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T/F: A panic attack can cause heart failure or cardiac arrest
False: Rapid heartbeats and palpitations during a panic attack can cause frightening sensations, but are not dangerous.
Name the 4 common hallucinations
1. Visual
2. Auditory
3. Tactile
4. Olfactory
2 components of insight include
1. Awareness of one's disorder or issues
2. Awareness of self in relation to others
Give 3 examples of symptoms associated with HD
Correct Answers:
1. Losing important things like money, bills, and important documents in the clutter
2. Losing the ability to freely move around in a living area because of clutter
3. Accumulation of large amounts of clutter
4. Unable to stop collecting unwanted possessions/items
5. Not inviting friends or family over to living space
Ken grew up in a blue-collar family in Connecticut and started hearing voices at 14 years old
From imminent danger article, Mark, the boy who killed his step-father at 17, give three examples of his behavior after he released from the mental hospital and into his mother's custody
Acceptable answers:
1. Mark stopped taking his medication and then his symptoms started to re-appear and become worse
2. He started smoking marijuana and his symptoms progressed even more
3. His mother could not leave his sisters home alone with Mark because he was to unpredictable and dangerous
4. He tried to kill the family cat
5. He would constantly giggle and throw things around the house
What is the second most common hallucination? (Give an example)
Visual
Ex. (see scary things like monsters, aliens, and/or the devil)
Ex. (Perceptual distortions: things that change shape and size)
What are three components of thought process?
1. Goal directed
2. Alert
3. Oriented x 3 (oriented to a person, place, and time)
Name all of the risk factors associated with HD
1. Age
2. Family history
3. Traumatic experiences (divorce, death of a loved one/pet, childhood trauma)
4. Substance Abuse
5. Social isolation
____ are the kind of hallucinations that Ken dealt with...
Auditory Command hallucinations (i.e trying to hurt himself by hanging or jumping off of a building)
From the kink community article, what was the number one preferred type of activity for sexual play/pleasure?
Bondage; the article suggested that 85% of the participants have used bondage toys and prefer bondage-play for sensual and erotic pleasure
Explain negative symptoms and give examples of some of these symptoms
Negative symptoms- symptoms that are taken away
1. Flat affect
2. Alogia- poverty of speech
3. Avolition- lack of will and difficulty to accomplish goal
4. Lack of directed behavior- food, money, and hygiene
Name the different types of affect ranges (hint-goes from low-high)
1. Flat
2. Blunted
3. Constricted
4. Neutral
5. Exaggerated
6. Liable
7. Mobile
3 main treatments
1. SSRI's
2. Cognitive-Behavioral Therapy
3. Motivational Interviewing
Provide 2 main examples of how Ken thought the voices were speaking to him when he was still living in his family home...
1. Through the television
2. Unborn baby brother was speaking to him from the womb
This structure of the brain can have long-lasting damage due to excessive trauma
The Hippocampus; can be become damaged because of excessive trauma and may cause short and long term memories to become distorted as a result
"The government is out to get me" or "My brother wants to kill me" are examples of what kind of delusion?
Delusion of persecution- which can lead to paranoia
Hoarding Disorder used to be categorized wth this other mental heath disorder
Obsessive-Compulsive Disorder: Hoarding disorder was thought to be a subset of OCD before the APA made hoarding its own disorder
"This" drug helped muffle the voices that Ken heard on a daily basis
Alcohol; Ken drank excessively and then became addicted to alcohol, which led to a number of health problems
Based off of the kink article, what was the main reason why women prefer kink activities?
95% of the participants said that they practice and prefer kink behaviors for the enjoyment/pleasure over money!
Bonus!!!! Explain Tardive Dyskinesia and its symptoms
develop tremors due to lack of dopamine; once it starts you have 2 weeks to get it under control unless it becomes permanent
Symptoms include: shaking, arm movements, lip smacking, tongue smacking, involuntary muscle movements
Name the components of the mental status exam
Acceptable answers:
1. Level of consciousness
2. Appearance, attitude, & general behavior
3. Mood and Affect
4. Thought process, content, and perception
5. Judement & Insight
6. Speech & Language
7. Memory & Cognition
8. Examiner's reaction to the patient
3 main criteria from the DSM-5 that goes into HD...
1.Persistent difficulty discarding with possessions (even if those possessions do not hold any value)
2.Severe need to save items and become distressed once these items are discarded
3.Difficulty discarding possessions and the accumulation of clutter in one’s living area and beyond.
This medication caused the voices to stop
Risperidone