INDS 212 Lecture Notes - Lecture 51: Major Depressive Disorder, Psychotic Break, Bipolar Disorder

• School: McGill University
• Department: Interndisciplinary Studies
• Course: INDS 212
• Professor: Fraser Moore

Document Summary

Behavioral emergencies we will learn about : management of agitation and violence. In those with mental illness alone (no history of substance abuse [sa], criminality ), risk for violence increased by odds ratio (or) of 2. 44 (weak to moderate association) Individuals with serious mental illness (eg, schizophrenia, major depressive disorder, bipolar disorder) responsible for only 4% of violence occurring during survey, remaining 96% associated with sa, poverty, early trauma, criminal histories. Irritability, panic and anger: confusion/unfocused: this is more dangerous because we can"t determine what they"re thinking, emotional outbursts of anger: usually predictable because it occurs with shift changes, organized, predatory, premeditated: usually not mentally ill!!!! As you go down the list, the control becomes less and less: behavioral problems: pd, antisocial, malingering, etoh intoxication; nb. Findings suggestive of underlying psych basis for agitation : history of loss of control, abused as child, drug abuse (use or withdrawal from), unemployed, violent fantasies, hx of suicide attempts, homeless, psychosis.