leading cause of disabilty in the world.
-Can maintain a job if medicated and treated
What are the treatments of bipolar disorder?
Mood stabilizers: lithium
What are the concerns of Bipolar patients when it comes to oral health?
-May complain about procedures
-They are concerned about things that arent there
-May not follow up with treatment
-Always fault finding
What are the side effects of antipsychotics, antidepressants, benzodiazepines and mood stabilizers?
-Anitdepressents: xerostomia and bruxism
-Benzodiazapenes: hyposalivation and xerostomia
-Mood stabilizers: sweet cravings.
What are some medication interactions for Biopolar medications?
-Benzodiaepines augemt other sedating agents
-some antibiotics interfer with mtabolism of mood stabilizers and result in toxicity
-Lithium can increase the sedation of benzodiazepines
-Diuretics and none steroidal anti inflammatory maybe increase lithium toxicity.
What is panic disroder?
-Sweating shaking, plapitations, nausea shaking, shortness of breath, fear of losing control, hot flashes and chills.
youre basically panicking
What are the symptoms of panic attack?
-Recurrent unxpected panic attacks, followed by 1 month or more of worry about having another one
-Can be with or without agoraphobia.
-Prevelance in 1.5-3.5% of people
1/3 to 1/2 of PD have agoraphobia
Is Panic disorder treatable?
yes, depending on duration and severity.
-Antidepressents and benziodazepienes are prescribed
-anxiety can be limiting
-associtaed with specific phobia
What are the oral concerns of PD?
-Medication side effects and interactions with other CNS depressants
What is Obsessions
Recurrent and pressitatnt thought and urges.
-Attempt to supress them but they dont go
-need for symmetry
-unwanted and intrusive thoughts
What is compulsion?
To act in repetitive behavior in response to obsessions.
-Behavior is aimed to relieve stress of obsession
-touching and tapping things
What is OCD prevelance?
2.5% of populations and its equal amongest all ethnicities
-Obsessions with blashpemy more prelevant in jews and christians
-equal prevelence in men and women
early onset in men but women after 20s
What are OCD treatments?
Medication SSRIs antidepressent
-Cognetive behavioral treatment
What are OCDs oral concerns?
-Anxiety about germs.
-Disinterest in oral hygiene due to depression
-obsession with facial appearance.
What is schziophrenia symptoms?
-disorganized speech and thought
-inability to plan
-Usually chronic but can be acute and temporary
What is the prevalence with schizophrenia?
Affects 1% of population
-Male onset in teens and early twenties
- Women in mid twenties and early 30s
- initial symptoms drop in grades, sleep problems.
-found in all cultures
Associated features and treatment of schizophrenia?
6-15 will suicide
-difficulty to amanage finances, house and family relationship
What are the oral concerns of schizophrenia?
-Disinterest in oral hygiene
-lack of knoweldgable dentists
What are schizophrenias drug side effects?
Avoid CNS depressenants causes hypotention and orthostatic hypotension and respiratory depressions