REVIEW FOR MENTAL HEALTH FINAL

TERMS

100

Alteration in mood that may be expressed by feelings of elation, inflated self-esteem, grandiosity, hyperactivity, agitation, racing thoughts, and accelerated speech. Impairs functioning.

Mania 

200

Lack of pleasure/joy.

Anhedonia

300

Lack of energy.

Anergia

400

Lack of insight or awareness of an illness.

Anosognosia

500

A state of restlessness, agitation, and distress.

Akathisia

MEDICATIONS 1

100

1st generation Antipsychotic used in the treatment of acute and chronic psychotic disorders, schizophrenia, bipolar disorders, and agitation.

Haldol

200

Life-threatening adverse effect of 1st generation antipsychotics whose manifestations include: sudden high fever, increased heart rate, decreased LOC, muscle rigidity.

Neuroleptic Malignant Syndrome

300

EPS that causes sever spasms of the tongue, neck, face, and back.

Acute dystonia

400

EPS marked by bradykinesia (slow movements), rigidity, shuffling gait, drooling, and tremors.

Pseudoparkinsonism

500

Late EPS that includes involuntary movements of tongue and face; can also include involuntary movements of arms, legs, and trunk.

Tardive Dyskinesia

MEDICATIONS 2

100

SSRI used as the 1st like of treatment for depression.

Citalopram

200

Life-threatening adverse effect r/t SSRI's AEB mental confusion, hallucinations, fever, incoordination, tremors, abdominal pain, and agitation.

Serotonin syndrome

300

What are the expected blood levels of lithium during initial treatment of a manic episode?

1 - 1.5 mEq/L

400

What are the expected blood levels of lithium for maintenance therapy?

0.6 - 1.2 mEq/L

500

List 2 manifestations of ADVANCED lithium toxicity (blood levels = 2.0 - 2.5 mEq/L).

• Extreme polyuria or dilute urine
• Tinnitus = ringing in ears
• Giddiness
• Jerking movements
• Blurred vision
• Ataxia
• Seizures
• SEVERE HYPOTENSION
• Stupor – Coma – Death r/t respiratory complications

MISC. DISORDERS

100

Disorder r/t expression of psychological stress through physical manifestations. Symptoms NOT explained by underlying pathology.

Somatic Symptom Disorder

200

Disorder characterized by misinterpretation of physical manifestations as evidence of a serious disease process -- formerly known as hypochondria.

Illness Anxiety Disorder

300

Disorder characterized by neurologic manifestations in the absence of a neurologic diagnosis.

Conversion Disorder

400

Disorder characterized by a conscious decision to report physical or psychological manifestations r/t emotional need for attention.

Factitious Disorder (Munchhausen Syndrome)

500

Formerly known as multiple personality disorder; existence of two or more personality states in a single individual.

Dissociative Identity Disorder

PERSONALITY DISORDERS

100

Indecisiveness and perfectionism with a focus on orderliness and control to the extent that an individual may not be able to accomplish a given task.

Obsessive Compulsive Personality Disorder

200

Emotional attention-seeking behavior, where person needs to be the center of attention; often seductive and flirtatious.

Histrionic Personality Disorder

300

Distrust and suspiciousness toward others r/t unfounded beliefs that others want to harm, exploit, or deceive them.

Paranoid Personality Disorder

400

Extreme dependency in a close relationship w/ urgent search to find a replacement when one relationship ends.

Dependent Personality Disorder

500

Anxious in social settings; avoids social interactions but desires close relationships; fear of abandonment.

Avoidant Personality Disorder