Term
| Major Mental Health Classifications |
|
Definition
| Neurosis (anxiety based), Psychosis (hallucinations, delusions), Personality disorders (narcissist) |
|
|
Term
| After injury or illness, most PT clients will experience some issues: |
|
Definition
1) Adjustment to disability
2) Adjustment disorder
3) Acute stress reaction |
|
|
Term
|
Definition
| Repression, conversion, displacement, rationalization, denial, regression, projection, sublimation (re-direct negative feelings) |
|
|
Term
|
Definition
| Sad or blue, guilt, trouble making decisions, anxiety, vegetative signs (changes in appetite/sleep), hopelessness, physical symptoms, anhedonia (inability to experience pleasure) |
|
|
Term
|
Definition
| Major mental health problems, trauma (including rape and sexual assault), substance abuse problems, loss of family member or friend, gender identity issues, poor family stability |
|
|
Term
|
Definition
| No suicide attempt should be dismissed or treated lightly, verbal threats such as "You would be better off without me", expressions of hopelessness and/or helplessness, previous suicide attempts, daring and risk-taking behavior, personality changes (withdrawal, aggression, moodiness), depression, giving away prized possessions, lack of interest in the future, increase in drug or alcohol intake, recent sever loss or threat of such a loss |
|
|
Term
|
Definition
| "I'm giving this until April and if I'm not walking by then, I'm outta here!" or "I bought a gun" |
|
|
Term
|
Definition
| "I wonder what it would be like to kill myself?" or "I wish I would have died in that accident." |
|
|
Term
|
Definition
| Active vs. Passive ideation, plan, deterrents, history, impulsivity, contracting for safety?, notify, refer, document |
|
|
Term
| Mental Health Classifications |
|
Definition
| DSM-IV or Diagnostic and Statistical Manual, ICD-9, Neurosis, Psychosis, Personality or character disorder, organicity |
|
|
Term
|
Definition
|
|
Term
|
Definition
| Thought disorder, hallucinations, reality testing |
|
|
Term
|
Definition
| THnking and behavior impaired due to neurological changes |
|
|
Term
|
Definition
| Major depressive disorders (at least 2 weeks of symptoms), cultural influence on symptoms, age at onset, genetics |
|
|
Term
|
Definition
| AKA "Manic Depressive", 90% who have one manic episode have more, can recover completely between episodes, mood stabilizers (Lithium, depakote). 5 different types. |
|
|
Term
|
Definition
| Bipolar I, Bipolar II, Rapid cycling, Mixed, Cyclothymia |
|
|
Term
|
Definition
| At least one manic episode; abnormal behavior |
|
|
Term
|
Definition
| Cycling, but Ups never reach Mania |
|
|
Term
|
Definition
| 10-20%, 4 episodes of mania and depression per year |
|
|
Term
|
Definition
| Mania and depression in rapid succession |
|
|
Term
|
Definition
|
|
Term
|
Definition
| Mild signs of manic behavior constantly. IE - someone who is impulsive, gets a little agitated, but no psychiatric disorder, just lose it once in a while |
|
|
Term
|
Definition
| Chronic levels of depression which do not qualify as clinical depression. IE - a Debbie downer, its just sort of their baseline. THey don't qualify as clinically depressed or needing Meds. |
|
|
Term
|
Definition
| Usually involves pain and severe neurological symptoms (such as headache, fatigue), digestive symptoms (such as nausea, vomiting, abdominal pain, constipation, diarrhea) or sexual symptoms (such as pain during sexual activity, loss of sexual desire, extremely painful periods in women) |
|
|
Term
|
Definition
| Converting their emotions into physical symptoms. Can be global aphasia (like, suddenly they are unable to talk) |
|
|
Term
|
Definition
| Focus on normal symptoms, IE-Pain = cancer |
|
|
Term
|
Definition
| The name of the Dr. who this was named. Its a person who develops pain symptoms b/c they want pain syndrome and medical intervention |
|
|
Term
|
Definition
| The parents don't want medical interventions, but they want their children to have medical attention. The child is otherwise normally healthy. |
|
|
Term
|
Definition
| Occurs when a person becomes obsessed with a flaw in his or her physical appearance that is either a minor flaw or a flaw that doesn't exist. He or she constatnlty worries about the percieved flaw, which can be any part of the body. Wrinkles, hair loss, weight gain, and size and shape of feature like the eyes, nose and breasts are all common concerns for people who have body dysmorphic disorder. RUle out for sex change. |
|
|
Term
|
Definition
| Panic attack, agorophobia, specific phobia, social phobia, seperation anxiety disorder, PTSD, generalized anxiety disorder |
|
|
Term
|
Definition
| Psychosis. Onset is late adolescent early adult (acting out in strange ways b/c of delusional thinking). Soft neuro signs (An organic disorder, the brains of people with this are different than other populations). Genetics (strong auditory connection/hallucinations) |
|
|
Term
|
Definition
| Enduring pattern of thinking, behaving, feeling which is stable over time. Types: Paranoid, borderline, schizoid, histrionic, schizotypal, narcissistic, antisocial, obsessive compulsive, and dependent. |
|
|
Term
|
Definition
| Always suspicious that someone is out to get them, they are behind them |
|
|
Term
|
Definition
Effect on PT discussion of presentation in PT eating disorder, cutting, suicidal, boundaries, abandonment.
Manipulative.
Promiscuous or flirtatious.
All good vs. all bad.
Splitting.
Fear of abandonment; often reject before rejected.
CHaotic relationships
RAge Response. |
|
|
Term
|
Definition
| People who aren't really hallucinating, but they are people who don't interact well, they are very withdrawn, an odd Duck |
|
|
Term
|
Definition
|
|
Term
|
Definition
| Quality management for potaot chips person. |
|
|
Term
|
Definition
Cause: excessive praise or criticism, overindulgence, focus on looks.
Controlling, blaming, self absorbed, intolerant of others, seek adoration, ignore the needs of others, over value/de-value.
Cannot take feedback: narcissistic rage.
Achievement oriented yet cannot work with others long term; exploitive, grandiose (may see a small amount of sociopath in this population). |
|
|
Term
|
Definition
| Sociopath (often seen in jail) |
|
|
Term
|
Definition
They don't care what they do will affect you, they are limited in fear or guilt.
Often seen in criminal behaviour.
Disregard for impact of their behavior on others.
Limited experience of guilt or fear (*note functional MRI study results) |
|
|
Term
|
Definition
| Histrionic (emotional, dramatic) and Borderline. |
|
|
Term
|
Definition
| Unstructured or PROJECTIVES, or Structured |
|
|
Term
| Unstructured/Projectives personality testing |
|
Definition
Rorschach and TAT. Incomplete sentences.
-The pt. projects onto the unstructured stimulus, their own reactions, feelings, etc. |
|
|
Term
| Structured personality testing |
|
Definition
| Inventories/questionnaires (Beck), MMPI-2 (500 T/F questions), patterns associated with diagnostic groups, can asses fake or lying, samples and discussion, note "Conversion V" in pts. |
|
|
Term
|
Definition
| Cognitive Behavior Therapy |
|
|
Term
|
Definition
A maladaptive pattern of substance use leading to clinically significant impairment or distress as manifested by one (or more) of the following, occurring in a 12 month period:
1) Recurrent substance use resulting in a failure to fulfill major role obligations at work, school, home (eg. repeated absences or poor work perforrmance, suspensions, neglect of children, or household).
2) Recurrent substance use in situations in which it is physically hazardous (eg. Driving)
3)Recurrent substance related legal problems (arrests, disorderly conduct)
4) Continued substance use despite having persistant socail or interpersonal problems caused or exacerbated by the effects of the substance (arguments with spouse, physical fights)
B. Symtoms have never met criteria for substance dependece. |
|
|
Term
|
Definition
A maladaptive pattern of substance use leading to clinically significant impairment or distress:
3 or more in 12 months:
1) Tolerance......either:
a) need for markedly increased amounts to achieve intoxication
b) effect markedly diminshed with continued use of the same amount
2) Withdrawal (either)
a) the characteristic withdrawal syndrome for the substance
b) the same or closely related substance is taken to releive withdrawal
3) Substance is taken in larger amounts or over a longer period than intended
4) Persistant desire or unsuccessful efforts to cut down or control use
5) Great amount of time spent in activities necessary to obtain substance, use, or recover from effects
6) Important social, occupational, recreational activities are given up or reduces because of use
7) Substance use is continued despite knowing recurrent physical problem is caused by the substance |
|
|
Term
|
Definition
Finger Temperature:
-stressed 70 degrees F
-relaxed 90-95 degrees F
Muscle Tension (Surface EMG)
-0-2 mv relaxed
-4 mv mild tension
-6 to 8 mv moderate tension
->10 high tension
Breathing:
-hyperventilation - highly stressed
-rhythmic and diaphramatic - relaxed |
|
|
Term
|
Definition
-Autogenics - self talk
-Diaphramic breathing
-Visual imagery
-Progressive muscle relaxation
-Transcendental Meditation |
|
|
Term
|
Definition
Ideal rate of breathing is 5 sec in and 5 sec out.
Breath about 6 times per minute.
This balances out the sympathetic and parasympathetic nervous system.
Over time this represents your baseline
This balances out your activation system. |
|
|
Term
|
Definition
1) Pre-contemplation
2) Contemplation
3) Determination
4) Action
5) Maintenance
6) Relapse |
|
|
