Psychological disorders Flashcards

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1
Q

Nature of psychological disorders

A

According to the Mental Health Continuum Model (Keyes, 2002) they are two opposite poles of the same continuum sequence in which two adjacent points are not clearly different from each other. An individual can be on any point at one particular time and we keep shifting our position on it as our situations improve or deteriorate

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2
Q

Stage 1 of MHCM

A

These individuals are positive and are functioning well. They show stable mood. They are calm, peaceful and satisfied with life. They feel motivated and energetic. They are physically as well as psychologically healthy. They are satisfied with their life

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3
Q

stage 2

A

These individuals are neutral but reactive. They do feel nervous and worried at times and get affected by the stressors of life.
Sometimes they may doubt them selves which will cause anxiety and this can affect their performance. They may feel tired soon and may lack energy. But in this stage if the individuals becomes more realistic and accepts their limitations or constraints placed by the environment, they can manage to reduce the stress. At the same time following a healthy diet and a healthy life style, with adequate rest and by engaging in more social activities, it is possible to push themselves back more towards positive healthy functioning

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4
Q

stage 3

A

When the individuals are at the point of Stage 3, they show signs of psychological damage and they are moderately ill. They may experience negative feelings like sadness, fear,inadequacy, restlessness or irritability. They may lack motivation to take up new challenges. Sometimes they feel overall apathy and feel tired even while completing their daily routine or work. Their relationships may get strained and they may even turn towards drug abuse or alcohol. Though they show clear signs of mental illness, they may still be productive and functioning properly, but may find difficult to do it. But this point is also not irreversible. By consciously trying to find the realistic root cause of the stress and with the help of emotional support such individuals can fight with the moderate illness they are facing. They can get emotional support either from family and friends or at times they may need professional help

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5
Q

stage 4

A

Individuals show clear signs of major psychological disorder. They show extreme distress and impairment in all three areas of functioning, i.e. mental, emotional and social. They need professional care and treatment.

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6
Q

Clinically significant syndrome

A

When we have some physical symptoms or complaints we know that we are ill. In the same way, in psychological disorders there should be certain patterns of important behavioural or psychological syndrome that occurs in an individual. There are certain symptoms that occur together in a particular disorder. These clusters of symptoms together is called a syndrome. Psychologists rely on these syndromes to diagnose the disorder

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7
Q

Distress and impairment

A

There should be presence of distress and/or impairment. Distress is the psychological pain. The pain may arise due to negative feelings like sadness, fear, inadequacy, restlessness or irritability. It may also be due to stress. Impairment is inability or difficulty to perform appropriate duties and roles in personal, social and work related situations.

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8
Q

Dysfunction

A

If the symptoms lead to an underlying psychological, biological or developmental dysfunctions, then it leads to the diagnosis of mental disorder, e.g. inability to remember, inability to learn, inability to concentrate, etc

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9
Q

If any response given to stressors or losses are accepted as a response to that situation, it is not considered as a sign of mental disorder

A

It should not be a response that is normally given to common
stressors and losses (like sadness experienced at the death of a loved one is not a sign of any mental disorder). Or it should not be a culturally sanctioned response to a particular event (e.g. trance state in certain religious rituals, should not be considered as sign of mental disorder)

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10
Q

Any behaviour which is just deviant or conflicting with society but not producing dysfunction or distress or disability, then
it does not become a sign of mental disorder

A

Behaviour should not solely be a result of social or cultural deviance or conflicts with society or conflicts with political system. For example in certain societies and cultures homosexuality is considered as abnormal behaviour. But according to DSM 5 it is not considered as a sign of disorder.

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11
Q

Define mental wellness

A

World Health Organization (WHO) defines mental wellness as, “a state of wellbeing in which the individual realizes his or her own abilities, can cope up with the normal stresses of life, can work productively and fruitfully, and is able to make contribution to his or her community.

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12
Q

DSM 5

A

Diagnostic and Statistical Manual for Mental Disorders (DSM) is classification of officially recognized psychiatric disorders published by American Psychiatric Association (APA). It is mainly
used to ensure uniformity of diagnosis by mental health professionals. Its first version was published in the year 1952 (DSM-I) and subsequently revised periodically. The present version of it is DSM-5 was introduced in 2013. It contains 22 broad categories of mental disorders with many sub categories.

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13
Q

ICD

A

International Classification of Diseases and Related Health Problems (ICD) is created by The World Health Organization
(WHO) for documenting all types of diagnoses, diseases, signs and symptoms and social circumstances. It contains a section on psychological disorders. The latest, 11th version of ICD was presented in 2019. According to the ICD-11, there are 19 broad categories of mental disorders, most of which overlap with DSM-5

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14
Q

Anxiety etymology

A

The term anxiety is derived from latin word “Anxietas” which means uneasy or troubled mind

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15
Q

Def of anxiety disorder

A

When a person feels nervous or worried without any obvious reason for a long time such that it starts interfering with the daily life, it is called Anxiety Disorder.

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16
Q

GAD

A

To diagnose any individual suffering from this disorder, the symptoms should be present for atleast four weeks for children and for six months for adults. Due to extreme nervousness his capacity to solve problems may breakdown.
Symptoms: Extreme fear of the unknown, increased heart beats, irritability, frequent headaches, frequent worry, lack of sleep, sensation of vomiting, uneasiness, breathlessness, blackouts, etc.

17
Q

etymology of phobia

A

derived from the grrek god of fear- phobos

18
Q

Phobic disorders

A

But even when something or some situations are either less dangerous or not dangerous at all, if an individual is intensely afraid of it and that creates problems in adjustments in daily life then that fear is called phobia. The individual then tries to avoid it at any cost. In short, phobia is an intense and irrational fear of some objects or situations. There are various sub types of phobias like Specific Phobia, Social Phobia, Agoraphobia, etc.

19
Q

Depressive disorders

A

Feelings of hopelessness, anxiety and sadness are the major feelings experienced in this disorder.The disorder in which the individual
experiences extreme feeling of sadness as well as guilt for at least two weeks, is called Depressive disorder.
Symptoms: Feeling of hopelessness, lack of enthusiasm, weight loss, lack of interest in food and loss of appetite, either lack of sleep or excessive sleep, constant feeling of fatigue, sad feeling, excessive feeling of guilt over some matter, sexual dysfunction, suicidal thoughts, inability to concentrate, indecisiveness, etc.

20
Q

Bipolar disorder

A

This is also called Manic Depressive disorder. In this disorder the individual experiences alternate phases of extreme sadness, hopelessness, stress at one time and extreme happiness, enthusiasm, and elation at other times. In the same individual you can see these opposite conditions one after the other. That’s why it’s called manic depressive disorder.
Genetic factors, imbalance in neurotransmitters in the brain, mainly norepinephrine, serotonin and dopamine are found to be the main causative factors.

21
Q

Acute stress disorder

A

If an individual with age of 6 years or greater has experienced or witnessed extreme situation like death of loved one, serious physical injury, natural disasters, sexual abuse like rape, etc. he/she experiences extreme fear, emotional numbness, severe confusion, gets dreams of the incident, or gets uncontrollable
thoughts about it, not able to concentrate, not able to sleep, experiences severe guilt about the event and holds himself responsible and goes into depression. He/she becomes irritable, his/her emotional world becomes unstable, he/she prefers to stay alone, does not take help of others. Upto three days after the traumatic experience such reactions are not diagnosed as stress disorder as they are considered as normal reactions to extremely painful incidence. But if this situation lasts for more than 3 days upto 4 weeks and persists beyond that period then it is called Acute Stress Disorder.

22
Q

PTSD

A

If these symptoms continue for more than one month with the same intensity i.e. without much improvement, the individual is diagnosed as suffering from PostTraumatic Stress Disorder (PTSD).
An individual who has suffered trauma normally goes through three stages.
1) Shock stage: The individual in this stage is extremely disturbed and is not able to think anything. He is in shock.
2) Suggestible stage: In this stage the individual tries to find out how to get out of this circumstances by asking others or seeks guidance. In this stage the individual gets extra sensitive towards suggestions given by others to the extent that he may accept any suggestion without thinking over its consequences.
3) Recovery stage: Though the individual is still under stress but has started regaining his mental balance. He/she is trying to get
out of the situation and shows signs of recovery

23
Q

Define drug addiction

A

After taking addictive substances like opium, charas (hashish), ganja (marijuana), heroin, etc. for several times, the person gets habituated to it to the extent that he cannot stay without it. This is known as Drug Addiction.
Symptoms: Excessive consumption of drugs or alcohol, inability to reduce the dosage, intoxicated the whole day, desire to consume
the substance again and again, reduction in social contacts even with friends, continued consumption even during physical illness or when it is contraindicated, increase the dose to get the same effects, etc. are some of the symptoms of drug addiction.

24
Q

Alcoholic anonymous

A

Alcoholic Anonymous is the organization that helps an alcoholic to get rid of the habit of consuming alcohol. There are two groups, one consists of present alcoholic while second includes
ex-alcoholic. An alcoholic explains to the addict how his/her life can improve if he /she gets out of his/her addiction and thus
provides the emotional support. In this way the ex-alcoholic encourages an alcoholic to get out of the dependence on alcohol

25
Q

Etymology of schizophrenia

A

In 1911, a Swiss psychologist, Paul Eugene Bleuler used the term Schizophrenia for the first time. The term Schizophrenia is made from two terms, Schizein (which means split) and Phren (which means mind). So the term Schizophrenia means split mind.

26
Q

Schizophrenia

A

This disorder is not easily seen among children, but mainly starts in adolescence young adulthood. In comparison to females it is found more frequently among males. Schizophrenia is a major disorder involving delusions, hallucinations and disintegration of language, thoughts, emotions and behaviour.
Symptoms: According to the DSM-5, there are two different types of symptoms for Schizophrenia. They are (a) Positive symptoms and (b) Negative symptoms

27
Q

Positive symptoms

A

These behaviours are an excess of an addition to the normal thoughts or behaviours of an individual.

28
Q

Hallucinations

A

false perceptions in the absence of stimulus. It means the individual experiences something even when there is nothing present. For example, even if there is pin drop silence and yet the indivudual can hear someone talking to him/her, then it is
auditory hallucination. Similarly there may be visual, tactile (related to touch), olfactory (related to smell), gustatory
(related to taste) or may be related to internal sensations of the body.

29
Q

Delusions

A

Delusion occurs when an individual has a belief which is false but
the individual is not ready to change it in spite of clear evidence contrary to it. For example, the belief that ‘somebody is
conspiring to kill me’ even when there is no one who is making such plans

30
Q

Disorganized speech and loosening of association

A

The individual’s talk is unrelated to each other, like he/she may
use useless word or may jump from one point to another which has no connection to the first.

31
Q

Disorganized behaviour

A

The individual behaves in very strange manner like doing the same act for hours together, screaming without reason, running here and there without any purpose, attacking or biting someone,
undressing clothes in public places, etc

32
Q

Incongruent affect

A

Here the emotions expressed by the individual does not match
with the situations. For example, the individual cries in happy occasions and laughs in sad occasion

33
Q

negative symptoms

A

Negative symptoms lead to low levels of functioning and so the
quality of the life deteriorates. Generally negative symptoms of schizophrenia does not improve much with treatment. They are: (1) diminished emotional expression,
(2) lack of initiative or enthusiasm,
(3) diminished and reduced speech,
(4) Anhedonia (no experience of deep positive
emotions),
5) Asocial,
(6) Apathy