mental health exam 2

What is Gas

-General Adaptation Syndrome (Selye)

what does GAS consist of

• alarm stage

• resistance

• exhaustion

what is alarm stage

• flight or fight

• preparations for defense

what is resistance stage

• blood shunted to areas needed for defense

exhaustion stage

• body becomes depleted

levels of anxiety

• mild

• moderate

• severe

• panic

what is mild anxiety

• sensing something different

• increased sensory stimulation

• motivational

what is moderate anxiety

• nervous agitation

• difficulty concentrating

• able to be redirected

what is severe anxiety

• trouble thinking and reasoning

• tightened muscle

• increased vital signs

• restless, irritable, angry

what is panic anxiety

• flight or freeze response

• increased vital signs

• enlarge pupils

• focusing on defense

working with anxious clients

• low, calm, soothing voice

types of anxiety

• agoraphobia

• panic disorder

• specific phobia

• social phobia

• GAD

etiology

GABA & serotonin ( neurochemical theories)

panic disorder treatment

CBT ( deep breathing , relaxation )

meds for panic disorder

• SSRI

• Tricyclic antidepressants

• anti hypertensive (clonindine) (propranolol)

positive reframing ( anxiety treatment )

• behavioral technique involving turning negative into positive

decatastrophizing ( anxiety treatment )

• making more realistic appraisal of situation

assertiveness training ( anxiety treatment )

• learn to negotiate interpersonal situations

treatment meds for anxiety

• SSRIs

hamilton rating scare for anxiety

• 0-4 rating to evaluate each patient as their degree of anxiety

Automatisms

• general appearance and motor behavior

mood and affect ( panic disorder )

• depersonalization (disconnected from self)

• de realization ( events are not real when they actually are )

sensorium and intellectual process

• orientation

• memory

• confusion

judgement and insight

• ability to interpret the environment

• ability to understand the true nature of one’s situation

sensory- perceptual alterations

• auditory

• visual hallucinations

physiological and self face considerations

• eating habits

• sleep patterns

intelligence test

• cognitive test

• intellectual functioning

personality test

• self concept

• impulse control

• reality testing

• major defenses

cognitive abilities

• math

• memorization ( short term )

• identity common objects

• ability to follow multi steps

• ability to write or copy drawing

mood is

• internal feelings using sad or anxious

affect is

• external which more immediate and response to the current situation or interaction

blunted affect

• showing little or a slow to respond facial expression

broad affect

• displaying a full range of emotional expression

flat affect

• showing no facial expression

labile affect

• rapidly changing or fluctuating someone’s mood

restricted affect

• displaying one type of emotional expression, usually serious or somber

inappropriate affect

• displaying a facial expression that is incongruent with mood or situation; often silly or giddy regardless of circumstances

process is

• how the client thinks

content is

• what the client says

circumstantial thinking

• eventually answers a question but only after giving excessive unnecessary detail

delusion

• a fixed, false belief not based in reality

flight of ideas

• rapid, continuous, and hurried speech that jumps abruptly from one topic to another

ideas of reference

• clients inaccurate interpretation that general events are personally directed to them, such as hearing a speech on the news and believing the message has personal meaning

loose associations

• disorganized thinking that jumps from one idea to another with little or no evident relation between the thoughts

tangential thinking

• wandering off the topic and never providing the information requested

thought broadcasting

• belief that others can hear or know what the client is thinking

thought insertion

• belief that others are putting ideas or thoughts into the client head that aren’t theirs

thought withdrawal

• belief that others are taking the client thoughts away and the client is powerless to stop

world salad

• flow of unconnected words that convey no meaning to the listener

wavy flexibility

• maintained of posture or position over time even when it is awkward or uncomfortable

conservatorship/guardianship is

• graves disability