This type of anxiety results in heightened senses and improved functioning. The person is able to think logically.
mild anxiety
During this stage of anxiety, the senses begin to dull. The person changes topics, loses train of thought, and speaks more quickly.
moderate anxiety
During this stage of anxiety, the patient s unable to concentrate, is disorganized/scattered, and may have hallucinations or delusions.
severe anxiety
During this stage of anxiety, the patient is psychotic, unable to have a conversation, and detached from reality.
Panic state of anxiety
When does anxiety become and anxiety disorder?
When it interferes with the patients activities of daily living. The patient feels anxiety even when there's no real threat to them.
fear of being in public spaces
agoraphobia
fear of being around people you don't know
social phobia
anxiety disorder+social phobia=
panic disorder
Acute stress disorder (ASD) resolves within ___to_____days of the traumatic event. It's characterized by poor memory of the event. The world is "dreamlike.
2 to 28
___________ is acute stress disorder (ASD) that lasts over a month.
Acute PTSD
__________ is ASD that lasts over two months. What is the patient at huge risk for?
Chronic PTSD. Huge risk for substance abuse.
Delayed PTDS comes on _______ or more after the trauma occurs.
6 months
This defense mechanism takes repressed feelings and turns them into something else (good or bad). For example, a boy has the compulsion to cut things up. He can either take this and turn it into good (becomes a surgeon) or he can become Jack the Ripper.
Sublimation
This defense mechanism happens when a person VOLUNTARILY pushes something out of their minds.
Suppression
This defense mechanism happens when a person unconsciously pushes something out of their mind.
Repression
Little man syndrome: emphasizing positive traits to make up for real or perceived weaknesses.
Compensation
The person unconsciously incorporates the qualities of another person (usually the significant other).
Introjection
Acting or behaving like somebody else.
Identification.
The poop rolls downhill." You have a bad day at work, you take it out on your kids when you get home.
Displacement.
You hate babies. You feel guilty about this, so you start a daycare to try to get over it. (Doing the exact opposite of how you really feel.)
Reaction formation.
A physical manifestation of a mental problem. (Woman doesn't hear her husband when he says to her that he wants a divorce.)
Somatization.
You pig out and then try to reverse the effects by going to the gym to work out for a long time.
Undoing.
Trying to justify a dishonest/bad behavior.
Rationalization.
Big baby." Going back to an earlier stage in life to cope.
Regression.
A man thinks everyone is trying to kill him when, really, he is the one with murderous thoughts in his heart.
Projection.
Vocab: Process by which a trained person applies principles to help individuals with psychological problems. It's expensive and happens over a long period of time. The trained professional explores the client's past, trying to figure out the root of the p
Psychotherapy (This is unlike CBT because CBT does NOT attempt to go back in the past...it deals with the "here and now" problem.
Vocab: The patient associates you with someone in their life so they treat you like that person.
Transference
Voab: The nurse associates the patient with a person in their life and treats the client like that person.
Countertransference
The cognitive triad is the patient's view of ________, _________, and ________.
self, world, future
Relaxation techniques, nutrition/diet management, and exercise/rest schedules are examples of ___________ interventions
Psychobiologic (biologic...having to do with your physical body. Psycho...they still have an effect on your mind.)
What is electroconvulsive therapy (ECT) used to treat? (3 big things) How does it work?
bipolar disorder to decrease mania, MDD, schizophrenia/schizoaffective disorder. It interrupts neurological synapses that happen at the cellular level.
They do if for clients for whom all other therapeutic interventions have failed and whose lives are at
What must happen before ECT?
THOROUGH assessment: Health history, physical, CBC, BMP, ECG, chest xray.
Put under anesthesia during procedure, so test for patient's ability to tolerate that.
What's actually happening in ECT? Electrical current causes a....
grand mal seizure that lasts about 1 minute. O2 sat and cardiac function are monitored
What do you want to warn your patient of who is undergoing ECT?
They may experience temporary memory loss after the procedure
T or F. Transcranial Nerve Stimulation (TMS) has more side effects than ECT.
FALSE. TMS has less side effects.
What type of crisis? Develops as a response to a
sudden and unavoidable traumatic event
that dramatically alters a person's identity and roles.
Situational
What type of crisis? Results from
NORMAL life events
that cause stress such as growing up, going to college, or getting married.
Maturational (developmental)
What type of crisis? Caused by an outside external event that causes trauma and disruption,
usually to many people.
Adventitious.
What is meant by diathesis in the diathesis-stress model?
If you're not predisposed to a disorder, you can't get it