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Mind-body interventions
-Guided imagery
-Meditation
-Yoga
-Biofeedback
Biologically based Therapies
-Herbal products
-Vitamins
-Supplements
-Aromatherapy
Manipulative and body-based therapies
-Acupressure and Acupuncture
-Massage
-Reflexology
What is biofeedback and when is it used?
-Visual or auditory info about the autonomic physiologic functions of his or her body (BP, muscle tension, brain wave activity)
-Used for anxiety, pain, insomnia, neuromuscular problems
Omega-3 fatty acids (Uses and Interaction)
-ADHD, Dyslexia, cognitive impairment, dementia, cardiovascular disease, asthma, lupus, RA
-Interacts with Warfarin
Sam-e (uses and adverse effects)
-Depression, osteoarthritis, liver disease
-may cause hypomania, hyperactive muscle movements, Serotonin Syndrome
Tryptophan (uses and adverse effects)
-Depression, osteoarthritis, liver disease
-Serotonin syndrome w/ SSRIs, MAOIs, and St John's Wort
Vitamin E (uses and interactions)
-enhancing immune system and protecting cells against effects of free radicals
-neurological disorders, diabetes, PMS
-interacts w/ Warfarin
Melatonin (uses and function)
-Insomnia, jet lag, shift work, and cancer
-sets timing of circadian rhythms
Fish Oil (uses and interactions)
-Bipolar disorder, hypertension, lowering triglycerides, decreasing blood clotting
-interacts w/ Warfarin, NSAIDs, garlic, and ginkgo
Black Cohosh
menopausal symptoms
Belladonna
Anxiety
Catnip
Sedation
Chamomile
-Sedation, anxiety
Ginkgo
-Delirium, dementia, sexual dysfunction caused by SSRIs
Ginseng
-Depression
-Fatigue
Valerian
Sedation
Major Depression
-4/8 symptoms with depressed mood for 2 weeks
-Symptoms (SIGECAPS):
Sleep disorder
Interest deficit (anhedonia)
Guilt
Energy deficit
Concentration deficit
Appetite disorder
Psychomotor
GAD
-Excessive worry for 6 months
-3/6 of these symptoms (Macbeth Frets Constantly rEgarding Illicit Sins):
Muscle Tension
Fatigue
Concentration problems
Restlessness, feeling on edge
Irritability
Sleep problems
PTSD
-Remembers Atrocious Nuclear Attacks
-Reexperiences trauma through memories, flashbacks, or nightmares (one required for diagnosis)
-Avoidance of stimuli associated with trauma
-Negative alterations in cognitions and mood (two required for dx)
-Arousal increases such as insomnia, irritability, hypervigilance, etc.. (2 required for diagnosis)
ADHD
-MOAT (broad categories of 18 symptoms)
-Symptoms; Movement excess,
Organization problems,
Attention problems,
Talking impulsively
Schizophrenia
-2 symptoms for 1 month, plus 5 months of prodromal or residual symptoms
-One of the symptoms must be one of the core symptoms (delusions, hallucinations, speech disorganization)
-Symptoms: (Delusion Herald Schizophrenic's Bad News)
Delusions,
Hallucinations,
Speech/thought disorganization
Behavior disorganization,
Negative symptoms
Components of well-developed treatment plan
-Diagnostic testing planned
-Plans for therapy
-Plans for medication
-Referrals to other healthcare practitioners
-When you plan to meet with your client for a follow up visit
Components of Informed consent (5)
-Indication
-Alternatives
-Benefits
-Risks
-Questions