10/10 - Suicide and Dissociative disorders

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12 Terms

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Suicide

Fatal self-inflicted destructive act w/ explicit or inferred intent to die

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4 steps of Suicidal Continuum

  1. Suicidal Ideation: Thinking about ending one’s life

  2. Developing a plan

  3. Suicide attempt: nonfatal suicidal behavior

  4. Suicide: actual ending of one’s life

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Self-harm w/o the presence of suicidality

Self-harming w/o the intent of ending their life

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Resilience

a Belief you can overcome adversity, good coping skills

Risk for suicide but unlikely when high in resilience.

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2 medicines types of for mood disorders

  • Antidepressants (MAOIs, SSRIs)

  • Mood-stabilizing drugs (Lithium): For bipolar episodes

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3 alternative biological treatments for mood disorders, elaborate

  • Electroconvulsive therapy (ECT): Treatments induce seizures, used w/ severely depressed patients who may present serious suicidal risk (shock)

  • Transcranial Magnetic Stimulation (TMS): Nerve stimulation of the brain to improve depressive symptoms

  • Deep Brain Stimulation (DBS) (neuromodulation): Implanting an electrode in the brain a stimulating w/ electric current

    • Controlled by a pacemaker type device placed under the skin in the upper chest. A wire travels under the skin connecting the device with the electrodes.

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3 Psychotherapies for mood disorders

  • CBT

  • Behavior Activation Treatment: Getting patients to become more active and engaged w/ their environment and relationships

  • Interpersonal Therapy (IPT): Focuses on current relationship issues and understanding and change of maladaptive interaction patterns

  • Family and Marital therapy

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Dissociative Disorders

Conditions that involve disruptions or breakdowns of memory, awareness, identity, or perception 

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Dissociative Identity Disorder

a dissociative disorder, formerly called MPD, in which an individual develops more than one-self or personality.

  • Must have 2 distinct identities and when inhabiting identity one, are

  • Not aware of inhabiting the other identity, with large gaps in memory

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What Oftentimes Dissociative disorders involve

mood, anxiety, and PTSD.

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Dissociative Amnesia

Inability to remember important details and experiences, usually associated with traumatic events or very stressful events

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Fugue State

Traveling or wandering w/o knowing their identity