instructor mhfa slides jan 07

7/25/2019 Instructor MHFA Slides Jan 07

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Instructor

Date


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2

Course Outline Session 1

Mental Health First Aid

Common mental health problems

The five basic steps of mental health first aid What are substance use disorders?

Symptoms and ris factors

Crisis first aid for overdose Mental health first aid for s!bstance !sedisorders

Treatment and reso!rces


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"


What is depression?

Symptoms of depression

#is factors for depression Alcohol$ dr!%s and depression

S!icide in Canada

Crisis first aid for s!icidal behavio!r Mental health first aid for depression



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&


What are anxiety disorders?

Symptoms of an'iety disorders

#is factors for an'iety disorders Alcohol$ dr!%s and an'iety disorders

Crisis first aid for panic attacs

Crisis first aid for ac!te stress reaction Mental health first aid for an'iety disorders



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(


What are psychotic disorders?

Symptoms of psychotic disorders

#is factors for psychosis Alcohol$ dr!%s and psychotic disorders

Crisis first aid for ac!te psychosis

Mental health first aid for psychosis Treatment and reso!rces

)ther e'pressions of distress


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*

World Health Organization

Health is +a state of ,complete- physical$mental and social .ell/bein% and notmerely the absence of disease or infirmity01

Mental Health is +a state of .ell/bein% in.hich the individ!al realies his or her o.nabilities$ can cope .ith the normal stresses

of life$ can .or prod!ctively and fr!itf!lly$and is able to mae a contrib!tion to his orher comm!nity01


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3

he !ental Health Continuu"

Ma'im!mMental Health

MinimalMental Disorder

MinimalMental Health

Ma'im!mMental Disorder

Dia%nosis of a serio!sillness and poor

mental health

Dia%nosis of a serio!sillness b!t copes .ell and

has positive mental health

4o illness or disorderand positive mental

health

4o dia%nosable illnessor disorder b!t haspoor mental health


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5

What are !ental Health #roble"s$

A mental health problem ca!ses ma6orchan%es in a person7s thinin%$ emotional

state and behavio!r$ and disr!pts theperson7s ability to .or and carry on their!s!al personal relationships0


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What is !ental Health %irst &id$

Mental Health First Aid is the helpprovided to a person developin% a mental

health problem or in a mental healthcrisis0 The first aid is %iven !ntilappropriate professional help is receivedor !ntil the crisis is resolved0


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9:

he %i'e (asic Steps

&ssess ris of s!icide or harm

)isten non/6!d%mentally*ive reass!rance and information+nco!ra%e the person to %et appropriate

professional help+nco!ra%e self/help strate%ies


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Why !ental Health %irst &id$

There is sti%ma associated .ith mental

health problems

Imagine if we treated everyone like

we treated the mentally ill.


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#re'alence

At least 9 in " Canadians .ille'perience a mental health problem at

so"e point in their li,e At least 9 in ( Canadians .ill

e'perience a mental health problem in

a year =n Canada 2: per cent of all sic leaves

are related to mental health


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I"pact

The economic costs of mental illnessesin Canada .as estimated to be at least

>9&0" billion in 9885 Mental illnesses are disablin%

Si' of the 9: leadin% ca!ses of years

lived .ith disability7 are mental healthproblems


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he &)*++ -ap

&ssess sit!ation and eval!ate the ris

)isten very caref!lly and don7t ts ts

*ive reass!rance and the %ood info +nco!ra%e them to see appropriate pro

+nco!ra%e them to !se self help ideas

And that is the &)*++rap my dears@


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What is a Substance .se /isorder$

sin% alcohol or dr!%s does not in itselfmean that a person has a s!bstance

!se disorder ,SD- Dependence on a s!bstance

se leads to problems at .or$ school$

home se ca!ses dama%e to health


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98

One Standard /rin0

Centre for Addiction and Mental Health

= =

able Wine

( o;9&2 mB,92 alcohol-

-egular (eer

92 o;"&9 mB,( alcohol-

Spirits

90( o;&" mB,&: alcohol-


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2:

)o-is0 /rin0ing *uidelines

drin0s lo.est ris of an alcohol/related problem

4o more than 2 standard drin0sonany one day

WomenE !p to standard drin0sa

.ee MenE !p to 14 standard drin0s

a .ee


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)onger" +,,ects o, &lcohol

rain

Heart

B!n%s Biver$ pancreas$ stomach and intestines

Genitals and reprod!ctive system

M!scles$ nervo!s system$ motor sills

Sin


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Other &bused Substances

Tobacco

4icotine is a po.erf!l stim!lant

Male smoers are t.ice as liely toe'perience impotence

Spit tobacco contains more than "$:::chemicals

Withdra.al symptoms incl!de an'iety$insomnia$ restlessness

Some lon% term effects / heart disease$stroe$ cancer


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2"


Cannabis ,mari6!ana$ hashish$ 6oints$ reefers-

Most .idely !sed ille%al dr!% in Canada

Abo!t 2 of the pop!lation have problem.ith cannabis ab!se;dependence0

More than t.ice as liely to s!ffer from an

an'iety disorder or depression More than three times the ris of s!fferin%

from psychotic symptoms


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2&


Cannabis ,mari6!ana$ hashish$ 6oints$ reefers-

Adolescents !sin% cannabis are more

liely to s!ffer from depression$ cond!ctproblems$ drinin% and other dr!% !se

More freI!ent !se of cannabis increases

ris of dia%nosis of schiophrenia overne't 9( years


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Amphetamines a stim!lant dr!%

J'amplesE crystal meth$ ice$ speed$

!ppers$ bennies$ cran$ ecstasy Amphetamines have the temporary

effect of increasin% ener%y and

apparent mental alertness sers develop a tolerance and need to

tae more to %et same effects


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2*


Amphetamines a stim!lant dr!%

An overdose can ca!se del!sions$

hall!cinations$ hi%h fever$ coma$ death A partic!lar mental health ris is

amphetamine psychosis or +speed

psychosis1 .hich involves symptomssimilar to schiophrenia


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)pioids

J'amplesE heroin$ morphine$ codeine$

o'ycodone Jffects can incl!de pain relief$

dro.siness$ constipation$ tiny p!pils

sers develop a tolerance and need totae more to %et same effects

)verdose can res!lt in coma anddeath


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Cocaine ,crac$ coe$ C$ sno.$ flae-

A cocaine hi%h can last from ( min!tes

to 2 ho!rs )verdose can ca!se sei!res$ stroes

heart attacs$ coma$ death

sers develop a tolerance and need totae more to %et same effects


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-is0 %actors

Family history of s!bstance ab!se

Childhood ab!se or ne%lect

Acceptance of s!bstance !se,comm!nity$ peer-

Bo. parental s!pport;monitorin%


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":

%irst &id ,or Substance .se /isorders


)isten non/6!d%mentally

*ive reass!rance and information

+nco!ra%e the person to %et

appropriate professional help +nco!ra%e self/help strate%ies


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"9

Step 1 &ssess the -is0 o, Suicide

or Har" =f yo! determine the person has taen

an overdose$ follo. the steps for Crisis

First Aid for an )verdose

=f the person is not at ris$ move on toStep 2 Bisten 4on/K!d%mentally


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"2

Crisis %irst &id ,or an O'erdose

=f they are !nconscio!sE Mae s!re the person7s air.ay is clear and roll

them into the recovery position


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Crisis %irst &id ,or an O'erdose

=f the person is conscio!s


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Step 2 )isten 5on6udg"entally

Bisten .itho!t interr!ptin%

As appropriate I!estions to mae s!re

yo! are both clear on .hat is bein% said Bisten to the .ord and tone of voice and

.atch their body lan%!a%e

#estate .hat the person has said S!mmarie facts and feelin%s


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"(


e attentive

Leep eye contact comfortable ,don7t

stare or avoid eye contact- Leep an open body position

Sit do.n$ even if they stand

Try not to sit directly opposite,facin%- the person


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"*

Step 3 *i'e -eassurance and

In,or"ation Tell the person yo! .ant to help them

S!bstance !se disorder is a real medical

condition =t is a common illness


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"3

Step 4 +ncourage the #erson to *et

&ppropriate #ro,essional Help

Family doctor or physician Dr!% and alcohol specialists

Mental health team


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"5

he Change !odel

Conte"plation

#reconte"plation

/eter"ination7

#reparation

-elapse

!aintenance

&ction


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"8

Step 8 +ncourage Sel,Help

Strategies

Many people .ith a s!bstance !sedisorder may also have another

!nderlyin% mental health problem s!chas depression or an'iety0

The self/help strate%ies for these

conditions may help b!t sho!ld not bethe main so!rce of treatment0


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&:

-esources

Alberta Alcohol and Dr!% Ab!seCommission

http://www.aadac.com

Centre for Addiction and Mental Health

http://www.camh.net/


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&9

I,

=f yo! can al.ays be cheerf!l

=f yo! can sleep .itho!t dr!%s

=f yo! can rela' .itho!t alcohol

=f yo! can start the day .itho!t caffeine

=f yo! can tae blame .itho!t resentment

=f yo! can resist .itho!t complainin% =f yo! can eat the same food every

day .itho!t complainin% and be

%ratef!l


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&2

I,

=f yo! can !nderstand .hen yo!r lovedones are too b!sy to spend time .ith yo!

=f yo! can overloo it .hen those yo! love

tae thin%s o!t on yo! .hen$ thro!%h nofa!lt of yo!rs$ somethin% %oes .ron%Then yo! are almost

as %ood as yo!r do%


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&"

Session 2

What is depression?

Symptoms of depression

#is factors for depression Alcohol$ dr!%s and depression

S!icide in Canada

Crisis first aid for s!icidal behavio!r Mental health first aid for depression



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&&

What is /epression$

Clinical depression lasts at least t.o.ees$ affects the person7s behavio!r

and has physical$ emotional and co%nitiveeffects0

=t interferes .ith the ability to .or andhave satisfyin% personal relationships0


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&(

Sy"pto"s o, /epression

+"otionsE sadness$ mood s.in%s$hopelessness$ an'iety

houghtsE Self/criticism$ indecisiveness$tho!%hts of s!icide$ pessimism (eha'iourE Cryin% spells$ ne%lect personal

appearance$ .ithdra.al$ no motivation

#hysicalE Bac of ener%y$ sleepin% toom!ch;too little$ overeatin%;lossof appetite


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&*

/epression in the Wor0place

Decreased prod!ctivity

Morale problems

Bac of co/operation Safety problems

Absenteeism

Complaints of bein% tired$ havin%aches;pains

Alcohol and;or dr!% ab!se


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&3

(ipolar /isorder 9!anic /epression:

ipolar disorder is characteried bye'treme mood s.in%s

A person has periods of depression andmania .ith periods of normal7 mood inbet.een

A person m!st have episodes of bothdepression and mania to be dia%nosed


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Sy"pto"s o, (ipolar /isorder

Depression

Mania

=ncreased ener%y and over activity Jlated mood

4eedin% less sleep than !s!al

=rritability

#apid thinin% and speech Bac of inhibitions

Grandiose del!sions

Bac of insi%ht


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&8

-is0 %actors ,or /epression

rea !p of relationship or livin% inconflict

Havin% a baby Kob loss$ !ns!ccessf!l 6ob h!ntin%

Bon% term illness or disability or carin%

for someone .ith illness;disability ein% a victim of a crime

Alcohol or dr!% ab!se


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(:

-is0 %actors ,or /epression

Side effect of medications or dr!%s

Stress from another mental disorder

Hormonal chan%es Bac of e'pos!re to bri%ht li%ht in .inter

Family history of depression


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(9

Suicide in Canada

Abo!t &$::: Canadians die by s!icide eachyear

=n 2::9$ there .ere "0( s!icides amon% men

for every s!icide amon% .omen0


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Suicide -ates by #ro'ince#er 1; population; 21

95: * 8" 92 9(

&lberta

Sas0atchean

!anitoba

Ontario


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("

%irst &id ,or /epression







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(&


or Har"

=f yo! determine the person is at ris$follo. the steps for Crisis First Aid for

S!icidal ehavio!r

=f the person is not at ris$ move on toStep 2 Bisten 4on/K!d%mentally


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((

Crisis %irst &id ,or Suicidal (eha'iour

90 Jn%a%e the person in serio!sconversation abo!t ho. they are

feelin%20 Determine if the person has tho!%hts

of s!icide

"0 J'plore and assess the ris f!rther&0 Find o!t abo!t prior s!icidal behavio!r

(0 Find o!t abo!t their s!pports


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(*

Crisis %irst &id ,or Suicidal (eha'iour

*0 Jns!re the person is not left alone

30 See additional help

50 =f they are cons!min% alcohol or dr!%s$try to ens!re they do not tae more

80 Try to ens!re they do not have readyaccess to some means to tae their life

9:0Jnco!ra%e the person to tal

990 Jns!re yo!r o.n personal safety


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(3

Sel, Care

S!pportin% a s!icidal person can be!nsettlin% and stressf!l

Do not !nderestimate the effect on yo!ro.n .ell/bein%

Find .ays of red!cin% the immediatestress ,e'ercise$ rela'ation techniI!es$

sleep- Find someone to tal to abo!t yo!r

e'perience


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(5


Bisten to the person .itho!t 6!d%in%0

Do not be critical of the person0

Do not e'press fr!stration .ith theperson for havin% these symptoms0

Do not %ive %lib advice s!ch as p!ll

yo!rself to%ether70 Avoid confrontation !nless necessary to

prevent harmf!l acts0


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(8


In,or"ation

Depression is a real medical condition

Depression is a common illness

Depression is not a .eaness orcharacter defect

Depression is not lainess

Jffective help and treatments areavailable


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*:



Comm!nity/based care

Family doctor or physician

Co!nsellors and clinical psycholo%ists


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*9

What Helps ,or /epression$

ery severedepression only

Jlectroconv!lsive therapy ,JCT-

Ad!lts

Adolescents

Antidepressants

-ating!edical reat"ents

Very good evidence

Good evidence

Promising treatment


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*2

*"


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*"

*&


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*&


#eadin% depression self/help boos based on CT


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*(

en Co""on hin0ing /istortions

90 lac and .hitethinin%

20 Settin% !nrealistic

e'pectations"0 Selective thinin%

&0 Convertin%positives intone%atives

(0 )ver %eneraliin%

*0 J'a%%eratin%!npleasantness

30 Catastrophiin%

50


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**


Strategies

Self/help strate%ies have proventherape!tic effects

They also help people to feel they arere%ainin% control of their lives

*3


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*3


Massa%e therapy

#ela'ation therapy

No%a breathin% e'ercises

Winter depression

4on/seasonaldepression

Bi%ht therapy

J'ercise

-ating

)i,estyle @ &lternati'e reat"ents

*5


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*5


Alcohol avoidance for people .ith drinin% problems

Folate

St Kohn7s .ortO

Ac!p!nct!re

-ating)i,estyle @ &lternati'e reat"ents

O St Kohn7s .ort sho!ld not be taen .ith antidepressants0This herb has interactions .ith a n!mber of prescribedmedications0

*8


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*8

3:


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32


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3"


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-esources

#efer to MHFA Canada Man!alSection 2$ pa%e 99

3(


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Session 3

What are anxiety disorders?

Symptoms of an'iety disorders

#is factors for an'iety disorders Alcohol$ dr!%s and an'iety disorders

Crisis first aid for panic attacs

Crisis first aid for ac!te stress reaction Mental health first aid for an'iety disorders


3*


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What are &nxiety /isorders$

An an'iety disorder differs from normalan'iety

An'iety disorders are more severe$ theylast lon%er and they interfere .ith .oror relationships

There are several types of an'ietydisorders symptoms .ill vary0

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Mind Racing?

Vision strange orblurry?Possible sleepdisturbance?

Heart racing,

palpitations?

Difculty swallowing?

Dizzy, disoriented,lightheaded?

Trembling?

weating or

shi!ering?

"anting torun?

#eelingbreathless,

breathing $ast %hallow?

&ausea, lac'o$ appetite?

Restless?

(elly)li'e legs?

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*eneral Sy"pto"s o, &nxiety

#hysical

Cardiovascular:palpitations$ chest

pain$ rapid heartbeat$ fl!shin%

Respiratory:hyperventilation$shortness of breath

Neurological:diiness$ headache$s.eatin%$ tin%lin% and n!mbness

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#hysical

Gastrointestinal:choin%$ dry mo!th$

na!sea$ vomitin%$ diarrhea Musculoskeletal:m!scle aches and

pains ,esp0 nec$ sho!lders-$

restlessness$ tremors and shain%

5:


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#sychological

nrealistic and;or e'cessive fear and

.orry ,abo!t past or f!t!re events-

Mind racin% or %oin% blan

Decreased concentration and memory

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#sychological

Diffic!lty main% decisions$ conf!sion

#estlessness$ feelin% on ed%e7 ornervo!sness

Tiredness$ sleep dist!rbances$ vividdreams

=rritability$ impatience$ an%er

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(eha'ioural

Avoidance of sit!ations

)bsessive or comp!lsive behavio!r

Distress in social sit!ations


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ypes o, &nxiety /isorders

Generalied an'iety disorder ,GAD-


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/o Aou Worry &ll the i"e$

Which problems have yo! had often over thelast * months?

= never stop .orryin% abo!t thin%s bi%and small

= have headaches or aches and pains forno reason

= am tense a lot and have tro!ble rela'in% = have tro!ble eepin% my mind

on thin%s

5(


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/o Aou Worry &ll the i"e$

Which problems have yo! had often overthe last * months?

= %et crabby or %ro!chy = have tro!ble fallin% asleep or stayin%

asleep = sometimes have a l!mp in my throat or

feel lie = need to thro. !p .hen = am.orried

= s.eat and have hot fl!shes

5*


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*eneralized &nxiety /isorder 9*&/:

)ver.helmin% and !nfo!nded an'iety


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/o Aou Ha'e Sudden (ursts o,

%ear ,or 5o -eason$

Which problems have yo! had d!rin% theseb!rsts of fear?

= have chest pains or a racin% heart = have a hard time breathin% or a choin%

feelin% = feel diy$ or = s.eat a lot

= have stomach problems or feel lie =need to thro. !p

55

/ A H S dd ( t ,


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/o Aou Ha'e Sudden (ursts o,

%ear ,or 5o -eason$

Which problems have yo! had d!rin% theseb!rsts of fear?

= shae$ tremble$ or tin%le = feel o!t of control = feel !nreal = am afraid = am dyin% or %oin% cray

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#anic /isorder

A person .ith a panic disorder haspanic attacs

A panic attac is the s!dden onset ofintense fear or terror

The attacs develop s!ddenly

The fear is inappropriate for thecirc!mstances in .hich it is occ!rrin%

8:


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&goraphobia

Fear of panic attacs

Fear of bein% in a sit!ation .ith no help

or escape Avoidance of places .here it is felt that

a panic attac co!ld happen

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/ A % l &, id . , t bl


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/o Aou %eel &,raid or .nco",ortable

When Aou are &round Other #eople$

=s it hard to be at .or or school? = have an intense fear that = .ill do or say

somethin% and embarrass myself in front

of other people = am al.ays very afraid of main% a

mistae and bein% .atched and 6!d%edby other people

My fear of embarrassment maes meavoid doin% thin%s that = .ant to do orspeain% to people

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/ A % l &, id . , t bl


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/o Aou %eel &,raid or .nco",ortable

When Aou are &round Other #eople$

=s it hard to be at .or or school? = .orry for days or .ees before = meet

ne. people

= bl!sh$ s.eat$ tremble$ or feel lie = haveto thro. !p before or d!rin% an event.here = am .ith ne. people

= !s!ally stay a.ay from social sit!ations

s!ch as school events and main%speeches

= often drin to try and maethese fears %o a.ay

8"


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Social &nxiety /isorder

Common an'iety disorder

Fear of h!miliation$ embarrassment or

scr!tiny by others Fear that others are thinin% ne%atively

abo!t them

Tends to develop in shy children as theymove into adolescence

8&


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#hobic /isorders

A person .ith a phobia avoids orrestricts activities beca!se of fear

The fear appear persistent$ e'cessiveand !nreasonable

The fear .ill ca!se the person to avoid

specific thin%s$ events or places

8(

Ha'e Aou )i'ed hrough a Bery


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Scary or /angerous +'ent$

Which problems have yo! had after theevent?

= 6!mp and feel very !pset .hen

somethin% happens .itho!t .arnin% = have a hard time tr!stin% or feelin% close

to people

= stay a.ay from places that remind me ofthe event = feel %!ilty beca!se others died

and = lived

8*



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Scary or /angerous +'ent$

Which problems have yo! had after theevent?

= have tro!ble sleepin% and my m!scles

are tense = feel lie the terrible event is happenin%

all over a%ain0 This feelin% often comes

.itho!t .arnin% = have ni%htmares and scary memories ofthe terrifyin% event

= %et mad very easily

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#ost rau"atic Stress /isorder


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#ostrau"atic Stress /isorder

and &cute Stress /isorder


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/o Aou %eel rapped in a #attern o,

.nanted and .psetting houghts$

Are any of these problems interferin% .ithyo!r life?

= have !psettin% tho!%hts or ima%esenter my mind a%ain and a%ain

= feel lie = can7t stop these tho!%hts orima%es$ even tho!%h = .ant to

= .orry a lot abo!t terrible thin%s thatco!ld happen if =7m not caref!l

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.nanted and .psetting houghts$

Are any of these problems interferin% .ithyo!r life?

= have !n.anted !r%es to h!rt someoneb!t no. = never .o!ld

= have a hard time stoppin% myself fromdoin% thin%s a%ain and a%ain$ lie

co!ntin%$ checin% on thin%s$ .ashin%my hands$ re/arran%in% ob6ects$ doin%thin%s !ntil it feels ri%ht$collectin% !seless ob6ects

9::


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Obsessi'eCo"pulsi'e /isorder

)bsessive tho!%hts and comp!lsivebehavio!rs accompany feelin%s of an'iety0

)bsessive tho!%hts are !n.anted andinappropriate rec!rrent tho!%hts$ imp!lsesor ima%es the person cannot %et rid of0

Comp!lsive behavio!rs are repetitivebehavio!rs or mental acts s!ch asco!ntin%$ checin% or .ashin%0

9:9


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-is0 %actors ,or &nxiety /isorders

Gender


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%irst &id ,or &nxiety /isorders






9:"



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or Har"


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Crisis %irst &id ,or #anic &ttac0s

90 =f yo! are !ns!re if it is a panic attacor a heart attac call an amb!lance0

20 =f yo! are s!re it is a panic attac$move the person to a I!iet safe place0

"0 Help calm the person by helpin% themcontrol their breathin%0

&0 e a %ood listener$ .itho!t 6!d%in%0

9:(


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Crisis %irst &id ,or #anic &ttac0s

(0 J'plain they are havin% a panic attacand it is not life threatenin%0

*0 J'plain the attac .ill be over soonand they .ill recover0

30 Ass!re them that someone .ill stay.ith them !ntil the attac stops0

9:*

Crisis %irst &id ,or &cute


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Stress -eaction

90 Bet the person tell their story b!t do notp!sh them to do so0

20 e a patient and sympathetic listener0

"0 #eass!re the person that stressreactions are normal responses toabnormal events and in time most

people have a normal recovery oftheir emotions0

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Stress -eaction

&0 Jnco!ra%e the person to sharefeelin%s .ith others0

(0 Advise the person not to !se alcoholor dr!%s to cope0

*0 =f the stress reaction persists for morethan a month$ enco!ra%e the personto see professional help0

9:5


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N) A#J 4)T B=STJ4=4G T) MJ WHJ4E

No! say yo! !nderstand0

No! say yo! have an ans.er to myproblem$ before =7ve finished tellin% yo!my problem0

No! c!t me off before =7ve finishedspeain%0

No! finish my sentences for me0

9:8


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N) A#J 4)T B=STJ4=4G T) MJ WHJ4E

No! are dyin% to tell me somethin%0

No! tell me abo!t yo!r e'periences$main% mine seem !nimportant0

No! ref!se my thans by sayin% yo! reallyhaven7t done anythin%0

99:


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N) A#J B=STJ4=4G T) MJ WHJ4E

No! try to !nderstand me$ even if =7m not

main% m!ch sense0 No! %rasp my point of vie.$ even .hen

it7s a%ainst yo!r o.n sincere convictions0 No! realie the ho!r = too from yo! has

left yo! a bit tired and a bit drained0

999


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No! allo. me the di%nity of main% my

o.n decisions$ even tho!%h yo! thinthey may be .ron%0 No! do not tae my problem from me$

b!t allo. me to deal .ith it in my o.n

.ay0 No! hold bac the desire to %ive me

%ood advice0

992


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No! do not offer me reli%io!s solace

.hen = am not ready for it0 No! %ive me eno!%h room to discover for

myself .hat is really %oin% on0 No! accept my %ratit!de by tellin% me

ho. %ood it maes yo! feel to no. thatyo! have been helpf!l0

99"



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In,or"ation

An'iety is a real medical condition0

An an'iety disorder is a commonillness0

An an'iety disorder is not a .eanessor character defect0

Jffective help and treatments are

available0 An'iety can be !npleasant b!t is rarely

harmf!l0

99&



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Co!nsellin% or psychotherapy for

specific an'iety disorder

99(



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Step 8 +ncourage Sel, Help

Strategies

An'iety is best overcome by confrontin%fear rather than avoidin% it

se evidence/based self help boos


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What Helps ,or &nxiety /isorders$

Generalied an'iety disorder


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What Helps ,or &nxiety /isorders$

Generalied an'iety disorderMeditation

#an%e of an'iety disorders

Generalied an'iety disorder

&nxiety /isorder

Alcohol Avoidance

#ela'in% M!sic

-atingreat"ents

995

-


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-esources

#efer to MHFA Canada Man!alSection "$ pa%e 9:

998

S i 4


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Session 4

What are psychotic disorders?

Symptoms of psychotic disorders

#is factors for psychosis

Alcohol$ dr!%s and psychotic disorders

Crisis first aid for ac!te psychosis

Mental health first aid for psychosis Treatment and reso!rces

)ther e'pressions of distress

92:

Wh t i # h i $


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What is #sychosis$


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What is #sychosis$


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Sy"pto"s o, #sychosis

Chan%es in emotion and motivation

Depression or an'iety

S!spicio!sness l!nted$ flat or inappropriate emotion

=rritability

Chan%e in appetite #ed!ced ener%y and motivation

92"

S "pto"s o, #s chosis


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Chan%es in thinin% and perception

Diffic!lties concentratin%

Sense of alteration of self or others feelin% that self or others have chan%edor are actin% differently

)dd ideas

n!s!al percept!al e'periences red!ced or %reater intensity of smell$so!nd$ colo!r

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Chan%es in behavio!r

Sleep dist!rbance

Social isolation or .ithdra.al #ed!ced ability to .or or carry o!t

social roles

)dd or stran%e behavio!r

92(



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Chan%es in speech

Disor%anied speech

Speech becomes rapid

92*

Schizophrenia


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Schizophrenia

Schiophrenia is a chronic anddisablin% disorder

Mental f!nction chan%es and tho!%htsand perceptions become disordered

Schiophrenia is not a constant or staticcondition severity of symptomsfl!ct!ate or do not appear at all

923

Sy"pto"s o, Schizophrenia


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Sy"pto"s o, Schizophrenia

Del!sions

Hall!cinations

Thinin% diffic!lties Boss of drive

l!nted emotions

Social .ithdra.al

925

Other #sychotic /isorders


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Other #sychotic /isorders


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-is0 %actors ,or #sychotic /isorders

=t is believed that psychosis is ca!sed bya combination of factors incl!din%E

Genetics

iochemistry

Stress

9":

%irst &id ,or #sychotic /isorders


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%irst &id ,or #sychotic /isorders






9"9



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p

or Har"


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y

hreatening Biolence$

90 Do not %et involved physically

20 Call the police

"0 Try to create a calm$ non/threatenin%

atmosphere

&0 Try to %et the person to sit do.n

(0 Do not try to reason .ith ac!te psychosis

*0 J'press empathy for the person7s emotionaldistress

30 Comply .ith reasonable reI!ests

9""

Step 2 )isten 5on 6udg"entally


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Bisten to the person .itho!t 6!d%in%

Spea calmly$ clearly and in shortsentences

Do not be critical of the person and donot e'press fr!stration .ith the person

Do not %ive %lib advice s!ch as p!llyo!rself to%ether7


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9"(



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In,or"ation

When a person is in a psychotic state itis diffic!lt and inappropriate to %ivethem information abo!t psychosis .ait

!ntil they are in to!ch .ith reality

Do not mae promises yo! cannot eepand do not lie

9"*



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In,or"ation

When the person is thinin% moreclearly e'plainE No! .ant to help them

They have a real medical condition Their condition is not a common illness b!t

.ell no.n and researched


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Jarly intervention is important0 Theperson needs to be placed onappropriate medication



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Strategies

Have an a%reement .ith family;friends

Many people .ith a psychotic disorderalso have depression and;or an'iety

The self/help strate%ies for theseconditions may help b!t sho!ld not bethe main so!rce of treatment

9"8

-esources


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-esources

#efer to MHFA Canada Man!alSection &$ pa%e 5

instructor mhfa slides jan 07

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