Medical Terminology A WordBuilding Approach

1
MedicalTerminologyA Word-Building Approach
Jane Rice, RN, CMA-C
Chapter 22Mental Health
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Multimedia Directory

• Slide 40 Alzheimers Disease Video
• Slide 41 Antisocial Behavior Video 1
• Slide 42 Antisocial Behavior Video 2
• Slide 43 Autism Video
• Slide 44 Eating Disorders Video
• Slide 45 Dissociative Disorders Video 1
• Slide 46 Dissociative Disorders Video 2
• Slide 47 Dissociative Disorders Video 3
• Slide 48 Gender Identity Disorder Video 1
• Slide 49 Gender Identity Disorder Video 2
• Slide 50 Gender Identity Disorder Video 3
• Slide 64 Attention Deficit Disorder Video

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Multimedia Directory

• Slide 68 Bipolar Disorder Video
• Slide 76 Obsessive Compulsive Disorder Video
• Slide 79 Panic Attacks Video 1
• Slide 80 Panic Attacks Video 2
• Slide 81 Panic Attacks Video 3
• Slide 87 Schizophrenia Video

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An Overview of Mental Health and Mental Illness

• The World Health Organization (WHO) defines
  health as a state of complete physical, mental,
  and social well-being and not merely the absence
  of disease or infirmity.
• It defines mental health as a state of well-being
  in which an individual realizes his or her own
  abilities, can cope with the normal stresses of
  life, can work productively and fruitfully, and
  is able to make a contribution to his or her
  community.

5
Figure 22.1 Multicausational concept of the
illness process. The phrase meaning and symbol
refers to the fact that a patient interprets all
experiences in a highly individual manner
according to his or her specific meaning and the
broader meaning in the patients culture.
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An Overview of Mental Health and Mental Illness

• Mental illness is an abnormal condition of the
  brain or mind.
• It affects the way a person thinks, feels,
  behaves, and relates to others and to his or her
  surroundings.
• In most cases, the exact cause of mental illness
  is not known.

7
An Overview of Mental Health and Mental Illness

• Contributing factors include
• Genetics
• Environment
• Chemical changes those that occur in the brain
• Use of certain drugs
• Psychological, social and cultural conditions

8
An Overview of Mental Health and Mental Illness

• The more common types include
• Mood Disorders Depression and bipolar disorder.
• Anxiety Disorders.
• Attention-Deficit/Hyperactivity Disorder (AD/HD).
• Eating Disorders.
• Schizophrenia.
• Impulse Control and Addiction Disorders.
• Personality Disorders.

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An Overview of Mental Health and Mental Illness

• Other, less common types of mental illnesses
  include
• Adjustment Disorder.
• Dissociative Disorders.
• Factitious Disorders.
• Sexual and Gender Disorders.
• Somatoform Disorders.
• Tic Disorders.
• Various Sleep-Related Problems.
• Alzheimers Disease.

10
An Overview of Mental Health and Mental Illness

• About 5 million American adults and more than 5
  million children and adolescents suffer from a
  serious mental condition.
• Major depression, bipolar disorder, and
  schizophrenia are among the top ten leading
  causes of disability in the U.S.

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Symptoms of Mental Disorders

• Symptoms of Mental Disorders in Adults
• Confused thinking.
• Long-lasting sadness or irritability.
• Extreme highs and lows in mood.
• Excessive fear, worry, or anxiety.
• Social withdrawal.
• Dramatic changes in eating or sleeping patterns.
• Strong feelings of anger.
• Delusion or hallucinations.

12
Symptoms of Mental Disorders

• Symptoms of Mental Disorders in Adults
• Increasing inability to cope with daily problems
  and activities.
• Thoughts of suicide.
• Denial of obvious problems.
• Many unexplained physical problems.
• Abuse of drugs and/or alcohol.

13
Symptoms of Mental Disorders

• Symptoms of Mental Disorders in Adolescents
• Abuse of drugs and/or alcohol.
• Inability to cope with daily problems and
  activities.
• Changes in eating or sleeping patterns.
• Excessive complaints of physical problems.
• Defying authority, skipping school, stealing, or
  damaging property.
• Intense fear of gaining weight.
• Long-lasting negative mood.
• Thoughts of death.
• Frequent outbursts of anger.

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Symptoms of Mental Disorders

• Symptoms of Mental Disorders in Young Children
• Changes in school performance.
• Poor grades despite strong efforts.
• Excessive worry or anxiety.
• Hyperactivity.
• Persistent nightmares.
• Continual disobedience and/or aggressive
  behavior.
• Frequent temper tantrums.

15
Diagnosis of Mental Illness

• The standard manual used by experts for the
  diagnosis of recognized mental illness in the
  United States is the Diagnostic and Statistical
  Manual of Mental Disorders, Fourth Edition, Text
  Revision (DSM-IV-TR).
• This official manual of mental health disorders
  is compiled by the American Psychiatric
  Association (APA) and identifies categories of
  adult mental illness.

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Diagnosis of Mental Illness

• It is used by psychiatrists, psychologists,
  social workers, and other health care providers
  to understand and diagnose mental health
  disorders. It is also used by insurance companies
  and health care providers to classify and code
  mental health disorders for reimbursement of
  services rendered.

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Diagnosis of Mental Illness

• Psychiatrist
• The physician who specializes in psychiatry.
• A psychiatrist is a medical doctor (MD) with
  specialized training in psychotherapy and drug
  therapy.
• Psychoanalysts
• Psychiatrists with specialized training in
  psychoanalysis - a method of obtaining a detailed
  account of past and present mental and emotional
  experiences and repressions.

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Diagnosis of Mental Illness

• Psychologist is a person who is not a medical
  doctor, but one who has a masters degree or
  doctor of philosophy (PhD) degree in a specific
  field of psychology, such as clinical,
  experimental, or social.

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Diagnosis of Mental Illness

• Clinical Psychologists Patient-oriented and can
  use various methods of psychotherapy to treat
  patients, but cannot prescribe medications or
  electroconvulsive therapy (ECT). They are trained
  in the use of tests for the evaluation of various
  aspects of a patients mental health and
  intelligence.

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Diagnosis of Mental Illness

• These tests will include
• Intelligence quotient (IQ) tests including the
  Stanford-Binet Intelligence Scale and the
  Wechsler Adult Intelligence Scale (WAIS)
• Rorschach inkblot test
• Thematic Apperception Test (TAT) pictures are
  used as stimuli for the creation of stories by
  the patient
• Minnesota Multiphasic Personality Inventory
  (MMPI) consists of true-false questions that
  can reveal aspects of personality, such as
  dominance, sense of duty or responsibility, and
  ability to relate to others, and is used as an
  objective measure of psychological disorders in
  adolescents and adults.

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Diagnosis of Mental Illness

• Psychiatrists and psychologists also use
  specially designed interview and assessment tools
  to evaluate a person for a mental illness.
• The therapist bases his or her diagnosis on the
  persons report of symptoms, including any social
  or functional problems caused by the symptoms.
• The therapist then determines if the persons
  symptoms and degree of disability indicate a
  diagnosis of a specific disorder.

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Treatment for Mental Illness

• Drug Therapy
• Mental disorders Includes antianxiety agents,
  antidepressant agents, antimanic agents, and
  antipsychotic agents.
• Attention-deficit/hyperactivity disorder -
  Includes stimulants.

23
Treatment for Mental Illness

• Psychotherapy
• A method of treating mental disorders using
  psychological techniques instead of physical
  methods.
• It may involve talking, interpreting, listening,
  rewarding, and role-playing.
• Psychotherapy should be performed by a trained
  mental health professional, such as a
  psychiatrist, psychologist, social worker, or
  counselor.

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Treatment for Mental Illness

• Types of psychotherapy include
• Cognitive-Behavioral Therapy (CBT) Research has
  shown that CBT is an effective form of
  psychotherapy for several anxiety disorders,
  particularly panic disorder and social phobia.
• Family Therapy Involves an entire family and
  focuses on resolving and understanding conflicts
  and problems as a family situation and not just
  an individual members problem.
• Group Therapy Involves small groups of people
  with similar problems attending meetings
  together.
• Play Therapy Involves a child using toys to
  express thoughts, feelings, fantasies, and
  conflicts.

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Figure 22.2 Psychologist using play therapy to
help Cassandra reenact her car crash. This helps
her gain control over the event so that it is not
so frightening.
26
Treatment for Mental Illness

• Types of psychotherapy include
• Art Therapy May be used to encourage a child to
  portray his or her feelings in drawings.
• Hypnosis A state of altered consciousness,
  usually artificially induced, that is used in
  treating mental illness by lessening the minds
  unconscious defenses and allowing some patients
  to be able to recall and even re-experience
  important childhood events that have long been
  forgotten or repressed.

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Treatment for Mental Illness

• Types of psychotherapy include
• Psychoanalysis Psychoanalysis attempts to
  reveal and resolve the unconscious conflicts that
  are considered to be at the root of some mental
  illnesses. It is believed that these conflicts
  have been repressed since childhood and once
  brought to the conscious level may be resolved.

28
Treatment for Mental Illness

• Electroconvulsive Therapy (ECT)
• The use of an electric shock to produce
  convulsions useful for individuals whose
  depression is severe or life threatening,
  particularly for those who cannot take
  antidepressant medication.
• The steps of the procedure usually include
• Injection of a muscle relaxant Given to the
  patient before the treatment, which is performed
  under brief anesthesia.
• Electrode Placement Placed at precise locations
  on the head to deliver electrical impulses. The
  stimulation causes a brief seizure within the
  brain.
• The person receiving ECT does not consciously
  experience the electrical stimulus.

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Life Span ConsiderationsThe Child

• Children suffering from depression may
• Pretend to be sick
• Refuse to go to school
• Cling to a parent
• Worry that the parent may die
• Sulk
• Get into trouble at school
• Be negative
• Be grouchy
• Feel misunderstood

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Life Span ConsiderationsThe Child

• Symptoms of Depression in the Child
• Toddlers Sadness inactivity complaints of
  stomachaches and in rare cases, self-destructive
  behavior.
• Elementary school-aged children Unhappiness
  poor school performance irritability refusal to
  take part in activities he or she used to enjoy
  occasional thoughts of suicide.
• Adolescents Sadness withdrawal feelings of
  hopelessness or guilt changes in sleeping or
  eating habits frequent thoughts of suicide.
• A child does not understand feelings of stress,
  anxiety, or depression.

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Life Span ConsiderationsThe Older Adult

• Older Americans are disproportionately likely to
  die by suicide.
• Of those who commit suicide, 90 percent suffer
  from depression or a diagnosable mental or
  substance abuse disorder.
• Americans age 65 and older account for an
  estimated 2 million suffering from depressive
  illness.
• Another 5 million may have subsyndromal
  depression, or depressive symptoms that fall
  short of meeting full diagnostic criteria for a
  depressive illness.

32
Life Span ConsiderationsThe Older Adult

• Subsyndromal depression is especially common
  among older persons and is associated with an
  increased risk of developing major depression.
• Depression often co-occurs with other serious
  illnesses such as heart disease, stroke,
  diabetes, cancer, and Parkinsons disease.

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Figure 22.3 Roadblocks to mental health services
for older adults.
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Building Your Medical Vocabulary

• Medical Words and Definitions this section
  provides the foundation for learning medical
  terminology. Medical words can be made up of four
  types of word parts
• Prefix (P)
• Root (R)
• Combining Forms (CF)
• Suffixes (S)

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Building Your Medical Vocabulary

• Medical Words and Definitions without Word Parts
• These terms (shown in pink in the Building Your
  Medical Vocabulary feature) are not usually
  analyzed and defined by dividing them into
  component parts.

36
Figure 22.4 Emaciated young woman with anorexia
nervosa. (Source Custom Medical Stock Photo,
Inc.)
37
Figure 22.5 Physiologic responses in anxiety
disorders.
38
Figure 22.6 This child with autism sits stiffly
in the chair. He has a disengaged look and does
not readily interact with other children or
adults who are in his environment.
39
Figure 22.7 Characteristics of major depression.
40
Alzheimers Disease Video
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Alzheimers disease.
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41
Antisocial Behavior Video 1
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antisocial behavior.
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42
Antisocial Behavior Video 2
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antisocial behavior.
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43
Autism Video
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44
Eating Disorders Video
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disorders.
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45
Dissociative Disorders Video 1
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dissociative disorders.
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46
Dissociative Disorders Video 2
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dissociative disorders.
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47
Dissociative Disorders Video 3
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dissociative disorders.
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48
Gender Identity Disorder Video 1
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identity disorders.
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49
Gender Identity Disorder Video 2
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identity disorders.
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50
Gender Identity Disorder Video 3
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identity disorders.
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51
Drug Highlights

• Antianxiety Agents
• Chemical substances that relieve anxiety and
  muscle tension.
• They are indicated when anxiety interferes with a
  persons ability to function properly.

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Drug Highlights

• Antidepressant Agents
• Chemical substances that relieve the symptoms of
  depression. They are indicated when depression
  interferes with a persons ability to function
  properly. Antidepressant agents may be grouped
• Selective serotonin reuptake inhibitor (SSRIs)
  Drugs in this group specifically block
  reabsorption of serotonin.
• Serotonin-norepinephrine reuptake inhibitor
  (SNRIs) Drugs in this group block the
  reabsorption of serotonin and norepinephrine.
• Tricyclic antidepressants (TCAs) drugs in this
  group raise the level of norepinephrine and
  serotonin in the brain by slowing the rate at
  which they are reabsorbed by nerve cells.

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Drug Highlights

• Antidepressant Agents
• Chemical substances that relieve the symptoms of
  depression. They are indicated when depression
  interferes with a persons ability to function
  properly. Antidepressant agents may be grouped
• Monoamine oxidase inhibitors (MAOIs) drugs in
  this group work by blocking the breakdown of two
  potent neurotransmitters, norepinephrine and
  serotonin, and by allowing them to bathe the
  nerve endings for an extended length of time.

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Drug Highlights

• Lithium carbonate
• Although this is not a group of drugs, there are
  various lithium medications that control mood
  disorders by directly affecting internal nerve
  cell processes in all the neurotransmitter
  systems.
• Lithium is best known as an antimanic drug used
  in the treatment of bipolar disorder.

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Drug Highlights

• Miscellaneous Drugs
• There are many newly created drugs for treating
  depression. Some of these drugs are used for
  other illnesses and are being tested for treating
  depression then there are those that do not fit
  into any of the described groups.
• Antipsychotic Agents
• These agents modify psychotic behavior and are
  called neuroleptics.

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Drug Highlights

• Atypical Antipsychotics
• Drugs in this group affect serotonin and
  dopamine.
• Stimulants
• These drugs stimulate the central nervous system
  (CNS) and are generally prescribed for
  attention-deficit / hyperactivity disorder.

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Attention-Deficit/Hyperactivity Disorder (AD/HD)

• One of the most common of the psychiatric
  disorders that appear in childhood.
• Children with AD/HD can't stay focused on a task,
  can't sit still, act without thinking, and rarely
  finish anything.
• AD/HD affects an estimated 4.1 percent of youths
  ages 9 to 17, and about 2 to 3 times more boys
  than girls are affected.

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Attention-Deficit/Hyperactivity Disorder (AD/HD)

• AD/HD often co-occurs with other problems, such
  as depressive and anxiety disorders, conduct
  disorder, drug abuse, or antisocial behavior.
• Children with untreated AD/HD have higher than
  normal rates of injury, and the disorder can have
  long-term effects on a child's ability to make
  friends or do well at school or work.
• Over time, children with AD/HD may develop
  depression, poor self-esteem, and other emotional
  problems.

60
Attention-Deficit/Hyperactivity Disorder (AD/HD)

• The disorder frequently persists into adolescence
  and affects between 2 to 4 percent of adults.
• There are three different types of
  attention-deficit/hyperactivity disorder
• Inattentive AD/HD
• Hyperactive-Impulsive AD/HD
• Combined AD/HD

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Attention-Deficit/Hyperactivity Disorder (AD/HD)

• Children with combined attention-deficit /
  hyperactivity can
• Have short attention spans.
• Be distracted easily.
• Not pay attention to details.
• Make many mistakes.
• Fail to finish things.
• Have trouble remembering things.
• Not seem to listen.
• Not be able to stay organized.

62
Attention-Deficit/Hyperactivity Disorder (AD/HD)

• Children with combined attention-deficit /
  hyperactivity may
• Fidget and squirm.
• Be unable to stay seated or play quietly.
• Run or climb too much or when they should not.
• Talk too much or when they should not.
• Blurt out answers before questions are completed.
• Have trouble taking turns.
• Interrupt others.

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Attention-Deficit/Hyperactivity Disorder (AD/HD)

• Many types of medications have been used to treat
  AD/HD to include
• Stimulants
• Antidepressants Ritalin is the most common
  antidepressant prescribed for AD/HD
• Behavior Therapy

64
Attention Deficit Disorder Video
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65
Bipolar Disorder

• A depressive brain disorder that causes unusual
  shifts in a persons mood, energy, and ability to
  function.
• Bipolar disorder is characterized by cycling mood
  changes of severe highs (mania) and lows
  (depression).

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Bipolar Disorder

• Symptoms of mania include
• Abnormal or excessive elation
• Unusual irritability
• Decreased need for sleep
• Grandiose notions
• Increased talking
• Racing thoughts
• Increased sexual desire
• Markedly increased energy
• Poor judgment
• Inappropriate social behavior

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Bipolar Disorder

• Symptoms associated with different levels of
  bipolar disorder are
• Severe episodes of mania or depression
• Hypomania
• Mixed Bipolar State
• Eighty to ninety percent of people who have
  bipolar disorder can be treated effectively with
  medication and psychotherapy.

68
Bipolar Disorder Video
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69
Depression

• Major depression
• Manifested by a combination of symptoms that
  interfere with the ability to work, study, sleep,
  eat, and enjoy once pleasurable activities.
  Symptoms may be so severe the person literally is
  unable to drag himself or herself out of bed.
  Such a disabling episode of depression may occur
  only once but more commonly occurs several times
  in a lifetime.
• Dysthymia
• A less severe type of depression that involves
  long-term, chronic symptoms that do not disable,
  but keep an individual from functioning well or
  from feeling good.

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Depression

• Not everyone who is depressed experiences every
  symptom.
• Symptoms of depression include
• Persistent sad, anxious, or empty mood.
• Pessimism.
• Feelings of guilt, worthlessness, helplessness.
• Loss of interest or pleasure.
• Decreased energy, fatigue, feeling slowed down.

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Depression

• Symptoms of depression include
• Difficulty concentrating, remembering, making
  decisions.
• Insomnia, early-morning awakening, or
  oversleeping.
• Appetite and/or weight loss or overeating and
  weight gain.
• Restlessness, irritability.
• Persistent physical symptoms.
• Thoughts of death or suicide suicide attempts.

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Depression

• A diagnosis of depression is made when four or
  more of the previously described symptoms have
  been present continually, or most of the time,
  for more than 2 weeks.

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Generalized Anxiety Disorder (GAD)

• A chronic disorder that fills a persons life
  with exaggerated worry and tension.
• The source of the worry is hard to pinpoint.
• Worries are accompanied by physical symptoms,
  especially fatigue, headaches, muscle tension,
  muscle aches, difficulty swallowing, nausea,
  trembling, twitching, lightheadedness,
  irritability, sweating, hot flashes, and trouble
  sleeping.

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Generalized Anxiety Disorder (GAD)

• GAD affects twice as many women as men and comes
  on gradually and can begin across the life cycle,
  though the risk is highest between childhood and
  middle age.

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Obsessive-Compulsive Disorder (OCD)

• Involves persistent unwelcome thoughts or images,
  or the urgent need to engage in certain rituals
  that the person with OCD feels and cannot
  control.
• The disturbing thoughts or images are called
  obsessions, and the rituals that are performed to
  try to prevent or get rid of them are called
  compulsions.
• OCD affects men and women in approximately equal
  numbers and usually first appears in childhood,
  adolescence, or early adulthood.

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77
Panic Disorder

• A form of anxiety disorder that presents with
  feelings of terror that strike suddenly and
  repeatedly with no warning.
• Panic disorder affects women more than twice as
  often as it does men and manifests itself most
  often during late adolescence or early adulthood.
  Risk of developing panic disorder appears to be
  inherited.

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Panic Disorder

• When a person is having a panic attack, he or she
  will feel sweaty, flushed or chilled, weak,
  faint, or dizzy.
• The individual may genuinely believe that he or
  she is having a heart attack, losing his or her
  mind, or on the verge of death.

79
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Panic Attacks Video 2
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Panic Attacks Video 3
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82
Post-traumatic Stress Disorder (PTSD)

• PTSD is a debilitating condition that can develop
  following a terrifying event.
• Often, people with PTSD have persistent
  frightening thoughts and memories of their
  ordeals and feel emotionally numb, especially
  with people to whom they were once close.

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Post-traumatic Stress Disorder (PTSD)

• Some people with PTSD will
• Relive the trauma.
• Experience other sleep problems.
• Feel detached or numb, or be easily startled.
• Lose interest in things they used to enjoy and
  have trouble feeling affectionate.
• Feel irritable, more aggressive than before, or
  even violent.
• Avoid certain places or situations.
• Symptoms usually begin within 3 months of the
  trauma, and the course of the illness varies.

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Schizophrenia

• Positive or Psychotic Symptoms
• Delusion
• Hallucinations
• Disordered thinking
• Negative Symptoms
• Social withdrawal
• Extreme apathy
• Diminished motivation
• Blunted emotional expression
• Cognitive deficits

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Schizophrenia

• Schizophrenia generally begins in late
  adolescence or early adulthood.
• Researchers now consider schizophrenia to be a
  group of mental disorders rather than a single
  illness.
• The causes of schizophrenia are unknown, but the
  disease affects perception, memory, attention,
  cognition, and emotion.

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Schizophrenia

• Factors that may increase ones risk of the
  disease are
• Heredity.
• Fetal development events that affect the brain.
• Environmental stressors.
• Psychological stress.
• Abnormalities in both the brain's structure and
  biochemical activities also seem to be implicated
  in the illness.
• Antipsychotic medications help bring biochemical
  imbalances closer to normal, and some may be
  effective for symptoms such as social withdrawal,
  extreme apathy, and blunted emotional expression.

87
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Social Phobia or Social Anxiety Disorder

• Involves overwhelming anxiety and excessive
  self-consciousness in everyday social situations.
• People with social phobia have a persistent,
  intense, and chronic fear of being watched and
  judged by others and being embarrassed or
  humiliated by their own actions.
• Their fear may be so severe that it interferes
  with work or school and other ordinary activities.

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Social Phobia or Social Anxiety Disorder

• Physical symptoms often accompany the intense
  anxiety of social phobia and include blushing,
  profuse sweating, trembling, nausea, and
  difficulty talking.
• People with social phobia are aware that their
  feelings are irrational.

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Suicidal Feelings

• Anyone who is thinking about committing suicide
  needs immediate attention.
• Anyone who talks about suicide should be taken
  seriously.
• Risk for suicide appears to be highest in those
  with mental illnesses such as depression and
  bipolar disorder.

91
Suicidal Feelings

• Signs and symptoms that may accompany suicidal
  feelings include
• Talking about feeling suicidal or wanting to die.
• Feeling hopeless, that nothing will ever change
  or get better.
• Feeling helpless, that nothing one does makes any
  difference.
• Feeling like a burden to family and friends.
• Abusing alcohol or drugs.
• Putting affairs in order.
• Writing a suicide note.
• Putting oneself in harm's way, or in situations
  where there is a danger of being killed.

92
According to the U.S. Surgeon General, how many
adult Americans suffer from a mental disorder?

• 22 million
• 33 million
• 44 million
• 55 million

93
According to the U.S. Surgeon General, how many
adult Americans suffer from a mental disorder?

• 22 million
• 33 million
• 44 million
• 55 million

94
Which of the following disorders is also known as
manic-depressive illness?

• autism
• bipolar
• compulsion
• delirium

95
Which of the following disorders is also known as
manic-depressive illness?

• autism
• bipolar
• compulsion
• delirium

96
Suicide is which leading cause of death in the
U.S.?

• 5th
• 6th
• 7th
• 8th

97
Suicide is which leading cause of death in the
U.S.?

• 5th
• 6th
• 7th
• 8th

98
Which of the following words is spelled
incorrectly?

• agoraphobia
• anorexia nervosa
• cyclothymic
• delerium

99
Which of the following words is spelled
incorrectly?

• agoraphobia
• anorexia nervosa
• cyclothymic
• delerium

100
The standard manual used by experts for the
diagnosis of recognized mental illness is called
the

• APA
• DSM
• DSM-IV-TR
• ICD-9-CM

101
The standard manual used by experts for the
diagnosis of recognized mental illness is called
the

• APA
• DSM
• DSM-IV-TR
• ICD-9-CM

102
A feeling of uneasiness is known as anxiety.

• True
• False

103
A feeling of uneasiness is known as anxiety.

• True
• False

104
Symptoms of a mental disorder do not vary from
one type to the other.

• True
• False

105
Symptoms of a mental disorder do not vary from
one type to the other.

• True
• False

106
Kleptomania is a type of impulse control disorder.

• True
• False

107
Kleptomania is a type of impulse control disorder.

• True
• False

108
An obsession is a neurotic state in which an
individual has a recurrent thought that is
unwanted and distressing and comes involuntarily
to mind despite attempts to resist.

• True
• False

109
An obsession is a neurotic state in which an
individual has a recurrent thought that is
unwanted and distressing and comes involuntarily
to mind despite attempts to resist.

• True
• False

110
Mental illness does not affect the way a person
relates to others.

• True
• False

111
Mental illness does not affect the way a person
relates to others.

• True
• False

112
The abbreviation for tricyclic antidepressants is
TCAs.

• True
• Fasle

113
The abbreviation for tricyclic antidepressants is
TCAs.

• True
• Fasle

114
Anorexia nervosa is a simple psychological eating
disorder.

• True
• False

115
Anorexia nervosa is a simple psychological eating
disorder.

• True
• False

116
With autism, the patient is unable to relate to
others and has language disturbances.

• True
• False

117
With autism, the patient is unable to relate to
others and has language disturbances.

• True
• False

118
Norepinephrine is a hormone produced by the
adrenal medulla that acts as a neurotransmitter.

• True
• False

119
Norepinephrine is a hormone produced by the
adrenal medulla that acts as a neurotransmitter.

• True
• False

120
A physician who specializes in the study,
treatment, and prevention of mental disorders is
called a psychologist.

• True
• False

121
A physician who specializes in the study,
treatment, and prevention of mental disorders is
called a psychologist.

• True
• False

122
Chapter 22 Scenario

• The patient is a 28-year-old male complaining of
  a lack of energy, decreased appetite, difficulty
  remembering, and loss of interest in sex. The
  patient states that he can barely drag himself
  out of bed each morning.

123
What mental disorder is this patient likely
suffering from?

• bipolar
• depression
• general anxiety disorder
• obsessive-compulsive disorder

124
What mental disorder is this patient likely
suffering from?

• bipolar
• depression
• general anxiety disorder
• obsessive-compulsive disorder

125
A diagnosis of depression is made when ___
symptoms have been present most of the time for
more than 2 weeks.

• 3
• 4
• 5
• 6

126
A diagnosis of depression is made when ___
symptoms have been present most of the time for
more than 2 weeks.

• 3
• 4
• 5
• 6

127
Of the nearly 35 million Americans age 65 and
older, how many have a depressive illness?

• 1 million
• 2 million
• 5 million
• 7 million

128
Of the nearly 35 million Americans age 65 and
older, how many have a depressive illness?

• 1 million
• 2 million
• 5 million
• 7 million

129
A physician may recommend psychotherapy or
prescribe an antidepressant for children who are
at least how old?

• 3 years old
• 4 years old
• 5 years old
• 6 years old

130
A physician may recommend psychotherapy or
prescribe an antidepressant for children who are
at least how old?

• 3 years old
• 4 years old
• 5 years old
• 6 years old

131
Which of the following are not antidepressants?

• MAOIs
• SNRIs
• SSRIs
• TATs

132
Which of the following are not antidepressants?

• MAOIs
• SNRIs
• SSRIs
• TATs