This concise clinical companion to the twelfth edition of Brunner and Suddarth’s Textbook of Medical-Surgical Nursing presents nearly 200 diseases and disorders alphabetically, allowing rapid access to need-to-know information on the most common clinical problems nurses are likely to encounter. The content is completely cross-referenced to the main text. Pages are tabbed alphabetically for speedy reference. Online Tutoring powered by Smarthinking–Free online tutoring, powered by Smarthinking, gives students access to expert nursing and allied health science educators whose mission, like yours, is to achieve success. Students can access live tutoring support, critiques of written work, and other valuable tools.
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00:00:11 What are the different types of ADHD? Did you know that people diagnosed with ADHD often experience the condition quite differently from one another? This is because each individual’s condition is a little varied… but also because there are different identified types of ADHD. Each type has different symptoms and traits that stand out, impacting life in a range of ways. 00:00:38 In recent years, valuable research has shown that ADHD is much more complex than originally thought. If you feel like you’re struggling to process your diagnosis against what the average person believes ADHD to be, it’s okay! You’re not alone. The three different types of ADHD are hyperactive-impulsive type, inattentive type and combination type, which feature symptoms of the first two types. Let’s take a closer look at each of these types and their related symptoms. Hyperactive-impulsive type ADHD Hyperactive and impulsive type is characterized by impulsive actions and hyperactivity. Those diagnosed with this type of ADHD may also display inattention and a lack of focus, but hyperactivity and impulsive behavior will be much more prominent in day-to-day activity. Some of the common symptoms of someone with this type of ADHD include constantly feeling restless and fidgety, talking a lot and fast, having trouble engaging with quiet and relaxing activities, general impatience, and impulse purchasing. Inappropriate comments and speaking without considering what you are saying are also symptoms of this type. 00:01:59 These symptoms can make learning tough, particularly in a classroom setting. Research has shown that people who identify as male are more likely to be diagnosed with this type, particularly younger boys. To receive a diagnosis of hyperactive-impulsive type ADHD, a child up to the age of 16 must have at least 6 symptoms. If you are 17 or older, you must have at least 5 symptoms. These symptoms, in both children and adults, must have been present for at least 6 months. Inattentive type ADHD Inattentive type ADHD is typified more so by symptoms of inattention, rather than high energy levels and impulsivity. Usually, someone who has been diagnosed with inattentive ADHD will find it more difficult to maintain attention, struggle to remain focused and will often have trouble following detailed directions. 00:02:58 As with any type of ADHD, the symptoms of inattentive type will often vary from person to person. Do you become bored quickly? Find it hard to follow instructions? Perhaps you are easily distracted and at times, struggle to listen? Or maybe someone has said to you in the past that you always look like you’re daydreaming. These are all common symptoms of inattentive type ADHD. However, while there are identifiable symptoms, it is important to remember that there is no clear-cut divider between the different types. That means that even though you may well have been diagnosed with inattentive type, you could still experience impulsivity and hyperactivity at times. Interestingly, inattentive type ADHD is statistically more common in those who identify as female than male. 00:03:49 In the past, inattentive ADHD was referred to as Attention Deficit Disorder (ADD), without reference to hyperactivity. Now, however, inattentive type more accurately comes under the umbrella of ADHD. To be diagnosed with this type of ADHD if you are 16 or under, you will need to present 6 or more symptoms for at least 6 months. If you are 17 or older, you must present at least 5 symptoms, also for 6 months or more. Combined type ADHD Combined type ADHD is exactly what it sounds like. Those diagnosed with this type of ADHD display six or more symptoms of inattentive type, and six or more symptoms of hyperactive-impulsive type. This means that someone diagnosed with combined type will likely experience hyperactivity and impulsivity, while also struggling with inattention and distractibility. It may be difficult for them to concentrate in class or at work, and they will likely struggle with self-control. 00:04:54 According to the American Psychiatric Association, statistics show that combined type ADHD is actually the most common ADHD diagnosis among children and adults. How do I find out which type of ADHD I have? A visit to a mental health professional is the only way to get an accurate diagnosis for your condition. They will be able to diagnose you with ADHD if applicable and will also be able to determine which type you have. In the end, that makes it easier for you to understand your condition and to more effectively treat it. When you visit a mental health professional, they will conduct certain tests and provide questionnaires that help to understand your condition more clearly. You may also be asked for your history of past medical conditions. With this information, your mental health professional can more accurately make a diagnosis. ADHD can be a difficult condition to live with. But no matter the type of ADHD you have, there is help available. And remember, always be kind to yourself!
00:00:04 Attention-deficit/hyperactivity disorder, or ADHD, is a condition characterized by difficulties with attention and/or hyperactivity and impulsivity. ADHD involves strong genetic influences, but environmental factors, and interactions between genetics and the environment, are thought to play an important role in ADHD as well. 00:00:24 Much of the recent research into the neuroscience of ADHD has focused on understanding the brain networks that might underlie different aspects of cognitive function in ADHD. One example is the default mode network, which is a collection of brain regions that is more active during mind-wandering and introspection, and less active when a person is attempting to complete a specific task. Studies have found that people with ADHD have atypical connectivity in the default mode network, which might be associated with distractibility. Individuals with ADHD also display lower activity in brain networks that are involved in attention and cognitive control. Typically, activity in these networks increases when activity in the default mode network decreases, and vice versa. Thus, one hypothesis is that in ADHD activity in the default mode network is dysregulated and interferes with the function of networks involved in attention and cognitive control. 00:01:17 Studies have also found that people with ADHD tend to display atypical activity in the reward system, a group of structures that are involved in motivated behavior, anticipation, and reinforced learning. This atypical reward system activity might be associated with a tendency to overestimate the value of short-term rewards in comparison to long-term rewards, which could also affect planning and decision-making. The reward system includes some of the major dopamine pathways in the brain, and dopamine is often implicated in ADHD because medications that are commonly used to treat the condition, such as amphetamine and methylphenidate, cause increased transmission of dopamine and norepinephrine.
00:00:04 Autism, also known as autism spectrum disorder, is characterized by symptoms that include impairments in social communication and interaction and restricted and repetitive behaviors. Although the neuroscience of autism is still poorly understood, autism is considered to be a complex developmental disorder that involves atypical brain organization starting early in development. 00:00:26 Individuals with autism often experience a period of unusually rapid brain growth in infancy and early childhood. 00:00:33 This accelerated brain growth is linked to an atypical pattern of connectivity between brain regions. 00:00:38 A number of studies report that alterations in brain circuitry involved with social interaction and attention can be detected well before the symptoms of autism begin to appear. At this point, however, it’s unclear how brain overgrowth and atypical connectivity might be linked to the occurrence of autism symptoms. 00:00:56 Research suggests that the risk of autism is strongly influenced by genetics, yet studies consistently report that environmental factors also play a large role. Although a number of potential environmental factors have been identified, the risk factors for autism are far from definitive, and it remains unclear which factors are responsible for causing an increase in autism risk, and which are associated in a non-causal way. The risk factors that are most strongly linked to autism are associated with the prenatal or perinatal period. 00:01:22 Thus, it’s possible they might be responsible for disruptions to typical neural development, leading to symptoms of autism months or years later. 00:01:30 How these risk factors might interfere with neural development is still uncertain, but hypotheses have suggested potential mechanisms such as epigenetic effects, inflammation, oxidative stress, or damage caused by oxygen deficiency. More work needs to be done, however, to fully elucidate the genetic and environmental risk factors for autism, as well as the mechanisms for the development of autism symptoms.
Transcriber We live in a culture that doesn’t take mental health issues seriously. There’s a lot of stigma.Some people tell you to just suck it up or get it together or to stop worrying or that it’s all in your head.But I’m here to tell you that anxiety disorders, they’re as real as diabetes, Music Body Stuff with Dr Jen Gunter Hi.Again It’s, Dr Jen, and I’ve noticed something with my patients.They often describe to me some classic symptoms of an anxiety disorder.Constant worry, trouble, sleeping tense muscles, and struggle with concentrating, But they aren’t getting treatment.There are a lot of issues with mental health care in this country.Some people, don’t have insurance that would cover it.Some have been dismissed or minimized in the past and don’t think seeking help will do any good.Some worry about the stigma and whether it could affect future jobs or relationships But severe anxiety. Isn’t a moral or personal failing It,’s a health problem, just like strep throat or diabetes.It needs to be treated with the same kind of seriousness.Before we can talk about anxiety disorders, let’s talk about anxiety itself.Anxiety is the very real and normal emotion we feel in a stressful situation.It’s related to fear, But, while fear is a response to an immediate threat that quickly subsides anxiety is a response to more uncertain threats that tend to last much longer.It’s all part of the threat detection system that all animals have to some degree to help protect us from predators.Anxiety starts in the brain’s amygdala a pair of almond-sized nerve, bundles that alert other areas of the brain to be ready for defensive action.Next, the hypothalamus relays the signal setting off what we call the stress response in our body, Our muscles tense, our breathing and heart rate increase and our blood pressure rises.Areas in the brain stem kick in and put you in a state of high alertness.This is the fight-or-flight response. There are ways the fight or flight response is kept somewhat in check with an area of higher-level thinking called the ventromedial prefrontal cortex.It works like this.If a person sees something they think is dangerous, like a tiger that sends a signal to the amygdala saying it’s, time to run The ventromedial prefrontal cortex can say to the amygdala: Hey, look The tiger’s in a cage.You know what a cage is.They can’t escape from a cage.It’s, OK, to calm down It’s, a feedback loop that can help keep the response in check.The hippocampus is also involved.It provides context by saying things like Hey: we’ve seen tigers in cages before We’re in a zoo.You are extra safe With anxiety.These threat detection systems and mechanisms that reduce or inhibit them are functioning incorrectly and cause us to worry about the future and our safety in it. But for many people, it goes into overdrive.They experience persistent pervasive anxiety that disrupts work, school, and relationships and leads them to avoid situations that may trigger symptoms.Anxiety disorders are not at all uncommon, Based on data from the World Mental Health Survey.Researchers estimate that about 16 percent of individuals currently have or have had an anxiety disorder.These include social anxiety, disorder, panic, disorder, agoraphobia and phobias.Studies have shown that people with anxiety disorders, don’t just have a different way of reacting to stress.There may be actual differences in how their brain is working.One model describes a possible mix.Ups in the connections between the amygdala and other parts of the brain, The pathways that signal anxiety become stronger And the more anxiety you have, the stronger the pathways become and it becomes a vicious cycle.The good news is there’s, treatment for anxiety and that you, don’t have to suffer. Remember this isn’t about weakness.It’s about changing brain patterns and research shows that our brains can reorganize and form new connections.Throughout our lives, A good first step is to do the basics, Eat a balanced diet, exercise regularly, and get plenty of sleep.As your mind is part of your body.It might also help to try meditation Instead of our heart rate, rising and our body tensing with mindfulness and breathing.We can slow down the fight or flight response and improve how we feel in the moment through cognitive behavioral therapy.A form of talk therapy can also be fantastic In it.You learn to identify upsetting thoughts and determine whether they’re realistic Over time.Cognitive behavioral therapy can rebuild those neural pathways that tamp down the anxiety response.Medication can also give relief in both the short term and the long term. In the short term, anti-anxiety drugs can down-regulate the threat, and detection mechanisms that are going into overdrive.Studies have shown that both long-term medications and cognitive behavioral therapy can reduce the overreactivity of the amygdala.We see anxiety disorders, High blood pressure, and diabetes.They can be treated or managed over time, And the same is true for an anxiety disorder too.
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Narrator Hello, Psych2Goers, Did you know with the recent movement on mental health awareness over the past few years, people are gradually coming to understand more and more about matters of depression, anxiety, trauma, and other mental disorders? There’s also less stigma surrounding the need for therapy and mental health care. Nowadays, thanks to the countless public figures who have bravely spoken up about their struggles with mental illness, Do any of your favorite celebrities come to mind Still? There remains a lot unknown about the true nature of depression: the world’s most common mental illness And even more it’s, only those struggling with it. That can truly understand So with that said, here are 10 things. Only depressed people will understand the Number one difficulty with communicating your emotions Within the depths of depression. There may reside complex emotions such as sadness, hopelessness, helplessness, anger, fear, shame, and guilt. Further still, depression might manifest as an unending sense of emotional numbness and desolation, Either way. Putting your feelings into words and communicating them with others is a constant struggle when you’re depressed, especially when loved ones are asking you how you feel or how you’re doing because they suspect something is wrong. You don’t want them to worry, But when you’re in the clutches of depression, you just don’t know what or even how to tell them Number two the guilt of not having a good reason for being depressed. Well, why are you depressed? What do you even have to be depressed about? In the first place, Sound familiar, Perhaps one of the most difficult things about having depression? Is the pain of being misunderstood or judged? Do you agree? Depression needs to have a tangible reason, Though. You understand that depression is something that affects people of all ages, genders races, classes, and social backgrounds. You still can’t help but feel guilty when others judge you for not having a good reason for being depressed. Number. Three, the anger over constantly being told I understand: Do you find it hard to believe when others say they understand what you’re going through? Another thing not talked about enough when it comes to depression is how frustrating it can feel to constantly be told by others that they understand when all you want na do is tell them that unless they’ve been diagnosed with depression themselves and been inside Your mind: no, they don’t Just because they’ve felt really sad sometimes or this terrible thing happened to them once upon a time does not mean that they know how it feels to have clinical depression Number four, the pain of losing your love And passion for life: How long has it been since you picked up a paintbrush or strummed a tune? The American Psychological Association states that the defining feature of clinical depression is markedly diminished interest or pleasure in all, or most all activities Simply put. This means that when you’re suffering from depression, it’s a struggle for you to find joy or enjoyment, even in the hobbies and activities that you once loved so much It makes you lose passion for life. Depression makes you unable to feel motivated to do anything anymore, and so it robs you of even the simplest of life.’s pleasures Number five, is the frustration of not being able to just snap out of it. Have you been told that a few days of rest can cure depression? One of the many reasons why depression is such a devastating mental illness. Is that a lot of people don’t understand its true nature? They think that people who are depressed can just snap out of it or just need to think more positively. There is no built-in switch for this. Your feelings are every bit as real as they feel You’re not obligated to feel any other way just because others, don’t feel the same Number six. The compulsive desire to self-isolate. Why do counselors and therapists alike? Stress the need for those struggling with depression to have a good social support system, Even though you understand the need to be surrounded by supportive loved ones. The truth is when you’re depressed, you, ‘ll most likely feel a compulsive desire to isolate yourself from others, With no energy or motivation to engage in social interactions. You tend to prefer isolation. Constant difficulty with communicating and finding enjoyment in things leads to struggling with feelings of low self-esteem and self-worth Talking to people, and staying in touch can often feel too overwhelming. When you’re struggling with depression, triggering a need to withdraw from society in general Number. Seven people think depression is the same as sadness. Sadness is part of a healthy spectrum of human emotions and is quite normal to feel from time to time. Depression, on the other hand, is a serious and debilitating mental illness that needs to be treated with professional help and therapy. These things are not all the same, and yet some people just can’t seem to grasp the difference. This can often feel very frustrating, especially when others disregard what you’re feeling as mere sadness and tell you not to think about it. Number eight people not understanding that mental illness is real. Many people still seem to think that depression is a choice and a mental illness. Isn’t real, But just because there are no physical manifestations to see doesn’t mean that the suffering you feel is not real. It’s, not just in your head. If you’re able to feel it, then it is very much real When others downplay its potency. It often leaves you feeling, as if you’re doing something wrong. As a result, you may even choose to remain silent about it. Instead, Number nine people think depression is the same for everybody Every individual’s. Experience of a mental disorder is different from Depression. Doesn’t look the same for everybody. Some people might stop eating and struggle with insomnia, while others might overeat and oversleep. Some people have high-functioning depression and may not even seem like they’re struggling at all for others, their depression might force them to lie in bed all day and do nothing. Nevertheless, all experiences of depression are valid, And number 10 learning to celebrate the little things. Finally, but perhaps most importantly, when you struggle with depression, even the littlest of victories deserve to be celebrated, Got outta bed today, smiled Managed a short conversation with someone Took the time to brush my hair, or take a bath. Give yourself a mental pat on the back. Those are all very, very important achievements for someone with depression. They might not mean much to other people, But to you struggling with mental illness on an everyday basis. They make up the good days that remind you why you need to keep fighting and why it’s so important to keep holding on It.’s important to remember not to allow others to dictate how you should feel Just because others are not feeling the same does not make it any less real. There’s no need to cover up or force yourself to change these feelings. The fact that you’re feeling it is reason enough to validate it If you are struggling with depression or any other mental illness. Please know that there is always hope and help and that someday things can be better. Seeking professional help can help you on the road to improvement, Leave a comment down below about your experience with depression. If you’d, like, Please, feel free to share any thoughts you have as well, If you found this video helpful, be sure to hit the like button and share it with those out there needing to hear this, Don’t forget to subscribe to Psych2Go and Hit the notification bell for more new videos And, as always thanks so much for watching We’ll see you next time..
As found on YouTubeSeanCooper🗯 The Shyness & Social Guy ⇝ The 3 WORST Mistakes You Must AVOID If You Want To Overcome Shyness (PLUS: 1 weird trick that targets the root biological cause of shyness so you can stop being nervous, awkward, and quiet around people…) By Sean Cooper, The Shyness & Social Anxiety Guy. The fact that you’re reading this article tells me you may have already reached a point where you feel your shyness is NOT going away on its own… or you fear it’s getting worse and worse. And I don’t want you to waste one more day living a life where you feel left out, bored, or depressed because you don’t have the relationships which would make you happy. That’s why I’ve put together this page to help you avoid the worst mistakes that keep many people stuck with shyness for years… http://flywait.darekw.hop.clickbank.net/ often giving up hope of ever improving as you watch other people have interesting “normal” lives without you. Yet this doesn’t have to happen.
– Hey, Psych2Goers. Do you have trouble paying attention? For example, zoning out
while watching this video? Do you think you have
ADHD because of this? Oftentimes, people mistake
symptoms of anxiety for ADHD because of some of the
similar traits they share. According to the Centers
for Disease Control and Prevention data, about 3 in 10 children
with ADHD have anxiety. So to help you get a better understanding of the difference
between ADHD and anxiety, here are six signs to look out for. Number one, you have poor focus because of worrying thoughts. Are you always distracted by your worries, so much so that you’re unable to focus on the things you’re doing? When fear and apprehension
dominate your thoughts, it may cause you to become restless and have trouble with sitting
still, paying attention, or staying focused in class. According to John Waldrop, MD from Weill Cornell Medical College, when you experience anxiety, your prefrontal cortex, the part of the brain which is essential for thinking, learning, and
remembering, is shut down. Your brain is concentrated
on staying safe. In contrast with ADHD, you aren’t consumed by worrying thoughts. Instead, it has more
to do with an imbalance in your hormones: dopamine
and norepinephrine, which causes you to be distracted. Number two, you don’t tend to have as many problems with impulsivity. Do you often find yourself
speaking out loud in class without raising your hand? Perhaps you were even labeled
as the troublemaker in school because of the way you
can never sit still. According to Dr. John, a
person with ADHD may feel as if there are dozens of controllers trying to control their
brains at the same time without checking in with each other first. So if you find that you
don’t appear to have as many problems with impulsivity but just struggle to speak up or stand up because of your nerves, then you may have anxiety rather than ADHD. Number three, you have trouble
completing your schoolwork because of perfectionism. Do you have trouble
completing your schoolwork? Perhaps you find yourself procrastinating even if you only have just
one assignment to you. This struggle could be because
you have so many points you wanna make in so many
ways to phrase the words that it leaves you wanting
to throw up your hands and ignore them. You’re avoiding starting your assignments because you can’t have
them be less than perfect. If you can relate to this, then it’s more likely you’re struggling with anxiety and not ADHD. Dr. John stated that
while people with ADHD may experience difficulty
completing their schoolwork or performing tasks, it’s often due to trouble
with concentration rather than perfectionism. Number four, you are
generally more sensitive to social cues. Are you very sensitive to how you come across to other people? Do you find yourself often uncomfortable with your social environment? Perhaps you find it challenging to eat in front of other people or tend to avoid speaking in public because of an overwhelming fear that people will judge you negatively. According to Dr. John,
if your answers are yes to the above questions, it’s more likely that you
have anxiety rather than ADHD. This is because people
with ADHD usually struggle with understanding or missing social cues rather than being hypersensitive to them. Number five, you experience
a racing heart, clamminess, tense muscles, headaches,
nausea, or dizziness. Do you often experience
headaches, nausea, or dizziness? These are just some of
the symptoms of anxiety. Dr. John stated that anxiety comes from a tiny almond-shaped part at the back of your brain
called the amygdala. As a watchman for your brain, it is constantly watching out for danger. And whenever it detects danger, it triggers a fight or flight response. However, for anxious people, the amygdala is large and hypersensitive. Because of this, it ends up sending out
a lot of false alarms. You can think of it as a watchman
who cries wolf too often. As a result, your brain may sense threats even in non-threatening situations. And number six, you are unlikely
to show problem behaviors when you’re feeling calm, safe,
and doing things you enjoy. How do you act when you’re having fun? Whether it’s listening
to your favorite music or playing video games, you
may find yourself feeling calm and safe while doing the things
that you genuinely enjoy. You are neither restless nor feeling like you need
to catch your breath. According to Dr. John, anxious
individuals are unlikely to display any problem behaviors
when feeling calm and safe and doing something they enjoy. On the contrary, people with ADHD will experience problem behaviors even when they engage in a particular fun or exciting activity.For example, a person with ADHD may become so engrossed
with painting a picture that they tune out or completely
ignore everything else. This behavior is known as hyperfocus. Did you relate to any of
the signs we’ve mentioned? Let us know in the comments below. If you found this video helpful, be sure to like, subscribe,
and share this video with those who might benefit from it. And don’t forget to hit
the notification bell icon to get notified whenever
Psych2Go posts a new video. As always, the references and
studies used in this video are added in the description below. Thanks so much for watching
and see you in our next video. (light music).As found on YouTubeSeanCooper🗯 The Shyness & Social Guy ⇝ The 3 WORST Mistakes You Must AVOID If You Want To Overcome Shyness (PLUS: 1 weird trick that targets the root biological cause of shyness so you can stop being nervous, awkward, and quiet around people…) By Sean Cooper, The Shyness & Social Anxiety Guy. The fact that you’re reading this article tells me you may have already reached a point where you feel your shyness is NOT going away on its own… or you fear it’s getting worse and worse. And I don’t want you to waste one more day living a life where you feel left out, bored, or depressed because you don’t have the relationships which would make you happy. That’s why I’ve put together this page to help you avoid the worst mistakes that keep many people stuck with shyness for years… http://flywait.darekw.hop.clickbank.net/ often giving up hope of ever improving as you watch other people have interesting “normal” lives without you. Yet this doesn’t have to happen.