Psychiatric Crash Cart Presentation - Sutter Medical Center

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Borderline Personality DisorderEmotions:• Angry, labile, depressed, overwhelmed, needy• Hypersensitive to “rejection,” criticism, negativeattitude• Easily frustrated, agitated• Anxiety around being poorly treated, ignored, etc iscommon trigger for acting out
Borderline Personality DisorderSpecific Strategies:• AVOID POWER STRUGGLES!• Give choices as often as possible; clear, reasonable limits• Don’t react emotionally to behaviors, know your own“buttons”• No punitive treatments, threats, ultimatums or excessiverestrictions-they will give the patient a reason to escalate• Spend time (if you can) talking with the patient to find outwhat they need and want; try to accommodate them if youare able (explain why if you can’t)• Be aware of non-verbal communication• Explain the process involved, try to decrease anxiety asmuch as possible• Check back with the pt. often• Expedite process of evaluation
Page 2 and 3: Objectives• Recognize the importa
Page 5: “What’s YOUR problem?”Common
Page 10 and 11: “Who needs sleep????”Bipolar Di
Page 12 and 13: Emotions:Bipolar Disorder• Euphor
Page 14 and 15: “I think that doctor is from the
Page 16 and 17: Psychosis/SchizophreniaEmotions:•
Page 18 and 19: “I really think my kids would be
Page 20 and 21: DepressionEmotions:• Affect can b
Page 22 and 23: “I’m pretty sure I’m having a
Page 24 and 25: Anxiety/Anxiety DisordersEmotions:
Page 26 and 27: Assessing Suicidal RiskVariations i
Page 28 and 29: Assessing Suicidal RiskSpecific Str
Page 30 and 31: Special PopulationsAdolescents:•
Page 32 and 33: Special PopulationsSubstance Abuser
Page 34 and 35: The Therapeutic RelationshipEstabli
Page 36 and 37: The Therapeutic RelationshipAnd wha
Page 38: And finally…References: Gilbert,

Psychiatric Crash Cart Presentation - Sutter Medical Center

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