Substance Use Disorder Assessment (Formerly Substance Abuse Assessment)
- Changes in Mood
- Poor Hygiene
- Odd Sleep Patterns
- Frequent Injuries
- Relationship or Job Difficulty
- Poor Performance
- Anorexia OR Weight Loss
- Social Isolation
- Financial Problems
Alcohol Use Disorder Assessment (Formerly Alcohol Abuse Assessment)
- CNS Depression
- Wernicke-Korsakoff Syndrome
- GI Distress
- Cardiomyopathy
- Pancreatitis
- Cirrhosis
- Immunosuppression
- Sexual Dysfunction
- Screening (Assessments)
Alcohol Use Disorder Interventions (Formerly Alcohol Abuse Interventions)
- Reduce Environmental Stimuli
- Antianxiety Medications
- Vitamin Supplements
- Seizure Precautions
- Suicide Precautions
- Fever
- Identify Support Systems
- Group Therapy
- Disulfiram
- Naltrexone
Amphetamines Intoxication Assessment
- Euphoria
- Insomnia
- Mydriasis
- Diaphoresis
- Hypertension
- Tachycardia
- Paranoia
- Anxiety
- Anorexia
- Seizures
Benzodiazepine Intoxication Assessment
- Drowsiness
- Confusion
- Respiratory Depression
- Hypotension
- Coma
- Flumazenil (Romazicon)
Cocaine Intoxication Assessment
- Euphoria
- Delusions
- Mydriasis
- Hallucinations
- Agitation
- Hypertension
- Arrhythmias
- Hyperthermia
- Seizures
- Nasal Septum Perforation
LSD Intoxication Assessment
- Psychosis
- Perceptual Distortion
- Visual Hallucinations
- Paranoia
- Depersonalization
- Anxiety
- Tachycardia
- Flashbacks
Marijuana Intoxication Assessment
- Euphoria
- Slowed Reaction Time
- Conjunctival Injection
- Increased Appetite
- Anxiety
- Social Withdrawal
- Paranoid Delusions
Opioid Use Disorder and Withdrawal Assessment (Formerly Opioid Abuse and Withdrawal Assessment)
- Euphoria
- Miosis
- CNS Depression
- Yawning
- Gooseflesh
- Sweating
- Rhinorrhea
- Kicking Movements
- Naloxone
Phencyclidine (PCP) Intoxication Assessment
- Violent Behavior
- Motor Issues
- Nystagmus
- Increased Pain Tolerance
- Tachycardia
- Delirium
- Seizures
- Psychosis
Anxiety Assessment
- Increased Alertness
- Heightened Perception
- Perception Narrowed
- Short Attention Span
- Shaking
- Ineffective Problem Solving
- Automatic Behavior
- Hyperventilation
- Hallucinations
- Inability to Function or Communicate
Posttraumatic Stress Disorder (PTSD)
- Re-experience Traumatic Event
- Flashbacks
- Nightmares
- Avoidance
- Self-destructive Behaviors
- Assess Suicide Risk
- Actively Listen to Stories
- Anxiety Medications
Suicide Risk Factors
- Depression
- Previous Attempt
- No Support System
- Access to Firearms or Medications
- Substance Abuse
- Physical or Sexual Abuse
- Chronic Illness or Pain
- Extremes of Age
Suicide Assessment
- SAD PERSONS Scale
- Direct (Overt) Statements
- Indirect (Covert) Statements
- Giving Away Prized Possessions
- Sudden Improvement in Mood
- Putting Personal Affairs in Order
- Detail of Plan
- Availability of Means
- Proposed Method
- Safe Environment
- One-on-One Monitoring
- No Suicide Contract
Depression Assessment
- Anergia
- Self Neglect
- Decreased Libido
- Vegetative Signs
- Sad Affect
- Worthlessness
- Guilt
- Anger and Irritability
- Ineffective Problem Solving
- Slowed Thinking
Delirium
- Rapid Onset
- Reversible
- Hallucinations
- Decline in Cognition
- Short Attention Span
- Rapid Speech
- Change in Activity Level
- Mood Swings
Use of Restraints
- During Emergency
- Protecting From Harm
- For Limited Time
- Last Resort
- May Further Agitation
- Frequent Observation
- Obtain Order Within 1 Hour
- Quick-Release Tie
Antisocial Personality Disorder
- Ego-centrism
- Disregards Rights of Others
- Self-esteem from Personal Gain
- No Empathy
- No Intimacy
- Antagonism
- Manipulates Others
- Hostility
- Disinhibition
- > 18 years of age
Avoidant Personality Disorder
- Feelings of Shame or Inadequacy
- Low Self-Esteem
- Social Withdrawal
- Desires Relationships with Others
- Poor Reaction to Criticism
- Hypersensitive to Rejection
- Anhedonia
- Anxiety
Bipolar Disorder Assessment
- Neurotransmitter Dysregulation and Genetic Factors
- Euphoric Mood
- Nonstop Physical Activity
- Flight of Ideas
- Rapid Speech
- Mood Changes
- Sad Affect
- Psychomotor Retardation
- Suicidal Thoughts
Bipolar Disorder Interventions
- Lithium
- Valproic Acid (Valproate)
- Lamotrigine
- Hospitalization
- Nutrition
- Hygiene
- Monitor for Vegetative Signs
- Suicide Precautions
Borderline Personality Disorder
- Chronic Feelings of Emptiness
- Poor Self Image
- Unstable Goals, Aspirations, Career Plans
- Fear of Abandonment
- Unable to Maintain Relationships
- Unstable Mood
- Splitting
- Self-destructive Behaviors
- Anxiety
- Suicidal Thoughts
Dependent Personality Disorder
- Difficulty Making Own Decisions
- Uncomfortable Being Alone
- Urgently Seeks New Relationships After Breakups
- Allow Others to Make Decisions
- Exaggerated Fear of Being Unable to Care for Self
- Difficulty Expressing Disagreement
- Difficulty Starting New Projects
- Excessive Lengths to Obtain Nurturance
General Personality Trait Disorder
- Self-Identity Impairments
- Interpersonal Functioning Impairments
- One or more Personality Traits
- Negative Affectivity
- Detachment
- Antagonism
- Disinhibition vs Compulsivity
- Psychoticism
Hallucinations, Illusions, Delusions
- No External Stimulus
- Auditory
- Visual
- Olfactory
- Gustatory
- Tactile
- Misinterpretation of Stimulus
- Fixed, False Belief
Histrionic Personality Disorder
- Discomfort if Not Center of Attention
- Dressing for Attention
- Flirtatious, Provocative Behavior
- Shallow and Labile Emotions
- Theatrical or Dramatic
- Impressionistic Speech
- Impressionable
- Overestimates Intimacy in Relationships
Narcissistic Personality Disorder
- Increased Self-Importance
- Inflation of Accomplishments
- Often Angered when Criticized
- Little Interest in Others' Experiences
- No Empathy
- Grandiosity
- Demands the Best
- Requires Admiration of Others
Obsessive Compulsive Personality Disorder
- Identity Derived from Work or Productivity
- Inflexible Standards
- Unable to See or Understand Ideas of Others
- Controlling
- Perfectionism
- Only One Right Way
- Perseveration
Obsessive-Compulsive Disorder (OCD)
- Repetitive and Intrusive Thoughts
- Suppressed by Thought or Action
- Interferes with Daily Functioning
- May or May Not Be Aware
- Cognitive Behavioral Therapy (CBT)
- Selective Serotonin Reuptake Inhibitors (SSRIs)
- Clomipramine
- Venlafaxine
Paranoid Personality Disorder
- Preoccupied with Trustworthiness of Friends
- Pervasive Mistrust of Others
- Constant Suspicion
- Reads Threatening Meanings in Benign Remarks
- Reluctant to Confide
- Perceives Attacks on Character
- Grudges
Schizotypal Personality Disorder
- Socially Awkward
- Mistrustful
- Eccentricity
- Magical Thinking
- Bizarre Thinking and Speech
- Suspicious
- Detachment
Schizoid Personality Disorder
- Few Pleasurable Activities
- Lacks Interest in Social Relationships
- Lack Close Friends
- Indifferent to Praise
- Chooses Solitary Activities
- Little Interest in Sex
- Emotional Coldness or Detachment
Schizophrenia Assessment
- Hallucinations
- Delusions
- Associative Looseness
- Flat Affect
- Poverty of Thought
- Absence of Something that Should be Present
- Illogical Thinking
- Impaired Judgment and Memory
- Dysphoria
Schizophrenia Interventions
- Antipsychotics
- Build Trust
- Assistance with Self-care
- Reality Testing
- Monitor for Neuroleptic Malignant Syndrome
- Monitor for Tardive Dyskinesia
- Family Therapy
Anorexia Nervosa Assessment
- Adolescent Girls
- Fear of Gaining Weight
- Excessive Dieting
- Distorted Body Image
- Decreased Bone Density
- Stress Fractures
- Lanugo
- Amenorrhea
- Anemia
- BMI < 18.5
Anorexia Nervosa and Bulimia Nervosa Interventions
- Build Trust
- Plan Caloric Intake
- Supervise Meals
- Supervise Elimination
- Encourage Liquids
- Daily Weights
- Use Matter-of-Fact Statements
- Give Feelings of Control
- Tube Feedings If Further Weight Loss
Bulimia Nervosa Assessment
- Normal Body Weight
- Binge and Purge
- Electrolyte Disturbances
- Alkalosis
- Hypokalemia
- Parotitis
- Enamel Erosion
- Russell's Sign
- Once Weekly For 3 Months
Tardive Dyskinesia
- Bizarre Facial Movements
- Bizarre Tongue Movement
- Increased Extremity Movements
- Stiff Neck
- Dysphagia
- Stop Medication
- AIMS