Chapter 9: Mental Health Flashcards
Mental Wellness Definitions
- 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.
Mental Disorder
A persistent disturbance or dysfunction in behaviour, thoughts or emotions that causes significant distress or impairment
Mental Disorder Statistics
- 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%)
Anxiety Disorder: Generalized Anxiety Disorder (GAD)
- 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
Anxiety Disorder: Obsessive Compulsive Disorder (OCD)
- 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”
Anxiety Disorder: Panic Disorder
- 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
Anxiety Disorder: Phobias
- 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
Anorexia Nervosa
-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
Bulimia Nervosa
- 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
Binge Eating Disorder
- 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
Depression/Depressive Disorders
- 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
Bipolar Disorder
- 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
Suicide
- 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
Schizophrenia
- 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
Schizophrenia Symptoms
- 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