DISEASE CLASSIFICATIONS

DIAGNOSIS OF MENTAL DISORDERS

DSM-IV-TRPublished by APA ( 2000 )Multiaxial system5 categories called axesFacilitate holistic assessment for careIs a great resource & tool for psych

nurses

CRITICAL THINKING/COMPARISON ACT.DELIRIUM DEMENTIA

COMMON SYMPTOMS OF MENTAL DISORDERS

BEHAVIORAL CHANGESSUDDEN LACK OF CONCERN

ABOUT APPEARANCE

PHYSICAL SX. WITHOUT MEDICAL CAUSE

OVERUSE OF DEFENSE MECHANISMS

LOSS OF CONTACT WITH REALITY

MORBID FASCINATION WITH DEATH

PSYCHIATRIC CATEGORIESMOOD DISORDERSPERSONALITY DISORDERSANXIETY DISORDERSPSYCHOSISDUAL DISORDERS

#1. MOOD DISORDERSCHARACTERIZED BY DISTURBANCE OF MOODALONG W/ LOSS OF CONTROL ANDSUBJECTIVE FEELING OF DISTRESSCHARACTERIZED BY SEVERE AND

INAPPROPRIATE EMOTIONAL RESPONSE

DEPRESSIONExaggerated feelings of sadnessAffects 1 in 20 people/yearMay be so severe, suicide is contemplated

Unipolor DepressionDysthymic DisorderAnhedonia

Major Depressive EpisodeIncludes 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 disorderSudden shifts between depression &

mania

Medical Therapy will include: AntidepressantsLithiumECT & psychotherapy

#2. PERSONALITY DISORDERSInflexible, maladaptive patterns of

behaviorChar. By :Lack of insightDistorted self-perceptionImpaired relationshipsPoor impulse controlDo not handle change easilySee Box 35-3 pg 1147

TYPES OF PERSONALITYY DISORDERS

PARANOIDSCHIZOIDSCHIZOTYPALANTISOCIALBORDERLINEHISTRIONIC

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. PSYCHOSISTHOUGHT 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 ACTIVITYNEUROSIS PSYCHOSIS

SCHIZOPHRENIAIs 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 PatternsDelusions

Hallucinations

Disorganized Thinking and Speech

Grossly disorganized behavior

Catatonia

Negative Behavior PatternsWithdrawal

Isolation

Flat Affect

TYPES OF SCHIZOPHRENIAPARANOIDDISORGANIZEDCATATONICUNDIFFERENTIATEDRESIDUAL

#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 personReview Hx of MI & early txFreud- Father of psychiatry-also coined the

phrase "psychoanalysisTherapies of the 20th Century

Insulin TherapyECTLobotomyPsychoanalysis

Review influences on MHKnow Erickson’s life cycles- ages & stagesWarning signs of suicide-pg. 1147Define:IdEgoSuperego

BehaviorStressAnxietyMotivationFrustrationCopingNeurosisPsychosisDelirium

DementiaHallucinations“lunacy”-disorder caused by the moonDef. Mechanism

RegressionRepressionCompensationDisplacementDenial

IdentificationRationalizationSublimation

Know these MISchizophreniaGeneral mood disordersBipolar*Unipolar depression- maj. depression lasting 2yrs*Postpartum depression*Seasonal affective disorder

Panic attackAgoraphobiaPosttraumatic stress disorderAntisocialCurrent tx for mood disorders

ECTpsychotherapy