Transcript 1. mood disorders

DISEASE CLASSIFICATIONS
DIAGNOSIS OF MENTAL
DISORDERS
 DSM-IV-TR
 Published by APA ( 2000 )
 Multiaxial system
 5 categories called axes
 Facilitate holistic assessment for care
 Is a great resource & tool for psych nurses
CRITICAL
THINKING/COMPARISON ACT.
DELIRIUM
DEMENTIA
COMMON SYMPTOMS OF
MENTAL DISORDERS
 BEHAVIORAL CHANGES
 SUDDEN LACK OF CONCERN ABOUT
APPEARANCE
 PHYSICAL SX. WITHOUT MEDICAL
CAUSE
 OVERUSE OF DEFENSE MECHANISMS
 LOSS OF CONTACT WITH REALITY
 MORBID FASCINATION WITH DEATH
PSYCHIATRIC CATEGORIES
 MOOD DISORDERS
 PERSONALITY DISORDERS
 ANXIETY DISORDERS
 PSYCHOSIS
 DUAL DISORDERS
#1. MOOD DISORDERS
 CHARACTERIZED BY DISTURBANCE
OF MOOD
 ALONG W/ LOSS OF CONTROL AND
 SUBJECTIVE FEELING OF DISTRESS
 CHARACTERIZED BY SEVERE AND INAPPROPRIATE
EMOTIONAL RESPONSE
DEPRESSION
Exaggerated feelings of sadness
Affects 1 in 20 people/year
May be so severe, suicide is
contemplated
Unipolor Depression
Dysthymic Disorder
Anhedonia
Major Depressive Episode
 Includes 5 or more of these symptoms during the same 2
week period:
 Sleep disturbances, weight or appetite changes, fatigue, loss
of energy, feelings of worthlessness or excessive guilt,
diminishted ability to think of concentrate, indecisiveness,
recurrent thoughts of death or suicide
OTHER TYPES OF DEPRESSION
ARE….
 ORGANIC---- What is it???
 SITUATIONAL ----- What is it???
 POSTPARTUM ----- What is it???
 SAD ----- What is it????
BIPOLAR DISORDER
 Manic-depressive disorder
 Sudden shifts between depression & mania
 Medical Therapy will include:
 Antidepressants
 Lithium
 ECT & psychotherapy
#2. PERSONALITY DISORDERS
 Inflexible, maladaptive patterns of behavior
 Char. By :
 Lack of insight
 Distorted self-perception
 Impaired relationships
 Poor impulse control
 Do not handle change easily
 See Box 35-3 pg 1147
TYPES OF PERSONALITYY DISORDERS
 PARANOID
 SCHIZOID
 SCHIZOTYPAL
 ANTISOCIAL
 BORDERLINE
 HISTRIONIC
More Personality Disorders…
 NARCISSISTIC
 AVOIDANT
 DEPENDANT
#3. ANXIETY DISORDERS
 CRITICAL THINKING EXERCISE: Define & give example;
 Signal Anxiety ---What is it?
 Free Floating--- What is is?
 PANIC --- List symptoms to summarize…
 Agoraphoria- What is it??
Summarize and provide an
example…
 OBSESSIVE-COMPULSIVE DISORDER
 POSTTRAUMATIC STRESS DISORDER
#4. PSYCHOSIS
 THOUGHT DISORDER THAT
INTERFERES WITH ABILITY TO
RECOGNIZE AND TO DEAL WITH
REALITY; ALSO INTERFERES WITH THE
ABILITY TO COMMUNICATE
 SX: DELUSIONS, HALLUCINATIONS,
IMPAIRED REALITY TESTING
CRITICAL THINKING/
COMPARISON ACTIVITY
NEUROSIS
PSYCHOSIS
SCHIZOPHRENIA
 Is a cluster of behaviors with bizarre, non-
reality based thinking; is any one of a large
group of psychotic disorders whose defining
characteristics are gross distortion of reality
Positive Behavior Patterns
 Delusions
 Hallucinations
 Disorganized Thinking and Speech
 Grossly disorganized behavior
 Catatonia
Negative Behavior Patterns
 Withdrawal
 Isolation
 Flat Affect
TYPES OF SCHIZOPHRENIA
 PARANOID
 DISORGANIZED
 CATATONIC
 UNDIFFERENTIATED
 RESIDUAL
#5. DUAL DIAGNOSIS
 NOW COMMONLY USED TO MEAN
MENTAL ILLNESS COMBINED WITH
CHEMICAL DEPENDENCY (MI/CD)
Test Review Topics for you…
 Characteristics of a mentally healthy person
 Review Hx of MI & early tx
 Freud- Father of psychiatry-also coined the phrase
"psychoanalysis
 Therapies of the 20th Century
 Insulin Therapy
 ECT
 Lobotomy
 Psychoanalysis
 Review influences on MH
 Know Erickson’s life cycles- ages & stages
 Warning signs of suicide-pg. 1147
 Define:
 Id
 Ego
 Superego
 Behavior
 Stress
 Anxiety
 Motivation
 Frustration
 Coping
 Neurosis
 Psychosis
 Delirium
 Dementia
 Hallucinations
 “lunacy”-disorder caused by the moon
 Def. Mechanism
 Regression
 Repression
 Compensation
 Displacement
 Denial
 Identification
 Rationalization
 Sublimation
 Know these MI
 Schizophrenia
 General mood disorders
 Bipolar
 *Unipolar depression- maj. depression lasting 2yrs
 *Postpartum depression
 *Seasonal affective disorder
 Panic attack
 Agoraphobia
 Posttraumatic stress disorder
 Antisocial
 Current tx for mood disorders
 ECT
 psychotherapy