Mental Health Disorders
symptoms include restless, on edge, poor attention span, irritable, muscle tension, insomnia, easily tired
general anxiety disorder
eating disorders include
anorexia, bulimia, and compulsive overeating.
anorexia patient does not eat, controls intake, counts calories, excessive exercise
bulmia, patient may binge eat and vomit
compulsive overeating, patient is never saited.
An assessment tool used to determine alcohol withdrawal
CIWA - clinical institute withdrawal assessment
electrically induced seizures for psychiatric purposes, used for severe depression who have not responded to medications
ECT
to control psychotic behavior, hallucination, delusions, and bizarre behavior
antipsychotics; phenothiazines, nonphenothiazines, atypical drugs. Includes olazapine, haloperidol, chlorpromazine, risperidone.
extreme changes in mood, unpredictable, euphoric, to decreased interest in daily activites
bipolar or manic/depressive disorder
agitation, anorexia, anxiety, delirium, diaphoresis, disorientation, hallucinations, fever, tachycardia all occur when a patient is what?
delirium tremors ( alcohol withdrawal)
"tell me more" is a form of
therapeutic communication
Divides human experience into 4 key elements; thoughts, feelings, behaviors, and physiology.
CBT
antianxiety drugs include
benzos: librium, valium, xanax, ativan
nonbenzos: buspar, ramelteon
reduce anxiety, treat alcohol and drug withdrawal. may cause sedation, drowsiness, dizziness
a false belief of grandeur, jealousy, and persecution
delusion
usually peaks at 48-72 hours
DTs
Safety includes
remove dangerous objects, promote positive interactions, close observation, avoid confrontation, de-escalate
the goal is to strengthen family interactions, define boundaries, roles, and patterns
Family therapy
disulfiram and acamprosate are
alcohol deterrents
Disulfiram is used for aversion therapy. Will cause severe N/V if alcohol is consumed
Acamprosate works by reducing anxiety and unpleaseant effects that trigger drinking, balances GABA
sense of perception that occurs in one of the five senses such as auditory, gustatory, olfactory, tactile, visual
hallucination
Withdrawal symptoms include, tachycardia, diaphoresis, restlessness, dilated pupils, body aches, N/V, rhinorrhea, tremors
opioid withdrawal
when assessing a patient for risk of suicide you start with this scale
Columbia-Suicide Severity Rating Scale
Treatment is often used for substance abuse
group therapy
this class of drugs does not mix well with other prescrition, non presction, and foods
MAOIs
more than one personality, usually occurs after a trauma, host is not always are of other personalities
DID, multiple personality disorder
CNS depressants include
alcohol, benzodiazepines, sedatives, hypnotics
provide a safe environment, decrease stimuli, seizure precautions, medicate as needed, monitor vital signs
during withdrawal
includes play therapy, aversion therapy, and system desensitization
behavioral therapy
you must monitor blood levels every 1-2 months to prevent toxicity
litium