Psych Enhancement

PSYCH ENHANCEMENT
MENTAL HEALTH
 SANITY
o Self-Awareness
 So that we will be able to know our strengths and weaknesses
o Autonomy
 Self-governance
 Self determination
 Independence
o Notion Of Reality
 Able to tell between what is real and what is imaginary
o Integral Capacity
 Ability to harmonize your psychic forces
 Id-Ego-Superego
o Id-Pleasure
 Over-development may lead to: Antisocial (Psychopaths)
o Ego-Reality
o Superego-Perfection (Conscience)
 Overdevelopment may lead to: OCD
o Time, Place, Person (Orientation to Three Spheres)
o Yokelessness
 Without Burden
 Able to enjoy life
MENTAL ILLNESS
 Severe discomfort
 Incomprehensibility
 Cultural Relativism
 Key Signals
Schizophrenia
 Most common part of psychosis

o If Psychosis >1 but <1month = Brief Psychotic Disorder
o If Psychosis >1 month but <6 months = Schizophreniform
o If Psychosis >6 months = Full Schizophrenia
o If Schizophrenia is affected by mood = Schizoaffective
 Depression
 Mania
 Speech Pattern is Looseness of Association (or Derailment)
o Neologism: Own Language
o Word Salad: No Meaning in Sentence
o Clang Association: Rhyming Words
o Verbigeration/Persiveration: Similar answers to different questions
o Circumstantiality: Providing excessive details but still reaches the thought
o Tangentiality: Providing excessive details but the thought is lost all together
 False Sensory Experiences
o Hallucinations
 No Stimuli
 Auditory Hallucination: Most Common Hallucination
 Conversational Auditory Hallucination: Most Common Auditory Hallucination
 Command Hallucination: Most Dangerous Hallucination
o Delusions
o Illusions
 Misinterpretation of an actual stimuli
o Disorganized Speech
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o Disorganized Behavior
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o Anhedonia
 Absence of Pleasure in all activities
MACANLALAY, RALPH ELVIN R. BSN4F-D

PSYCH ENHANCEMENT
o Alogia
 Absence of Speech
o Avolition
 Absence of motivation
o Flat Affect
 Lack of Observable emotions
Medications
 High Potency (+; Work only on dopamine Neurotransmitters)

o Stelazine
o Haldol
 Available in Depot Form
o Navane
o Prolixine
 Available in Depot Form
***ALL MEDICATIONS ARE AVAILABLE IN ORAL FORM, & PARENTERAL FORM
***Depot Injection effects last for 4 weeks
 Moderate Potency
o Moban
o Loxithane
o Serentil
 Low Potency
o Thorazine
o Mellaril
o Taracan
EPS Neuroleptics (NOVY PA SEND****)
Anti-EPS (NOVY PA SEND****)
 Clozaril (Clozapine)
o ***Agranulocytosis; WEEKLY MONITORING OF WBC
 Fever
 Body Malaise
 Sore Throat
 Risperdal
 Abilify
 Zyprexa
o DM
 BS-70-110
 Invega
MOOD
 Affective- Anhedonia & non-reactive mood

 Behavior- Sleep & Appetite
 Cognitive- Hopelessness + Helplessness = SUICIDE
o Sex: Men
o Age: 18-40/60
o Depressed
o Previous Attempts
o Excessive Alcoholism
o Rational Thinking Impaired
o Social Support Missing
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o Organized Plan
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o Nagging Spouse
o Sickness / Illness (Terminal)

PSYCH ENHANCEMENT
TCA-Tricyclic Antri-Depressants
 Tofranil
 Elavil****Most Common (elevates mood)
 Anafranil
***No Known Antidote for TCA
Side Effects:
Tachycardia (due to Orthostatic HTN)
Glaucoma (due to Intraocullar Pressure)
Anticholinergic Side Effects
 CAN’T
o SPIT – Dry Mouth
o SHIT – Constipation
o SEE – Blurred Vision
o PEE – Urinary Retention
 Physostigmine
o Antidote
Seizures
Sexual Dysfunction
***TCA takes effect in 2-4 weeks
SSRI – Not many side effects
Prozac
Paxil
Zoloft
*** 3-5 Days; Sleep Improves
****5-7 Days; Appetite Improves
******7-10 Days; Zest for life returns
MAOIS – Mono
 Avoid Thyramine Rich Foods
ELdepryl
PArnate
NArdil***
MArplan
EMsam
PArnate
MArplan
NArdil
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HTN Crisis – REGITINE

PSYCH ENHANCEMENT
-Can Reduce BP in less than 5mins
MANIA
 Delusions of Grandiosity
 DoC:
o Lithium – (New Normal Value: 0.5-1.5 on Maintenance; 1.0-1.5 on Acute; 1.0-1.5 on Elderly) A salt that is naturally
occurring in the body; greater affinity to sodium chloride receptors; Kidney Function Test (Crea; 0.6-1.2; BUN; 10-20)
 Vomiting
 Diarrhea
 Polyuria
 ***excess Lithium can eliminated via Renal Route; Manitol
 ***”” via NAC, N Axetyl
 ***”” GI Route; Kayexalate, Golytely
 ***HD (HemoDialysis)
o Valproic
o Carbamazepines
 Blood Dispracias
***Suicidal Watch = 3 Months
*** (+) Symptoms Dopamine
*** (-) Symptoms Dopamine, Serotonine, GABA, Acetylcholine
***Rapid Tranquilization
o 3 Doses for 3 Hours
o Haloperidol + Diphenhydramine Cocktail
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Psych Enhancement

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PSYCH ENHANCEMENT

 Most common part of psychosis

MACANLALAY, RALPH ELVIN R. BSN4F-D

 High Potency (+; Work only on dopamine Neurotransmitters)

***ALL MEDICATIONS ARE AVAILABLE IN ORAL FORM, & PARENTERAL FORM

***Depot Injection effects last for 4 weeks

EPS Neuroleptics (NOVY PA SEND****)

Anti-EPS (NOVY PA SEND****)

 Affective- Anhedonia & non-reactive mood

MACANLALAY, RALPH ELVIN R. BSN4F-D

***No Known Antidote for TCA

Tachycardia (due to Orthostatic HTN)

Glaucoma (due to Intraocullar Pressure)

Anticholinergic Side Effects

***TCA takes effect in 2-4 weeks

SSRI – Not many side effects

*** 3-5 Days; Sleep Improves

****5-7 Days; Appetite Improves

******7-10 Days; Zest for life returns

 Avoid Thyramine Rich Foods

HTN Crisis – REGITINE

MACANLALAY, RALPH ELVIN R. BSN4F-D

***Suicidal Watch = 3 Months

*** (+) Symptoms Dopamine

*** (-) Symptoms Dopamine, Serotonine, GABA, Acetylcholine

MACANLALAY, RALPH ELVIN R. BSN4F-D

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