2011-12年度教职员工发展日-‘校园压力管理及精神健康’ - 仁爱堂.pptVIP

躁狂抑鬱症 兩極:躁狂和抑鬱 躁狂發作 情緒高漲、能感染別人 精力充沛 說話快、思維奔逸 誇耀自己、誇大妄想 判斷偏差、鹵莽、不負責任 /health/watch?v=GfhzgLpPc74TzIH Stahl’s Essential Psychopharmacology 3rd Edition 阿力25歲。是學校的實驗室助理。任職三年，工作表現良好 近月，他變得神經過敏。他对你說：老師們不喜歡我了，想把我趕走。連我的手機也給裝上了偷聽器，外出時总有人跟着。。 說到這，他突向窗口大罵。。。 Alex, 23, Lab assistant, good performance and in good terms with teaching staff since he joined the school 2 years ago. For one month, he became very sensitive and suspicious. He made repeated complaints to you, his boss, that colleagues were organizing a plot against him. He indicated that his mobile phone was bugged and he was followed by unknown people during his outreach duties. He indicated his immediate supervisor collaborated with outsiders to test him. He became very upset and requested you to take immediate action to stop the persecution or he would make public his grievance… 阿力的擔憂 Alex’s Worries 一種早期不正常的精神狀態 患者的思維、感覺和情緒出現問題 與現實脫節 會發展成不同的精神病 談話內容常常離題 語無倫次或內容貧乏 沉默寡言 多疑、深信被監視、跟蹤及被迫害 看、聽或感到不存在的影象或聲音 『思覺失調』 精神分裂症 突發或漸進 最嚴重的精神病 15-35 歲 、 女性遲五年 遺傳或先天的病 後天壓力是誘因 病徵包括 : 社交與人際關係的退化 學習、工作及自我照顧的退化 幻覺與妄想 行為的異常 一個敢說話的男生 名揚是班中最靜的一個，你要他答問題，他總是臉紅耳赤說不出話來。 當你單獨跟他聊天，你發現他原來是個健談的男孩。然而，當有人看着他。。。 恐懼症 驚恐感覺超出實際情況的需要 預期焦慮 迴避行為 有或無驚恐發作 Bill’s story 比利的故事 Bill, 32 , just promoted to senior sales manager Began to have uncontrollable repetitive ruminations of obscene words, lyrics, simple arithmetic and had a strong urge to touch the sensitive body parts of opposite sex, became very tense and worried that he might loss control Spend long hours washing hands in office, wash room was wet and all tissue paper used up. Every time he came out of the wash room with his trousers wet with tap water Very slow at work… 強逼症 兩星期大部份時間 無法停止的重複思維:思想、觀念或衝動 無法停止的重複行為:洗手、檢查、儀式 意外之星 The accident-prone David at his 30, good working history, in same job for 3 years, wife died in RTA 2 years ago, frequent absent from work on Monday morning, noticed to be rather emotional in the afternoon for a few occasions, had 3 counts of industrial and 2 counts of r