Mental Health Exam 3

What is Selective Mutism?

Demonstrating consistent failure to speak in specific social situations in which there is an expectation for speaking

What is Trichotillomania?

Pulling out hair

What is Excoriation Disorder?

Picking at the skin

What is GAD (Generalized Anxiety Disorder)?

Excessive worry for >6 months

What is Panic Disorder?

Sudden intense fear

What is Agoraphobia?

Fear of open/public places

What is Somatic Symptom Disorder?

Physical symptoms w/o medical cause

What is Illness Anxiety Disorder (hypochondriasis)?

client experiences constant thoughts about having a significant illness

What is Functional Neurological (Conversion) Disorder?

client experiences neurobiological

symptoms

What is Factitious Disorder?

client falsifies their symptoms to themselves or others, even when this is no external reward for doing so

What is Malingering

Faking symptoms for external gain

What is another name for mild depressive disorder?

Dysthymia

What is Neuroplasticity?

Ability of the brain to reorganize neurons and neural pathways in response to life events to promote growth and adjustment to changes in life circumstances

What is Anhedonia?

Inability to experience pleasure

What is Mania?

State in which client demonstrates elevated, expansive, and irritable mood

What is another name for mild mania?

Hypomania

What are the S/S for Mania?

Overactivity

Overeating

Overspending

Not sleeping

Talking every quickly

What should you ensure Mania pts. receive?

High-calorie, High quality finger foods

What is another name for mild bipolar?

Cyclothymia

What is the difference between Bipolar 1 and 2?

1 has high levels or mania

2 has less mania but more profound depression

What is SAD PERSONS used for?

Assess suicide

What is Beck Depression Inventory?

21-item self assessment of the usual characteristics behaviors and attitudes present in depression

What is PHQ-9?

9 question, that determine the amount and frequency of depression symptoms

What is Hamilton Depression Scale (HDRS or HAM-D)?

Instrument with version of 17 and 21 questions and can be administered by trained provider in about 30 min

What is Geriatric Depression Scale?

Instrument to measure depression in older adults

What is Altman Self-Rating Mania Scale?

5 questions (mood, self-confidence, speech, sleep, activity)

What should you do before an Electroconvulsive therapy?

Benzos discontinued and NPO 6-8 hrs. prior

What is determined a success in ECT?

Witness seizure activity in great toe, lasting 45-60 secs

What is Transcranial magnetic stimulation (TMS)?

Uses magnetic pulses to stimulate focal areas of cerebral cortex

What is Dissociation?

Disconnection from thoughts, identity, or surroundings

What is Depersonalization/Derealization?

Detached from self or reality but aware it's not real

What is Dissociative amnesia?

client being unable to recall events related to this history and is not consistent with normal forgetting

What is Dissociative Identity Disorder (DID)?

Two or more distinct identities; often trauma-related

What is included in Cluster A?

Paranoid, Schizoid, and Schizotypal

What is Paranoid personality disorder?

Distrust and suspiciousness of others; bears grudges

What is Schizoid personality disorder?

Detachment from social relationships

What is Schizotypal personality disorder?

Person has a hard time forming close relationships; behavior is odd

What is included in Cluster B?

Antisocial, Borderline, Histrionic and Narcissistic

What is Antisocial personality disorder?

Pattern of disregard for and violation of the

rights of others since age 15 years

What is Borderline personality disorder?

Pattern of instability of interpersonal relationships, self image, and impulsivity

What is Histrionic personality disorder?

Excessive emotionally and attention seeking

What is Narcissistic personality disorder?

Need for admiration, lack of empathy, pattern of grandiosity; feeling entitled

What is included in Cluster C?

Avoidant, Dependent, and Obsessive-compulsive

What is Avoidant personality disorder?

person avoids social situations because they’re extremely shy, afraid of being judged, and often feel like they’re not good enough

What is Dependent personality disorder?

Excessive need to be taken care of

What is Obsessive-compulsive disorder?

Preoccupied with orderliness, perfectionisms, and control

What is Affective liability?

intense emotional swings of mood

What is Schema therapy?

psychoeducation that changes the patterns of thought (used in Cluster C)

What is Delirium?

Defined as a disturbance in attention that develops over a short period of time, with additional disturbance in cognition

What is Alzheimer’s

Related to the accumulation of amyloid plaques outside and between neurons and tangles within the cells

What are the Lab/Diagnostic tests for Alzheimer’s?

PET to detect amyloid plaques

MMSE to screen for dementia and Alzheimer’s

What is used to diagnose Dementia?

MRI

What is Prion disease?

Caused by transmission of a prion form animals to humans

What is Frontotemporal Lobar Degeneration?

Caused by a genetic mutation causing frontotemporal lobe damage (CT for diagnostic)

What is Lewy Body Disease?

Lewy body are present in the brain, which is a protein

What is Vascular Disease

Defects with blood vessels

What is Mediterranean-DASH diet used for?

To delay progression of neurodegenerative delay

What is included in Mediterranean-DASH diet?

Flavanol - oranges, tea, broccoli, spinach, tomatoes, pears

Omega 3 - leafy vegetables, fish, nuts

What is Acute trauma?

single traumatic event that is limited in time (car accident, natural disaster)

What is Chronic trauma?

exposure to multiple and/or persistent traumatic events (abuse, social-emotional neglect, isolation, poverty, or hunger)

What is Complex trauma?

exposure to chronic trauma that also distorts the individual’s fundamental sense of self (persistent social inequity, racism, discrimination due to sexual orientation or gender identity)

What is System-induced trauma?

trauma that is experienced during movement through organizational systems (foster care or juvenile detention)

What is Vicarious trauma (secondary trauma)?

indirect trauma that results from engaging with victims of trauma (health care personnel during COVID-19, first responders after 9/11 or Hurricane Katrina)

What is Historical trauma?

psychosocial distress resulting from trauma or adversity passed down through generations of groups of people who share an identity, affiliation, or circumstance

What is Fear Conditioning?

Strengthening neural circuitry that creates a biological memory of the traumatic event

What is Fear Extinction?

Gradual autonomic decreases in heart rate and blood pressure when the fear stimulus is withdrawn

What is Memory Consolidation?

Biological memory created and stored in the hippocampus for later retrieval to promotor survival

What is Stress Resilience?

concept of “bouncing back” to an internal state of safety and well-being after experiencing a stressful event

What is Epigenetics?

How genes interact with environmental stressors

What is Reactive attachment disorder (RAD)?

Child is withdrawn from adults and other caregivers

What is Disinhibited social engagement disorder (DSED)?

Child acts inappropriately, is overly familiar with stranger

What is Anosognosia?

person is unaware of their own mental health condition or cannot perceive their condition accurately

What is Acute stress disorder (ASD)?

Manifestations last three days or up to one month

What is Adjustment disorder?

Occurs within three months of a stressor and lasts up to 6 months following the resolution of trauma

What is Primordial Prevention?

Preventing risk factors from developing and Helping the population as a whole