Page 320 - 2021 IDMT Digital

Chapter 12
PSYCHIATRIC PROTOCOLS

SIGECAPS

• S – sleep changes
• I – loss of interest in activities
• G – feelings of guilt or worthlessness
• E – loss of energy
• C – reduced cognition, difficult concentration
• A – loss or change in appetite or weight
• P – psychomotor agitation or lethargy
• S – suicidal ideation

ADJUSTMENT DISORDER
Introduction:
• $Q[LHW\ RU GHSUHVVLRQ UHJDUGLQJ DQ LGHQWLILDEOH VWUHVV
• $FXWH LI OHVV WKDQ PRQWKV
• 6WUHVV
o 6XEMHFWLYHO\ GHILQHG DQG WKH UHVSRQVH LV D IXQFWLRQ RI SHUVRQDOLW\ DQG SK\VLRORJLF
HQGRZPHQW
o &DQ OHDG WR DQ LPSDLUPHQW LQ VRFLDO RU RFFXSDWLRQDO IXQFWLRQLQJ
o &DQ OHDG WR PDODGDSWLYH EHKDYLRU V VXFK DV DOFRKRO GUXJV RYHUHDWLQJ DIIDLUV
UXQQLQJ DZD\ HWF
• 0DMRU V\PSWRP PXVW EH VSHFLILHG LQ WKH GLDJQRVLV L H , DGMXVWPHQW GLVRUGHU
ZLWK GHSUHVVHG PRRG
Subjective:
• 6LJQV DQG 6\PSWRPV
o 'HSUHVVLRQ DQG RU DQ[LHW\
o 0D\ GHYHORS D SK\VLFDO V\PSWRP LQ UHVSRQVH WR VWUHVV VXFK DV SDLQ
o 6XEMHFWLYH UHVSRQVHV IHDU UDJH JXLOW VKDPH LUULWDELOLW\ UHVWOHVVQHVV IDWLJXH
LQFUHDVHG VWDUWOH UHDFWLRQ LQDELOLW\ WR FRQFHQWUDWH VOHHS GLVWXUEDQFHV
• )RFXVHG +LVWRU\
o 6,*(&$36
o ,QTXLUH DERXW VWUHVV SURGXFLQJ HYHQWV
o +LVWRU\ RI SHUVRQDO RU IDPLO\ SV\FKLDWULF GLVRUGHUV
o $VVHVV SDWLHQW¶V ULVN IRU KDUP WR VHOI RU RWKHUV 6, +,

[ 319 ]