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CAGE - items responses are scored either 1 or 0. A score 2 or higher is considered clinically significant OCD - obsessive thoughts interfere with your daily life -are you concern about things being contaminated, keeping things in perfect order -do you feel driven to perform certain acts over and over again? -have unwanted images or thought that you cant seem to get out of your head layman's explanation of mental illness - Abnormal functioning of neurotransmitters. Neuroanatomical differences have been found in some cases. -can arise from multiple sources, not a single or consistent cause has been established biomedical psychiatry - mental illness is conceptualized as a disorder of the brain circuit caused by a complex interplay of genetic and environmental factor state-dependent learning - when a memory is formed a new neural pathway is created. If the memory was formed under specific chemical conditions (on a drug, manic), then the pathway will be primed to work most effectively under these circumstances. -state-dependent learning in bipolar. Bipolar individuals in a depressed episode may not be able to recall details of manic episodes. Corroboration is needed. Assessment tools to screen for cognitive impairment - -folstein mini-mental: perfect score is 30. 24 impairment. If only 9th grade education 17 Abnormal sodium levels - -increased: dehydration, methyldopa, -decreased: SIADH, heart failure, nephrotic syndrome, hepatic disease. Abnormal Potassium levels - Increased: amiloride, spirolactone, lithium, propranolol. Decreased


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