Mental Health Exam 2

....... group;

Teach variety of content and skills such as medications and problem solving

Psychoeducational groups

... groups;

Provide support, respond to needs, reinforce strengths, reality orientation.

Maintenance Groups

...... groups;

Facilitate interaction, self expression and increase self esteem, recreation or exercise.

Activity groups

....... (Special problem) Group;

Members share a common problem, greater feelings of acceptance and understanding in the group. More willingness to share and brainstorm with others.

Self help and special problem

...... patient;

Monopolizes the entire group session. Uses gate-keeping techniques to offer all patients the opportunity to contribute to the group,

Dominant patient

.... patient;

Support the patient by relating that each individual is important and capable of helping others. Use respect and cognition.

Uninvolved patient

....... patient;

Use support to attempt to help the patient deal with feelings of fear, self-anger, or unresolved anger towards others.

Hostile patient

..... patient;

Use empathy, focus on the underlying need and present reality and refocus the group.

Distracting patient

Alternative preparations such as herbal and nutrition supplements are part of (....), little research and NOT .... approved.

(CAM); complimentary alternative medicine

FDA

OTC are ..... approved

FDA

....... ....... ........; (herb)

Use; Mild to moderate depression

Typically does not mix with ANY drugs

Increases risk of Serotonin syndrome with SSRIs

Interferes with protease inhibitors

Reduces effectiveness of oral contraceptives.

St. Johns Wart

.......; (herb)

Use; depression

Safe, but use caution with some MAOIs (serotonin syndrome risk)

SAM-e

........; (herb)

Inhibits Monoamine Oxide B

Hard on liver

Interactions with meds affecting CNS (Antiparkinsons, Benzos,)

Kava

.........; (herb)

Use; Anxiolytic for sleep disorders

Potential for dependence

NEGATES effects of MAOIs, Phenytoin and Warfarin

Valerian

......; (herb)

Use: Sedation and anxiolytics

Caution with anticoagulants and CNS drugs, hypersensitivity risk

Chamomile

....; (herb)

Cardiovascular and cognitive effects

Can increase PTT with anticoagulants

Angelica

.....; (herb)

Typically used for dementia/alzheimers

effective for antidote for erectile dysfunction

Interacts with several drugs and INCREASES effects of anticoagulants

Ginkgo

Herbals that are problematic for psychiatric patients

.........; exacerbates mania, anxiety and insomnia

.......; causes nervousness, irritability and insomnia

ALL HERBALS to be use with caution if taking TCAs, Valproic acid, or lithium

Ginseng

Yohimibine

Program by which manufacturers submit their products for testing and receive seal of approval if they pass

........... ............ .......

(UPC) United Pharmacopeial Convention

......... ......... ........;

Promote the responsible use and attempt regulation, no authority to regulate.

American Herbal Association

......... phase of assault cycle;

Stress producing event occurs, initiating stress response

Triggering (1)

......... phase of assault cycle;

Response represent escalating behaviors that indicate a movement toward the loss of control, illogical or irrational thoughts.

Escalation (2)

......... phase of assault cycle;

Period of emotion and physical, loss of control occurs. Anger and rage expressed to defend oneself.

Crisis (3)

......... phase of assault cycle;

Period of cooling down, person slows and returns to normal. fear of danger dissolves

Recovery Phase (4)

......... phase of assault cycle;

Person attempts reconciliation with others. Despair over disconnection occurs.

Post-Crisis Depression Phase (5)