Cortex of the brain
Mesolimbic system of the brain
Mimicking the brain's natural chemicals
Preventing reabsorption of natural chemicals
Providing negative reinforcement
Occupying receptor sites
Spermicidal lubricants on condoms can increase transmission of HIV
Sperm can be "washed" to prevent passing HIV from positive parents to their children
Of 160 opportunities for empathetic responses viewed on tape, 70% were missed
Children who witness violence in the home experience anxiety and depression.
"How can I help you today?"
"umm hmm, go on."
"I just want to make sure I understand what you've said up to this point."
""You said you are feeling depressed. What makes you feel most depressed?"
Most people who successfully commit suicide have seen a health care provider with 2-3 weeks of doing so.
50-60% of mentally ill patients only receive treatment from a primary care provider.
Having the patient recall the three objects she named earlier in the interview is an example of a language assessment in the MMSE.
Attention and calculation for the MMSE can be assessed by having the patient spell "world" backwards
The patient knows who he is
The patient knows how she got where she is
The patient knows where he is
The patient knows how long she has been where she is
Superior functioning in a wide range of activities
Danger of hurting self or others
A severe amount of physical pain
Mood can be observed by the provider
Neologism means rhyming speech in patterns that don't make sense.
Axis IV deals with general medical conditions
If the patient were belligerent, you would note it in the general description.
Distributing condoms leads to more teenage sex
Abstinence vows decrease the incidence of STDs
Parental notification decreases the chance teenagers will seek treatment for STDs
Spermicidal lubricant decreases the spread of HIV
Be a medium of education
Take as many notes as possible for the patient's chart to assist diagnosis
Help form a relationship between provider and patient
Determine the problems to be addressed
Ask many open ended questions
Confront the patient
Ask specific questions with short answers
Interrupt patients within the first 18 seconds of the medical interview
Don't display the empathy required to prevent themselves from being sued when they make mistakes
Don't ask their patients sexual history questions because they expect the patient to bring up problems
Use gender-specific pronouns in ways patients find offensive
Help to prevent "doorknob therapy"
Allow the patient an opportunity to correct you if you've heard something incorrectly
Are the easiest method of interviewing a delusional patient
Allow you to share a patient's responses with his/her family without breaking HIPAA
"Your reaction is perfectly natural for this situation."
"It seems as though this is hard for you to talk about"
"I know how you feel."
"Let me know how I can best help you."