vocab
Can't move VS Can't sit still
(2 part answer)
Psychomotor Retardation and Psychomotor Agitation
(Cant have both at the same time)
3 signs of depression
hopelessness/helplessness
indecisiveness
one full manic episode
Bipolar 1
positive sxms or "sxms that are present"
(meds to treat)
hallucinations
delusions
disorganized thinking
(or a combo of any of those)
Cluster A
paranoind
schizoid
schitzotypal
Things are no longer pleasurable
anhedonia
Hypomanic episodes with occasional depressive episodes
Cyclothymic D/O
one hypomanic episode AND one major depressive episode
Bipolar II
How many sxms of psychosis must be present, over what period of time , for schizo dx?
at least 2 sxms, one has to be a positive sxms, 6 months
Cluster B
antisocial
borderline
histrionic
narcissistic
constant low level depression
Dysthymia
New to the DSM5, this diagnosis has been added to prevent the over-diagnosis of bipolar in children
Disruptive mood dysregulation D/O
repeated hypomanic episodes with occasional depressive episodes (no major depressive episodes)
Cyclothymic
negative sxms
(therapy to treat)
anhedonia
flat affect
-major impact on function if persists long term
-can last even after pos sxms resolve
Cluster C
avoidant
dependent
OCD
absence of motivation or energy
Avolition
Repeated temper outbursts and irritable mood at least 3 times a week, occurs in at least two different settings, and has been going on for the better part of year is this diagnosis
Disruptive mood dysregulation
period of persistent and abnormal elevated, expansive, or irritable mood, combined with abnormal and persistently increased goal directed activity or energy
manic episode
3 phases of schizophrenia
prodromal (leads up to major psychosis?
active (pos sxms)
residual (sxms lessen after major episode)
Onset
adolescence or early childhood
a state of immobility
Catatonia
Symptoms that lead to major depressive D/O diagnosis
ANHEDONIA (one of these MUST be present along with 4 of the following)
weight loss, insomnia, hypersomnia, fatigue, avolition, feeling of guilt, cant concentrate
OT treatment for Bipolar
monitor behavior changes, structured env where behavior can be monitored, help individ to focus/limit setting/contain manic impules, changes due to meds, coping skills, monitoring activities, assess function in all occupations, stress management, max quality of life
OT treatment of Schizophrenia
OT treatment
self esteem building, social skills, build feelings of empathy, sensorimotor activities, behavioral approaches,