Mental and Physical Health Flashcards
Approach-Approach Conflicts
- Two appealing options
- E.g. going to the movies with one group of friends or having a sleepover with another
Approach-Avoidance Conflicts
- One appealing and one unpleasant option
E.g. studying for a test or going out with friends
Avoidance-Avoidance Conflicts
- Two unpleasant/undesirable options
- Do homework or clean room
Yerkes-Dodson Law of Arousal (Optimal Arousal)
- A certain amount of stress (optimal arousal) is motivating to us and helps us to grow and improve in the things we do
- E.g. I want to work hard to study, learn new things, and be the best I can be
- Not enough stress leads to boredom
- Too much stress is distress and can cause fatigue, burnout, and breakdown
External Locus of Control
- Out of our control so there’s nothing we can do about it
- E.g. circumstance, bad luck, fate, etc.
Internal Locus of Control
- In my control so my choice
- E.g. own actions, hard work, practice, dedication, disconnection, etc.
Cognitive Appraisal
- How you view something
- Takes part in how you view traumatic events (e.g. a learning experience or something negative)
Tend and Befriend Theory
- When we tend to our needs and befriend by leaning on one another socially
- Stress levels decrease when we turn to social interactions
- In-person social interactions are superior compared to virtual
- Releases oxytocin and helps calm our stress response
Ruminating
- Dwelling on stressful things
- E.g. what we have to do, how we should have responded to a situation, etc.
Catastrophizing
- Turning unpleasant into worst case scenarios that are out of proportion with reality
- E.g. I failed this quiz, so I’m gonna fail out of this class, then I won’t get into a good college, so I won’t get a good job
- Slippery slope
Problem Focused Coping
- Outward focus
- Stress is a problem that can be solved
- Thinking of what we can do to solve/minimize a problem
Emotion Focused Coping
- Inward focus
- Attention is on reducing stressful responses
- Mostly short term, but can have long-lasting benefits
Martin Seligman
- Leading researcher of positive psychology
- Also researched learned helplessness
PERMA
- Evidence based approach to improve happiness
- Positive Emotions, Engagement, Positive Relationships, Meaning, Accomplishment
Positive Subjective Experience
- Influenced by personal feelings, interpretations, or prejudices
- Influenced by personality
- E.g. going to a basketball game might bring you immense joy or overwhelming torture based on your subjective interpretation
Positive Objective Experience
- Impartial or not influenced by personal feelings, interpretations, or prejudices
- Rooted in on our basic needs
- E.g. Hunger is satisfied, getting enough sleep, etc.
Altruism
- Doing good to help others without expecting anything in return
- Types include genetic (helping your family), reciprocal (helping someone after they helped you), group-selected (helping someone in a group that you are part of), pure (helping others without the expectation of anything in return)
- E.g. donating food to a local animal shelter
Bridging Differences
- Embracing diversity of backgrounds by learning about others’ cultures
- E.g. black history month assemblies
Intellectual Humility
- Degree to which one believes that their beliefs might be wrong
- Being open to learn other ways to approach a problem
- Acknowledging errors we have made and desire to grow
Signature Strengths
- Unique personality traits with a positive outcome
- 24 total traits that are categorized into 6 virtues
- Wisdom, courage, humanity/love, justice, temperance, transcendence
- Operating in your signature strength increases your happiness and overall well-being
Deviant Psychological Diagnosis
- Behaviors/thoughts that are not consistent with one’s culture/society
- Can vary from culture to culture
- Behaviors that are abnormal to cultural/societal norms
- E.g. if you don’t smile at someone when you walk past them, you are often seen as rude, but in other countries, this is normal
Distressful Psychological Diagnosis
- Suffering physical and emotional pain (worry and anxiety)
- E.g. not being able to wash your hands causes you distress and anxiety that it causes you to lose focus
Dysfunctional Psychological Diagnosis
- Impairment/disturbance in thinking
- Emotional regulation/behavior that interferes with day to day functioning
- E.g. hand-washing makes you late to class or leads you to cancel plans because there is no sink and soap in the place you are going to meet up
Dangerous Psychological Diagnosis
- If the person is at risk of causing harm to themselves or others
- E.g. you believe death is a better option than not being able to wash your hands
DSM-5-TR
- Diagnostic and statistical manual for mental disorders (5th edition)
- Gives information about characteristic symptoms of all currently accepted psychological disorders
- Most commonly used tool in the United States
- Put out by the APA
- Gives statistics on age of onset, prevalence, sex distribution, etc.
- Does NOT suggest treatment
International Classification of Disease
- Developed by the World Health Organization (WHO)
- Used to standardize information across the world
- Includes more than just mental illnesses
Individualist Cultures
- More likely to see mental health issues as a common part of life
- More likely to seek help
- More often subjects of research
- Many treatments are directed at individualist (commonly western) cultures
Collectivist Culture
- Mental health issues are more likely to be seen as a sign of weakness
- Less likely to seek help
- Problem is viewed as a reflection of the group
- Treatments catching up to be more aware of/inclusive of various cultures
Prejudice
- Negative, unwarranted feeling or belief toward an individual or group, usually unjustified
- E.g. you find out your college roommate has schizophrenia and now you are hesitant of what might happen
Discrimination
- Negative treatment/action against an individual or group
- E.g. not being hired b/c of history with mental illnesses which is always almost always illegal
- Some circumstances where specific diagnosis can limit your employment
Diathesis Stress Model
- Your environment and/or genetics has something to do with a mental illness you might have
- Depends on the situation/mental illness
Biopsychosocial Model
- Considers biological, social, and psychological perspectives to mental illnesses
ADHD
- Extremely high heritability rate with very low environmental rate
- Mostly genetic
- Correlates with Oppositional Defiant Disorder (ODD) and Conduct Disorder
- Inattentive or hyperactive-impulsive
Autism Spectrum Disorder (ASD)
- ASD is only diagnosed after 2 years of age
- ASD has strong genetic predisposition, but there are also environmental factors that can influence ASD
- Impairment in social communication and interaction
- Restrictive, repetitive patterns of behavior
Schizophrenia Spectrum Disorder
- Schism - Break of division between something
- Considered a psychotic disorder b/c it can cause a break with reality
- Must have two out of five symptoms for at least one month
- At least one has to be hallucinations, delusions, or disorganized speech
- Genetic predisposition is the biggest reason, but environmental factors can also take place
Delusions
- Thoughts in your mind that are not rooted in reality
- Persecution and grandeur are the most common
- Persecution is thinking that you are in danger when you are not
- Grandeur is thinking that you are grand and amazing
Positive Symptoms of Schizophrenia
- Symptoms you would not see in a typical person, but would see in a person with schizophrenia
- Word Salad - Disjointed, nonsense speech
- Loose Associations - Using words together that have no specific meaning, but they’re loosely associated
- Clang Association - Using words because they rhyme, but they do not make sense together
- Jerk Motor Movement - Uncontrolled, spastic movement
- Also includes delusions and hallucinations
Abnormal Psychomotor Behavior
- Clumsiness, unusual mannerisms or repetitive actions
Negative Symptoms in Schizophrenia
- Symptoms are missing that you would typically see in an average individual
- Reduction in Speech - Little speech or slowed, unnatural speech
- Flat Affect - Low emotional response (little to no facial expressions)
- Catatonia - Absent, far off, disconnected state
Panic Disorders
- Experience of recurrent, unexpected panic attacks
- Includes biological, emotional, and cognitive symptoms
- Panic attacks are sudden, intense anxiety
- Usually last between 5 to 30 minutes
Personality Disorders
- Enduring patterns of internal experience and behavior that are deviant from one’s culture, pervasive, and inflexible
- Beings in adolescence or childhood
- Stable over time
- Leads to personal distress/impairment
- There are three clusters of personality disorders
Purging
- After intake of excess calories, an increase in anxiety that results in compensatory behaviors to get rid of the excess calories (vomiting, laxative abuse, excessive exercise, etc.)
Cluster A: Odd or Eccentric
- Paranoid personality disorder - Pattern of distrust or suspicion
- Schizoid personality disorder - Avoidance of social activity with others
- Schizotypal personality disorder - Odd ways of perceiving, thinking, and communicating
Cluster B: Dramatic, Emotional, or Erratic
- Antisocial personality disorder - Disregard for others with no remorse or guilt
- Histrionic personality disorder - Excessive attention seeking behavior
- Narcissistic personality disorder - Inflated sense of self-importance
- Borderline personality disorder - Emotional instability and impulsivity
Cluster C: Fearful or Anxious
- Avoidant personality disorder - Feeling of inadequacy and feeling socially judged which leads to avoiding interpersonal contact
- Dependent personality disorder - Feeling of helplessness and a need to be taken care of and reassured
- Obsessive-compulsive personality disorder - Excessively focused on order and perfection
Depressive Disorders
- Major depressive disorder is more severe than persistent depressive disorder
- Art can be helpful
Mania
- Feeling of euphoria, you can do anything
- Increased energy, feelings of invincibility, inflated self-esteem, risky behavior, etc.
Cycling
- Pattern of mood episode with cycles of 2+ weeks.
- Idea that you go through period of times
- Not mood swings (bipolar episodes last days, weeks, or months)
Bipolar Disorder I
- Episodes of severe MANIA
- MAY include depressive episodes
Bipolar Disorder II
- Episodes of HYPOMANIA*
- Hypo - Underactive
- Low level mania
- Episodes of depression lasting 2+ weeks
- Low level mania, higher impact of depression
- Still has a cyclical pattern
General Adaptation Syndrome
- An attempt to understand how stress affects our health
- Stages of Stress
- Alarm Reaction: Sudden activation of sympathetic nervous system (e.g. your boss threatening to fire you unless you work at the same time your child’s daycare just closed
- Resistance: Saying that you can handle it
- Exhaustion: The body cannot fight the stressor, the stress response, and continue to repair tissue and fight infection
Cultural Humility
- Recognition and acknowledgement of cultural differences
- Not all approaches are supportive or work for all cultural backgrounds
- Each and every individual client brings their own unique experiences to therapy so making generalizations about someone based on a single aspect of their identity may be damaging to their therapeutic alliance, create barriers, and impede progress
Nonmaleficence
- Do everything in your power to do no harm and not make things worse, but better
Fidelity
- Therapist is fulfilling commitments and doing everything in their power to abide by code of ethics to serve the client’s best interest
The Impact of Sigmund Freud
- Father of psychoanalysis (the first and foundational approach to psychotherapy)
- All therapy is rooted in some of the basic principles developed by Freud (and other colleagues) in the early 1900s
Psychodynamic Model
- The unconscious mind stores repressed memories and personal experiences (including trauma) in an effort to protect the conscious mind from stress and anxiety
- As distressful memories become conscious, it leads a person to feel and experience the anxiety which becomes distressing
- Insight - When a personal is able to make connections between their emotions and newly conscious memories
- Insight therapies are largely psychodynamic and humanistic therapies
Psychoanalysis
- The original, old school therapy developed by Freud
- Believe that the mental struggles we face are rooted in repressed, unprocessed trauma for our past
- Still practiced today but is far less common than many other approaches
- 2-3 sessions per week for several years (which is often very expensive and not practical for individuals)
- Originally a client does not lay down and face away from therapist
- Need to establish trusting relationship
Free Association
- The uncensored verbalization of thoughts, memories, and feelings
- The idea is allowing this uncensored/unfiltered content can help get to an individual’s unconscious to gain insight
- Resistance may occur when a client stops themselves from speaking freely (consciously or unconsciously)
Transference
- When a client places feelings (positive or negative) on the therapist who serves as a stand in for some important figure in the client’s life
Countertransference
- When the therapist’s experiences an unconscious emotional response toward the client
- Normal and natural, but needs to be monitored/level of awareness to not impede with the therapeutic process
Dream Analysis
- An important window to an individual’s unconscious are their dreams
- Client’s share their dreams to be interpreted
- The manifest content of dreams is the storyline and what is consciously remembered about the dream
- It is what the client would talk about and describe
- The latent content is the unconscious meaning of the dreams that is to be interpreted by the therapist to give insight
Cognitive Therapies
- Focuses on cognitive restructuring
- May include fear hierarchies
- Trying to modify maladaptive ways of thinking because of the impact they have on our well-being
Cognitive Triad
- Developed by Aaron Beck
- Thoughts, behaviors, and feelings are interconnected
- Negative views of yourself can result in negative views of the world and the future
- E.g. if you get rejected from college, you think that you are not good enough, which then leads to you thinking that you will never get into a college at all, then you think that you need to change your major completely
Cognitive Restructuring
- Identifying and confronting negative/maladaptive thought patterns and works to replace with more adaptive, constructive thought patterns
Fear hierarchies
- Where an individual creates more or less a ranked list of anxiety-provoking scenarios or stimuli in order to address the fear
- Includes avoidance rating and fear rating
- E.g. on a scale of 1-10, you might avoid talking to your teacher about your grade (10), but speaking to friends alone is something that you do not avoid (1)
Exposure Therapies
- Often an effective form of therapy for phobias and some anxiety disorders (social anxiety) where an individual is exposed to the source of their anxiety
- Systematic desensitization, in vivo desensitization, implosive therapy, flooding, virtual therapy, EMDR
Systematic desensitization
- When an individual creates a hierarchy of anxiety provoking scenarios and then incrementally goes through the hierarchy, replacing the stress response with calming reactions (sometimes through breathing or grounding techniques)
- Does in sessions and is all visualized or imagined
In vivo desensitization
- Same as systematic desensitization, but is only carried out in a real world setting
- E.g. being near a small, non-venomous spider; walking up to, picking up, etc.
Implosive Therapy
- Occurs when an individual imagines conquering the worst case scenario and talking through/working through in session
- Imagine a tarantula in your hand
Flooding
- Same as implosive therapy, but is only carried out in a real world setting
- Actually holding a tarantula in your hand
EMDR (Eye Movement Desensitization Reprocessing)
- Actively envision what brings upon a fear/anxiety response
- Uses light and sound to follow with eyes
- Before and after self-reporting is involved to rate EMDR
Aversion Therapies
- Trying to pair an unpleasant stimuli with an unpleasant response (counterconditioning)
- E.g. medications used for people with alcohol
Biofeedback
- Measures stress responses in the body (sometimes through EEG or heart rate monitoring) so clients can see the stress response and then use methods to decrease stress
- Trains individuals to recognize a stress response in their body and implement strategies (breathing, mindfulness, grounding) to decrease the stress response
Cognitive Behavioral Therapies
- Combines the principles of cognitive and behavioral practices
Dialectical Behavioral Therapy (DBT)
- Evidence based to be effective for disorders that deal with big emotions such as Borderline Personality Disorder or individuals experiencing suicidal ideation
- Integrates “opposing forces”
- Tries to minimize some of the all or nothing thinking
- Offers constructive criticism, acceptance, and productive behavior modification
- Implements mindfulness strategies to being a person to the present moment
- Understanding the purpose and/or value of strong emotions
- Develops skills to help a person meet their social needs and respect relationships
Rational Emotive Behavioral Therapy (REBT)
- Developed by Albert Ellis
- Challenges negative/irrational thought processes and can sometimes be seen as quite confrontational and abrupt
- Recognizing the activating event or adversity, belief about activating event, the emotional consequence of the belief, disputing defeating thoughts, and effect of challenging the defeating thoughts
Example of REBT
A - Didn’t get into the college of your dreams
B - Thinking you’re not good enough for that college and never should have applied
C - Anxiety that you are not good enough and distraught over not being accepted
D - Recognizing the rational reasons why someone may not get into a specific school
E - Altered view on rejection or you need to repeat the steps above
Person-Centered Therapy
- Places the therapeutic relationship as the more important key to successful therapy
- The therapist is to show up in the most authentic, genuine way to allow the client to show up in their most authentic way
Hypnosis
- Science that influences an individual’s state of consciousness, making them highly susceptible to influence
- Memories uncovered during hypnosis are considered to be reliable
- One of the most effective uses of hypnosis is the treatment of pain management
Therapeutic Hypnosis
- Used as a form of treatment for anxiety and depressive disorders
- Uses hypnotic suggestibility (open to suggestion which under hypnosis) and post-hypnotic suggestibility (open to suggestion after hypnosis)
Psychotropic Drugs
- Merely refers to medications that treat psychological disorders
Psychoactive Drugs
- Drugs that alter brain chemistry and cross the blood-brain barrier
Anti-anxiety drugs
- E.g. Xanax and Valium
Antipsychotics
- Drugs used to treat psychotic disorders (break with reality)
- Often targets and try to increase dopamine levels
Lithium
- Used to treat bipolar disorder and symptoms of mania
- Has some intense side effects
Psychopharmacology and psychotherapy
- All psychotropic medications are found to be more effective when taken while a person also attends psychotherapy
- Medications are often used to help lessen symptoms in order for psychotherapy to be more effective
Psychosurgery
- More invasive treatments for treating mental illnesses
- Considered more drastic measures
Deep-brain stimulation
- A thin wire is surgically inserted into the brain and current stimulates the brain
Transcranial Magnetic Stimulation (TNS)
- Large magnets are used on the outside of the skull and delivers a pulse