Lecture 1: Introduction to BD Flashcards
Statistically Unusual Behavior
behavior could be called “abnormal” if it is rare
Note:However…depression, drug use, anxiety are not statistically unusual
Positive rare behaviors would also fit this category
Socially Unacceptable Behavior
behavior could be called “abnormal” if it goes against social norms
dysfunctional behaviors
behavior coul be called “abnormal” if it affects ones ability to function.
personally distressing behavior
behavior could be called “abnormal” if it causes someone to be distressed
What are the 4 Ds that are used to define normality vs disease?
Deviance - different, extreme, or unusual from social norms
Distress - behavior is considered unpleasant and unsettling to patient.
Dysfunction - behaviors interferes with DAILY life
Danger - poses the risk of harm to self or others.
What are the mental health professionals?
PhD (Psychologist)
PsyD (Psychologist)
MD/DO (Psychiatrist)
Masters (Social Worker, Counselor, Nurse, PA, NP)
Others (Spiritual advisors, life coaches, etc)
what is the difference between Ph.Ds and Psy. Ds?
Ph. Ds - clinical, counseling and research
Psy. Ds - clinical or counseling but is also meant to be closer to a medical doctor. little. or no prescribing.
How many adults in the US develop mental illness in their lifetime?
50%+
how many US adults experience serious mental illnesses that limit 1+ major life activities?
1 in 20
About how many youth aged 13-18 will experience a serious mental illness at some point?
1 in 5
How many people with mental illness did NOT receive mental health services in the past year?
60% adults
50% youth
What is more prevalent, mood disorders or anxiety disorders?
Anxiety disorders
Why is mental health a concern of the WHO?
Accounts for more disability in developed countries than any other group of illnesses.
It has been associated with:
Increased occurrence of chronic disease
Decreased use of medical care
Reduced adherence
Higher risks of adverse outcomes
Increased incidence of tobacco and alcohol use
What is the DSM?
Diagnostic and Statistical Manual of Mental Disorders
Why do we use the DSM?
It helps determine a diagnosis + communicate it.
It standardizes, guides therapy, and allows for statistical analysis.
What DSM are we on?
DSM-V-TR (2022).
what was a big update made to the new DSM-V-TR?
added “prolonged grief disorder”
What are some critcisms of the DSM-V-TR?
“Concern over diagnosis being based too much around social norms and cultural biases”
Strong ties to pharmaceutical companies
Med-first approach instead of considering evaluating social and familial circumstances.
Too subjective (not having enough scientific bias)
What are some big differences between a psych eval and a med eval?
standard med evals are OBJECTIVE, WITH external validation, and high diagnostic reliability
standard psych evals are more SUBJECTIVE, withOUT external validation, and have LOW diagnostic reliability
What is included in the Psych mental status exam
systematic review of patients cognitive and emotional functioning
speech
mood and affect
orientation
thought process and content
associations, insight, judgement
What is insight-oriented interviewing?
An approach to psychiatric patients.
Consists of learning more about the patient beyond the standard objective information. aka learning what lies beneath objective data
