Class 5 - Psychological States Flashcards
Mental Disorder
A set of behavioral or psychological symptoms that are not in keeping with social norms (class 3), and are severe enough to cause significant personal distress or impairment to social, occupational, or personal functioning
Today psychological disorders are…
Diagnosable, based on specific symptoms, and treatable, with various medications and/or therapies
When is behavior considered disordered?
- disordered behavior is unusual
- disordered behavior is maladaptive
- disordered behavior is characterized by perceptual to cognitive dysfunction
- disordered behavior is labelled as abnormal by the society in which it occurs
What is the difference between the biomedical and the bio psychosocial approach?
Biomedical - prescribes meds to treat physiological issues
Biopsychosocial - adds therapy to the mix
3 Factors of Mental Illness
- Biological - neurochemistry, genetics, diet, physical trauma, drugs/substances
- Psychological - stress, environment, family, work, school, life experiences
- Sociocultural - cultural expectations, anomie
High Yield DSM-5 Mental Disorders (Level 1 Disorders)
- Anxiety Disorders
- Depressive Disorders
- Bipolar and Related Disorders
- Schizophrenia spectrum and other psychotic Disorders
- Trauma - and stressor - related Disorders
- Personality Disorders
- Obsessive Compulsive Disorder
- Somatic Symptom Disorders
- Dissociative Disorders
Lower Yield DSM-5 Mental Disorders (Level 2 Disorders)
- Neurodevelopmental Disorders
- Neurocognitive Disorders
- Sleep-wake Disorders
- Substance-related Disorders
Anxiety Disorders
Characterized by excessive fear or anxiety; avoidance behaviors; sympathetic activation in the absence of a threat; amygdala is too sensitive
Phobias
Very specific fear of something; types of phobias include situational, natural environment, blood/injection/injury, and animal
ex. agoraphobia - fear of open spaces
Panic Disorder
Includes panic attacks- mimics a heart attack (shortness of breath, pain, etc.); once you have one, you’re more likely to have more
Social Anxiety Disorder
Fear/Anxiety around social situations
Generalized Anxiety Disorder
Excessive anxiety without specific cause
Treatment of Anxiety Disorders
Behavioral techniques, exposure therapy, medication
Systematic Desensitization
Put a person with social anxiety in a social situation and give themselves a way out, but hold out as long as they can; gradual exposure
Flooding
Opposite of systematic desensitization; person puts themselves in a frightening situation where they cannot leave and have to stick it out
Anxiety Medication
Benzodiazepines
Depressive Disorders
Sad, empty, and/or irritable mood that is not related to normal grief
Major Depressive Disorder (MDD)
Symptoms: depressed or irritable mood, fatigue/loss of energy, feelings of worthlessness or guilt, impaired concentration, indecisiveness, insomnia or hypersonic, loss of interest in pleasurable activities (anhedonia), restlessness or feeling slowed down, recurring thoughts of death or suicide, and/or significant weight gain or weight loss
-Short-term (+/- 1 month)
Treatment of MDD
Talk therapy, cognitive-behavioral therapy, may consider meds if the patient has a history of depression
Common Anti-Depressant
SSRIs - Selective Serotonin Re-uptake Inhibitors
-can be effective for stubborn depressions
Persistent Depressive Disorder (PDD)
Different from Major Depressive Disorder in that it is chronic, but more mild than MDD; would have to have symptoms for 2+ years; often goes undiagnosed
Monoamin Hypothesis
Predicts that the underlying pathopsychological basis of depression is the depletion in the levels of serotonin, norepinephrine, and/or dopamine in the CNS
Bipolar Disorders
-Bridge between psychotic and depressive disorders - linked to the neurotransmitter dopamine
-involve episodes and oscillations (cycles) - depressive/manic episodes (manic-depressive disorder)
Bipolar I Disorder
Most severe form of bipolar; has higher highs; may have hallucinations
Manic Phase
-high energy, high self esteem, racing thoughts, quick talking, impulsive, irritable
Bipolar II Disorder
Similar lows to Bipolar I, but the highs are not as high
Cyclothymic Disorder
Least severe form of bipolar disorder; go through periods of highs and lows (spend more time in the depressed phase), but still function in day-to-day life
Depressed Phase
-low energy, low self esteem, lack of concentration, loss of interest, helplessness, suicidal thoughts
Treatment for Bipolar Disorders
Must be treated with drugs because it is biological, at least for I and II
-Mood stabilizing drugs treat the disorder, specifically Lithium
-Anti-depressants used in Cyclothymic because depressed phase is the bigger problem
Schizophrenia Spectrum and Psychotic Disorders
Characterized by delusions and hallucinations, disorganized speech and thoughts, may involve negative symptoms, and involves a general detachment from objective reality
Hallucinations
See, hear, taste, touch, smell something that isn’t there
-most common is seeing things and hearing voices
Delusions
Very illogical beliefs and magical thinking
Paranoid Delusions
Become suspicious of other people or think objects are watching them
Negative Symptom
Absence of normal patterns, disruptions in normal emotions and behaviors, person withdraws from the world
ex. -Flattened affect - you don’t react to things, no facial expression
-Avolition - no will to do anything, no motivation
-reduced speech/interactions
Positive Symptoms
Psychotic behaviors not seen in healthy people; Thinking or behavior that is added to the psyche of a person with schizophrenia
ex. hallucinations and delusions, disorganized speech or behavior
Delusional Disorder
A lot of odd beliefs and thinking that doesn’t make sense
ex. may not watch TV at a certain time because it hurts their neighbor
Brief Psychotic Disorder
Isolated episodes of psychosis, not consistent; may include symptoms of Schizophrenia but it only happens a few times or inconsistently
Schizophreniform Disorder
Recurring episodes of psychosis; maybe several times of year
Schizophrenia
Person must have symptoms consistently for 6 months or more; chronic; excess dopamine production; there is a genetic component
Schizoaffective Disorder
When a person has schizophrenia and a mood disorder, such as depression or anxiety
Cognitive Symptoms of Schizophrenia
Thought patterns that make it hard to lead a normal life and cause emotional distress; poor executive functioning, trouble focusing or paying attention, problems with working memory
Catatonic Behavior
Person is mentally unresponsive; person is moving very slowly or limply; considered a positive symptom
Catatonia
Regarded as a negative symptom; person does not respond to external stimuli, doesn’t move at all or react (an inanimate state)
Biological Indicators of Schizophrenia
-Enlarged Ventricles
-Excess dopamine production
-genetic component
Treatment of Schizophrenia
-Must use drugs to treat since it is biological
-Dopamine antagonists = class of antipsychotic drugs prescribed to schizophrenic patients
Can schizophrenia be predicted?
Yes; patients designated as “at-risk” for developing schizophrenia are interviewed to speak for an hour on various narrative topics to look for logical gaps
-Trained psychologists can predict with 70-80% accuracy
-AI can predict with 100% accuracy
Trauma and Stress Related Disorders
Involve exposure to traumatic or stressful events and the person may exhibit a wide range of symptoms
Post Traumatic Stress Disorder (PTSD)
People relive their traumatic experience and have vivid flashbacks to the event, making it difficult to function in day-to-day life
Acute Stress Disorder
Not having flashbacks to stressful event, but still have experienced a stressful or traumatic event; may go through rough period where it is hard to function in day-to-day life and it gets better
Adjustment Disorders
Any change in life, good or bad, causes a person to feel anxiety of depression because of the new change
ex. college graduation, marriage
Treatment of Trauma or Stress-related Disorders
Gradual exposure therapy, talk therapy, humanistic psychology (unconditional positive regard)
Personality Disorders
Enduring (often lifetime) patterns of inflexible behavior across a range of settings and relationships; can be diagnosed beginning in adolescence or early adulthood; high comorbidity
Comorbidity
Linked to other disorders
3 Clusters of Personality Disorders
(Weird, Wild, Worried) - in that order
Cluster A - (Odd/Eccentric): Paranoid, Schizoid, and Schizotypal Personality Disorders
Cluster B - (Dramatic/Erratic): Antisocial, Borderline, Histrionic, and Narcissistic Personality Disorders
Cluster C - (Anxious/Fearful): Avoidant, Dependent, and Obsessive-Compulsive Personality Disorders
Paranoid Personality Disorder
Manifests the paranoid tendencies
-More mild than psychosis, person is paranoid and different from delusional disorder because people with this disorder are quick to believe others are out to get them and are very accusatory
Schizoid Personality Disorder
Manifests the social withdraw and flat affect
-Mostly the negative symptoms of schizophrenia, and not as severe; loners and don’t connect well with others
Schizotypal Personality Disorder
Manifests odd behavior and distorted thinking and perception
-Mostly the positive symptoms of schizophrenia, but not as severe; delusional and experience hallucinations, jump from topics, highly distractable
Antisocial Personality Disorder
Sociopathy, no regard for right or wrong or for others
-Don’t think much of others or the feelings of others; good liars, can’t be trusted; have no empathy; very cold, calculating, manipulative
Borderline Personality Disorder
Severe abandonment anxiety and emotional turbulence
-Fluctuations between quick ups and downs; Unstable emotions about a lot of different things; have severe abandonment anxiety; among the hardest patients to treat
Histrionic Personality Disorder
Overdramatic, attention seeking and emotional overreaction
-People who are always in need of attention and want to be the center of attention; do whatever they can for attention
Narcissistic Personality Disorder
Inflated sense of self and lack of empathy
-Have a lot in common with antisocial personality - having no empathy; want to be praised for how great they are; feel much better than others; feel easily rivaled by competitors and don’t want others to make them look bad; very dangerous