Question

1.What are some issues that individuals with severe and persistent mental illness (SPMI) face? Name a minimum of five.

2.Pick one of the impulse control disorders and describe the clinical picture

3.Sometimes depression in older adults is expressed as physical symptoms or negative behaviors. Identify at least 5 of these symptoms/behaviors.

Answer 1

Severe and persistent mental illness is a group of mental health diseases which affect the functioning of the individual. The optimal health care is challenged for these patients and this disease makes the care giver exhausted because of its persistent nature.

Some of the SPMI disorders

- schizophrenia

-schizoaffective disorder

-biapolar disorders

-dilusional disorders

- personality disorders

- depressive disorders

There are many many issue that affect the patient mental health and other health ailments

1. Stigma and discrimination

A mental health disorder person has to live a life with a stigma of have low self copping stretrgies which makes a people to fall for mental illness

2. Financial Barrier

For a effective treatment require a good financial support which usually lacks in the individual and disease progress, sometime family members let alone the individual by his or her maladaptive behaviour without understanding them

3.barrier to detection of suicidal attempt

Lack.of assessment and professional guidance in tge treatment, in the sucidal patient may end up to the the attempt to suicide.

4.special mental health care

A menta health disorder person should provide a different and unique care with include talk Therapy, group therapy with effective assessment and medication. A health caregiver should always presentl with the patient to prevent the act of suicide, aggravasivr and panic attack

5. Effective treatment

Due to the financial lacking, living in remote area and misspelled guidance and delay diagnosis of the diseas affect the individual very grossly.

Ans2.

Impulsive control disorders are the disorders in which a patient is having problems in social and occupational functioning. It is a common mental disorders. A individual not able to stop a harmful affect and districting himself

Impulsive disorder

Pathological gambling, kleptomania, trichotillomania, intermittent explulsive disorders and pyromania.

Trichotillomania - pulling out hair uncontrollably which leads to hair loss

A 13year old tanya which is pulling a out her hair of head. When she is doing her homework she pull her hair of eyebrows and eyelashes leading to hair loss

She use to feel itchy and when she pull her hair and feel relief.

This is case of trichotillomania.

Ans3.

Depression is a condition in which a person mood is affected and he feels sad, loss of interest in activities, low self esteem, disturbed appetit and sleep with poor concentration and feeling of guilt.

Depression in aging is not at all a Normal, it is disorders which may end up with suicide in severe cases.

Some time the depression symptoms is negative behaviour or physical pain.

Some of the symptoms

1. Aches or pain , headache, crams, gastric problem without any clear cause and which does not cure with treatment.

2.irritability

3.having trouble with sitting

4. Angry, frustrated and impulsive

5. Eating more or less leading to weight changes

6. Difficulty in sleeping or oversleeping. Problem in concentration, decision making

7. Loss of interest in activities, feel lethargic, move or talk slowly,.

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