In general, the brain has two types of processing systems. W…

In general, the brain has two types of processing systems. When someone experiences a stressful event, the amygdala, an area of the brain that contributes to emotional processing, sends a distress signal to the hypothalamus. This area of the brain functions like a command center, communicating with the rest of the body through the nervous system. This is important to our survival and is known as:

BB was admitted to the locked unit of a local mental health…

BB was admitted to the locked unit of a local mental health facility after attempting to hang himself in his garage. BB was diagnosed by Dr. M as having Bipolar Disorder, Type II, Borderline Personality Disorder, Hypertension, Diabetes, and Asthma with a GAF of 30. He recently lost his job and is unable to pay his rent. Using the multiaxial system as outlined by the Diagnostic and Statistical Manual of Mental Disorders Fourth Edition, Text Revision, on what Axis would his identified psychosocial stressors be listed?

JJ, a nurse on an inpatient unit, is attempting to interview…

JJ, a nurse on an inpatient unit, is attempting to interview LP, a new patient admitted on an involuntary hold. The provisional diagnosis is: schizophrenia. LP seems to be evasive and uncomfortable and gives on-word responses that are minimally informative. Which response would be most useful for facilitating an interview?

(1/2) TJ is a 54-year-old (though appears older than her sta…

(1/2) TJ is a 54-year-old (though appears older than her stated age) Caucasian female brought in by the police after she was found walking down the street in her pajamas and a parka at 0100 on a hot summer night. Her hair is disheveled and appears unkempt.  Although cooperative with the interview, her responses consist of one to two word answers. She appears guarded. Posture is slumped with head tilting to the right side. Eye contact is minimal. Patient admits to feeling fearful and anxious. Affect is blunted. Patient denies suicidal/homicidal ideation or intent.  Patient looks up and intermittently whispers softly to herself.  When questioned states “At night, God talks to me through the television telling me to leave my house and repent or die. I do not know if dogs can die, but dying Easter eggs at Christmas is what I do best. Are you the best?” The patient’s verbal expression provides an opportunity to assess: