Movie: “Ordinary People”

Post-Traumatic
Stress
Disorder
Presented by:
 Rationale

Individuals of any age, ethnicity, or socioeconomic level can be

affected by mental illness.
Psychiatric Nursing is a practice that focuses on the
psychological and physical well-being of people with mental
health conditions or behavioral problems. It stresses the
therapeutic value of interpersonal interactions and takes into
account environmental factors that impact mental health.
Post-traumatic stress disorder (PTSD) is a mental health illness
brought on by watching or experiencing a horrific incident.
Flashbacks, nightmares, and acute anxiety, as well as
uncontrollable thoughts about the event, are all possible
symptoms. (Post-traumatic stress disorder (PTSD)
 Rationale

"Ordinary People," a film from the 1980s, is one of the

strongest psychological films of all time that depicts the
struggles of an "ordinary" family. It did an excellent job
portraying the symptoms of the disorder
Post-traumatic stress disorder (PTSD) is a global epidemic,
with a frequency of 7-12 percent in the general population
In the Philippines, PTSD cases rise when natural disaster
strikes
The majority of PTSD treatments are classified as cognitive
behavioral therapy (CBT). The goal is to alter the negative
thought patterns that are interfering with your life.
 General Objectives

Within 9 weeks of Maladaptive Nursing Rotation, The students of

BSN 3L Group 1, Subgroup 3 will be able to come up with a
comprehensive case analysis that will enable us to acquire more
knowledge skills necessary for nursing students to develop a
better attitude on Maladaptive Nursing. Also, to provide nursing
care and management for patients diagnosed with Posttraumatic

Neptune stress disorder (PTSD), and apply learned theories and principles
in handling patients under the said concept.
Mood swings
Sadness
Insomnia
Headache
 Specific Objectives

In order to achieve the general objective, the BSN-3L, Group 1,

Subgroup 3, will specifically aim to:
A. View and understand the movie, “Ordinary People (1980)”;
B. present a rationale which outlines the rotation, the disorder,
relevant statistics, and nursing implications of the study;
C. evaluate the case analysis through the means of setting goals
and objectives;
D. discuss the brief history of the patient and their course in the
hospital;
E. identify the risk factors of Posttraumatic stress disorder;
F. enumerate the signs and symptoms of the disorder;
G. discuss the differential diagnosis of Posttraumatic stress
disorder;
H. present laboratory exams related to the disorder;
 Specific Objectives

In order to achieve the general objective, the BSN-3L, Group 1,

Subgroup 3, will specifically aim to:

I. discuss any therapies used on the patient;

J. apply nursing therapies related to the case of the patient;
K. present drug studies related to treating the disorder;
L. formulate (2) nursing care plans;
M. state the recommendation and prognosis for the patient;
N. choose at least 2 nursing theories and relate to the
condition;
O. present related literature and studies from different authors;
and
P. site textbooks, articles, and journals used as sources in the
case analysis.
Biographical/Clinical Data/Brief History
 A. Personal Data

Name: C.J
Age: 17 years old
Gender: Male
Civil Status: Single
Religion: N/A
Address: Lake Forest, Illinois
Educational Attainment: Junior High School Student
Date of Admission: 1980
Attending Physician: Dr. Berger
Diagnostic: Post Traumatic Stress Disorder
Occupation: Student
B. History of Presenting Illness

Depression
Flashbacks
Sense of extreme guilt,
Anxiety attacks,
Struggle with self-discovery
Insomnia,
Irritability
C. Past Medical and Psychiatric History
Conrad is involved in a boating accident with his brother
Conrad now deals with post-traumatic stress disorder and survivor's guilt

A year later. Conrad tried to commit suicide but it failed.

four months in the hospital and is now trying to adjust
back to life at home, even though everything has
changed.
Dr. Berger to help him recover from the traumatic events
he has experienced.
D. Family History
The trauma that has deeply affected the whole family is the accidental
death of the older son,
Twice-a-week sessions with Dr. Berger
He wants more control of his life
Beth and Calvin do not explore emotional issues constructively.
Beth prefers to ignore issues, wanting to “move on”
She also becomes upset when Conrad or Calvin do anything that she finds
embarrassing or inappropriate.
Calvin has been rather passive until now. His main motivation seems to be
to make those around him happy.
Conrad and Beth do not communicate well at all.
Conrad has difficulty accepting his mother’s emotional limitations and
E. Brief History
Ordinary People, It is a sensitive portrait of a young man struggling to regain his equilibrium after caving into
grief and guilt following his brother's death.
The story also works as an incisive portrait of a hurting family, one in which surface calm conceals a real lack of
communication, self-esteem, and mutual understanding.
The Jarretts are an upper-middle-class family in suburban Chicago trying to return to normal life after the
accidental death of their older teenage son, Buck, and the attempted suicide of their younger and surviving son,
Conrad.
Berger learns that Conrad was involved in the sailing accident that took the life of Buck, whom everyone

idolized. Conrad now deals with post-traumatic stress disorder and survivor's guilt.
Conrad's father, Calvin, tries to connect with his surviving son and understand his wife.
Conrad works with Dr. Berger and learns to try to deal with, rather than control, his emotions.
Conrad, though reluctant, eventually goes to see a psychiatrist, who hits probably every single one of the
psychiatrist stereotypes.
A grief can also be visions of the loved one who passed away, or hearing their voice. Grief can worsen a current
 Mental Status Examination
I. Pre - Examination

A. General Appearance B. General Mobility

Grooming and dress
D. Behavior / Nurse-
1.
1. Posture
2. Hygiene 2. Gait patterns Patient Interaction
3. Height and Weight Cooperative
Level of Eye contact
C. Motor Activity
4.
Angry/hostile
3. Psychomotor retardation
5. Hair and color texture Withdrawn
4. Agitation
6. Evidence of scars, tattoos or other Distant
5. Pacing and Rocking
distinguishing skin marks .
6. Anhedonia
7. Evaluation of client’s
 Mental Status Examination

III. Emotional IV. Thought

II. Stream of
State and Control / Processes
Talk Reaction
A.

B.
Delusions
Suicidal Thought/Ideation

A. Character A. Mood C. Obsessions

Depression/despairing D. Magical Thinking

Volume
Irritable E. Phobia
Spontaneous
Anxious F. Poverty of Content
Pressured
Guilty
B. Organization of
B. Affect
Talk/Form of Thought Congruence with mood
Relevant Appropriate
 Mental Status Examination

Perceptual V. Neurovegetative VI.General

Disturbances Dysfunctions Sensorium and

1. Hallucinations A. Sleep Intellectual Status
2. Illusions DFA A. Orientation (place, time, person,
3. Depersonalization A. Appetite situation)
4. Preoccupation B. Diurnal Variation B. Memory
5. Deja vu C. Weight Recent
Libido Remote
Impulse Control
D.

Immediate
Hostility
C. Attention Span
Guilt
D. General Information
E. Abstract Thinking Ability
F. Judgment/Reasoning
 Mental Status Examination

VII. Insight VIII. Summary of

Knowledge about self, limitations
Awareness of illness
Adaptive/Maladaptive use of coping
mechanism
Use
A. Disturbances in:
(✔) Emotional State and Reactions
(✔) Thought Control/Processes
(✔) Neurovegetative Dysfunctions
B.Diagnostic Category (DSM-5: Diagnostic
and Statistical Manual of Mental Disorders)
POST-TRAUMATIC STRESS
DISORDER
 Risk Factors

DSM-5 OTHER SOURCES

Poor Coping Skills
Temperamental
Lack of Social Support
Environmental Ongoing Stress or Other

Genetic and Mental Health Problem

Problems with substance
Physiological
misuse, such as excess
drinking or drug use
The nature of the
triggering/ traumatic event
 Generalized Anxiety Disorder

GAD is characterized by persistent and excessive

worry about a variety of different things. Individuals
suffering from GAD may anticipate disaster and be
excessively concerned about money, health, family,
work, and other matters.

Duratio
n
They suggest that GAD lasting one month is
comparable to GAD lasting six or more months
in terms of sociodemographic characteristics,
clinical course, comorbidity pattern, functional
impairment, antecedent childhood adversity,
 DSM-5

01 Excessive
worrying
Impaired
02 concentration

Edginess or
03
restlessness
 DSM-5

04 Tiring easily; more

fatigued than
usual
Irritability (which

05 may or may not be

observable to
others)

Difficulty sleeping
06
 Major Depressive Disorder

a mood disorder characterized by

depression or a loss of interest or
pleasure in typical activities and
interests. There is evidence of
interference in social and occupational
functioning for at least 2 weeks.

Duratio
n
The duration of a depressive
episode varies and is
influenced by its severity, as
well as treatment and
individual factors. However,
the average length of a
depressive episode is thought
Criteria (DSM-5)

A. Five (or more) of the following symptoms have

been present during the same 2-week period and
represent a change from at least one of the
symptoms;

Depressed Loss of
mood interest and
pleasure
 DSM-5

Depressed mood
01
most of the day

Markedly
diminished
02 interest or
pleasure in all, or
almost all
activities most of
Significant weight
the day, nearly
03 loss when not
everyday
dieting or weight
gain or decrease
or increase
appetite nearly
 the day, nearly
everyday
DSM-5

Insomnia or
hypersomnia nearly
04
every day.

Feelings of worthlessness
or excessive inappropriate
guilt
07

Recurrent
thoughts of death,
09 recurrent suicidal
ideation without a
specific plan, or a
suicide attempt or
a specific plan
Criteria (DSM-5)

C. The symptoms cause clinically

significant distress or impairments
in social, occupational, or other
important areas of functioning
Criteria (DSM-5)

G. Responses to significant loss, may

include feelings of intense sadness,
ruminations of loss, insomnia, poor
appetite and weight loss noted in Criterion
A, which may resemble a depressive
episode.
 Posttraumatic Stress Disorder

is characterized by the development of

physiological and behavioral symptoms
following a psychologically traumatic
event that is generally outside the range
of usual human experience.

Duratio
n
Symptoms must last more
than a month and be severe
enough to interfere with
relationships or work to be
considered PTSD.
 A.Exposure to actual or threatened death, serious injury, or sexual
DSM-5 violence in one (or more) of the following ways:

Directly
01 experiencing the
traumatic events
Witnessing in
02 person the events
as it occurred to
others.
Learning that the
03 traumatic events
occurred to a close
family member or a
close friend
Experiencing
04 repeated or extreme
exposure to aversive
details of the
traumatic event
DSM-5 B. Presence of one or more of the following intrusion symptoms
associated with traumatic events

Recurrent,
involuntary, and
01 intrusive
distressing
memories of the
traumatic event
Recurrent
02
distressing dreams

Dissociative
reactions in which
03 the individuals
feels or acts
though the
traumatic events
are recurring.
Criteria (DSM-5)

C. Persistent avoidance of stimuli

associated with the traumatic event(s),
beginning after the traumatic event(s)
occurred
DSM-5 D. Negative alterations in cognitions and mood associated with the
traumatic events, beginning or worsening after the traumatic events
occurred, as evidenced by two (or more) of the following:

Persistent and
exaggerated
02 negative beliefs or
expectations
about oneself,
others, or the
Persistent,
world
03
distorted
cognitions about
the cause
Markedly
diminished
04 interest or
participation in
significant
activities.
DSM-5 D. Negative alterations in cognitions and mood associated with the
traumatic events, beginning or worsening after the traumatic events
occurred, as evidenced by two (or more) of the following:

Feelings of
06 detachment or
estrangement
from others

Persistent inability
07
to experience
positive emotions
 Criteria (DSM-5)
E. Marked Alterations in
arousal and reactivity

✔ Irritable Behavior

✔ Reckless or self-destructive behavior

Hypervigilance

Exaggerated startle response

✔ Problems with concentration

✔ Sleep Disturbances

F. Duration of disturbance (criteria B, C, D and E)

✔
is more than 1 month.
 Neuropsychological Tests

Clinician-Administered PTSD scale

for DSM-5 (CAPS-5)

Treatment-Outcome Post
Traumatic Stress Disorder Scale
(TOP-8)

PTSD Symptom Scale Interview (P S S-I and P S

S-I-5)
 Therapies

Psychotherapy

Cognitive Behavioral
Therapy

Exposure Therapy

Cognitive Restructuring
 Drug Studies

GENERIC NAME Paroxetine Hydrochloride

BRAND NAME Paxil

CLASSIFICATION Antidepressants, SSRIs

MODE OF ACTION Paroxetine enhances serotonergic activity via the

inhibition of presynaptic reuptake of serotonin by the
serotonin (SERT) receptor. This inhibition raises the level
of serotonin in the synaptic cleft, relieving various
symptoms. This drug has been demonstrated to be a
stronger inhibitor of serotoninRelieving the vasomotor
symptoms of menopause is unknown, according to the
Brisdelle prescribing information, but may occur due to its
effects on thermoregulation.
 Drug Studies

DOSAGE PO (Adults): 7.5 mg once daily.

Administer PAXIL as a single daily dose in the morning,
with or without food.
The dosage is based on your medical condition, response
to treatment, age, and other medications you may be
taking.

INDICATION The dosage is based on your medical condition, response

to treatment, age, and other medications you may be
taking.PAXIL is indicated in adults for the treatment of:
Major depressive disorder (MDD)
Obsessive compulsive disorder (OCD)
Panic disorder (PD)
Social anxiety disorder (SAD)
Generalized anxiety disorder (GAD)
 Drug Studies
CONTRAINDICATI The following conditions are contraindicated with the drug:
ON
a disorder with excess antidiuretic hormone called syndrome of
inappropriate antidiuretic hormone
low amount of sodium in the blood
an increased risk of bleeding manic behavior
manic-depression
suicidal thoughts
serotonin syndrome, a type of disorder with high serotonin levels
closed angle glaucoma
liver problems
bleeding from stomach, esophagus or duodenum
severe renal impairment
seizures
a feeling of restlessness with inability to sit still
broken bone due to disease or illness
risk of angle-closure glaucoma due to narrow angle of anterior chamber
 Drug Studies
SIDE EFFECTS
Nausea
Drowsiness
Dizziness
Trouble sleeping
Loss of appetite
Weakness
Dry mouth
Sweating
Blurred vision
Yawning may occur.
Contact doctor right away if you have any serious side effects,
including: shaking (tremor), restlessness, inability to keep still,
changes in sexual ability, numbness/tingling, easy
 Drug Studies

DRUG 1,2-Benzodiazepine - The risk or severity of adverse effects can be increased

INTERACTION
when 1,2-Benzodiazepine is combined with Paroxetine.
S
Abaloparatide - The therapeutic efficacy of Abaloparatide can be decreased
when used in combination with Paroxetine.
Abatacept - The metabolism of Paroxetine can be increased when combined
with Abatacept.
Aceclofenac - The risk or severity of gastrointestinal bleeding can be
increased when Paroxetine is combined with Aceclofenac.
 Drug Studies
NURSING
Instruct patients to take paroxetine as directed. Take
RESPONSIBILITI
ES missed doses as soon as possible, unless it's almost time
for the next dose; do not double doses. Advise patients to
read the Medication Guide before starting and with each
Rx refill in case of changes.
Know if the client is allergic to paroxetine or if also taking
pimozide or thioridazine.
Advice client to avoid alcohol while on medication
Advice client to take with or without food, Food does not
significantly affect absorption
 Drug Studies

NURSING
Let patients know that this drug may make them dizzy or
RESPONSIBILITI
ES drowsy or blur their vision.
Advise patient, family and caregivers to look for
suicidality, especially during early therapy or dose
changes
Advise patient to notify health care professional if signs
and symptoms of hyponatremia (difficulty concentrating,
memory impairment, confusion, weakness, and
unsteadiness) or restlessness
Instruct female patients to inform health care
professionals if pregnancy is planned or suspected or if
breastfeeding.
 Drug Studies

GENERIC NAME Sertraline

BRAND NAME Zoloft

CLASSIFICATION Selective Serotonin Reuptake Inhibitors (SSRIs)

MODE OF ACTION
Inhibits neuronal uptake of serotonin in the CNS,
thus potentiating the activity of serotonin. Has
little effect on norepinephrine or dopamine.

Therapeutic Effects: Antidepressant action. Decreased

incidence of panic attacks. Decreased obsessive
and compulsive behavior. Decreased feelings of
intense fear, helplessness, or horror. Decreased
social anxiety. Decrease in premenstrual
 Drug Studies
DOSAGE
Usual Adult Dose for Post Traumatic Stress Disorder:
Initial dose: 25 mg orally once a day, increased after one
week to 50 mg orally once a day
Maintenance dose: 50 to 200 mg orally once a day

INDICATION
Major depressive disorder.
Panic disorder.
Obsessive-compulsive disorder (OCD).
Posttraumatic stress disorder (PTSD).
Social anxiety disorder (social phobia).
Premenstrual dysphoric disorder (PMDD).

Unlabeled Use: Generalized anxiety disorder (GAD).

 Drug Studies
CONTRAINDICA The following conditions are contraindicated with the drug:
TION
a disorder with excess antidiuretic hormone called syndrome of
inappropriate antidiuretic hormone
low amount of sodium in the blood
an increased risk of bleeding
manic behavior
a form of mania that has a lower severity of symptoms
manic-depression
suicidal thoughts
serotonin syndrome, a type of disorder with high serotonin levels
closed angle glaucoma
liver problems bleeding from stomach, esophagus or duodenum
seizures
weight loss
CYP2C19 poor metabolizer
risk of angle-closure glaucoma due to narrow angle of anterior chamber
 Drug Studies
SIDE EFFECTS Neuroleptic Malignant Syndrome
Suicidal Thoughts
Dizziness
Drowsiness
Fatigue
Headache
Insomnia
Agitation
Anxiety
Confusion
Emotional lability
Impaired concentration
Manic reaction
Nervousness
 Drug Studies
DRUG
1,2-Benzodiazepine - The risk or severity of adverse
INTERACTIONS
effects can be increased when 1,2-Benzodiazepine is
combined with Sertraline.
Abaloparatide - The therapeutic efficacy of
Abaloparatide can be decreased when used in
combination with Sertraline.
Abciximab - The risk or severity of bleeding can be
increased when Sertraline is combined with Abciximab.
Abiraterone - The metabolism of Sertraline can be
decreased when combined with Abiraterone.
 Drug Studies
NURSING Watch for signs of neuroleptic malignant syndrome,
RESPONSIBILITIE
S including hyperthermia, diaphoresis, generalized muscle
rigidity, altered mental status, tachycardia, changes in
blood pressure (BP), and incontinence. Symptoms typically
occur within 4–14 days after initiation of drug therapy but
can occur at any time during drug use. Report these signs
to the physician immediately.
Monitor and report signs of serotonin syndrome, including
hyperthermia, rigidity, myoclonus, and autonomic instability
with fluctuating vital signs and extreme agitation that may
proceed to delirium and coma. Patients should not take
sertraline with other drugs that increase serotonin levels
Be alert for increased depression and suicidal thoughts and
ideology, especially when initiating drug treatment, and in
 Drug Studies
NURSING
Monitor symptoms of chest pain and palpitations,
RESPONSIBILITI
ES especially during exercise. Report severe or prolonged
cardiac symptoms.
Assess any back pain or muscle pain to rule out
musculoskeletal pathology; that is, try to determine if
pain is drug-induced rather than caused by anatomic or
biomechanical problems.
Nursing Theory

Sr. Callista Roy: Roy Adaptation

Model
According to Roy’s model, manipulating the focal, contextual and
residual stimuli can improve adaptation. These stimuli can be
therefore identified in the patients’ non-adaptive behaviors through
their assessments to lay plans to develop their healthy 73 behaviors.
According to this model, the individual can achieve adaptation in
physical mode and psychological dimension, i.e. self-concept, role
function and interdependence modes. Roy suggested that adaptation
in psychophysical dimension reduces the debilitating complications
of the disease and improves quality of life in the patients.
Nursing Theory

Katharine Kolcaba: Theory Of

Comfort

Kolcaba described comfort existing in three forms: relief, ease, and

transcendence. If specific comfort needs of a patient are met, the
patient experiences comfort in the sense of relief. Ease addresses
comfort in a state of contentment. For example, the patient’s
anxieties are calmed. Transcendence is described as a state of
comfort in which patients are able to rise above their challenges.
The four contexts in which patient comfort can occur are: physical,
psychospiritual, environmental, and sociocultural.
 Nursing Care Plan

Nursing Diagnosis Interventions

Complicated grieving related to 1. Expect a rise in or an exaggeration of affective behavior.

insufficient social support as
evidenced by feeling of
emptiness, persistent painful
memories and self-blame
2. Allow the patient and family members to express their feelings
in a therapeutic manner.
3. Support patients and significant others or family members to
communicate thoughts, worries, hopes, and aspirations for one
another.
4. Examine your strengths and achievements so far.
5. Encourage loved ones to take care of themselves in terms of
rest, sleep, diet, recreational activities, and take a break from
the patient.
6. Begin a process to provide additional assistance and
resources.
7. Help the patient's initiatives to reestablish his or her normal

Nursing Diagnosis Interventions
Ineffective Coping related
to ineffective tension
release strategies as
evidenced by self-
destructive behavior
Nursing Care Plan
1. Establish a working relationship with the patient by providing consistent
treatment.
2. Assist the patient in identifying personal abilities and expertise, as well as
setting realistic goals.
3. Allow people to communicate their worries, anxieties, feelings, and
expectations.
4. Communicate with empathy.
5. Encourage the patient to make decisions and take part in the planning of
their care and activities.
6. Encourage the patient to recognize and value his or her own qualities and
strengths.
7. Think about mental and physical activities that are within the patient's
capabilities (e.g., reading, television, outings, movies, radio, crafts, exercise,
sports, games, dinners out, and social gatherings).

Nursing Diagnosis Interventions
Sleep deprivation related
to nightmares secondary
to PTSD as evidenced by
concentration problem,
fatigue and restlessness
Nursing Care Plan
1. Educate the patient on healthy food and hydration intake, such as the
importance of avoiding large meals, liquor, coffee, or smoking before
sleeping.
2. Encourage physical activity during the day, but tell the patient to avoid
vigorous activities right before night.
3. Encourage the patient to drink his or her milk.
4. Educate the patient to establish a constant daily rest and sleep pattern.
5. Inform the patient not to drink a lot of fluids before going to bed.
6. Unless absolutely necessary, prevent the patient from napping during the
day.
7. Before night, incorporate soothing activities such as a warm bath, relaxed
atmosphere, reading a book, and mindfulness training.
8. Make a recommendation for a relaxing or sleeping setting.
9. At bedtime, assist the patient from thinking about the next day's activities
 Recommendation/Method

MEDICAT
ION
Individual Comply in taking
01 medications as
ordered.

02 Administer SSRIs
as ordered.
 Recommendation/Method

MEDICAT
ION
Family Watch out for
01 adverse side
effects.

02 Make a list of all

the medications
that must be
taken.
 Recommendation/Method

MEDICAT
ION
Community Discuss the role of
01 the community in
promoting access to
treatment/medicatio
n for the disorder.

Community
02
pharmacist can
initiate an
educational program
regarding the
 Recommendation/Method

EXERCIS
E
Individual Ascertain and
01
monitor sleep
pattern

02 Encourage self to
perform aerobic
exercise.
 Recommendation/Method

EXERCIS
E
Family Assess any back
01
pain or muscle
pain to rule out
musculoskeletal
pathology;

02 Show the client

how to perform
activities with
which he is
 Recommendation/Method

EXERCIS
E
Community Recommend
01
activities of
interest such as
exercise/sports,
music, art.

02 Community
members must join
groups and engage
in problem-solving
activities.
 Recommendation/Method

TREATMENT/
THERAPIES
Individual Encourage self in
01
learning stress-
management
techniques

02 Identify own
strengths and
abilities
 Recommendation/Method

TREATMENT/
THERAPIES
Family Recommend
01
participation in
debriefing
sessions that may
be provided
following major
02
events.
Continue listening
to expression of
concern
 Recommendation/Method

TREATMENT/
THERAPIES
Community Suggest the
01
client’s family for
support groups

02 Provide a calm
and safe
environment.
 Recommendation/Method

HYGIENE
Individual Maintain
01
adequate
personal hygiene
at all times.

02 Avoid
unnecessary
infections.
 Recommendation/Method

HYGIENE
Family Encourage
01
independence.
Intervene when
client is unable to
perform personal
hygiene
02 Urge client to
perform normal
ADLs to his level
of ability.
 Recommendation/Method

HYGIENE
Community Promote
01
community
involvement in
developing a
comprehensive
disaster plan and
drainage
declogging to
ensure an
effective
 Recommendation/Method

OUTPATIE
NT
Individual Attend planned
01
follow-up
appointments
with an attending
psychiatrist.

02 Bring all essential

documentation
 Recommendation/Method

OUTPATIE
NT
Family Offer recognition
01
and positive
reinforcement for
independent
accomplishments.

02 Family member
involvement in
setting goals and
planning for the
 Recommendation/Method

OUTPATIE
NT
Community Identify
01 employment,
community resource
groups, employee
peer assisting
programs, Red
Cross or other
02 Develop plan
survivor support
jointly with
services.
community
 Recommendation/Method

DIET
Individual Keep strict
01
records of food
and fluid intake.

02 Eat foods rich in

carbohydrates.
 Recommendation/Method

DIET
Family Offer nutritious
01
snacks and fluids
between meals.

02 Emphasize
importance of
well-balanced,
nutritious intake
 Recommendation/Method

DIET
Community Suggest or
01
recommend the
client or client’s
family about a
dietitian or
nutritionist team.
02 Initiate nutritional
programs that aim
to promote mental
health.
 Prognosis

ONSET OF 01
ILLNESS In the movie “Ordinary People”
the symptoms of Conrad’s
disorder is shown in the earlier
fair part of the movie when he was
having trouble sleeping. Before
the events of the story begins,
a second Jarrett son, Buck,
who died in a boating accident
over a year earlier. Conrad felt
extremely distressed by
Buck's death, blaming himself.
 Prognosis

DURATION 02
OF ILLNESS According to the movie Conrad’s
disorder started after the
incident with the death of his
fair brother. And this lasted until the
death of his friend Karen who
commited suicide. This tragedy
sparks the beginning of
Conrad’s final submission to
treatment. He broke down and
released his emotion and after
quite some time, Conrad begins
 Prognosis

MOOD &
AFFECT/PREMOR 03 As Conrad’s symptoms slowly
BID
PERSONALITY begin to take control over him,
he tends to display certain
Poor behaviors such as having
nightmare’s, and losing
interest in previously enjoyed
activities such as swimming.
He also experienced severe
academic downturn, as well as
having a feeling of being
alienated by his own friends.
 Prognosis

WILLINGNESS
TO TAKE 04 At first Conrad was a bit
MEDICATION hesitant; he even said “I don’t
want to be here at all” when
Good Dr. Berger tried to fix his
appointment schedule but
managed to see Dr. Berger
nevertheless. Conrad
continues to see Berger,
although it is unclear whether
he is making much progress.
 Prognosis

ANY
05 Aside from having distressing
DEPRESSIVE
FEATURES dreams which are related to
traumatic events, Conrad
Poor manifested depressive
features such as diminished
interest or participation in
previously enjoyed activities,
tried to distance himself in
social activities, persistently
inability to feel positive
emotions, and having short
 Prognosis

FACTORS 06 However, one night he

discovers in the newspaper
that his friend Karen has
Poor committed suicide. He is
suddenly shocked, and he
spends the rest of the night in
a trance-like state, thinking
about his time with Karen, his
own suicide attempt, and his
brother's death.
 Prognosis

FAMILY 07
SUPPORT The movie focuses on Conrad's
family life, and we witness him
become progressively distant
Fair from his mother, who isn't
interested in his medication
regimen or dwelling on the
past. His connection with his
father is also fragile.
 Summary of Prognosis

PTSD is often The duration of

chronic in nature, the symptoms also
while symptoms varies, with
can vary in complete recovery
strength and occurring in
severity, becoming around 50 % of
worse during adults within 3
stressful times. months, while
other individuals
Furthermore, many Only an accurate,
remain
PTSD patients expert diagnosis
symptomatic for
acquire additional allows for
longer than 12
mental problems, effective therapy.
months,
such as
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 Mental Disorders Infographics

Venus
01
It has a beautiful
name, but is hot

Mars
02
Despite being
red, Mars is very
cold
Anorexia Jupiter
Nervosa
Despite being 03
Jupiter is the
red, Mars is a biggest planet of
cold planet them all
 Mental Disorders Infographics

Positive Effects of Negative Effects of

Stress Stress
Mercury is the It’s the farthest
closest planet to the planet from the Sun
Sun Saturn is a big gas
Venus has a beautiful giant with rings
name, but is hot Earth is the planet
Despite being red, where we all live
Mars is a cold planet
 Mental Disorders Infographics

Mercury Venus
Mercury is Venus has a
the closest beautiful
planet to the name, but is
Sun hot
75 % 25 %

Personality
Mercury is the closest planet to theDisorder
Sun and the smallest one in the entire Solar
System
Mental Disorders Infographics
Drug Use
Despite being
red, Mars is a
cold planet

Possible Causes Brain Imbalance

of Depression
It has a beautiful
Venus has a name, but is hot
beautiful
name, but is
hot
Emotional Issues
Jupiter is the
biggest planet of
them all
 Mental Disorders Infographics

100 % 25 %
Mercury Mars
Mercury is the Mars is a very
smallest cold place
planet

50 % 75 %
Venus Neptune
Venus has a It is named
very beautiful after a Roman
name god

Follow the link in the graph to modify its data and then paste the new one here. For more info,
click here
 Mental Disorders Infographics

Depression

Venus Mercury
Venus has a Mercury is the
beautiful name, closest planet to
but is hot 25 % 25 % the Sun

Earth Mars
Earth is the only Despite being red,
planet that Mars is a cold
harbors life 50 % 25 % planet
Mental Disorders Infographics

Posttraumatic stress Mercur

disorder (PTSD) y
Earth is the third
Venus
planet from the Sun
and the only planet
known to harbor life

60% 40%
 Major Depressive Disorder

a mood disorder characterized by

depression or a loss of interest or
pleasure in typical activities and
interests. There is evidence of
interference in social and occupational
functioning for at least 2 weeks.

Duratio
n
The duration of a depressive
episode varies and is
influenced by its severity, as
well as treatment and
individual factors. However,
the average length of a
depressive episode is thought
Mental Disorders Infographics

Social Anxiety Disorder

Mercury is the closest
planet to the Sun and the
smallest one of them all

30 %
Venus
Venus has a
beautiful name

50 %
Mars
Despite being
red it is very
cold