Rasmussen Mental Health Exam 2
1. :
2. DEPRESSION: DEPRESSION
3. DEPRESSION
Define Common Symptoms: Mood of sadness
Negative
Pessimistic Thinking
Emotional sensitivity
Insomnia
Suicidal Ideation
Excessive guilt
4. DEPRESSION
Becks Triad: Three automatic negative thoughts that are responsible for the
development of depression:
1. A negative, self-deprecating view of self: "I really never do anything well;
everyone else seems smarter."
2. A pessimistic view of the world: "Once you're down, you can't get up. Look
around, poverty, homelessness, sickness, war, and despair are every place you
look."
3. The belief that negative reinforcement (or no validation for the self) will
continue: "It doesn't matter what you do; nothing ever gets better. I'll be in this
stupid job the rest of my life."
The phrase automatic negative thoughts refers to thoughts that are repetitive,
unintended, and not readily controllable. This cognitive triad seems to be consistent
in all types of depression, regardless of clinical subtype.
5. DEPRESSION
Risk for Suicide
(High vs Low): "You have said you are depressed. Tell me what that is like for
you."
• "When you feel depressed, what thoughts go through your mind?"
, Rasmussen Mental Health Exam 2
• "Have you ever thought about taking your own life in the past? Now? Do you
have a plan? Do you have the means to carry out your plan? Is there anything
that would prevent you from carrying out your plan?"
High:
A patient that HAS a plan AND a weapon
Older, single, lonely individuals with multiple health problems are more likely to
commit suicide than individuals with a great family support system and always in
the midst of people.
Males are more commonly committing suicide than females.
6. DEPRESSION: 1. Help the patient question underlying assumptions and beliefs
and consider alternate explanations to problems.
2. Work with the patient to identify cognitive distortions that encourage negative
self-appraisal. For example: a. Overgeneralizations
b. Self-blame
c. Mind reading
d. Discounting of positive attributes
3. Encourage activities that can raise self-esteem. Identify need for
a. problem-solving skills
b. coping skills
c. assertiveness skills.
4. Discuss physical activities the patient enjoys (e.g., running, weightlifting).
Explain that initially 10 to 15 minutes a day 3 or 4 times a week has short-term
benefits.
5. Encourage formation of supportive relationships, such as through support
groups, therapy, and peer support.
6. Provide information referrals, when needed, for spiritual/religious information
(e.g., readings, programs, tapes, community resources).
7. DEPRESSION
1. :
2. DEPRESSION: DEPRESSION
3. DEPRESSION
Define Common Symptoms: Mood of sadness
Negative
Pessimistic Thinking
Emotional sensitivity
Insomnia
Suicidal Ideation
Excessive guilt
4. DEPRESSION
Becks Triad: Three automatic negative thoughts that are responsible for the
development of depression:
1. A negative, self-deprecating view of self: "I really never do anything well;
everyone else seems smarter."
2. A pessimistic view of the world: "Once you're down, you can't get up. Look
around, poverty, homelessness, sickness, war, and despair are every place you
look."
3. The belief that negative reinforcement (or no validation for the self) will
continue: "It doesn't matter what you do; nothing ever gets better. I'll be in this
stupid job the rest of my life."
The phrase automatic negative thoughts refers to thoughts that are repetitive,
unintended, and not readily controllable. This cognitive triad seems to be consistent
in all types of depression, regardless of clinical subtype.
5. DEPRESSION
Risk for Suicide
(High vs Low): "You have said you are depressed. Tell me what that is like for
you."
• "When you feel depressed, what thoughts go through your mind?"
, Rasmussen Mental Health Exam 2
• "Have you ever thought about taking your own life in the past? Now? Do you
have a plan? Do you have the means to carry out your plan? Is there anything
that would prevent you from carrying out your plan?"
High:
A patient that HAS a plan AND a weapon
Older, single, lonely individuals with multiple health problems are more likely to
commit suicide than individuals with a great family support system and always in
the midst of people.
Males are more commonly committing suicide than females.
6. DEPRESSION: 1. Help the patient question underlying assumptions and beliefs
and consider alternate explanations to problems.
2. Work with the patient to identify cognitive distortions that encourage negative
self-appraisal. For example: a. Overgeneralizations
b. Self-blame
c. Mind reading
d. Discounting of positive attributes
3. Encourage activities that can raise self-esteem. Identify need for
a. problem-solving skills
b. coping skills
c. assertiveness skills.
4. Discuss physical activities the patient enjoys (e.g., running, weightlifting).
Explain that initially 10 to 15 minutes a day 3 or 4 times a week has short-term
benefits.
5. Encourage formation of supportive relationships, such as through support
groups, therapy, and peer support.
6. Provide information referrals, when needed, for spiritual/religious information
(e.g., readings, programs, tapes, community resources).
7. DEPRESSION
