Behavioral Medicine Midterm Exam Study Guide
1.At-Risk groups
for
considering
suicide
2.Prevalence of anxiety and de- pression during
the COVID pan-
demic
3.Components that comprise
metal health
4.Components that compromise mental illness- Aged 18-24 years (25.5%)
-Minority racial/ethnic groups
-Hispanic respondents (18.6%)
-Non-Hispanic black respondents (15.1%)
-Unpaid caregivers for adults (30.7%)
-essential workers (21.7%)
-anxiety disorder was approximately 3x those reported in the second quarter of 2019 (25.5% versus 8.1%)
-depressive disorder was approximately 4x that reported in the second quarter of 2019 (24.3% versus 6.5%)
-Quality of life
-Ability to function
-Ability to respond to the world around you in an
"propor- tionate / Appropriate manner"
-Ability to engage with the world as it is (reality based)
-Able to place life experiences (traumas etc.) in their proper
-place in ones life
-Sleep normally, eat normally
-Absence of harmful patterns of substance or process addictions
-Normal cognition (thought processes, memory process- es)
-Care for ones own needs, the needs of family and community
-Sense of purpose
-RESILIENCE
-Mood reactions out of proportion to the situation
-Stress or worry out of proportion to the situation
-Loss of touch with reality (delusions, hallucinations)
-Disordered sleep, disordered patterns of eating Behavioral Medicine Midterm Exam Study Guide
-Impaired cognition, impaired memory
-Presence of patterns of substance misuse (or process addictions)
-Behavior significantly outside of community or cultural .What is the
DSM-V?
6.How is the
DSM-V different
from previous DSM versions?norms
-Impaired quality of life
-Impaired ability to function (work, study, care
for self, care for others)
-Impaired sense of purpose
-Impaired resilience
-Mental Disorder-clinically significant behavior or psycho- logical syndrome. w/stress or disability.
-Increased risk of death, pain, or loss of freedom
-Outside normal range or something that occurs unusu- ally in mentally healthy people
-Just because it doesn't fit the normative range does not mean it is a mental disorder.
-Community/Cultural Standards
a categorical classification system to diagnose mental illnesses
-supposed to be theory neutral/free of bias, culture and politics, but not really
-Uni-axial DSM V (not multiaxial anymore)
-Section I: basics
-Section II: diagnostic criteria/code
-Section III: emerging measures and models
-appendix: resources
-each diagnosis has:
--- diagnostic criteria, criteria for symptoms, criteria for functional impairment, criteria for TIME to establish dis- order, important rule outs (similar presenting symptoms of other disorders), specifiers, detailed descriptions.
Old DSM versions were multiaxial (Axis I-V)
-Axis I: disorder acquired and treatable
-Axis II: disorder intrinsic to person (personality, intelli- gence)
-Axis III: general medical conditions that may contribute to presentation of Axis I disorder
-Axis IV: psychosocial and environmental problems
that .Bio-Psycho-So-
cial Model
8.Components of
a good Mental
Sta- tus Exam
9.Components of a good MINI Men- tal Status Exam (MMSE)may contribute to presentation of Axis I disorder
-Axis V: global assessment of functioning (GAF 0-
100)
Almost any mental health condition has biological, psy- chological and social (environmental) components. Some components may weigh heavier than others. Chapman argues that there is also a 'spiritual-cultural' component of this model
-Spiritual: not religion; instead it's how one comes to terms with spiritual questions such as purpose, commu- nity, relationship to planet and
universe
-Cultural: impact of culture on experience, thinking, and SX
-Biological: physical health, disability, genetic vulnerabil- ities, drug effects, temperament, IQ
-Social: drug effects, peers, family circumstances, school, family relationships,
trauma
-Psychological: self-esteem, temperament, IQ, coping skills, social skills, family relationships, trauma
-general observations: appearance, speech, behavior, cooperativeness
-thinking: thought process, thought content, perceptions
-emotion: mood, affect, type, rangecognition:
-orientation/attention/memory: