Operational Psychiatry

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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