Speech
What is word salad?
Jumble of words
Unnecessary detail but still getting to the point is what type of speech?
Circumstantial
What are soft methods/lower risk suicide attempts?
Cutting one's wrist
Inhaling Natural gas
Ingesting pills
What are the phases of depression
-Acute (6-12 weeks)
-Continuation (4-9 months)
-Maintenance (1 year or more)
What are the two main neurotransmitters with depression
Serotonin
Norepinephrine
What is neologisms?
When a person's thoughts are loosely connected what kind of speech is that?
Loose associations
How would you provide a safe environment for a person with SI?
Place in room with another person
Have door stay open
Hang proof the doors/ bathroom
Search all items for harmful items
Lock utility rooms
Keep windows locked
No metal silverware
What is happening during the acute phase and how long does it last?
6-12 weeks
Trying to decrease symptoms
What are some other neurotransmitters with depression
Dopamine
GABA
Glutamate
Acetylcholine
What is Echolalia?
Pathological repetition of another words
Flow of accelerated speech, with abrupt changes from topic to topic: what kind of speech?
Flight of Ideas
Who is at risk for suicide?
Patients with depression
Hx of suicide attempts
Genetics
On antidepressants
Change from sad to happy
Substance abuse
History of trauma or abuse
Chronic physical illness
Exposure to suicidal behavior
What is happening during the continuation and how long does it last?
4-9 months
Prevention of relapse
Education, Pharmacological, Psychotherapy
What is Anhedonia?
Absence of happiness
What is Catatonia?
Little or no movement
Words that are spoken because the sound they make is what type of speech?
Clang
What are the risk factors for depression?
Female
Adverse childhood experience
Stressful life
1st degree family member with depression
Neuroticism (Negative)
Other disorders (Anxiety, substance abuse, personality disorder)
Chronic or debilitating medical condition
What is happening during the maintenance phase and how long does it last?
1 year or more
Treatment to prevent further episodes
What is anergia?
Abnormal lack of energy
Rapid- Frantic, inappropriate sense of urgency, talking non stop is what type of speech?
Pressured speech
What are hard methods/ higher risk of suicide attempts?
Using a gun
Hanging
Jumping off a tall place
Carbon Monoxide poisoning
What is the treatment for Depression?
Antidepressants
ECT
Transcranial Magnetic Stimulation
Vagus Nerve Stimulation
Deep brain Stimulation
Light Therapy
St. John’s Wart
Exercise
What are the Co- morbidities with depression?
Schizophrenia
Substance abuse
Eating disorder
Anxiety
Schizoaffective
Borderline
Which depression is the most serious and causing possible suicide attempt more than others?
Bipolar Type II depression.