Depression: Signs/Symptoms - ✔✔ -loss of interest in life's activities
-negative view of the world
-anhedonia
-usually related to loss
-poor
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Depression Signs/Symptoms: What is anhedonia? - ✔✔ loss of pleasure in usually pleasurable things
Depression Signs/Symptoms: In mild depression there is _____________ while there is ______________ in severe depression - ✔✔ weight gain; weight loss
Depression Signs/Symptoms: There are crying spells with ________________ and no more tears with ___________________ - ✔✔ mild to moderate depression; severe depression
Depression Signs/Symptoms: It is commons for client's to experience - ✔✔ sleep disturbances
Depression Signs/Symptoms: These clients have slow thoughts so we need to - ✔✔ speak slowly to them and use the therapeutic communication technique of silence (give them time to process)
Depression Signs/Symptoms: Clients who are depressed can have ___________________ and _________________ - ✔✔ delusions; hallucinations
Depression Treatment: They may need help with - ✔✔ their self-care
Depression Treatment: Prevent _________________ because _______________________ makes the client feel better - ✔✔ isolation; interacting with others
Depression Treatment: Help them experience - ✔✔ accomplishments
Depression Treatment: Be careful with _______________ as they may make the client _________________ - ✔✔ compliments; feel worse
Depression Treatment: If severely depressed, ________________________________ may be the best thing you can do. It's a _______________________________ - ✔✔ sitting with client and making no demands; self-esteem thing
Depression Treatment: As they feel better, encourage them to _____________________. Let the client know that _________________________________________ - ✔✔ describe their feelings; you understand they are in pain and feel powerless
Depression Treatment: Help them set - ✔✔ accomplishable goals
Depression Treatment: If they are capable, activities such as _________________________________________ will help with depression - ✔✔ walking, running, weight lifting
Depression Treatment: Assess for - ✔✔ suicide risk
Depression Treatment: As depression lifts, what happens to suicide risk? - ✔✔ the risk goes up
Depression Treatment: Observe clients when they start taking antidepressants because - ✔✔ their risk for suicide just went up (increase in SSRIs and energy)
Depression Treatment: A sudden change in mood towards the better may indicate - ✔✔ that the client has made the decision to kill themselves
Depression Treatment: Culturally, ____________________ have a higher suicide rate - ✔✔ American Indians
Depression Treatment: ___________ clients are particularly at risk for suicide - ✔✔ Elderly
Depression Treatment: ______________________ tend to be very successful because they generally use ______________________ - ✔✔ Elderly men; very lethal methods
Depression Treatment: When assessing suicide risk, ask clients 3 very important questions - ✔✔ 1. do they have a plan?
2. what is the plan?
3. how lethal is the plan?
Depression Treatment: When assessing suicide risk, determine if they ____________________ and if they have ever ____________________ - ✔✔ have access to the plan; attempted suicide before
Depression Treatment: When assessing suicide risk, watch for things like - ✔✔ -isolating themselves
-writing a will
-collecting harmful objects
-giving away their belongings
Depression Treatment: Suicide interventions include - ✔✔ -direct, closed ended statements
-providing a safe environment
-safe-proofing the room
-getting a signed contract to postpone suicide
Depression Treatment: A signed contract post poning suicide is done in hope that - ✔✔ the client will develop coping mechanisms during this time
Mania: One pole is __________ and the other is ________________ - ✔✔ mania; depression
Mania: Signs/Symptoms - ✔✔ -continuous high
-labile emotions (periods of extremes)
-flight of ideas
-delusions
-constant motor activity
-no inhibitions
-altered sleep patterns
-poor judgment
-manipulation
Mania: Delusions are just - ✔✔ a false idea
Mania: Types of delusions can include - ✔✔ -delusions of grandeur (ex. client thinks they are
Jesus)
-delusions of persecution
Mania: Constant motor activity leads to - ✔✔ exhaustion
Mania: Lack of inhibition can include - ✔✔ -inappropriate dress
-hyper-sexual behaviors (an attention-seeking
mechanism)
Mania: Manipulation makes these clients - ✔✔ feel secure and powerful
Mania Treatment: Decrease - ✔✔ the stimuli
Mania Treatment: Don't ___________ or __________________ - ✔✔ argue; try to reason
Mania Treatment: Do you talk a lot about the delusion? - ✔✔ no
Mania Treatment: Let the client know you ____________________________, but that you ___________________ - ✔✔ accept that they need the belief or delusion; do not believe it
Mania Treatment: Look for the - ✔✔ underlying need in the delusion
Mania Treatment: The underlying need with delusions of persecution is the - ✔✔ need to feel safe
Mania Treatment: The underlying need with delusions of grandeur is the - ✔✔ need to feel good about self
Mania Treatment: Set ___________ and be ______________ - ✔✔ limits; consistent
Mania Treatment: They feel most secure in - ✔✔ one-on-one relationships
Mania Treatment: Remove - ✔✔ hazards (no cigarettes-1 or 2 then monitor)
Mania Treatment: Stay with the client as - ✔✔ anxiety increases
Mania Treatment: These clients need - ✔✔ a structured schedule [Show Less]