Psychological Disorders Flashcards

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1
Q

What are the statistics of abnormality?

A

In Canada, 20% of people have experienced some serious psychological disturbance, and by age 40, 50% of people will have or have had a mental illness.

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2
Q

Neuroscience

A

Structural or biochemical malfunctions in the brain

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3
Q

Developmental Psychopathology

A

Early risk factors combined with poor resilience throughout life stages

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4
Q

Cognitive-Behavioural

A

Abnormal behaviors acquired through conditioning, modelling, and cognition.

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5
Q

Socio-cultural

A

Societal, cultural, social, and family pressures and conflicts that result in bizarre/maladaptive patterns.

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6
Q

Psychodynamic

A

Unconscious conflicts often rooted in childhood

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7
Q

Humanistic/Existential

A

Distorted views of self prevent decision making and personal growth.

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8
Q

What are the four D’s of abnormality?

A
  1. Deviance- Behaviour, thoughts, emotions that are different than society’s ideas of proper functioning.
  2. Dysfunction- Maladaptive behaviours, ideas, or emotions.
  3. Distress- Behaviours, ideas, or emotions that cause distress or unhappiness.
  4. Danger- Posing risk to themselves or others
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9
Q

Diagnosis and Comorbidity

A

Diagnosis- when a clinician determines that a persons cluster of symptoms is best explained by a type of disorder
Comorbidity- When a person qualifies for 2+ disorder diagnoses.

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10
Q

Criticisms of diagnosis

A

Culturally entrenched, fails to consider individual and societal level causes of symptoms, historically situated oppressive practices, influenced by insurance and pharmaceutical companies.

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11
Q

What are the statistics of psychological disorders?

A

Between 1/3 and 1/2 of the population will experience a psychological disorder at some point in their lives, 1/5 report substance use disorder, 1/10 report mood disorders, 1/3 report needs not met or partially met.

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12
Q

What percentage of Canadians experience a type of anxiety disorder?

A

Around 12%

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13
Q

Generalized Anxiety Disorder

A

Excessive anxiety accompanied by at least 3 symptoms- Restlessness, keyed-up, fatigue, difficulty concentrating, muscle tension sleep problems, dysfunctional assumptions.

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14
Q

Phobias

A

Unrealistic, persistent fears of an object, activity, or situation.

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15
Q

Panic Disorder

A

Recurring and unpredictable panic attacks without provocation. 21% of Canadians have had panic attacks, mostly aged 15-24 and 2/3 female.

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16
Q

Cognitive vs Neuro Panic

A

Cognitive-Associated with magnification Neuro: norepinephrine and panic circuit: amygdala, hypothalamus and locus ceruleus.

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17
Q

Agoraphobia/Social Anxiety Disorder

A

Severe, persistent, irrational fears of social or performance situations. 7.1% of westerners have this, and you’re 50% more likely to have it if you’re poor.

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18
Q

Obsessive Compulsive Disorders

A

Repeated, abnormal, anxiety-provoking thoughts and /or repeated rigid behaviours. 2-3% of the population.

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19
Q

Four Symptom Factors of OCD

A

Obsessions/Checking, Symettry/Order, Cleanliness/washing, hoarding.

20
Q

Acute Stress Disorder

A

Disorder of fear and related symptom experienced soon after a traumatic event; lasts less than 1 month.

21
Q

PTSD

A

Disorder of fear and related symptoms experienced soon after a traumati event; lasts more than 1 month. 7-8% of Canadians have experiened it, more women than men.

22
Q

Etiology of Anxiety Disorders

A

Biological (GABA, serotonin), family members with genetic similarity. Conditioning and learning, cognitive factors

23
Q

Dissociative Disorders

A

Major loss of memory or consciousness that disrupts identity. 5 major types.

24
Q

Dissociative Amnesia

A

Large chunks of traumatic memory are forgotten and typically come back with time.

25
Q

Dissociative Identity Disorder

A

Alternate personalities created to help deal with trauma. Each has unique set of memories, thought processes, behaviours, emotions.

26
Q

Depersonalization/Derealization Disorders

A

Memory unaffected; gradual or sudden onset, can last for decades. Perception as an observer, outside the body of self.

27
Q

Unipolar vs Bipolar Mood Disorders

A

Unipolar-Depression: persistent sad state, life seems dark, challenges overwhelming
Bipolar- Mania mixed with depression

28
Q

Major Depressive Disorder

A

Characterized by persistent sadness, despair, and loss of interest in previously pleasurable experienes (annedonia). 13-16% of North Americans experience this, women 2 times more likely. Episodic, lasts around 5-7 months.

29
Q

Characteristics of Depression to be Diagnosed

A

5-9 symptoms at the same time over a period of 2 weeks, represent a change in previous functioning, causes significant distress/impairment in social functioning, not attributable to drugs.

30
Q

Bipolar 1 Disorder (manic depression)

A

Mania- euphoric and sociable, racing thoughts, flight of ideas, delusions, over confidence, hyperactive, increased sex drive etc.
Depressive-Gloomy, irritable, withdrawn, slowness, obsessive worrying, guilt, negative self image, less active, decreased sex drive, tired.

31
Q

Etiology of mood disorders

A

Genetic-Monozygotic twins have around a 68% chance of both experiencing depression vs dizygotic twins at around 15%. Neurotransmitters: Serotonin and norepinephrine. Hippocampal volume and supressed neurogenesis, cortisol levels.

32
Q

Beck’s Cognitive Behavioural Contributors of Depression

A

Negative thinking, attitudes, erroneous thinking. Cognitive triad, which is repeated patterns of negative thinking about oneself, ones future, ones experiences, or the way things are.

33
Q

Seligman’s Learned Helplessness (cognitive behavioural)

A

Experimented with shocking dogs, discovered that dogs will just give up and let the shocks happen, even when presented with a way out of the situation. Implicates feelings of control or lack thereof as explanation for passive behaviour.

34
Q

Interpersonal Style

A

Support networks buffer against depression.

35
Q

Schizophrenia

A

Disorder of disorganized thoughts, psychosis, deterioration of adaptive behaviour, negative emotional symptoms, hallucinations.

36
Q

Positive and Negative Symptoms of Schizophrenia

A

Positive- pathological excess: delusions (most commonly of persecution), disorganized thinking and speech, hallucinations, inappropriate emotions.
Negative- pathological deficits: poverty of speech, flat effect, loss of volition, social withdrawal.

37
Q

Etiology of Schizophrenia

A

Identical twins have a 48% chance of both being schizophrenic, whereas fraternal is 17%. Biochemical abnormalities (dopamine hypothesis), enlarged ventricles, smaller temporal and frontal lobes, hippocampus, amygdala and thalamus. Neurological trauma at or before birth.

38
Q

Personality Disorders

A

Extreme, inflexible personality. Most commonly experienced in social interactions, appear in adolescence or early adulthood. 9-15% of adults have this.

39
Q

DSM 5 Classification of Personality Disorders

A

Odd/eccentric, dramatic/erratic, anxious/inhibited.

40
Q

Neurodevelopmental Disorders

A

Intellectual disabilities, ADD & ADHD, specific learning disorders, motor and tic disorders.

41
Q

Autism Spectrum Disorder

A

Social and or emotional deficits along with repetitive and stereotypical behaviours, interests, and activities. Used to be 4 different disorders (aspbergers, autism, childhood disintegrative, and pervasive) but is now on a spectrum. Associated with overgrowth of neurons.

42
Q

Culture Bound Disorders: Koro

A

Chinese in Malaya, fear of penis withdrawing into ones body.

43
Q

Culture Bound Disorders: Windigo

A

Algonquin- individual is taken over by greed and hunger, resorts to cannibalism.

44
Q

Culture Bound Disorders: Pibloktoq

A

Inuit-Arctic hysteria, bizarre version of SAD

45
Q

Anorexia Nervosa

A

Found mostly in western countries.

46
Q

What makes a disorder universal?

A

The more biological the cause, the more universal and common the symptoms. However, the content of schizophrenic delusions is different across culture, and somatoform is present in Eastern depression