Mental Health Final

Lithium Toxicity

• V/D

• Drowsiness

• Ataxia

• Oliguria

• Blurred Vision

Neologisms

Made up words

Echolalia

Repeating someones

Clanging

Rhythming

Tangenital

Jumping from topic to topic

Circumstantial

Provides many details but returns to the point

Associative Looseness

Lack of connection between ideas

Waxy Flexibility

Maintain any position

Catalepsy

Muscular rigidity

Stupor

Impaired consciousness

Negativism

Refuses to cooperate

Echopraxia

Copying movement

EPS Symptoms

• Dystonia → involuntary muscle movement

• Pseudoparkinsonism

• Akathisia → restlessness

NMS Symptoms

• fever/hyperthermia

• Unstable BP

• Myoglobinuria

• Stupor

Symptoms of antipsychotics

• weight gain

• EPS

• NMS

• don’t stop abruptly

Cluster A

Odd and eccentric

• paranoid

• schizoid

• schizotypal

Cluster B

Dramatic, emotional, erratic

• Antisocial

• Borderlines

• Histrionic

• Narcissistic

Cluster C

Anxious and fearful

• avoidant

• dependent

• impulsive

Medications to decrease alcohol cravings

• naltrexone

• topiramate

• acamprosate

• disulfiram

SNRI/SSRI Teaching

• sexual dysfunction

• weight gain

• increased risk of suicidality

• don’t stop medication abruptly

• avoid alcohol

Bulimia Findings

• Puffy cheeks 

• Scars on knuckles (due to inducing vomit;result sign)

• Normal weight 

• Dental deterioration

Anorexia Findings

• Thin/weight loss 

• Hypotension, bradycardia, dysrhythmias 

• Hypothermia 

• Dehydration 

• Languino hair 

• Amenorrhea

• Electrolyte imbalances 

• Dry skin/brittle hair and nails

Factitious Disorder

Doing actions on purpose to get what they want

Somatic Disorder

Doing actions unconsciously to get what they want

Conduct Disorder

• disregard for authority

• aggression against animals and people

• lying, violates rules

Aphasia

Difficulty with language

Agnosia

Forgetting what a common item is

Apraxia

Forgetting how to do common movements

Amnesia

Forgetting what was said within a short amount of time

Anomia

Difficulty with word finding