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Operational Psychiatry
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QUICK OPERATIONAL MENTAL HEALTH
OBJECTIVES
- Identify common mental health problems
- Discuss the common problems
- Impart practical advice on management
- Review administrative issues
- Identify three steps you must take prior to deployment
COMMON PROBLEMS
- Suicidal thoughts
- Suicidal behavior
- Depression
- Grief
- Psychosis
- Posttraumatic stress
SUICIDE
- Suicide gesture vs attempt
- Suicidal thoughts vs behavior
- Suicide continuum
wondering, thinking, planning, resolve, action
- Common ways to commit suicide
pills, cutting, jumping, CO, hanging, GSW
- Quick demographics of suicidal behavior
DEPRESSION
- More than depressed mood
- Diagnosis requires symptoms, classically:
- loss of interest, loss of sleep, loss of energy, loss of weight
or appetite, loss of activity, loss of concentration, guilty
thoughts, thoughts of suicide
Symptoms present for at least two weeks
Under diagnosed and under treated when diagnosed
GRIEF
- Emotional distress at the loss of a loved one is not
pathological; it is normal
- Loss is personal, you have to see it from their eyes
- Death of a parent is very hard
- Loss includes more than death, it includes relationships
- Marital rejection can be seen as grief
Continue to PowerPointŪ Lecture... |
PSYCHOSIS
- Two major illness: Bipolar Disorder and Schizophrenia
- To distinguish, look at sleep
- Symptoms: hallucinations, paranoia, bizarre thoughts, unusual emotional
expression, behavior that crosses the line
- Bipolars can be aggressive
- Command hallucinations
POSTTRAUMATIC STRESS
- Exposure to life-threatening trauma: combat, disaster, rape, assault,
injury
- Symptoms: re-experiencing the trauma, life events trigger the trauma,
and autonomic hyperarousal
- May include aggression and seclusion
- May induce shame
- Past trauma predisposes PTSD
SUICIDE
- Respond to thoughts, take all behavior seriously
- Being suicidal is temporary
- People kill themselves when they are alone
- Create a safe place in public
- Address issues that caused the suicidal thoughts/behavior
Continue to PowerPointŪ Lecture... |
Lecture by
CAPT Doug Kempf, MC, USN
Surface Warfare Medicine Institute
2006 Surface Warfare Medical Officer Indoctrination Course
Naval Operational Medicine Institute
340 Huise Road
Pensacola FL 32508-1092
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