Mental Illness Flashcards

You may prefer our related Brainscape-certified flashcards:
1
Q

Disordered/abnormal behavior

A
  • Atypical = doesn’t happen very often
  • Disturbing = bothersome to self or others (violates social norms)
  • Maladaptive = prevents you from living a happy, healthy life
  • Unjustifiable = there is no reason to engage in this behavior
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2
Q

Medical model

A
  • The concept that diseases (in this case psychological disorders) have physical causes that can diagnosed, treated, and in most cases cured
  • Phillipe insisted that madness is not demon possession but a sickness of the mind caused by sever stress
  • Moral treatment: boosting morale
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3
Q

Anxiety disorders

A
  • Extreme fear or worry
  • Treatment:
    • Cognitive-behavioral therapy, medication
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4
Q

Generalized anxiety disorder

A
  • Constant worry and stress that interferes with daily life
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5
Q

Panic disorder

A
  • Spontaneous seemingly out-of-the-blue panic attacks and are very preoccupied with the fear of a recurring attacks
  • Panic attack: a brief episode of intense anxiety, which causes the physical sensations of fear
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6
Q

Obsessive compulsive disorder

A
  • Obsessions are intrusive and unwanted thoughts, images, or urges that cause distress or anxiety (impulses, need for symmetry)
  • Compulsions are behaviors that the person feels compelled to perform in order to ease their distress or anxiety ( washing, cleaning, arranging)
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7
Q

PTSD

A
  • Re-experiences trauma through recollections of the event
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8
Q

Social anxiety

A
  • Intense fear of being judged, avoid social situations, fear of doing everyday things in front of others
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9
Q

Dissociative identity disorder

A
  • A person exhibits two or more distinct personalities
  • Multiple personality disorder (suggests that all of the personalities are real)
  • DID suggests that the healthy person dissociates and other personalities fill the void (separate from oneself)
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10
Q

Dissociative identity disorder: causes

A
  • Almost always traumatic childhood abuse
  • Children have a much easier ability to dissociate
  • Makes it seem like the abuse is happening to someone else
  • Average age of onset = 5.9 years
  • Often misdiagnosed with depression, anxiety, conduct problems
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11
Q

Dissociative identity disorder: symptoms

A
  • People generally seek treatment for amnesia - blocks of time they cannot account for
  • Keep encountering people who seem to know them, but they don’t recall meeting them
  • Find things they don’t remember purchasing
  • Often have a co-morbid diagnosis of depression (+ suicidal)
  • ⅓ report “voices in their head”
  • Presence of multiple, distinct personalities (2-100)
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12
Q

Dissociative identity disorder: faking?

A
  • Rare diagnoses almost exclusively in Western culture
  • 50% of therapists unsure if DID is a legit mental disorder
  • Physical evidence:
    • personalities frequently remain stable for a long time
    • different physical characteristics (eyeglass prescriptions, right/left handedness, allergies)
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13
Q

Dissociative identity disorder: treatment

A
  • No medication available
  • Almost always psychotherapy with hypnosis
  • Goal is to integrate separate personalities
  • Uncover/work through childhood memories
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14
Q

Personality disorders

A
  • Deeply ingrained disruptive and enduring patterns of thinking and perceiving that impair multiple facets of social functioning
  • Must persist over a long period of time and impact more than one area of functioning (home and work)
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15
Q

Personality disorders: difference from other disorders

A
  • The assumption for other disorders (like depression) is that there is a healthy person who has gotten sick
    • If the sickness is treated, the core healthy person will then be able to function normally
  • However with personality disorder there is no “healthy person”
  • The basic/fundamental way that the person interacts with the world - their “baseline” thoughts, feelings, and behaviors are disordered
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16
Q

Personality disorders: treatment

A
  • Very hard to treat
  • The person has to learn all new patterns of interaction, rather than simply removed the problematic patterns to get to the underlying healthy behavior
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17
Q

Personality disorders: etiology

A
  • Largely influenced by childhood experiences
  • Childhood trauma and/or abuse is highly correlated with the later development of personality disorders
  • Possible there is an underlying genetic susceptibility that make certain people more likely to get it
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18
Q

avoidant personality disorder

A
  • Have long standing feelings of inadequacy and therefore don’t interact with others for fear of being judged
  • Reluctant to take personal risk/try something
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19
Q

narcissistic personality disorder

A
  • Having an overinflated sense of importance, often where circumstances do not support that belief
  • Highly sensitive to criticism
  • Entitled - believing that people owe them things and they should be treated better than others
  • Preoccupation with the idea that they are special, unique or deserve to be famous, people are watching them and are interested in what they do
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20
Q

schizoid personality disorder

A
  • Tend not to have meaningful relationships with others because they prefer to be alone or are unsure how to act appropriately with other people
  • Comes across as cold or emotionally flat
  • Don’t experience or express a lot of drive or motivation
21
Q

borderline personality disorder

A
  • Displays instability in mood and interpersonal relationships
    • More rapid cycling mood changes than that of a mood disorder
  • Desperately tried to avoid real or imagined abandonment
  • Disproportionately found in women
  • Borderline = on the border of psychosis
  • Often displays self-harming and/or impulsive behavior
22
Q

antisocial personality disorder

A
  • Repetitively engages in behavior that goes against social norms and displays no remorse for actions (lying, stealing, etc)
  • Disproportionately found in men
  • Often co-morbid with drug and alcohol abuse
23
Q

schizophrenia

A
  • A complex mental disease affecting 1% of the population
  • Found all over the world
  • Women and men equally likely to be diagnosed
  • Typical age of onset is in 20s (men slightly earlier than women)
  • Rare in children
24
Q

schizophrenia: etiology

A
  • Genetic:
    • Likelihood of an average person being diagnosed is 1 in 10
    • Identical twin = 1 in 2
  • Environmental:
    • If pregnant woman has virus (flu, rubella, etc) there in increased likelihood that her child will develop schizophrenia
25
Q

Schizophrenia: positive symptoms

A
  • Delusions (false beliefs about reality which are strongly held in spite of evidence to the contrary)
    • Paranoid delusions/ delusions of persecution: someone is “out to get you”
    • Delusions of reference: things about the environment seem directly related to you
    • Delusions of grandeur: believing that you are very important or have special qualities
    • Somatic delusions: false beliefs about your body (like arm implant)
  • Hallucinations (sensory experience without sensory input)
    • can impact all 5 senses, mainly auditory
    • visual hallucinations often manifest as a distortion of visual input, rather than totally fictional images
26
Q

Schizophrenia: cognitive symptoms

A
  • Disorganized thinking/speaking
  • Difficulty understanding others
  • Poor concentration and memory
27
Q

Schizophrenia: negative symptoms

A
  • Lack of important ability
  • Alogia: not talking much
  • Avolition: inability to initiate and/or persist in goal-directed behavior
  • Affective flattening: without the normal range of emotion expression
  • Catatonia: almost total lack of movement, waxy flexibility
28
Q

Schizophrenia: diagnosis

A
  • No medical test to determine whether person is schizophrenic
  • Diagnosis made based on clinical symptoms
  • Often psychotic (lost touch with reality)
29
Q

Schizophrenia: treatment

A
  • Most effective in reducing positive symptoms
  • Anti-psychotics can diminish delusions and hallucinations
  • Medication works in about 30% of patients
  • Much harder to treat negative symptoms
  • Sometimes the anti-psychotics have side effects that mimic negative symptoms
  • Psychotherapy increases the chance of recovery if also taking medication
    • coping mechanisms, life goals
30
Q

mood disorders

A

-

31
Q

major depressive disorder

A

-

32
Q

bipolar disorder

A

mania/manic episode

33
Q

Autism spectrum disorder

A
  • Lifelong - can be treated but not cured
34
Q

Autism spectrum disorder: etiology

A
  • Mostly we don’t know
  • Lots of false theories about causes of autism:
    • “refrigerator mothers” - cold and distant parents
    • exposure to mercury or other chemicals
    • vaccinations, specifically the MMR shot
  • Best guesses right now:
    • Genetics
      • several genes seem to be involved with ASD
      • some gene mutations seem to be inherited, some occur spontaneously
      • families with one child on the spectrum have an increased risk of another child on the spectrum
    • Paternal age - risk seems to increase linearly, with risk increasing with age
    • Environmental conditions
      • viral infections during pregnancy
      • extremely preterm birth (earlier than 26 weeks gestation)
35
Q

Autism spectrum disorder: symptoms

A
  • Rigidity
    • Resistant to change, Inflexible
    • Overly dependent on routines
    • Highly sensitive to changes in the environment
  • Communication deficits
    • possible absence of verbal communication
    • inappropriate responses in communication
    • misreading non-verbal cues
    • odd mannerisms (arm flapping, grunting, etc)
    • intense focus on “inappropriate” items (ceiling fans, opening and closing cabinets, lining up toys)
  • Egocentrism
    • lacking theory of mind
    • people with autism aren’t able to “make sense of other people”
    • it is difficult to cooperate and share
36
Q

Autism spectrum disorder: diagnosis rate

A
  • Currently in the US approximately 1/68 children is diagnosed with autism
  • far more boys than girls are diagnosed
  • autistic people are found all over the world, but diagnoses are more common in the US
37
Q

Autism spectrum disorder: treatment

A
  • No one set treatment for ASD
  • Different people with autism have different strengths and weaknesses, so different therapies help a variety of symptoms
  • Applied Behavioral Analysis helps to reduce problematic behaviors and replace them with more adaptive behaviors
  • Occupational Therapy helps enable people to learn life skills for independent living
  • Social-Relational approaches help cultivate interpersonal relationships
38
Q

psychosomatic disorder

A
  • Physical problems that have at their roots psychological causes
  • Physical symptoms do respond to treatment, but might keep manifesting if the underlying emotional issues aren’t addressed
  • Tension headaches, hives, stomachache, etc
39
Q

somatoform disorders

A
  • Experiences a physical problem, but there is no organic physical cause
  • Psychological problems are manifesting as physical disorders
  • Symptoms do not respond to medical intervention
40
Q

conversion disorder

A
  • Type of somatoform disorder
  • Specific instance where an emotional problem manifests as physical problem
  • Glove anesthesia, broken heart, conversion blindness
41
Q

somatization disorder

A
  • Type of somatoform disorder
  • Minor, ongoing problems
42
Q

body-dysmorphic disorder

A
  • Type of somatoform disorder
  • A person misperceives their body as having some crucial defect
  • Must negatively impact their lives in significant way
  • Ears or nose too big
  • Can be co-morbid with anorexia and bulimia
43
Q

anorexia

A
  • Type of psychosomatic disorder
  • eating disorder characterized by an abnormally low body weight, an intense fear of gaining weight and a distorted perception of weight
44
Q

bulimia

A
  • Type of psychosomatic disorder
  • Eating disorder characterized by episodes of binge eating—consuming a large amount of food very quickly—followed by compensatory behavior, most commonly vomiting or “purging” or the abuse laxatives
45
Q

hypochondria

A
  • Type of somatoform disorder
  • Person interprets normal physical sensations as symptoms of a disease
  • False belief that you have a severe or life threatening illness
  • Refuse to believe that you are healthy even after presented with evidence that you are
46
Q

factitious disorders

A

The person with the mental illness knows that they are lying

47
Q

malingering

A

Lying about being sick to avoid school or work or to obtain drugs or money

48
Q

munchausen’s syndrome

A

Faking or causing illness to get attention or go to the hospital

49
Q

munchausen’s by proxy

A

Making someone else, usually a child, ill so you can get attention