Mental Health

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Author:
darealpscott@yahoo.com
ID:
87324
Filename:
Mental Health
Updated:
2011-05-28 00:28:47
Tags:
Ch34
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Description:
pg1133(commonly Used Defense Mechanisms)
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  1. Conversion
    Emotional conflicts are trun into a physical symptom, which provide some sort of benefit (secondary gain). Ex The individual who wittness a mruder, then experiiences sudden blindness with no organic cause.
  2. Compensation
    An individual makes up for a "defciency" in one area by excelling in another
  3. Denial
    Reailty is denied; it does not exist
  4. Displacement
    Emotions are expressed towards someone or something other than the source of the emotion.
  5. Dissociation
    Separation and detachment of emotional significance and affect from an idea or situation.
  6. Identication
    indivivdual who incorporates a characteristic (thought or behavior) of another individual
  7. Introjection
    A quality or attribute of another is internalized and becomes part of the individual. Ex; the child who follows his parents instructions when the parents are not present
  8. Projection
    blaming personal shortcoming on someone esle. EX: the student who does poorly on an exam and blames it on the teacher material
  9. Rationalization
    A process of constructing plausible reason to explain and justify behavior
  10. Reaction Formation
    The consicous behavior is completely opposite to the unconscious process. EX: the person who is excessively polite to an indivivdual who is disliked.
  11. Regression
    Behavior, thoughts or feelings use at an earlier stage of development are exhibted. EX; 8yr old who reverts back to bed wetting and thumb stucking while hospitilzed.
  12. Repression
    the barring from coniscous thought of painful, disagreeable thoughts, experiences, and or impulses
  13. Sublimation
    Sexual or aggressive energy/impulses are discharged in a socially acceptable way. EX: teenager who engages in many competitive sports.
  14. Supperssion
    An intentional exclusion of painful thoughts, experiences, or impulses
  15. Affect
    refers to the external manifestaions of inner feeling or emotions; reflected by facial experssion
  16. Flat affect
    no emtional facial experssion
  17. Anxiety/mild
    increased in vital signs, able to think, motivtion is increased.
  18. Anxiety/moderate
    tension, alert, prone to arguing, headache, diarrhea, low back pain
  19. Anxiety/servere
    impending danger. feels fatigued, diffucult to understand
  20. Anxiety/Panic
    Reailty is distorted, extreme terror, harm to self and others
  21. Neurosis
    ineffective coping with stress that causes mild interpersonal disorganization.
  22. Psychosis
    out of touch with reailty. deterioration, imparied perception and judgment, hallucinations.
  23. DSM-IV-TR
    Diagnostic and Statistical Manual of Psychiatric Disorders, IV-TR, is a multiaxial system that classifies mental disorders
  24. DSM-IV-TR/axis I
    all major psyhactirc disorders except schizopherina, substance related disorders, depression, and anxitey
  25. Delirum
    Acute, rapid onset of symptoms, disorientation, incoherent thought content, imparied cognitive function, illusions, hallucinations.
  26. Schizophrenia
    delusions, illusions, hallucinations, inability to relate to others
  27. Schizophrenia(Treatment)
    milieu therapy(envirorment), psychotherapy, antipsychotic drug therapy
  28. Schizophrenia(Interventions)
    use simple statements, avoid hand gesturing while talking, avoid having the pt make choices. ask pt directly about his hallucinations,
  29. Major Depression(TX)
    ECT when drugs therapy is ineffective
  30. Mood Disorders
    manic pt cannot stay focused. be frim honest, and consistent.
  31. Mood Disorders(Drug therapy)
    Lithium(normal loading range 1 to 1.5mEq/L for mantience). Remind pt antidepressant take about 2 to 4 wks
  32. Lithium
    DO NOT REMOVE SALT FROM DIET WHILE ON LITHUIM
  33. Schizophrenia(positive)
    Delusions, hullcinations, disordered thinking
  34. Apathy
    Lack of energy, a contentment to just sit and do nothing
  35. Schizophrenia(negative)
    Apathy(avolition), socail withdrawl, agloia, blunted emotional response, and anhedonia
  36. Alogia
    defined as reduced content of speech
  37. Anhedonia
    inability to experience happiness or joy
  38. Dystonia
    aberrant posturing(e,.g, Hand spasms)
  39. Dyskinesia
    involuntary movements(lip smacking and tougue porturding). these are types of extrapyramidail symptoms.
  40. Tardive dyskinesia
    Is a extrapyramidial reaction that occurs when medication is reduced or stopped
  41. Antipsychotic(drug reaction)
    Neuroleptic maligant syndrome. is >temp, muscle rigidity, labile BP, confusion, cardiovascular collapse
  42. Cage Questions
    1. Have you ever felt you ought to cut down on your drinking?

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