PSYCH OBSESSIVE COMPULSIVE

→ Super Ego Dominant

FRONTAL LOBE
→ Language ANOREXIA NERVOSA
→ Learning → Super Ego Dominant
→ Personality
→ Judgment EGO
→ Destroy impaired reality perception and can
OCCIPITAL LOBE lead to SCHIZOPHRENIA
→ Vision
LIBIDO
TEMPORAL Sexual energy for survival
→ Hearing
→ Smelling 0-18 months
→ SURVIVAL
PARIETAL LOBE → Eat, Sleep, Drink, Urinate, Defecate
→ Touch → ID (cry, suck)  MOUTH
→ Taste → ORAL STAGE

Thoughts/Cognitive (Cognition effects your emotion) The child cries  feed the infant  Successful  they
BELIEF  FEELINGS  Behavior (assess) develop trust
The child cries  Ignore the infant  Not important 
SIGMUND FREUD NARCISSISTIC
→ Structure of personality
FIXATION – stuck in a developmental stage
ID REGRESSION - return to an earlier developmental stage
 Impulsive
 Action without thought EGO DEVELOPS AFTER 6 MONTHS
 Want pleasure
 PLEASURE PRINCIPLE Teen months-3 years old
→ Toilet training
SUPER EGO → YOU SHOULD NOT
 Opposite of ID → SUPER EGO
 Should not → ANAL STAGE
 Conscience
 MORALITY PRINCIPLE Toilet Training  good mother  Successful SE
Toilet Training  bad mother  Clean, organized,
EGO obedient  OSESSIVE COMPULSIVE  ANAL
 Executive decision maker RETENTIVE
 REALITY PRINCIPLE  Dirty, disorganized, disobedient  ANTISOCIAL 
ANAL EXPULSIVE SE
ANTISOCIAL
→ Lumalabag sa batas
→ ID Dominant OEDIPUS COMPLEX
→ Identification LIKE FATHER LIKE SON
NARCISSISTIC → Castration Fears
→ They manipulate people’
→ ID Dominant ELECTRA COMPLEX
→ Daughter loves father
MANIA → Identification LIKE FATHER LIKE DAUGHTER
→ 1 week expansive, excited, irritable, impulsive → Penis envy
→ Ilang araw lang pag HYPOMANIA
→ ID Dominant
Conscious  Bawal mag alcohol and coffee while taking
→ Aware ka sa surroundings mo VLAST
→ Conscious Forgetting SUPPRESION (‘yung pinilit  Can develop Orthostatic Hypotension
mong makalimutan)
Preconscious Management
→ Latent parts of the brain that are readily o SIT
available to the conscious mind, although not o DANGLE FEET (to promote venous return) 
currently in use. stretches the heart  stronger contraction 
Unconscious less develop orthostatic hypotension
→ Forgetting o STAND
→ REPRESSION
STARLING’S LAW
PHALLIC LASTS 3 YRS OLD  The greater the STRETCH the greater the
STRENGH
6-12 yrs old
→ School Phobia Abrupt  within 1 week rebound phenomenon,
→ LATENCY STAGE seizures
→ Reading, Riting, Rithmetic
→ Place sexual energies to productive endeavors
→ SUBLIMATION
Withdrawal DEPENDNCE
Intervention for school phobia in latency stage
→ Encourage child to stay at school

Hostile Anger  Kicked the chair (displacement) Gradual tapered dose

transfer feelings to a less threating object
 Study (sublimation) hostile  Productive If GABA increases
- Constipation
12 yrs old above - Urinary Retention
→ GENITAL STAGE - Dry Mouth
→ SEX
MASLOW’S
ANTI-ANXIETY DRUGS – VLAST AIR, FOOD, SHELTER, CLOTHING, SEX
→ VALIUM diazepam SAFETY AND SECURITY
→ LIBRIUM chlordiazepoxide LOVE & BELONGINGNESS
→ ANTIVAN lorazepam SELF-ESTEEM
→ SERAX oxazepam SELF-ACTUALIZATION
→ TRANXENE clorazepate
Humanistic approach
Epinephrine & Norepinephrine Knowledge skills abilities
→ Excites SNS
BEHAVIORAL MODELS
Adrenal medulla Ivan Pavlov
Classical Conditioning
Amygdala – emotion part of the brain  Threat Bell  Food  Salivate

GAMMA AMINO BUTYRIC ACIDA (GABA) BF Skinner

→ Inhibitory Operant Conditioning
→ Slows down Girl  Good Boy  Reward, Kiss, Reinforcement 
→ To increase GABA adm meds VLAST REPEAT
→ Pag mataas ang E/NE Girl  Bad Boy  Punish, Kick, Punishment  EXTINCT
ANXIETY BIPOLAR DISORDER
→ Vague sense of impending doom Mania 1 week
→ Remember words are enough Hypomania 4 days – Delusion or false beliefs
→ Awareness 1st step to change - Intense moods
- Euphoria
- Hyperactivity

BIPOLAR 1 BIPOLAR 2 CYCLOTHYMIC

o 1 episode of o 1 episode of o 2 year period

mania major o Hypomanic
o 1 week depression + depressive
o Manic, 1 hypomania o No major
hypomanic or o No Psychosis depression or
depressive o Social and mania
o Psychosis Occupational o No Psychosis
o Social and impairment o Stable mood –
Occupational less than two
Impairment months

BIPOLAR: Etiology
→ Biological
o Genetic – Monozygotic (20-75%)
Dizygotic (0-8%)
o Amygdala enlarged
o Cerebellum decreased
→ Assessment
o Appearance (heavy makeup, dress
flamboyant)
o Behavior (hyperactive, aggressive,
Take a deep breath colorful, sudden shout)
Kopi o Communication (shout, bad words,
Unwind with friends obscenities, curse)  Just tell the
Music person to STOP, that is inappropriate
Watching series behavior  Matter of fact enforcing
the policy of the ward
Diane Margaret Arada
- Be silent Foods for Bipolar
- Reading books → Decrease Eat finger food
- Playing guitar → Bawal ‘yung may sabaw
- Ride a Bike Decrease Sleep
- Netflix → Quiet room
Focus on Fatigue – kasi sila ay HYPERACTIVE
Wesson Logan Increase in SEX - Anxiety
- Listening to music Anxiety triggers the client to undress / masturbate
- Basketball
- Painting **RISK FOR INJURY / OTHER – DIRECTED VIOLENCE**
- Watching movies **IMPAIRED SOCIAL INTERACTION**
- Reading books **Increased SELF ESTEEM**
- Searching new friends Hostility  task SUBLIMATION
Nursing Diagnosis
→ Care giver role strain
 Self Esteem
Impaired social interaction
Risk for injury/ other directed violence
Eating Sleep Hyperactive Sex
finger food Private room Anxiety

L evel 0.6 – 1.2 mEq/L

I ncrease in urination
T remors, fine hand 2-4 weeks
H ydration 3L/day
I ncrease
U u (Diarrhea)
M outh, Dry