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- Dementia Caused by Other General Medical Conditions
-
* Cerebral pathology
* Elderly more vulnerable (75% elders affected by one or more chronic medical illnesses)
* 50% to 60% of patients with dementia have a disorder for which no specific medical treatment is available - Dementia caused by Head Trauma
-
* Single head trauma = not progressive
* repeated head injury (e.g. boxing) may lead to progressive dementia
* “Punch-drunk syndrome” - Dementia caused by Parkinson’s Disease
-
* Neurologic syndrome of unknown origin
* Disorder of movement
* Slow, progressive course
* IN PATIENTS WITH DEMENTIA CAUSED BY PARKINSONÂ’S, ANTICHOLINERGIC MEDS ARE CONTRAINDICATED; LIKELY TO INCREASE LEVEL OF CONFUSION - Dementia caused by HIV
-
* Called AIDS dementia complex (ADC)
* Dementia seen in 2/3 of AIDS patients, but neuropathology seen in 90% of patients
* HIV-1 directly invades the CNS
* Likely to increase in the next decades - SUBSTANCE-INDUCED DEMENTIA
-
* DEMENTIA RESULTING FROM THE PERSISTING EFFECTS OF A SUBSTANCE/TOXIN
* DRUGS OF ABUSE ARE MOST COMMON TOXINS IN YOUNG ADULTS
* PRESCRIPTION DRUGS ARE MOST COMMON TOXINS IN THE ELDERLY
* MOST DEMENTIAS IN THIS CATEGORY ARE RELATED TO CHRONIC ALCOHOL ABUSE
* ALCOHOLIC DEMENTIA IS DIRECTLY RELATED TO THE TOXIC EFFECTS OF ALCOHOL - Caregiver Criteria
-
* Knowledge of disease
* Uses positive interactions during caregiving
* Plans and develops resources for self-care
* Legal and financial plans for client and self
* Backup system in case of emergency - Assessment
-
* Subjective client reporting
* Objective
- Observation
- Rating scales
- Biologic indicators
* Mental status examination
* Positive and negative symptoms -
Assessment
Mood and State of Mind
Assessments required before -
* Admission to a SNF
* Use of psychotropic medication
* Use of restraint
Document:
* Direct quotes from client.
* MSE results on regular basis - Assessment - Depression
-
* Variable onset, abrupt
* Reversible with treatment
* Clear sensorium
* Normal attention span
* Selective memory impairment
* Intact thinking but displays:
– Hopelessness
– Helplessness - Assessment - Functional ability
-
* ADLs
* IADLs
Behavior related to:
* Mood
* Perceptual/cognitive deficit
* Day/night reversal
* Poor impulse control - Assessment - Physical Manifestations
-
* Altered nutritional status
* Aspiration
* Gait changes
* Feeling cold
* Incontinence -
Nursing Diagnoses
Cluster around -
* Safety and health risks
* Perceptual/cognitive disturbance
* Disruption in coping abilities -
Outcome Identification
Consider -
* Client outcomes
* Caregiver outcomes -
Planning
Consider -
* Short-term plans
* Long-term plans - Implementation
-
* Establish relationship.
* Consider cost of plan.
* Provide:
- Stimulation.
- Structure.
- Socialization.
- Support - Treatment
-
* Interdisciplinary team
* Medication
– HS sedation: Trazadone
– Anxiety: Alprazolam, risperidone
– Aggression: Anticonvulsants
– Dementia: Donepezil, rivastigimine, tacrine
* Therapeutic activities - Levels of Care
-
* Acute care
* Day care
* In-home care
* Residential care
* Skilled nursing facility
* Hospice - SCHIZOPHRENIA
- * NOT A SINGLE DISEASE OF THE BRAIN
- COMMON FEATURES SCHIZOPHRENIA
-
* THOUGHT DISTURBANCES
* PREOCCUPATION WITH FRIGHTENING INNER EXPERIENCES
* DISTURBANCES OF AFFECT
* DISTURBANCES OF BEHAVIOR
* DISTURBANCES OF SOCIALIZATION - THEORIES of ETIOLOGY
-
* Genetic
* Neurochemical
* Neuropathological
* Viral
* Immunological
* Structural Abnormalities - INCREASED LEVELS OF _____ MAY BE RELATED TO SCHIZOPHRENIA
- DOPAMINE
- STIMULANTS MAY _____ SYMPTOMS OF SCHIZOPHRENIA
- WORSEN
- SCHIZOPHRENIA POSITIVE SYMPTOMS
-
* HALLUCINATIONS
* DELUSIONS
* THOUGHT DISORDER
CAUSATION: INCREASED LEVLES OF DOPAMINE
TREATMENT
* HOSPITALIZATION
* TYPICAL ANTIPSYCHOTICS
* REDUCED STIMULI
* INTERACTIVE THERAPY - REGARDING SCHIZOPHRENIA ARE POSITIVE OR NEGATIVE SYMPTOMS MORE EASILY TREATED?
- POSITIVE
- WHAT ARE NEGATIVE SYMPTOMS OF SCHIZOPHRENIA?
- THESE DON'T TEND TO DRAW ATTENTION AS POSITVE SYMPTOMS MIGHT.
- WHAT IS AFFECT?
- HOW ONE MIGHT SHOW EMOTION
- SCHIZOPHRENIA - NEGATIVE SYMPTOMS
-
* APATHY
* LACK OF MOTIVATION
* BLUNTED AFFECT
* LOSS OF EMOTIONAL WOARMTH
* IMPAIRED SOCIAL SKILLS
* AVOLITION
CAUSATION? - POSSIBVLY INCREASED LEVELS OF SEOTONIN
TREATMENT? - POSSIBLY ATYP[ICLA ANTIPSYCHOTICS - POSTIVE SYMPTOMS OF SCHIZOPHRENIA POSSIBLEY REALTED TO INCREASED LEVELS OF?
- DOPAMINE
- NEGATIVE SYMNPMS OF SCHIZOPHRENIA POSSIBLY R/T INCREASEDL LEVELS OF ?
- SEROTONIN
-
SCHIZOPHRENIA
BLEULER
SCHIZOPHRENIA (SPLIT MINDEDNESS) -
* INCONGRUENCE AMONG THOUGHT, EMOTION, BEHAVIOR
* FOUR AS:
- AFFECT
- AUTISM
- AMBIVALENCE
- ASSOCIATIONS - BLEULER'S FOUR A'S
-
- AFFECT
- AUTISM
- AMBIVALENCE
- ASSOCIATIONS - TYPICAL ANTIPSYCHOTICS
-
* REDUCE POSITIVE SYMPTOMS
* CAUSE MOVEMENT DISORDERS
TARDIVE DYSKINESIA
USED TO TREAT POSITIVE SYMTOMS - ATYPICAL ANTIPSYCHOTICS/NON-TRADITIONAL
-
* BLOCK SEROTONIN RECEPTORS
REDUCE NEGATIVE SYMPTOMS
* DO NOT AFFECT MOVEMENT
* INFLUENCE GLUTAMATE
IMPROVE COGNITION
* IMPROVE TD
* HAVE FEW ANTICHOLINERGIC SIDE EFFECTS - NURSE'S ROLE - PSYCHOPHARMACOLOGY
-
* ADMINISTER
* ASSESS EFFECTS AND SIDE EFFECTS
* PROMOTE EDUCATION
* TEACH LIFELONG SKILLS FOR COMMUNITY LIVING
* MONITOR QUALITY OF LIFE ISSUES - TREATMENT - SCHIZOPHRENIA
-
* ANTIPSYCHOTIC MEDICATIONS ARE PRIMARY TREATMENT
* TWO TYPES OF ANTIPSYCHOTIC MEDICATIONS: TRADITIONAL AND AYTPICAL
* TRADITIONAL ANTIPSYCHOTICS PRIMARILY TREAT POSITIVE SYMPTOMS
* TRADITIONAL ANTIPSYCHOTICS ASSOCIATED WITH NUMEROUS AND DISTRESSING EXTRAPYRAMIDAL SIDE EFFECTS - SCHIZOPHRENIA DSM-IV-TR CRITIERIA
-
* LASTING SIX MONTHS
* ACTIVE PHASE SYMTOMS AT LEAST ONE MONTH AND TWO OF THE FOLLWING ACTIVE SYMTPOMS -
* HALLUCINATION
* DELUSIONS
* DISORGANIZED OR CATATONIC BEHAVIOR
* DISORGANIZED SPEECH -
DSM-IV-TR Criteria
Subtypes of Schizophrenia -
* Paranoid
* Disorganized
* Catatonic
* Undifferentiated
* Residual - PREMORBID BEHAVIOR/STAGES (VIEWED IN FOUR PHASES)
-
* PHASE I: SCHIZOID PERSONALITY. INDIFFERENT, COLD, AND ALOOF, THESE INDIVIDUALS ARE LONERS. THEY DO NOT ENJOY CLOSE RELATIONSHIPS WITH OTHERS.
* PHASE II: PRODROMAL PHASE. INDIVIDUALS ARE SOCIALLY WITHDRAWN AND HAVE BEHAVIOR THAT IS PECULIAR/ECCENTRIC. IMPAIRED ROLE FUNCTION, HYGIENE AND DISTURBANCES IN COMMUNICATION, IDEATION, AND PERCEPTION.
* PHASE III: SCHIZOPHRENIA. ACTIVE PHASE OF DISORDER. PSYCHOTIC SYMPTOMS ARE PROMINENT, INCLUDING DELUSIONS, HALLUCINATIONS, IMPAIRMENT IN WORK, SOCIAL RELATIONS, AND SELF CARE.
* PHASE IV: RESIDUAL PHASE. SX SIMILAR TO PRODROMAL PHASE WITH FLAT AFFECT AND IMPAIRED ROLE FUNCTION BEING PROMINENT - PHASE I
- SCHIZOID PERSONALITY. INDIFFERENT, COLD, AND ALOOF, THESE INDIVIDUALS ARE LONERS. THEY DO NOT ENJOY CLOSE RELATIONSHIPS WITH OTHERS
- PHASE II
- PRODROMAL PHASE. INDIVIDUALS ARE SOCIALLY WITHDRAWN AND HAVE BEHAVIOR THAT IS PECULIAR/ECCENTRIC. IMPAIRED ROLE FUNCTION, HYGIENE AND DISTURBANCES IN COMMUNICATION, IDEATION, AND PERCEPTION
- PHASE III
- SCHIZOPHRENIA. ACTIVE PHASE OF DISORDER. PSYCHOTIC SYMPTOMS ARE PROMINENT, INCLUDING DELUSIONS, HALLUCINATIONS, IMPAIRMENT IN WORK, SOCIAL RELATIONS, AND SELF CARE
- PHASE IV
- RESIDUAL PHASE. SX SIMILAR TO PRODROMAL PHASE WITH FLAT AFFECT AND IMPAIRED ROLE FUNCTION BEING PROMINENT
- Paranoid Schizophrenia
-
* Characterized by paranoid delusions.
* Client may be argumentative, hostile, and aggressive - Disorganized Schizophrenia
-
* Chronic variety with flat or inappropriate affect.
* Silliness and incongruous giggling is common.
* Behavior is bizarre.
* Social interaction is impaired - Catatonic Schizophrenia
-
* Catatonic Stupor: Characterized by extreme psychomotor retardation. The individual is usually mute. Posturing is common.
* Catatonic Excitement: Extreme psychomotor agitation. Purposeless movements that must be curtailed to prevent injury to client & others - Residual Schizophrenia
-
* Category used with the individual who has a history of at least one episode of schizophrenia with prominent psychotic symptoms.
* Also known as ambulatory schizophrenia.
* This is the stage that follows an acute episode - Related Disorders
-
* Schizophreniform
* Schizoaffective
* Delusional
* Brief psychotic disorder
* Shared psychotic disorder
* Psychotic disorder due to a general medical condition - Schizoaffective Disorder
- * Schizophrenic symptoms accompanied by a strong element of symptomatology associated with the mood disorders, either mania or depression
- Brief Psychotic Disorder
-
* Sudden onset of psychotic symptoms following a severe psychological stressor.
* Symptoms last less than one month and the individual returns to the full premorbid level of functioning - DELUSIONAL DISORDER (EXISTENCE OF PROMINENT, NONBIZARRE DELUSIONS)
-
* EROTOMANIC - V BELIEVES SOMEONE OF HIGHER STATUS IS IN LOVE WITH HIM/HER.
* GRANDIOSE - V IRRATIONAL IDEAS REGARDING OWN WORTH, TALENT, KNOWLEDGE, POWER.
* JEALOUS - V IRRATIONAL IDEA THAT PERSON'S SEX PARTNER IS UNFAITHFUL.
* PERSECUTORY - V BELIEVES HE/SHE IS BEING MALEVOLENTLY TREATED IN SOME WAY.
* SOMATIC - V IRRATIONAL BELIEF OF PHYSICAL DEFECT, DISORDER, OR DISEASE - Shared Psychotic Disorder
- * Delusional system develops in a second person as a result of a close relationship with another person who already has a psychotic disorder with prominent delusions
- Psychotic Disorder Due to General - Medical Conditions
- * Symptoms of this disorder include prominent hallucinations and delusions that can be directly attributed to a general medical condition
- Substance-Induced Psychotic Disorder
- * The presence of prominent hallucinations and delusions that are judged to be directly attributable to the physiological effects of a substance
- Self-Management
-
* Work on trusting staff.
* Take medication regularly.
* Identify relapse signs early.
* Avoid street drugs.
* Eat well.
* Get sufficient rest.
* Exercise regularly.
* Check reality with trusted person.
* Accept setbacks - Symptom Profile - Perceptual Disturbances
-
* Negative self-perception
* Hallucinations
* Reduce stress.
* Increase medication.
* Reduce distractions.
* Occupy mind - Symptom Profiles - Thought Disturbances
-
* Delusions
- Do not agree
- Empathy
* Circumstantially
* Tangentiality
* Autistic thinking
* Perseveration
* Poverty of thought
* Loose association - Teaching Tips
-
* Simplify material.
* Reduce distractions.
* Give verbal and visual information.
* Clear, direct terms.
* Present small segments.
* Reinforce frequently.
* Do not offer confusing choices - Symptom Profiles - Emotional Disturbances
-
* Flattened affect
* Poor eye contact
Behavioral Disturbances
* Risk for violence - Biologic Profiles
-
* Diffused, nonlocalized areas of dysfunction
* Impaired stimulus
* Inhibition - Useful Nursing Diagnoses
-
* Disturbed sensory perception
* Disturbed thought processes
* Impaired verbal communication
* Ineffective coping
* Interrupted family processes
* Risk for violence
* Self-care deficit
* Social isolation - Outcome Identification
-
* Demonstration of reality-based thinking
* Reduction in hallucinations
* Absence of delusions
* Socialization with staff and peers
* Adherence to medication regimen
* Participation in discharge planning - Planning - Geared to
-
* Whole person
* Social environment
* Family
* Medical interventions
* Socialization
* Education for client and family - NURSING INTERVENTIONS FOR SCHIZOPHRENIA
-
* SAFETY
* ACCEPTANCE
* MEDICATION
* MEDICATION EDUCATION
* ADHERENCE
* INTERVENING IN HALLUCINATIONS
* INTERVENING IN DELUSIONS
* SOCIAL SKILLS
* SELF-CARE
* EDUCATION - INTERVENTIONS
-
* ASSESS/MONITOR RISK FACTORS.
* MINIMIZE ENVIRONMENTAL STIMULI.
* PROVIDE LOW-KEY INTERACTIONS.
* USE CLEAR, CONCRETE COMMUNICATION.
* IDENTIFY HALLUCINATION TRIGGERS.
* PRAISE REALITY-BASED PERCEPTIONS.
* POOR SELF ESTEEM - Intervetnions
-
Assist with hygiene as needed.
* Set hygiene goals.
* Assess self-concept.
* Role model social behaviors.
* Spend time with client in nonchallenging activity.
* Keep appointments.
* Listen actively - Treatment Modalities
-
* Group therapy
* Family therapy
* Behavior therapy
* Cognitive therapy
* Occupational therapy
* Recreational therapy
Reducing and Managing Violence
* Reduce stress.
* Clarify expectations concerning rules.
* Avoid behaviors that may be misinterpreted.
* Determine etiology.
* Avoid blame, ridicule, teasing.
* Avoid whispering - Reducing and Managing Violence
-
* Respect boundaries.
* Intervene early.
* Use deescalation skills.
- Nonthreatening verbal and nonverbals
* Medicate (po or IM) prn - PERSONALITY TRAITS
- MAY BE ADAPTIVE OR MALADPTIVE DEPENDING ON WHETHER THE TRAIT IS INFLEXIBLE OR CAUSES SIGNIFICATN FUCTINOANL IMPAIRMENT OR SUBJECTIVE DISTRESS
- WHAT ARE TWO CHARATCTERISTICS OF SYMTOMS OF PERSNAILITY DISORDEER?
-
1) NOT TIME LIMTED
2) NOT OCCUR OINLY IN A TIME OF CRISIS - EVERYONE HAS PERONILTY TRIATS NOT EVEYRONE HAS ...
- PERSNLITY DISORDER
- WITH PERSONLITY DISOFDERS INDUVUDUALS USE THE SAME DEFENCSE MECHANISME WHETHER OR NOT...
- THEY FIT THE SITUATION
- PERSONLITY DISODRED DEFINED
-
ENDUIRENG PATTERN OF INNER EXPEIRNICE AND BEHAVIOR THAT
* DEVIATES MARKEDLY FROM EXPECTATIONS OF THE INDIVUDIALS CULTRE
* IS PERVASIVE AND INFLECXIBLE
* HAS AN ONSET IN ADOLESCENCE OR EARLY ADULTHOOD
* IS STABLE OVER TIME AND LEADES TO DISTRESS OR IMPIRMENT - WHEN IS THE "NORMAL" ONSET OF PERSNOLITY DISORDERS?
- ADOLESCNECE
- CHARACTERSISTICS OF PERSONALITY DISORDERS
-
* LONGSTANDING
* PERVASICVE, INFLEXIBLE
* MALDADAPTIVE PATTERSN OF BEHAVIOR R/T OTHERS
* NOT CAUSED BY AXIS I DIOSRDERS
* LEADS TO IMPARIMENT/DISTRESS
* ONSET ADOLESCNCE - CHARACTERISITCS OF INDVUDCUAL WITH PERSONLITY DISORDER -
-
* LACKS GENUISNE SENSE OF SELF
* HAS IMPAIRED SELF-REGULATION
* LOOKS OUTSIDE OF SELF FOR -
- EVALUATIONS
- DIRECTIONS
- RULES
- OPINIUNS - CLUSTER A
- ECCENTIRIC
- CLUSTER B
-
* BEAHVIORS THA ARE DESCRIBES AS DRAMATIC, EMOTIONAL, OR ERRATIC
* DISREGARSDS/VIOLATES REIGHTS OF OTHERS
* UNSTABLE SELF-IMATGE, AFFECT, AND INTERPERSONAL RELATIONSHIPS
* EWCESSIVE EMOTIONAL EXPRESSION AND ATNTION-SEEKING BEHAVIORS
* GRANDIOSE, NO EMPTATHY, NED TO BE ADMIRED - CLUSTER C
- FEARFUL
- CLSUTER A
-
* BEHAVIOURS THAR ARE DESCRIBED AS ODD ORECCENTRIC
* DISTRUST ANS SUSPICIOUSNESS
* SEES OTHER' MOTIVES AS MALEVOLENT (INTNED TO DO HARM)
* DETACHMENT FROM SOCIAL RELATIONSHIPS
* EMOTIONAL EXPERSSION IS RESTERICTRED
* ACUTE DISCOMFORT WITH CLOSE RELATIONSHIPS
* SENSORYDISOTORIONS
* ODD BEHAVORS, THINKING AND SPEECH - OF CLUSTER A, B, AND C WIHCH IS THE "MOST DIFFIULT TO WORK WITH"?
- CXLUSTER B
- CLSUTER C
-
* BEHAVIORS THAT ARE DESRVICES AS ANXIOUS OR FEARFUL
* SOCIAL DISTRESS, FEELINGS OF INADWQUACY, OVER SENSITIVUTY
* EXCESSIVE NEED TO BE CARED FOR, RESULTING IN SUMBMSSIVE BEHAVIORS
* PRECOOCUTAPTION IWT CONTROL, ORDERLINESS, AND PERFECTIONISM - DUAL DIAGNOSIS
- SUBSTANCE ABUSE PROMBLM OCCUR AS INDIVUTAL ATTEMTPS TO COE WIT THERI PROMBLEMS
- DSM-IV CRITERIA - DUAL DIAGANOSIS
-
* AN ENDURING PATTERN OF INNER EXPERIENCE AND BEHAVIOR THAT DEVIATES MARKEDLY FROM THE EXPECTATIONS OF THEINDUVUDAL'S CULTERE. tHIS PATTERN IS MANIFESTED IN TWO (OR MORE) OF THE FOLLWING AREAS -
* COGNITION (I.E. WAYS OF PEREVCIVING AND INTERPRETING SELF, OTHER PEOPLE, AND EVENTS)
* AFFECTIVITY (I.E. THE RANGTE, INTENSITY, LABILITY, AND APROPRITENTESS OF EMOTIOANL RESPONSE)
* INTERPREOSANL FUNCTIONING
* IMPULSE CONTROL
THE ENDURING PATTERN IS INFLEXIBLE AND PERVASIVE ACROSS A BROAD RANGE OF PERONAL AND SOCIAL SITUATIONS
THE ENDURING PATTERNI LEADS TO CLINCIALLY SIGNIFICANT DISTRESS RO MIPARIMENT IN SOCIAL, OCCUPATONAL OR OTHER IMPORTANT AREAS OF FUCNTIONING
THE PATTERN IS STABLE AND OF LONG DURATION, AND ITS ONSET CAN BE TRACED BAK TO AT LEAST ADOLESSCENCE OR EARLY ADULTHOOD
THE ENDURIN GPATERN IS NOT BETTER ACCOUNTED FOR AS A MANIFESTIONAT OR CONSEQUNECE OF ANOTHER METNATL DISORDER
THE ENDURING PATTERN IS NOT DUE TO THE DIRECT PHYSIOLOGIC EFFECTS OF A SYBNANCE (E.G., A DRUG ABUSE, A MEDICATION) OR A GENERAL MEDICAL CONDITION (E.G. HEAD TRAUME) - CLSUTER A - PARANODI PERONSLITY DISORDER...CLINICAL SYMPTOMS
-
* DISTRUST, SUSPICION
* IDFFICULTY ADUSTIONG TO CHANGE
* SENSTIIVEY, ARGUMANTION
* FEELINGS OF IREVERSIBLE INJURY BOY OTHERS - OFTEN WITHOUT EVIDENCE
* ANXIETY, DIFFIUCLTY RELAZING
* SHORT TEMPER
* DIFFICULTY WITH PROMBLME SOVING
* LACK OF TNEDR FEELINGS TOWARD OTHERS
* UNWILIINGNESS TO FORBIVE EVN MONIOR EVENTS
* EJALSUSY OF SIGNIFICANT OTHER - OFTHE WITOHT EVIDENCE - CLSUTER A - SCHIZOTYPAL PERONSLITY DISORDER - DLINCIAL SYMTOMS
-
* INCORRENCT INTERMPERTATION OF EXTERNAL EVENTS/EBLIEF TAHT ALLEVENTS REFER TOSELF
* SUPERSTIONS, PRECOOUTPATION WIT PARANORMAL PEHNONMEN
* BELEIVFF IN POSSESON OF MAGICAL CONTOL OVER OTHERS
* CONTSRTIVED OR INAPPROPRITATE AFECT
* ANXIETY IN SOCIAL SITUATIONS - ANTIAOCAI PERONLITY DISORDER -CLINCIAL SYMTPOMS
-
* USUSALLY MAKE SITUATUIONS UNPLEASNAT FOR OTHERS
* IRRESPONSITLITY
* FAILURE TO HONOR FINNANCIAL OBLICAGIONS, PLAN AGHEAD, PROVIDE CHILDREN WITH BASIC NEEDS
* INVOOMENT IN LLEGAL ACTIVITIES
* LACK OF GUILT
* DIFFULTY LEARNING FROM MISTAKES
* INTIIANL CHARM DISSOLVE TO DOLNEDESSS, MANIPUALTION, BLAMING OTHERS
* LACKS EMPTHAY
* IRRIBTALITY
* ABUSE OF SUSMBSNACES - BOFERLINE PERONALITY IDORDER - CLINICAL SYMPTOMS
-
* INTENSE STOMRY RELATIONSHIPS
* SEESS PEOPLE AS "ALL GOOD" OR "ALL BAD"
* iMPULSIVITY
* SELF MUTLAION
* DIFULTY IDENTIFYING SELF
* NEGATIVE OR ANGY AFFECT
* FEELINGS OR EMTPIMENSS AND BOREDOM
* DIFFLIULTY BEING ALONE
* FEELINGS OF ABANDOMENBT
* ENGAGES IN IMPUSLIVE ACTS (E.G. GINGING, SPENDING MONEY, RECLESS DRIVING)
* sUICICIAL IDIATONS
* EATING DISORFERS - AVOIDANT PERONSLITY DOISORDER - CLINICAL SYMNPMOMS
-
* FEARFUL OF CRITICISIM, DISPAPPROVAL, OR REFJECTION
* AVOIDS SOCIAL INTERACTIONS
* WITHHOLDS THOUGHTS OR FEELINGS
* NEGARTIVE SENSE OF SELF, LOW SELF-ESTTMEEM - DEPENDENT PERONLITY DISORDER - CLININCAL SYMTOMS
-
* SYBMSISSIVE, CLINGING
* UNALBE TO MEK DECISIONS INDEPENDENTLY
* CANNTO EXPRESS NEGATIVE EMTOIONS
* DIFICULTY FOLLWOING THORUH ON TAKS - DEPENDENT PEROSLTY DISORDER - EPIDEMIOLOGY
-
* MOST FREQULTNLY DIAGONOSED PERONSLATIY DISORDER
* CHLDREN OR ADOLESCNTS WITH CHRNIC PHYSICAL ILLNESS OR SEAPRATION ANXIEXT MDSIORDER MAY BE PREDISPOSED - OBSESSIVE-COMPULSIVE PERSONLITY DIOSREDER - CLINAICAL SYMTOMS
-
* PREOOCUAPTION WITH PERFECTION, ORGANIZATION, STRUCTURE, CONTROL
* PROCRASINATION
* ABANDOMENMENT OF PRUJUECT DUE TO DISSATTISFACTON
* EXCESSIVE DEVOITON OT WORK
* DIFULTUTY RELAXING
* RULE CONSICUO BEHAVIOR
* SELF CRRITIAM AND INABLIITY TO FORGIVE OWN ERRORS
* RELUCTANCE TO DELEGATE
* INABLITY TO DISCARD ANYTHING
* INSISTINENT ON OTHERS' CONFOMRING TO WON METHHIODSMETHODS
* REJECTION OF PRAISE
* RELUCTNACE TO SPEND MONEY
* BACKGROWUND OF STIFF AND FORMAL RELATIONSHIPS
* PREOCCUPATOIN WITH LOGIN C AND INTTELLECT - CLUSTER C INTERVENTIONS
-
* ASSESS SUICICIALITY
* ENCOURAGE ATTENDANCE AT GROUP
* ASSESS ESCALATIOIN OF ANGER
* ASSESS IMPUSLIIVITY, SELF-MUTALIATION
* CONATRACDT CONERNING THERATIENGIN BEHAVIOR, SELF-MUTALATION
* ENCOUARGE JOURNAL WRITING
* TEACH -
- ANGER/IMPULSE MANAGMENT
- RECOGNITION OF FALULTY THOUGHT PATTERNS
- ALTERANTAIVE BEHAVIORS