1. MENTAL HEALTH Disease Classifications
Care of the Patient with a Pysch Disorder Part 1

2. DIAGNOSIS OF MENTAL DISORDERS
DSM-IV-TR
Published by APA ( 2000 )
Multiaxial system
5 categories called axis
Facilitate holistic assessment for care
Is a great resource & tool for psych nurses

3. CRITICAL THINKING ACTIVITY
DELIRIUM
DEMENTIA

4. COMMON SYMPTOMS OF MENTAL DISORDERS
BEHAVIORAL CHANGES
SUDDEN LACK OF CONCERN ABOUT APPEARANCE

5. PHYSICAL SX. WITHOUT MEDICAL CAUSE
OVERUSE OF DEFENSE MECHANISMS
LOSS OF CONTACT WITH REALITY
MORBID FASCINATION WITH DEATH

6. PSYCHIATRIC CATEGORIES for Mental Disorders
MOOD DISORDERS
PERSONALITY DISORDERS
ANXIETY DISORDERS
PSYCHOSIS
DUAL DISORDERS

7. #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

8. DEPRESSION
Exaggerated feelings of sadness Affects 1 in 20 people/year May be so severe, suicide is contemplated Unipolor Depression Dysthymic Disorder Anhedonia

9. Surprising Signs of Depression
Shopping Sprees
Drinking heavily
Forgetfulness
Excessive Internet Use
Binge Eating and Obesity
Shoplifting
Risky Sexual Behavior
Exaggerated Emotions
Problem Gambling

10. 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

11. OTHER TYPES OF DEPRESSION ARE….
ORGANIC---- What is it???
SITUATIONAL What is it???
POSTPARTUM What is it???
SAD What is it????

12. BIPOLAR DISORDER Manic-depressive disorder
Sudden shifts between depression & mania
Medical Therapy will include:
Antidepressants
Lithium Carbonate
ECT & psychotherapy

13. #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 34-3 pg 1134

14. TYPES OF PERSONALITYY DISORDERS
PARANOID
SCHIZOID
SCHIZOTYPAL
ANTISOCIAL
BORDERLINE
HISTRIONIC

15. More Personality Disorders…
NARCISSISTIC
AVOIDANT
DEPENDANT

16. #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??

17. Summarize and provide an example…
OBSESSIVE-COMPULSIVE DISORDER
POSTTRAUMATIC STRESS DISORDER

18. Signs of Adult ADHD Running Late Risky driving Distraction
Outbursts & difficulty controlling anger
Hyperfocus

19. #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

20. CRITICAL THINKING/ COMPARISON ACTIVITY
NEUROSIS
PSYCHOSIS

21. 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

22. Positive Behavior Patterns
Delusions
Hallucinations
Disorganized Thinking and Speech
Grossly disorganized behavior
Catatonia

23. Negative Behavior Patterns
Withdrawal
Isolation
Flat Affect

24. TYPES OF SCHIZOPHRENIA
PARANOID
DISORGANIZED
CATATONIC
UNDIFFERENTIATED
RESIDUAL

25. #5. DUAL DIAGNOSIS
NOW COMMONLY USED TO MEAN MENTAL ILLNESS COMBINED WITH CHEMICAL DEPENDENCY (MI/CD)

26. YOU need to review for Unit 1 Exam….
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

27. Review influences on MH Know Erickson’s life cycles- ages & stages
Review material on pg 1128-
Nat. Mental Health Act
Review influences on MH
Know Erickson’s life cycles- ages & stages
Warning signs of suicide-pg. 1147
Define: Id
Ego
Superego

28. Behavior
Stress
Anxiety
Motivation
Frustration
Coping
Neurosis
Psychosis
Delirium

29. “lunacy”-disorder caused by the moon Def. Mechanism
Dementia
Hallucinations
“lunacy”-disorder caused by the moon
Def. Mechanism
Regression
Repression
Compensation
Displacement
Denial

30. Know these MI Identification Rationalization Sublimation Schizophrenia
General mood disorders
Bipolar
*Unipolar depression- maj. depression lasting 2yrs
*Postpartum depression
*Seasonal affective disorder

31. Posttraumatic stress disorder Antisocial Current tx for mood disorders
Panic attack
Agoraphobia
Posttraumatic stress disorder
Antisocial
Current tx for mood disorders
ECT
psychotherapy