Mental Health

Emotional conflicts are trun into a physical symptom, which provide some sort of benefit (secondary gain). Ex The individual who wittness a mruder, then experiiences sudden blindness with no organic cause.

An individual makes up for a "defciency" in one area by excelling in another

Reailty is denied; it does not exist

Emotions are expressed towards someone or something other than the source of the emotion.

Separation and detachment of emotional significance and affect from an idea or situation.

indivivdual who incorporates a characteristic (thought or behavior) of another individual

A quality or attribute of another is internalized and becomes part of the individual. Ex; the child who follows his parents instructions when the parents are not present

blaming personal shortcoming on someone esle. EX: the student who does poorly on an exam and blames it on the teacher material

A process of constructing plausible reason to explain and justify behavior

The consicous behavior is completely opposite to the unconscious process. EX: the person who is excessively polite to an indivivdual who is disliked.

Behavior, thoughts or feelings use at an earlier stage of development are exhibted. EX; 8yr old who reverts back to bed wetting and thumb stucking while hospitilzed.

the barring from coniscous thought of painful, disagreeable thoughts, experiences, and or impulses

Sexual or aggressive energy/impulses are discharged in a socially acceptable way. EX: teenager who engages in many competitive sports.

An intentional exclusion of painful thoughts, experiences, or impulses

refers to the external manifestaions of inner feeling or emotions; reflected by facial experssion

no emtional facial experssion

increased in vital signs, able to think, motivtion is increased.

tension, alert, prone to arguing, headache, diarrhea, low back pain

impending danger. feels fatigued, diffucult to understand

Reailty is distorted, extreme terror, harm to self and others

ineffective coping with stress that causes mild interpersonal disorganization.

out of touch with reailty. deterioration, imparied perception and judgment, hallucinations.

Diagnostic and Statistical Manual of Psychiatric Disorders, IV-TR, is a multiaxial system that classifies mental disorders

all major psyhactirc disorders except schizopherina, substance related disorders, depression, and anxitey

Acute, rapid onset of symptoms, disorientation, incoherent thought content, imparied cognitive function, illusions, hallucinations.

delusions, illusions, hallucinations, inability to relate to others

milieu therapy(envirorment), psychotherapy, antipsychotic drug therapy

use simple statements, avoid hand gesturing while talking, avoid having the pt make choices. ask pt directly about his hallucinations,

ECT when drugs therapy is ineffective

manic pt cannot stay focused. be frim honest, and consistent.

Lithium(normal loading range 1 to 1.5mEq/L for mantience). Remind pt antidepressant take about 2 to 4 wks

DO NOT REMOVE SALT FROM DIET WHILE ON LITHUIM

Delusions, hullcinations, disordered thinking

Lack of energy, a contentment to just sit and do nothing

Apathy(avolition), socail withdrawl, agloia, blunted emotional response, and anhedonia

defined as reduced content of speech

inability to experience happiness or joy

aberrant posturing(e,.g, Hand spasms)

involuntary movements(lip smacking and tougue porturding). these are types of extrapyramidail symptoms.

Is a extrapyramidial reaction that occurs when medication is reduced or stopped

Neuroleptic maligant syndrome. is >temp, muscle rigidity, labile BP, confusion, cardiovascular collapse

1. Have you ever felt you ought to cut down on your drinking?