Psychological Disorders Flashcards
Biomedical vs. Biopsychosocial Approach
Biomedical: Purely biological disturbances with biomedical nature. (narrow approach)
Biopsychosocial: There are biological, social, and psychological approach to individual disorder.
Direct vs Indirect Therapy
Direct Therapy: treatment that acts directly on individual
Indirect Therapy: Aims to increase social support by educating family and friends.
Diagnostic and Statistical Manual of Mental Disorders (DSM-5)
Diagnostic tool in the United States listing the symptoms of each mental disorder
Psychotic Disorder Symptoms
Delusions, Hallucinations, Disorganized thought and behavior (+ and - symptoms)
Positive and Negative Symptoms
Positive Symptoms: Behaviors, thoughts, and feelings added to normal behavior (Delusions, Hallucinations, Disorganized thoughts and behavior).
Negative Symptom: Affect and Avolition (absence of normal or desired behavior)
Delusions of Reference
False belief that common elements in environment is directed toward the individual (TV talking to him)
Delusions of Persecution
Belief that individual is being interfered and threatened.
Delusions of Grandeur
Belief that person is a some significant person.
Thought Broadcasting
Belief that one’s thoughts are directly broadcast to the world.
Thought Withdrawal and Insertion
The belief that thoughts are being removed or placed in one’s head.
Hallucinations
Perceptions not due to external stimuli but seem real to the person perceiving them (auditory)
Disorganized Thought (World salad and neologisms)
Loosening of associations.
Word salad: patient speech is just a bunch of random words.
Neologisms: inventing new words.
Disorganized Behavior (catatonia echolalia/echopraxia)
Inability to carry out activities of daily living.
Catatonia: Certain motor behaviors, rigid and bizarre movements
-echolalia: repeating people’s words/echopraxia: repeating people’s actions
Affect (blunting, emotional flattening, inappropriate affect)
Experience and display of emotion can be caused by antipsychotics.
- blunting: severe reduction of intensity of expression
- emotional flattening: no sign of emotion.
- inappropriate affect: affect is inappropriate in context.
Avolition
Decreased engagement in goal-directed actions.
Schizophrenia and Diagnosis
Break between individual and reality (6 months), and one month of positive symptoms.
Phases of Schizophrenia
Prodromal Phase: deterioration and social withdrawal, role dysfunction.
Active Phase: psychotic symptoms displayed (schizophrenia) slower it develops harder to diagnose
Residual Phase: after an active episode with mental clarity when individual becomes aware.
Schizotypal Personality Disorder
Personality disorder with psychotic symptoms (usually personality first) Odd eccentric, reference thinking, magical belief
Delusion Disorder
Psychotic symptoms limited to delusions (1 month)
Brief Psychotic Disorder
Positive psychotic symptoms appear (<1 day)
Schizophreniform Disorder
Schizophrenia for only 1 month
Schizoaffective Disorder
Major mood episodes (depressive + mania) w/ psychotic symptoms.
Depressive Disorders
Characterized by feelings of negative emotions causing significant distress
9 Depressive Symptoms (sadness + SIG E. CAPS)
Sadness: Depressed mood, feelings of sadness
Sleep: Insomnia or Hypersomnia
Interest: Anhedonia
Guilt: Feeling of inappropriate guilt or worthlessness
Energy: depressed energy
Concentration: Decrease in ability to concentrate
Appetite: changed in diet (5%+ weight change)
Psychomotor: Psychomotor retardation and agitation (restlessness and slowed movements)
Suicidal thoughts
Major Depressive Disorder
Distress caused by Presence of Major Depressive episode (2 week) in where 5/9 of depressive symptoms are encountered with anhedonia OR depressed mood.
Persistent Depressive Disorder (dysthymia)
Experiences a majority of 2 years in depressed mood.
Disruptive mood dysregulation disorder
(ages 6-10), persistent and recurrent emotional irritability in multiple environments.
Premenstrual dysphoric disorder
Mood changes occurring a few days before and after menes.
Seasonal Affective Disorder and Light Therapy
Depression caused by dark winter months, common therapy is to expose patients with bright light during the day.