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Conciousness
Awareness of internal and external stimuli, subjective experience of world
Circadian Rhythm
Biorhythm that regulates important body functions, affected by light (Sleep-wake cycle/body temp cycle)
Suprachiasmatic Nucleus (SCN)
Part of hypothalamus that serves as brain’s internal clock. Receives info from retina about light presence.
Sleep Consequences
Hinders cognitive abilities/reaction speed
Drowsy driving similar to drunk driving
Sleep Stages:
Stage 0, 1, 2, 3/4, 5(REM)
Stage 0
Fully awake/alert, rapid activity
Beta Waves
Stage 1
Drowsy/light sleep, will not feel you were asleep, brain activity slows
Alpha Waves
Stage 2
Stage in light sleep but falling deeper sleep, if woken become alert & aware asleep. Slower brain activity
Theta Waves
Stage 3/4
Deep sleep, difficult to wake up, feel disoriented when awakened, very slow brain activity
Delta Waves
Stage 5
REM, period of sleep marked by rapid eye movement, high brain activity, dream, cannot move (paralysis). Brain activity similar to when awake
How long is the sleep cycle
90 minutes go thru all stages, longer asleep, less deeply you sleep
Insomnia
Sleep Disorder where difficulty falling/staying asleep, 10-30% experience symptoms that disrupt daily life.
Sleep Apnea
Sleep disorder where difficulty breathing during sleep, those who experience often wake up bc cannot breathe (PAP mask can help)
Weight/Snoring are risk factors
Sleepwalking
Sleep disorder that occurs in ¾ stages, more common in children
Sleep Paralysis
Aware of surroundings but unable to move after waking up, often accompanied by frightening hallucinations, dysfunctional REM sleep
Freud’s Theory of Dreams
Dreams are unconscious wish fulfilment
Manifest Content
What you see/experience in a dream
Latent Context
What dream represents (Unconcious desires)
Cognitive Theory of Dreams
Dreams are subconscious cognitive processing/organizing info in memory. (Mull over issues/play out future scenarios)
Activation Synthesis Theory of Dreams
Dreams result of brain trying to make sense of semi-random electrical energy activating different concepts that happen when asleep.
Nightmares
No neurological difference from dream, only difference is reaction
Why People do Drugs:
Activates “reward pathway,” almost all drugs act on dopamine receptors
Dopamine
Creates pleasurable, accomplished feeling/reinforces learning. Drugs create dope deficiency over time.
Physical Dependence
Changes in body over time that cause person to need drug (Alter appearance)
Tolerance
Requiring more of drug over time to produce same pleasurable effect
Physiological Dependence
Emotional need for drug to reduce psychological stress (Can make quitting just as difficult as physical dependence (Craving)
Withdrawal
Negative symptoms experienced when person stops taking drug, ppl w physical dependence experience
Makes quitting extremely hard
Stimulants
Drugs that increase brain activity
Common effects of Stimulants:
Hyperactivity, euphoria, increased heart rate, anxiety, paranoia
Illicit Stimulants:
Cocaine, Meth, MDMA (Ecstasy)
Legal Stimulants
Caffeine, Nicotine, Ritalin/Adderall
Most commonly abused drug:
Alcohol
Depressant
Drugs that decrease brain activity
Depressant Effects:
Euphoria, sedation, pain dulled/killed, loss of consciousness
Illegal Depressants
Opium, Heroin
Legal Depressants
Alcohol, Xanax and Valium, Morphine, Fentanyl, Oxycodone (Percocet)
Hallucinogens
Drugs that profoundly alter sensational perception
Hallucinogen Effects:
Hallucinations/Strewed perception of time, persistent psychosis (rarely), flashbacks (rare).
Illicit Hallucinogen:
LSD, Psilocybin (shrooms), Mescaline, DMT
Legal Hallucinogens:
Ketamine, Salvia (In some states)
Marijuana
Cannabis displays characteristics of stimulants, depressants & hallucinogens
Has diff effects for diff people, some effects depend on expectations
Negative Effects of Marijuana:
Long term effect especially on adolescents: drug dependency, rate of schizo, less self-control, impaired decision making, disrupt of neurotransmitter production
Not all drugs:
In one category
Needed to classify smth as Abnormal:
Deviance, Dysfunction, Distress
Deviance
Behaviors not socially expected/accepted
Dysfunction
Behavior interferes with ability to perform day-to-day.
Distress
Behavior causes signif personal suffering, puts individual at risk of signif personal suffering
Diathesis Stress Model
Diathesis + Stress = Develop of Disorder (Stronger diathesis, less stress needed to produce disorder)
Diathesis
Predisposition of vulnerability (Inherited)
Biopsychosocial Model
Bio/Psycho/Sociological factors that influence development of a disorder.
DSM-5-TR
American Psychiatric Association System to diagnose/classify abnormal behavior. Has to meet 5/8 qualifications for disorder
Comorbity
Simultaneous presence of multiple medical conditions in one person
Anxiety Disorders
Uncontrollable, disproportionate to actual danger, disruptive to everyday life
Generalized Anxiety Disorder (GAD)
Excessive anxiety/worry occurring at least 6 months about multiple things
GAD symptoms
Restlessness, easily fatigued, trouble focusing, irritability, muscle tension, disturbed sleep
Panic Disorder
Repeated, unexpected panic attacks (Abrupt surge of intense fear/discomfort)
Panic Disorder Symptoms:
Pounding heart, sweating, shaking, shortness of breath, chest pain, fear of death
Phobia
Intense, irrational fear disproportionate with actual danger, associated with specific stimulus/trigger
Obsessive Compulsive Disorder
Consists of obsessions and compulsions
Obsessions
Thoughts/urges intrusive/unwanted, generally cause distress
Obsession Examples:
Fear of germs, thoughts of violence, need for order/symmetry
Compulsion
Need to engage in repetitive behaviors/mental acts, behaviors can be “ritualistic,” usually try to minimize distress caused by obsession
Compulsion Examples:
Washing hands/belongings, putting everything in very specific place, counting behaviors
Body Dysmorphic Disorder
Preoccupation with perceived flaw in physical appearance, flaw is either non-existent/barely visible to others
Body Dysmorphia Effects:
Compulsive behaviors (Looking in mirror/hiding body part, cosmetic surgery)
Hoarding Disorder
Compulsively collecting items/refusing to part with personal possessions. Believe everything useful later/sentimental
Major Depressive Disorder (MDD/Depression)
Mood disorder of severe depression that lasts 2+ weeks.
Episodes usually 6-9 months.
Depression Symptoms
Diff symptoms for all
Sad, empty/hopeless, less pleasure in all/almost all activities, weight gain/loss, insomnia/hypersomia, worthlessness/guilt, suicidal/death thoughts
What isn’t depression:
Symptoms from loss/other major negative events, grief not equal depression
Bipolar Disorder
Mood disorder, extreme mood swings with 1+ episodes of mania, swing btwn depress/manic episodes, last at least 1 week.
Depressive Episodes of Bipolar
Same symptoms as MDD
Manic Episodes of Bipolar
Period of increased energy/hyperactivity
Post Traumatic Stress Disorder (PTSD)
Mood disorder, intrusive distressing memories (flashbacks) that develop as result of trauma event
Trauma
Exposure to actual/threatened death, serious injury/sexual violence.
Direct Experience, witnessing in-person, learning of events that happen to close ones, repeated/extreme exposure to aversive details of traumatic events
PTSD Symptoms
Flashback, avoidance of event stimuli, persistent neg emotional state, detachment from others, prone to outbursts, jumpiness
Flashback
State individual relives event as if currently happening, last for seconds - several days
Schizophrenia
Disturbances of thought/language, inability to distinguish what is real/not, diagnosed by early adulthood.
Most schizos not violent, do not entail multi personalities
Delusions
Fixed (False) beliefs that do not change in face of conflicting evidence
Hallucinations
Perceptions that occur w/o external stimuli. Vivid/involuntary
Schizophrenia Symptoms
Positive: Delusions, Hallucinations, disorganized thought/speech (jumping topics), abnormal movements (twitching, catatonia)
Negative: Lack of normal function, blunt/diminished emotions, monotone/diminished response, decreased pleasure.
Dissociation
Dissociative disorder, disconnection/lack of continuity btwn thoughts/memories, surroundings, actions and identity.
Often from extreme stress/trauma
Dissociative Amnesia
Inability to remember important autobiological memories, follows extreme stress/trauma
Dissociative Fugue
Wandering away from home/normal life, showing confusion about identity
Dissociative Identity Disorder
2+ distinct personalities/identities within same person. “Losing time”
“Losing Time”
Gaps in memory inconsistent with normal forgetting
Personality Disorder
Inflexible, maladaptive personality traits make function difficult in society
Roots in childhood, present several years, hard to treat
Cluster A Disorders
Odd/Eccentric
Paranoid, Schizoid, Schizotypal
Cluster B Disorders
Dramatic/Emotional/Erratic
Antisocial, Borderline, Histrionic, Narcissistic
Cluster C
Anxious/Fearful
Avoidant, Dependent, Obsessive-Compulsive
Paranoid Personality Disorder
Cluster A, distrusting/suspicious of others, sensitive to rejection, high monitoring for insult/trust
Schizoid Personality Disorder
Cluster A, Lack of interest in relationships, limited interests, emotional coldness/bluntness
Schizotypal Personality Disorder
Cluster A, odd/eccentric behavior confused and unrealistic goals, difficulty developing close relationships
Antisocial Personality Disorder
Cluster B, disregard for/violation of rights of others
Deceitful, impulsivity, aggressiveness, disregard for safety self/others, lack remorse
Borderline Personality Disorder
Cluster B, pattern of instability of interpersonal relationships, self-image/affect
Impulsive, fear of abandonment, intense/unstable relationships, mood swings, can’t control anger
Histrionic Personality Disorder
Cluster B, pattern of excessive emotionality/attention seeking.
Uncomfortable not being center of attention, rapidly shift emotion, use of physical appearance to draw attention, self-dramatization
Narcissistic Personality Disorder
Cluster B, pattern of grandiosity, need for admiration, lack of empathy
Believes is special, entitled, exploitative, arrogant
Avoidant Personality Disorder
Cluster C, social inhibition, feeling inadequate, hypersensitivity to negative evaluation.
Avoid ppl unless certain are liked, restraint in intimate relationships.
Dependent Personality Disorder
Cluster C, need to be taken care of, submissive/clingy/fear of separation
Can’t make decisions without reassurance, can’t disagree
Obsessive-Compulsive Personality Disorder
Cluster C, preoccupation with orderliness, perfectionism, mental/interpersonal control
Personality Disorders develop:
Combination of genetic predisposition/childhood experience
Nature: 50% Heritability, certain genes linked to disorders
Environment: Trauma, stressors