Chapter 9: Mental Health Flashcards

1
Q

Mental Wellness Definitions

A
  • Self-efficacy: One’s belief they can achieve a desired goal.
  • Autonomy: Independence, internal locus of control.
  • Asserting oneself: Recognizing feelings and making needs and desires clear to others.
  • Connectedness: People who feel connected to others tend to be healthier physically and psychologically.
  • Overcoming Loneliness: developing skills to fulfill our own potential and learning to reach out to others.
  • Facing Social Anxiety: Ability to identify negative thoughts and then analyze and challenge them.
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2
Q

Mental Disorder

A

A persistent disturbance or dysfunction in behaviour, thoughts or emotions that causes significant distress or impairment

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3
Q

Mental Disorder Statistics

A
  • Currently affects 450 million globally (WHO)
  • 1 in 4 individuals will experience a mental disorder in their lifetime
  • Many categories:
  • -Anxiety disorders (~12% of Canadians)
  • -Phobic disorders (~12%)
  • -Depressive and Bipolar (Mood) disorders (~15-20%)
  • -Suicide
  • -Psychotic disorders (e.g. Schizophrenia; 1%)
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4
Q

Anxiety Disorder: Generalized Anxiety Disorder (GAD)

A
  • Chronic, irrational worry about daily events (work, social relationships, finances)
  • Extreme agitation, fatigue, feelings of sadness and depression; nausea, trembling, muscle tension, headache
  • ~6% of North Americans
  • Benzodiazepines, antidepressants
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5
Q

Anxiety Disorder: Obsessive Compulsive Disorder (OCD)

A
  • Obsessions (e.g. cleanliness)
  • Compulsions (e.g. ‘must keep everything clean”)
  • Rituals (e.g. Lysol in diagonal motion, vinegar in circular motion)
  • 2% of North Americans
  • “Trapped in a loop”
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6
Q

Anxiety Disorder: Panic Disorder

A
  • Recurrent panic attacks without warning
  • Chest pain, heart palpitations, shortness of breath, dizziness, feeling of impending doom
  • Agoraphobia: Avoiding social situations (e.g. riding the bus) for fear of panic attack and not being able to escape
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7
Q

Anxiety Disorder: Phobias

A
  • Marked, persistent, excessive fear and avoidance of specific objects, activities or situations
  • -Social phobias: paralyzing fear related to social situations
  • -Specific phobias: e.g. fear of spiders, heights, the dark, water
  • -Can cause extreme anxiety and panic
  • -12% of North Americans will develop a phobia
  • -Preparedness Theory
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8
Q

Anorexia Nervosa

A

-Anorexia = loss of appetite
-Associated with
–an intense fear of becoming fat
feeling that food is the enemy
–purging/over exercising to control weight
– distorted body image
–belief that thinness = beauty and/or perfection
-Can cause long term effects if it occurs during adolescence
-Leading mortal psychiatric disorder

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9
Q

Bulimia Nervosa

A
  • Bulimia means “Great hunger”
  • Binge eating followed by purging
  • Involves:
  • -Binging until food runs out or abdominal discomfort forces an individual to stop
  • -Feeling ashamed, disgusted, and fearful of weight gain; purging
  • Erosion of tooth enamel, damage to esophogus, dehydration, disturbed electrolyte balance
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10
Q

Binge Eating Disorder

A
  • Episodes of binge eating
  • -Eating food (2hr period) that is larger than most people would eat in similar period
  • -Lack of control during episode
  • Associated with:
  • -Eating more rapidly
  • -Eating until feeling uncomfortably full
  • -Large amounts when not physically hungry
  • -Eating alone
  • -Feeling depressed after overeating
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11
Q

Depression/Depressive Disorders

A
  • Symptoms include:
  • -Feelings of helplessness, hopelessness, extreme guilt
  • -Disturbed sleep; changes in eating patters
  • -Fatigue
  • -anhedonia (inability to feel pleasure)
  • -Inability to enjoy life; suicidal thoughts
  • Major Depressive Disorder
  • Seasonal Affective Disorder (SAD)
  • Postpartum Depression
  • Associated with imbalance of serotonin, other hormones
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12
Q

Bipolar Disorder

A
  • Bipolar disorder (formerly manic depressive)
  • -Periods of depression, followed by mania
  • -Mania: extreme euphoria, rapid speech, lack of need to sleep
  • -Affects ~1% of Canadians
  • -Typically starts in adolescence/early adulthood
  • -Treatments vary but are similar to depression
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13
Q

Suicide

A
  • 2nd leading cause of death for 15-34 year olds
  • Often associated with depressive disorders
  • Feelings of hopelessness, rejection, lack of self-worth
  • Often associated with major life crises
  • 4x more likely in men
  • 6x times higher among aboriginal youth
  • 15% of North American adults report considering suicide at some point
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14
Q

Schizophrenia

A
  • A psychotic (break from reality) disorder that profoundly impairs one’s sense of reality
  • Onset is typically between age 16-30
  • Complex set of causal factors
  • Genetics may predispose
  • Social isolation, drug use, traumatic event(s) may exacerbate/ accelerate progression
  • Sometimes involves catatonia
  • Sometimes involves multiple personalities
  • Occurs in ~1% of the population
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15
Q

Schizophrenia Symptoms

A
  • Positive (symptoms present that should be absent)
  • -Hallucinations (auditory, visual, taste)
  • -Delusions (patently false beliefs, e.g. I am Joan of Arc)
  • -Disorganized speech (“…I am taking a mental rest after a carter assignment of quill. You know, a penwrap. […] I am made of flesh and blood. See?”
  • -Grossly disorganized behaviour (childlike silliness, masturbation in public)
  • Negative (symptoms absent that should be present)
  • -Lack of motivation
  • -Blunted feelings
  • -Depression
  • -Social withdrawal
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16
Q

3 Types of Therapists

A
  • Psychiatrists: medical doctors, can prescribe drugs
  • Psychologists: have a graduate degree, cannot prescribe drugs
  • Social Workers: have an undergraduate/ master’s degree and a license
17
Q

5 Types of Therapies

A
  • Psychotherapy: counselling via various techniques
  • Psychodynamic psychotherapy: examines past experiences and how they affect current behaviour
  • Interpersonal therapy: focuses on relationships to resolve unrecognized feelings
  • Cognitive behavioural therapy (CBT): variety of techniques work towards changing negative patterns of thought and action into positive ones
  • Psychiatric Drug Therapy: prescription drugs
  • -act on compromised neural pathways
  • -e.g. serotonin reuptake inhibitors (SSRIs)
18
Q

General Adaptation Syndrome

A
  • Humans experience many different stressors, or things that cause stress. These stressors include:
  • -Psychological stressors: anxiety, fear, excitement, or even joy
  • -Physiological stressors: pain, cold, exercise, hunger, trauma
  • -Environmental stressors: pollution, noise, poverty, and prejudice
19
Q

Distress vs Eustress

A
  • Distress= negative stress
  • -Too much or too little stress
  • –Too much can deplete energy
  • –Too little doesn’t promote positive growth
  • Eustress= positive stress
  • -Right Amount of stress
  • –Allows us to grow, adapt, create
20
Q

Acute effects of stress

A
  • Breathing quickens
  • -Lungs become more susceptible to colds and infections
  • -Immune system is suppressed
  • Brain becomes more alert
  • -Stress can contribute to headaches, anxiety, depression
  • -Sleep can be disrupted
  • Heart rate increases
  • Adrenal glands produce stress hormones
  • Digestive system slows down
  • -Stress can cause upset stomachs
  • Muscles tense
  • -Muscular twitches or “nervous tics” can result.
21
Q

Chronic effects of stress

A
  • Cortisol increases glucose production in the liver, causing renal hypertension
  • Brain becomes more alert
  • -Stress hormones can damage the brain’s ability to remember and cause neurons to atrophy and die
  • Baseline anxiety level can increase
  • Heart rate increases
  • -Persistently increased blood pressure and heart rate can lead to potential for blood clotting and increase the risk of stroke and heart attack
  • Adrenal glands produce stress hormones
  • -Cortisol and other stress hormones can increase appetite and thus body fate
22
Q

Stress Hazards to Physical Health

A
  • Minor changeable risk factor for CVD
  • Stress hormones epinephrine, cortisol released
  • -Cortisol associated with abdominal obesity
  • HR, BP, breathing, muscle tenseness, and brain alertness are all increased (may be +ve in short term)
  • Digestive and immune -system function practically shut down
23
Q

3 general approaches to stress

A
  • Change the stressor
  • Remove yourself from the stressor
  • Change your response to the stressor