Mental health
暂无描述。系统推荐的高质量记忆内容，适合每天坚持背诵学习。
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Pre 1960
• isolation, lobotomies, electroconvulsive shock therapy
Post 1960
• drugs, therapy, de-institutionalization
1955
• Spear’s chiropractic hospital very successful with mental disease
Theory of reasoned action
perception + family/friends + beliefs = action
Communication is based on
speech, eye contact, body language, body contact, and language
Funneling is
combination of open ended and direct questions
Hostility has a strong connection to
chronic heart disease
Non-reversible deterioration of cognition and behavior
Dementia
Often reversible acute confusion that may fluctuate
Delirium
Euthymic =
good/normal
Bipolar disease
Mania (necessary) and melancholia mood swings • usually appears at 20 years of age • potato chip disease = elevated obesity, HTN, DM, hyperlipidemia • Tx: lithium, drug stabilizers, mood charting
Cyclothymic
• causes hypomanic & mild depressive episodes
Unipolar disease
• most common affect disorder (mood disorder) • 50% are misdiagnosed/unrecognized, self inflicted injureis • high incidence of: alzheimers, DM, parkinsons, heart, stroke, cancer, HIV, fibromyalgia, and chronic pain • medications contribute: blood pressure, hormones, and anti-biotics • more prominent in females, reoccurence is common
Major depression is _ weeks of at least _ of the following symptoms:
• 2 weeks of 4 symptoms from the following list: • – loss of appetite • – insomnia • – agitation • – worthlessness • – suicidal • – poor concentration
Dysthymia
• similar to depression - diagnosis is 2 years of at least 3 symptoms from the list of depression symptoms
Treatment for both depression and dysthymia:
• personal therapy • drugs • ECT • nutrition • B6 = metabolizes tryptophan to serotonin • magnesium • vitamin D • calcium • omega 3
Seasonal Affect Disorder
Tx: light, exercise, comfort foods
Psychotic
• schizophrenia: young adults are more commonly affected • reality is altered, episodic, perception is altered, hallucinations • alogia: poverty of speech • avolition: lack of purposeful action or motivation
Schizophrenic type: disorganized
• older term was hebephrenic - unpredictable mood shifts
Schizophrenic type: catatonic
• rigid posture • expressions flat affect (no expression for emotions) • masked facies
Schizophrenic type: paranoid
• delusions of persecution
Schizophrenic type: schizophreniform
• adolescent/young adult onset • contradictory messages • short event (6 months)
Schizophrenic type: paraphrenia
• geriatric
Psychopath
• old term • no regard for self or others • abnormal lack of empathy • verbal therapy not effective** • strong amoral conduct masked by an ability to appear outwardly normal