BH-Exam-3-Blueprint.pdf - Exam 3 Blueprint Grief Depression or Mania Describe diagnostic criteria for various mood disorders on exam Major Depressive

BH-Exam-3-Blueprint.pdf - Exam 3 Blueprint Grief Depression...

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Exam 3 Blueprint Grief, Depression or Mania Describe diagnostic criteria for various mood disorders, on exam. Major Depressive Disorder vs. Normal sadness or “the blues” Euthymic (normal mood) vs. Dysthymia (depressed mood) * Major Differences Duration & Severity of Symptoms Level of functional impairment Feelings of worthlessness Example: “Normal” Grieving Time – limited ( up to 2 months but dependent on person; cultural) Kubler - Ross - 5 Stages of Grief * (the patient and or family can experience) o Stages do not follow a specific/sequential pattern = Denial, Anger, Depression, Bargaining, Acceptance Rodebaugh, Schwindt, Valentine Stages = Reeling, Feeling, Dealing, Healing Acute Grief Response (Normal Bereavement) - Duration varies ( about 2 months ; if symptoms last longer patient most likely suffers from depression) - Disbelief, denial, numbness (usually more severe loss is sudden and tragic) - Mix of emotions (pain, guilt, sadness, anger) - Preoccupation with thoughts and memories - Trouble concentrating, fatigue, appetite changes - Loss of interest in on-going life events / Social withdrawal - Adapt to the loss, confide in others, cognitively restructure the loss - Over Time: acceptance, integration, healing, a natural, instinctive process Grief Intervention - Crisis Model - Encourage client to talk; perception, meaning of loss, be an empathic listener - Help identify supports & coping strategies (past coping strategies) - Help correct negative perceptions that interfere with support, independence (use reflection, observation) - Review personal strengths / Respect adaptive denial / Encourage self-care - If prolonged, symptoms of severe depression, impaired functioning, or suicidal refer to mental health services à called Complicated Grief Complicated Grief - Heightened, Prolonged Mourning (> 6 months) - no sense of the future; life is meaningless Risk Factors - Loss of child or multiple losses / Unexpected, violent death - Ambivalent (relationship ended long time ago but death brought) or dependent relationship - Mental disorder / Lack of supports Risks from Complicated Grief (makes patient susceptible to) - Depression, anxiety, panic disorders, impaired function, suicide - Substance abuse / Physical Illness (cortisol increased - stress) Treatment Approach (Exposure) à Psychotherapy vital at this point - Process the loss (explore emotions, imagined conversations, visit painful places/activities, memory work), restore satisfying life (personal goals, relationships, activities) - Evaluate for depression Mood Disorders Major Depressive Disorder Depressive Disorder not otherwise specified (NOS) Bipolar I Disorder Bipolar II Disorder Bipolar Disorder NOS Dysthymic Disorder Cyclothymic Disorder Mood Disorder Due to a General Medical Condition
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Substance-Induced Mood Disorder Mood Disorder NOS Bipolar Disorders Bipolar I – formerly known as manic-depressive disorder; primarily presents with mania - One or more manic or mixed episodes / may have a depressive episode prior to onset of mania - 1 episode of mania alternating w/ MDD Bipolar II
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