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DSM
Diagnostic Statistical Manual; as a common language and standardized criteria for the classification of mental disorders/psychopathology
The Nature of the DSM
Use the DSM to make determinations and communicate diagnoses to patients following evaluation; 5th edition of the DSM revised the previous classification system of organizing disorders into five dimensions
Abnormal
Statistically speaking, any behavior is atypical if it is not exhibited by 68% of the people in a particular group or culture
Social Nonconformity
Disobeying societal standards for normal conduct; usually leads to destructive or self-destructive behavior
Situational Context
Social situation, behavioral setting, or general circumstances in which an action takes place
Cultural Relativity
Judgments are made relative to the values of one's culture
Deviance
Thoughts, behaviors, or ideas that are abnormal or go against societal or cultural norms
Distress
Negative feelings that affect the individual and others around them
Danger
Violent or threatening behavior towards oneself or others
Dysfunction
Also known as maladaptive behavior, this is when someone is unable to complete everyday tasks or their feelings or behaviors impact their relationships or daily life
Duration
How long the symptoms last
Dorothea Dix
Helped reform inhumane treatments for psychological disorders
Medical Model
Concept that diseases have physical causes that can be diagnosed, treated, and in some cases cured - often through treatment in a hospital
Etiology
Cause and development of the disorder
Diagnosis
Identifying (symptoms) and distinguishing one disease from another
Treatment
Treating a disorder in a psychiatric hospital
Prognosis
Forecast about the disorder
Stress Vulnerability Model
Suggests individual characteristics combine with environmental stressors to increase/decrease the likelihood of developing a psychological disorder
Epigenetics
Study of environmental influences on gene expression that occur without a DNA change
Genetic Influences
Linkage analysis and association studies link possible genes and dispositions for depression
Social-Cognitive Perspective
Suggests that depression arises partly from self-defeating beliefs and negative explanatory styles
Psychoanalytic Theory
Internalizes it and directs it toward himself or herself, leading to guilt & loss of self-esteem, and finally depression
Learning Theorist
Learned that previous negative events in their lives were out of their control, leading them to expect future events to be out of their control too
Cognitive Theorist
Depressed people have negative views of themselves from bad experiences in childhood, filtering out any positive info in their lives
Biological Views
People with depression may have lower levels of serotonin & noradrenaline, two neurotransmitters in the brain that are involved with emotion and mood
Major Depressive Disorder
Occurs when signs of depression last two weeks or more and are not caused by drugs or medical conditions with five or more symptoms
Depressive Cycle
Negative stressful events, pessimistic explanatory style, hopeless depressed state; these hamper the way the individual thinks and acts, fueling personal rejection
Postpartum Depression
A serious mental health condition that can affect a woman's physical and behavioral health after giving birth, more severe than the 'baby blues'
Maternity Blues ~ Baby Blues
Mild depression that lasts for one to two days after childbirth, marked by crying, fitful sleep, tension, anger, and irritability
Persistent Depressive/Dysthymia Disorder
Mildly depressed mood more often than not for two years or more
Premenstrual Dysphoric Disorder (PMDD)
A severe, sometimes disabling extension of premenstrual syndrome (PMS) causing extreme mood shifts that can disrupt daily life and damage relationships
Cyclothymic Disorder
Though milder than bipolar disorder, cyclothymia is sometimes a precursor for bipolar I or II disorder
Bipolar I Disorder
Extreme mania and deep depression; one type of manic-depressive illness
Bipolar II Disorder
Person is mainly sad but has one or more hypomanic episodes (mild mania)
Mania
Has maladaptive symptoms such as high optimism and self-esteem, recklessness
Norepinephrine and Serotonin
A reduction of norepinephrine and serotonin has been found in depression
Hypomania example
At first when I'm high, it's tremendous… ideas are fast… like shooting stars you follow until brighter ones appear…. All shyness disappears, the right words and gestures are suddenly there… uninteresting people, things become intensely interesting. Sensuality is pervasive, the desire to seduce and be seduced is irresistible. Your marrow is infused with unbelievable feelings of ease, power, well-being, omnipotence, euphoria… you can do anything… but, somewhere this changes.
Depression example
I doubt completely my ability to do anything well. It seems as though my mind has slowed down and burned out to the point of being virtually useless…. [I am] haunt[ed]… with the total, the desperate hopelessness of it all…. Others say, "It's only temporary, it will pass, you will get over it," but of course they haven't any idea of how I feel, although they are certain they do. If I can't feel, move, think or care, then what on earth is the point?
Mania example
The fast ideas become too fast and there are far too many… overwhelming confusion replaces clarity… you stop keeping up with it—memory goes. Infectious humor ceases to amuse. Your friends become frightened…. everything is now against the grain… you are irritable, angry, frightened, uncontrollable, and trapped.
PET scan
shows that brain energy consumption rises and falls with manic and depressive episodes
Anxiety Disorders
continuously tense, apprehensive and in a state of autonomic nervous system arousal
Social anxiety disorder
intense fear and avoidance of social situations (formal called phobia).
How is anxiety different from stress?
From the picture:
Stress is a response to a threat in a situation, while anxiety is a reaction to that stress.
Panic disorder
An anxiety disorder marked by a minutes-long episode of intense dread in which a person experiences terror and accompanying chest pain, choking and other frightening sensations.
OCD- Obsessive compulsive disorder
Persistent unwanted thoughts (obsessions) cause someone to feel the need (compulsion) to engage in a particular action
Body dysmorphia disorder
obsessive worries about perceived flaws and appearance.
Trichotillomania
hair pulling
Excoriation disorder
excessive skin picking