Intro
What is a good habit to get into before seeing patients?
Set your intention before going into a treatment room (as a practitioner).
What are the three stages of dying?
Stage 1- Eating, drinking habits decrease, less energy
Stage 2 - Less responsive, cold hands/feet
Stage 3 - Significant disorientation, irregular breathing
What are the risk factors of addiction?
Poverty, unemployment and easy access to a substance/experience that's new and potent
What is significant about the ACE (Adverse Childhood Experiences) study?
A direct link between childhood trauma and higher risks of chronic diseases, depression, suicide and poor quality of life in adulthood.
What is the theory behind using pharmaceutical drugs for psychiatric disorders?
A chemical imbalance in the brain.
What (kind of reaction) do you avoid doing during clinic ?
Being very dramatic with your reactions.
What are the three stages the cancer patient Julie in Maybe You Should Talk to Someone went through?
Initial: resistance, struggle with loss of control, confusion.
Intermediary turning point: confronting fear, alter definition of a meaningful job.
Transformation: acceptance, prioritize life celebration.
What is Dr. Anne Lembke's (addiction psychiatrist from the reading) approach to treat addiction?
Radical honesty - Abstain (4 weeks), Maintain (time, space, meaning), Seek out Pain (exercise, fasting, meditation)
What was the explanation that helped Darrell Hammond heal from his childhood trauma after decades of misdiagnosis?
He suffered from mental injury instead of mental illness.
What are the different states in polyvagal theory?
Pro-social: facial expression, voice
Stress response: fight/flight
Trapped/helpless: freeze
How is DSM III different from previous versions?
It defines behavior based on observable phenomena that can be compiled into a criteria list, overshadowing Freudian theories.
What is a common misconception regarding the discussion about suicide?
Discussion about suicide leads people to act on it.
What is the biggest issue behind teenage internet addiction in China, according to the boot camp director?
Criticism and accusation does not compel teeangers to change their behavoir. Loneliness is the main culprit.
What are the major sx of PTSD?
Intrusive thoughts, dissociation, hypervigilance, mood dysregulation.
How are autism and schizophrenia related?
Two neurodevelopmental disorders once thought to develop at different stages in life (one childhood version of the other).
What was the major/ongoing criticism of the DSM?
The problem of reliability and validity in psychiatric diagnosis
What is a major problem of polypharmacy in psychiatry?
Being prescribed multiple drugs without a clear schedule of how long to be on and when to get off.
What do neurological process of addiction?
Repeated release of dopamine alters body's natural balance, leading to higher spike and lower dopamine deficit
What are the mental, emotional impact of trauma?
Shame, silence, dissociation, relational difficulties
What is the P.A.G.E. approach from Dr. Jacob Ham, Stephanie Foo's (What My Bones Know) therapist?
P: Purpose A: Attune/attention G: Goal E:Emotion(s)
What is outside of our scope of practice?
Give advice and counseling
What are the key questions to ask in suicide prevention, in addition to: Is there anything I can do to help?
1) Have you thought about ending your life? 2) Have you made any plans? 3) Have you taken any steps towards that plan? 4) Have you done anything today?
What is the leading cause of disability worldwide and the most common psychiatric disorder with high suicide risks?
Depression (MDD Major Depressive Disorder)
What are the 10 ACEs of childhood trauma?
1) physical abuse 2) sexual abuse 3) emotional abuse, 4) physical neglect 5) emotional neglect 6) a parent who is an alcoholic/addict 7) a parent who is a victim of domestic violence, 8) a family member in jail, 9) a family member diagnosed with a mental illness, and 10) experiencing divorce of parents.
How does polyvagal theory relate to religious practices?
Embedded in religious practices such as chanting (manipulations of voice, breath), praying (movement) are portals to compassion and health, according to Dr. Stephen Porges.