The Mental Health Continuum Scenario 2

Instructions: Use the Mental Health Continuum Model to respond to realistic situations by reading the scenario and answering the questions that follow.

B

ill is recently retired. Since his retirement, he has had to deal with a number of health issues and is taking medications for chronic pain and insomnia. Lately, he has begun reacting with anger to minor inconveniences. 

He spends more and more time at home by himself drinking alcohol and watching TV. Bill has lost some weight and his friends and family are concerned about him.

  Healthy Reacting Injured Ill
Changes in Mood

Normal mood fluctuations

Calm

Confident

Irritable

Impatient

Nervous

Sadness

Angry

Anxious

Pervasive sadness

Easily enraged

Excessive anxiety/panic

Depressed mood, numb

         
Changes in Thinking and Attitude

Good sense of humor

Takes things in stride

Ability to concentrate and focus on tasks

Displaced sarcasm

Intrusive thoughts

Sometimes distracted or loss of focus on tasks

Negative attitude

Recurrent intrusive thoughts

Constantly distracted or cannot focus on tasks

Noncompliant

Suicidal thoughts/intent

Inability to concentrate, loss of memory or cognitive abilities

         
Changes in Behaviour and Performance

Physically and socially active

Present

Performing well

Decreased activity/socializing

Present but distracted

Procrastination

Avoidance

Tardiness

Decreased performance

Withdrawal

Absenteeism

Can’t perform duties/tasks

         
Physical Changes

Normal sleep patterns

Good appetite

Feeling energetic

Maintaining a stable weight

Trouble sleeping

Changes in eating patterns

Some lack of energy

Some weight gain or loss

Restless sleep

Loss of appetite

Some tiredness or fatigue

Fluctuations or changes in weight

Cannot fall/stay asleep

No appetite

Constant and prolonged fatigue or exhaustion

Extreme weight gain or loss

         
Changes in Addictive Behaviours

Limited alcohol consumption, no binge drinking

Limited/no addictive behaviours

No trouble/impact due to substance use

Regular to frequent alcohol consumption, limited binge drinking

Some to regular addictive behaviours

Limited to some trouble/impact due to substance use

Frequent alcohol consumption, binge drinking

Struggle to control addictive behaviours

Increasing trouble/impact due to substance use

Regular to frequent binge drinking

Addiction

Significant trouble/impact due to substance use