Occupational Therapy in Mental Health and Psychopharmacology

Comprehensive fill-in-the-blank practice flashcards reviewing core occupational therapy values, coding and classification frameworks (ICD-10, CPT, ICF), psychotropic medications and side effects, and major psychiatric disorders.

The OT core value defined as "putting others first" is __________.

Altruism

The OT core value defined as "using sound judgement" is __________.

prudence

The OT core value centered on respecting autonomy and choice is __________.

Freedom

Saying "Person with autism" is an example of person-first language, while saying "Autistic person" is an example of __________ language.

Identity first

The coding system used for procedure coding to identify what skilled OT service is being provided during evaluation and intervention is __________ Codes.

CPT

The main basis for health recording and statistics on disease used to count and identify the most pressing issue is the __________.

ICD-10

In the International Classification of Functioning, Disability and Health (ICF), the updated terminology for "activity restriction" is __________.

activity limitations

In the ICF framework, the updated term for "participation" is __________.

participation restrictions

The OT role in medication management involves examining how medication taking fits into daily life and how medications and their effects influence __________.

occupational performance

A critical red flag associated with antidepressant medications is serotonin syndrome (serotonin toxicity), which manifests as mental status changes, agitation, tremors, and __________.

sweating/fever

Combining anti-anxiety medications with opioids, alcohol, or other CNS depressants can lead to sedation and __________.

respiratory depression

From an OT perspective, monitoring clients on stimulants involves assessing mealtime routines, sleep, emotional regulation, school/work participation, growth/nutrition in children, and the __________ of med effects across the day.

timing

An early antipsychotic red flag occurring within 1 to 5 days that presents as uncontrolled muscle spasms of the face, tongue, and neck is __________.

Acute Dystonia

An antipsychotic side effect occurring within the first 2 months characterized by motor restlessness, pacing, rocking, and an irresistible desire to move is __________.

Akathisia

Drug-induced parkinsonism typically emerges within the first month of antipsychotic treatment and features tremors, shuffling movement, rigidity, and __________.

bradykinesia

A potentially fatal medical emergency occurring weeks to months after taking antipsychotics, marked by severe rigidity, altered mental state, fever, and unstable BP, is __________.

Neuroleptic malignant syndrome (NMS)

A late-occurring side effect of antipsychotics (developing over months or years) characterized by involuntary, repetitive, but painless movements of the face and upper limbs is __________.

Tardive dyskinesia

When monitoring mood stabilizers, a new rash in a client taking __________ requires prompt medical attention.

lamotrigine

Lithium is a mood stabilizer that requires careful monitoring because of its __________.

narrow therapeutic range

In schizophrenia, the negative symptom defined as poverty of speech is __________.

alogia

In schizophrenia, the negative symptom characterized by a lack of emotional enjoyment is __________.

Anhedonia

The negative symptom in schizophrenia where the brain cannot recognize one or more health conditions an individual has is __________.

Anosognosia

To meet the diagnostic criteria for schizophrenia, an individual must display at least 2 positive or negative symptoms over a 6-month period, where at least one symptom must be disorganized speech, hallucinations, or __________.

delusions

A psychotic disorder marked by a sudden onset of positive or negative symptoms lasting longer than 1 day but less than one month is known as __________.

Brief psychotic disorder

In schizophreniform disorder, symptoms last between 1 and 6 months; approximately 2/3 will progress to a full diagnosis, while __________ will lose the diagnosis.

1/3

The gold standard assessment for Obsessive Compulsive Disorder administered as a semi-structured interview is the __________.

Yale-Brown Obsessive Compulsive Scale

A key behavioral intervention for OCD where individuals confront anxiety-provoking triggers and intentionally refrain from compulsive behaviors is ERP, which stands for __________.

exposure and response prevention

The average age of onset for Major Depressive Disorder is __________.

mid to late 20s

Dysthymic disorder involves a depressed mood for most days, for more days than not, lasting at least __________ in adults (or 1 year in children).

2 years

Bipolar I disorder requires the presence of at least one manic or mixed episode, whereas Bipolar II disorder requires at least one major depressive episode and at least one __________ episode.

hypomanic

In cyclothymia, mood fluctuations between emotional highs and lows must persist for at least half of the 2-year period, with symptom-free periods lasting less than __________ consecutive months.

2

According to the "OT Don't Miss!" medication chart, the primary concerns to monitor for benzodiazepines are falls, dependence/withdrawal, and __________.

Sedation