Sleep Disorders
What is Narcolepsy?
Uncontrollable urge to sleep
What do you want to educate your patient who is taking Benzo for panic attacks?
Do not drink alcohol
Don’t drive after taking it
Avoid caffeine
Do not take with any other narcotics
Take after meals
Wean slowly
Can be addictive
What questions should you ask your patient who has Conduct Disorder?
Do they set fires often/like setting things on fire?
Do they feel the urge/like to steal items?
Do they enjoy destroying things/engaging in destructive behavior?
What is Stage 4 of Intermittent Explosive Disorder?
Remorse, Regret and embarrassment
What are examples of an Adventitious crisis?
Natural disaster
National disaster
Crime of violence
What can accompany Narcolepsy?
Cataplexy - loss of muscle tone
What is Oppositional Defiant Disorder?
Angry and irritable mood
Defiant and vindictive behavior
What is Intermittent Explosive Disorder?
Inability to control aggressive impulses
Aggression can be verbal or physical targeted towards people, animals, property, or themself
What are examples of a maturation crisis?
Leaving home for the first time
Birth of a child
Retirement
Death of a parent
What is conversion disorder?
Neurological symptoms in the absence of a neurological diagnosis
What are the symptoms of narcolepsy?
Excessive daytime sleepiness
Bouts of muscle weakness
Hallucinations
Sleep paralysis
What interventions are used with ODD?
Parent training
Group therapy
Anger management
Head start
CBT
What is Stage 1 of Intermittent Explosive Disorder?
Tension and arousal
What needs to happen during a maturation crisis?
New coping skills need to be developed
What are symptoms of conversion disorder?
Paralysis
Blindness
Movement or gait disorders
Numbness
Paresthesia
Loss of vision
What is the treatment of Narcolepsy
Long acting stimulant medication
Napping
Exercise
Diet
What medication is used for ODD?
Divalproex
Seizure medication shown to reduce aggression
What is Stage 2 of Intermittent Explosive Disorder?
Explosive behavior and aggression
What are examples of a situational crisis?
Loss or change of a job
Death of a loved one
Abortion
Change in financial status
Divorce
Severe physical or mental illness
What is La belle Indifference?
People casually talking about a something serious that has recently happened
“I went blind three days ago”- with little/no emotional response
Why does a lack of sleep cause obesity/weight gain?
Sleep helps balance hormones that make you feel hungry and full
What is Conduct Disorder?
Persistent pattern of behavior that is usually abnormally aggressive
Behavior leads to fights, bullying, intimidation, and coercion
What is Stage 3 of Intermittent Explosive Disorder?
Relief and Release
What is an important component on how a situational crisis may affect someone?
The person level that the crisis affects the person is dependent on their support system around them
What is factitious Disorder?
When someone makes themself ill to be a patient
Get needs met
Self inflicted illness
Have extensive medical history
Jump around to hospitals