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Psychopathology And Wu Shen > Mood Swings and personality disorders > Flashcards

Mood Swings and personality disorders Flashcards

1
Q

What has caused mood swings to become more common these days>

A

Modern high stress lifestyles

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2
Q

What are the 2 phases of mood swings?

A

Manic
Depressive

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3
Q

What is the difference between bi polar and uni polar?

A

Bipolar = manic then depressive
Uni polar = straight to depressive

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4
Q

How does the system try and resist an on coming depression?

A

Through the manic phase

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5
Q

Is a manic phase always visible to others

A

No - socially the person might feel ok but inside they can often feel what is brewing

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6
Q

What is a hypomanic phase?

A

When the paitent feels the symptoms inside but it is not visible to others. The manic phase is connected to anxiety

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7
Q

What is a dysphoric phase?

A

A manic phase that is short lived and goes quickly into depression

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8
Q

What force is depression linked to?

A

HT - imbalance of Shen = imbalance of everything else
HT fire

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9
Q

If someone has a severe bout of depression what is the chance of them relapsing in the next 3 years

A

80% - HT fire is weak

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10
Q

What are some ways depressed people can reawaken the HT fire

A

Find enthusiasm and healthy joy. New hobbies, community, a spiritual practice etc

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11
Q

What is dysthymia?

A

A light depression that stabilizes and is often chronic.
Very light, comes and goes but is consistently there

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12
Q

Can dysthymia become the default operating system?

A

Yes. Many people live with it because they think it is normal

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13
Q

Real Depression can often be proceeded by what?

A

Dysthymia

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14
Q

Why is it important to distinguish if there is a manic phase preceding depression?

A

If so there is a big and deep anxiety within. Often it is better to treat the anxiety before the depression

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15
Q

What is serotonin depression

A

Mood swing that are closer to bipolar depression. Often chronic. Often no significant enough to disturb professional and personal life

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16
Q

What can cause grief to be a mood problem?

A

When it doesn’t have a real source

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17
Q

How did old Asian cultures treat problems of the mind?

A

As possession

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18
Q

What are the 3 causes of Mood Swings

A
  1. Jing - in jing we develop something that is never really us. A potential that needs to be discovered and realized.
  2. Feng Shui - pressure of the world
  3. Combination of above - Some people are strong or weak. Hormonal imbalance, relationships etc
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19
Q

Why is a spiritual practice important in regards to mood disorders

A

Because they are difficult to treat. Best to help before it becomes a problem

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20
Q

What are some negative factors that can contribute to suicidal depression

A

Family history
Jing aspect
Biology

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21
Q

What are some positive factors that can help prevent suicidal depression

A

Education
Absence of traumatic events
Support networks, good relationships
Behavioural work and self examination
Spirtual practice, therapy
Finding small things in lift that bring hope

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22
Q

What are the 2 factors required to follow through with suicide

A

Dying seem like a better option than life
Need a plan on how to carry it out

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23
Q

What does a manic phase look like

A

Extreme overwhelm, feeling of being great and invincible . Tons of energy

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24
Q

What is the best way to treat a manic phase

A

Cool down, stay home, be around close friends or family , avoid agrivating stimuli

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25
Q

What does a depressive phase look like?

A

Intense feeling of exhaustion, lack of energy and interest, no good feelings or pleasure. Feel broken with no trust

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26
Q

How does a persons Jing contribute to mood swings

A

Biological, what a person has inside but there still needs to be something that pushes them toward and revels this

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27
Q

How can we treat neurological weakness or breakdown that causes depression?

A

Nei Gong - builds the connections

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28
Q

How does sleep infulence mood swings?

A

Circadian rhythm is crucial

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29
Q

How can social factors cause mood swings

A

If someone feels oppressed or not equal, taken advantage of or worthless. If they are under socialized or too passive

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30
Q

Why is important to train sexuality in regards to mood swings

A

Linked to jing. Can’t be depressed with good sexuality.
However depressed people can sometimes go to excess

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31
Q

Why is it important to know oneself?

A

Otherwise it is difficult to find pleasure in everyday life. Leads to confusion - difficult to align intent and action. Find clarity = simple life

32
Q

What is a good basic treatment for mood swings and depression

A

Going out, taking care of physical appearance, getting involved in things.
Avoid things that make angry or upset.

33
Q

Why is clarity key in treating mood swings and depression

A

Clear planning = action = responsibility = no time to feel depressed

34
Q

What is the difference between dysthymia and major depressive troubles

A

Major depressive troubles start quickly and are always linked to analyzed problems such as big change or loss or trauma

35
Q

Why is it important for the the therapist to look for the single events that caused major depressive troubles

A

The paitent may not have clarity and feel like many negative experiences have caused it. However the original cause has not been fully digested and resolved

36
Q

What is double depression

A

Starts as a major depressive episode and never recovered to healthy levels and settles into permanent dysthymia

37
Q

What are bipolar troubles

A

Big manic phase followed by depressive phase

38
Q

What are treatment possibilities for depression

A

Developing a good healthy body- finding pleasure in the simple things of life

39
Q

Why is it important to do things like training when first feeling depression coming on

A

Because once depression has set in it won’t work to do anything

40
Q

What is the defininition of a personality disorder

A

Mental disorders that cause problems adapting to the environment
Difficulty in behaving correctly in relation to the experience of other people

41
Q

What are the 4 main catagories of personality disorders

A

Wierd
Anxious
Dramatic
The rest

42
Q

What are the 3 catagories of Weird types

A

Paranoid
Schizoid
Schizotypal

43
Q

What are some traits of the paranoid type

A

Complex thinking and overthinking
Strong narcissistic tendencies - keep grudges
Rigid and untrusting
Express themselves in a way to prove they are right to be paranoid

44
Q

The paranoid type has a possible link to what western biological diagnosis

A

Schizophrenia

45
Q

Why do paranoid types generally not want treatment

A

They do not trust therapy and always feel superior

46
Q

What are the important things to remember when treating a paranoid type

A

Do not speak your mind or express how you feel
Don’t make jokes
Make everything clear about the treatment
Don’t argue always agree
Refer to something bigger eg. canonical text, famous dr’s
Let them talk and give ideas

47
Q

What western biological diagnosis is potentially linked to the schizoid type

A

Autism

48
Q

What are some traits of the schizoid

A

Likes to be alone
Few emotions
Can seem cold or detached from things
No interest in friends or sexual relations
Can be more inside themselves with thier own reality rather than outside reality

49
Q

As the therapist how should we deal with the schizoid type

A

Don’t ask them to get too personal or ask questions about deeper feelings
Just take relevant information
Don’t try to befriend or explain TCM
Can ask them to email or write out things if they have difficulty talking about thier illness
Encourage them to develop basic relationships with others and be less inside themselves

50
Q

What are some traits of schizotypal

A

Act wierd
Dress weird
Very suspicious
Believes in wrong kind of magical thinking
Often deep depression

51
Q

Which western diagonais can the schizotypal develop into

A

Schitzophrenia

52
Q

As the therapist how should we deal with the schizotypal

A

Avoid keeping them - refer to psychiatrist or Daoist medicine

53
Q

What are the 4 anxious type personality disorders

A

Anxious
Dependent
Avoidant
Obsessive compulsive

54
Q

Traits of the anxious type

A

Very tense
Always anticipating bad things happening
Once comfortable don’t like change

55
Q

As the therapist how should we treat the anxious

A

Make jokes to lighten the mood
Take care of them
Let them talk about thier problems - but not once needles are in
Keep everything as consistent as possible so there are no surprises -

56
Q

Traits of the dependent type

A

Needs to be supported
Submissive
Timid
Passive
Often make bad decisions because they are timid

57
Q

How should the therapist support the dependent type

A

Help but don’t make decision for them
Assis them to make their own decisions
Make them feel important and responsible
Talk about different options but don’t give solutions
Maintain limits and boundaries

58
Q

Traits of the avoidant type

A

Poor self image. and big fear of rejection or criticism
Don’t trust themselves
Want to disappear
Extremely susceptible to social phobias
Maybe rejected as a child - absent parents
Don’t want to be alone but it happens out of fear not preference
Complain a lot and look for the negative

59
Q

How should the therapist work with the avoidant type

A

Must do a great job the first time so that they return
Don’t get upset or show disaproval
Don’t make jokes or criticize
Make the treatment soft, slow and reassuring
Real possibility of transforming their lives

60
Q

Traits of the OCD type

A

Rigid
Dependent on routine and consistency
Looks like OCD but not as bad
Everything needs to be clean and clear
Afraid of the world
Don’t like change
Distorted ideas about morals. an cleanliness

61
Q

How should the therapist treat the OCD type

A

Don’t mock tendancies
Make them feel at home - can ask for decorating advice
Don’t force them to explain
Make them feel like you are
Can really be helped by treatment

62
Q

What are the 4 dramaic personality types

A

Anti. social
Histrionic
Narcissistic
Borderline personality disorder

63
Q

Traits of the anti social

A

Aggressive
Impulsive
Lacks empathy
Tendency toward crime
Trouble intergrating into society, following rules
Bully
Often settles down in 40’s

64
Q

How should the therapist treat the antisocial type

A

Don’t. Refer to psychologist

65
Q

Histrionic type traits

A

Theatrical
Emotional
Proud
Egotistical
Can be seductive
Lie a lot

66
Q

As the therapist how should we treat the histrionic type

A

Put limits in place and make the therapy relationship very clear
Don’t make jokes or take their stories too serious
Do not play their games
Establish yourself as dircector, dr etc

67
Q

Narcissistic traits

A

Think they are exceptional - pushed to max
Make themselves the centre
Always talk about how great they are
Shocked if you don’t agree
No empathy for others

68
Q

How should the narcissistic type be treated

A

Be polite
Talk with them
Don’t criticize
Don’t talk about own success
Don’t go against them
Choose boundaries and what you will accept

69
Q

Borderline personality traits

A

Deep depression
Dysthymia and mood troubles
Suicidal tendencies
Bad mood
Don’t know themselves so don’t like themselves
Excessive, erratic

70
Q

How should the therapist treat the borderline personality type

A

Do not criticize
Lisen and be open -= let them talk about their problems

71
Q

What are the 4 “rest” types

A

Passive aggressive
Depressive
Sadistic
Borderline psychotic

72
Q

Traits of the passive aggressive

A

Angry but lacks the power to express it
Aggression comes out in a hidden or sneaky way
Will act rudely as a way of expression aggression - often with a smile

73
Q

Should you try and help the passive aggressive type

A

Can do but need to decide if you want to because they can be a pain in the ass

74
Q

Traits of the depressive type

A

Different to dysthemia or real depression
Refers to people with a lessor mood

75
Q

How should you treat the depressive type

A

Boos qi which increases the fire and vitality

76
Q

Should you treat the borderline psychotic or sadistic types

A

No refer out

77
Q

What are the 6 contributing factors to depression / mood swings

A
  1. Biological, Jing, DNA - what a person has inside but there still needs to be something that pushes them toward and reveals this
  2. Neurological - weakness or breakdown. (Nei gong builds the connection of the neurological system.
  3. Sleep - poor circadian rhythm. Sleep is crucial. Someone who says they are a night owl acutely = pathology. Sleep is only a strong influence not the cause.
  4. Social - If someone feels oppressed or not equal, taken advantage of, worthless. The relation to the family, group and others. If they are under socialized or too passive.

Proffesional help or family or trusted confidant can help the social aspect. ** Ask for help

  1. Cognitive factors - Memory - work the mind, train the dreams, look for the good in things. Without this it is easy to just see the bad in things. Focus - if focussed can’t be depressed.
  2. Emotional - Pleasure.

Psychopathology And Wu Shen (7 decks)

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