rhonda nelson, m.s. ed, lcpc aimee anderson, ms. a serious mental disorder characterized by...
Post on 23-Dec-2015
214 Views
Preview:
TRANSCRIPT
PSYCHOTIC SYMPTOM DE-ESCALATIONRhonda Nelson, M.S. Ed, LCPC
Aimee Anderson, MS
What is psychosis?
A serious mental disorder characterized by thinking and emotions that are so impaired that they indicate that a person experiencing them has lost contact with reality
Early Stage Symptoms
Difficulties concentration Depressed mood Sleep changes – sleeping too much or not
enough Anxiety Suspiciousness Withdrawal from family and friends Ongoing unusual thoughts and beliefs
Late stage symptoms
Delusions Hallucinations Disorganized speech – switching topics
erratically Depression Anxiety Suicidal thoughts or actions Difficulty functioning
What Are Delusions?
Delusions - Definition
A firmly held false belief or impression even when contrived by reality and what is commonly known as true. Delusions of Paranoia Grandiose delusions Somatic delusions
What Are Hallucinations?
A sensory perception in the absence of outside stimulus. Seeing Hearing Smelling Feeling
Positive and Negative Symptoms
Delusions and Hallucinations are the positive symptoms of psychotic disorders. They seem real to the person experiencing them
Negative symptoms include: Loss of motivation Social withdrawal Blunted emotions Thinking difficulties
DSM-V Diagnoses
Schizophrenia Delusional Disorder Brief Psychotic Disorder Schizophreniform Disorder Schizoaffective Disorder
Psychosis can also occur
Bi-polar disorder During periods of mania
Major Depressive Disorder During periods of severe depression
Other possible causes
Illnesses
Brain diseases: Parkinson’s, Huntington’s, and some chromosomal
Brain tumors or cysts Dementia (including Alzheimer's disease) HIV, syphilis, and other infections that attack
the brain Some types of epilepsy Stroke
Possible environmental causes
Alcohol Illegal drugs:
Simulants Methamphetamine Cocaine
Hallucinogenic Drugs (LSD) Bath salts; synthetic drugs (K2)
Long periods without sleep Prescription drugs: steroids and
stimulants
Risk Factors for Psychotic Disorders
Possibly genetic 50% chance of developing a psychotic
disorder if identical twin has been diagnosed Higher risk if immediate family (parent/sibling)
member has been diagnosed Brief reactive psychosis
Response to an extreme situation, death of family member, short-lived response (days)
Treatment Considerations
Rapid tranquilization Medications Therapy Psycho-education Case Management
Tools for Your Toolkit: How?
Approach the person in a caring and non-judgmental way to discuss your concerns
Allow the person to talk about their experiences and beliefs if they want to, but do not force them
Where?
Choose a private time and place, free from distractions
What?
Let the person know you are concerned and want to help- state the specific behaviors that concern you
Let the person know you are available to talk in the future
Why?
Be sensitive to the way the person is behaving
Respect the person’s privacy and confidentiality
Who?
Let the person set the pace and style of interaction
Do not touch the person without permission
“Tips” to assist with the “Tools”
Assist the person by remaining calm Talk in a clear, concise way Use short, simple sentences
More Tips…….
Speak quietly in a non-threatening tone at a moderate pace
Answer questions calmly Comply with reasonable requests
More tips…….
Maintain your safety and access to an exit
Do not do anything to further agitate the person
Key “Tip” - Listening
Understand the symptoms for what they are
Empathize with how the person is feeling about his/her beliefs and experiences
Communication
Be patient and allow plenty of time for responses
Be aware that just because the person may be showing a limited range of emotions this does not mean they are not feeling anything
Do not assume the person cannot understand you, even if the response is limited
Information
Give the person hope for recovery
Provide practical help
Do not make any promises that you cannot keep
Treatment Options - Professionals
Doctors – Primary Care Physicians Psychiatrists Social workers, counsellors & other mental
health professionals Certified Peer Specialists
Treatment Options – Non Professionals
+ Peer support groups
+ Family, friends, faith and other social networks
+ Family support groups
+ Discontinuation of alcohol and other drugs
If the person does not want help
Encourage the person to talk with someone he/she trusts
Never threaten the person with hospitalization
Remain patient
Remain friendly and open
The person may want your help in the future
Questions ?
top related