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functioning
refers to how well an individual independently performs or operates in their environment
how can breathing retraining improve phobic response
Phobic anxiety involves fast-paced and often shallow breathing, sometimes causing hyperventilation and activation of other sympathetic nervous system responses.1Breathing retraining involves teaching someone to control their breath and work on reducing fast-breathing through deep, slow breaths.2When someone has phobic anxiety, they can apply this technique to induce physiological relaxation to reduce phobic anxiety through parasympathetic responses.3
determinants of wellbeing
culture
A strong sense of identity, values, tradition, and connection between the past, present and future that drives behaviour and beliefs
biopsychosocial approach for intervention (techniques)
benzodiazepine
breathing retraining
systematic desensitisation
cognitive behavioural therapy
psychoeducation
environmental triggers
Stimuli or experiences in a person’s environment that evoke an extreme stress response, leading to the development of a phobia.
predispose
someone is more susceptible or likely to develop a particular trait, condition or behaviour.
psychological factors that contribute to specific phobia
precipitating factors (eg.classical conditioning)
perpetuating factors (eg. operant conditioning)
cognitive bias
memory bias
catastrophic thinking
biological factors that contribute to specific phobias
GABA dysfunction
long-term potentiation
social factors that contribute to specific phobia
environmental triggers
stigma
stigma
The feeling of shame or disgrace experienced by an individual for a characteristic that differentiates them from others.
precipitating factors
(In relation to specific phobia) Factors that increase the susceptibility to and contribute to the occurrence of developing a specific phobia.
perpetuating factors
(In relation to specific phobia) Factors that inhibit a person’s ability to recover from a specific phobia.
cognitive bias
A predisposition to think about and process information in a certain way.
memory bias
A type of cognitive bias caused by inaccurate or exaggerated memory
catastrophic thinking
A type of cognitive bias in which a stimulus or event is predicted to be far worse than it actually is.
social wellbeing
The ability for an individual to form and maintain meaningful bonds with others, and adapt to different social situations.
emotional wellbeing
The ability for an individual to appropriately control and express their own emotions in an adaptive way, as well as understand the emotions of others.
characteristics of high functioning and characteristics of low functioning
SEWB framework dimensions
connection to body
connection to mind and emotions
connection to family and kinship
connection to community
social determinants
historical determinants
political determinants
ways of considering mental wellbeing
levels of functioning
resilience
social wellbeing
emotional wellbeing
mental wellbeing continuum
A tool used to track fluctuating mental wellbeing.
long term potentiation
The long-lasting and experience-dependent strengthening of synaptic connections that are regularly coactivated.
wellbeing
A state in which an individual is mentally, physically, and socially healthy and secure.
mental wellbeing
An individual’s psychological state, indicating their ability to think, process information, and regulate emotions.
characteristics of a mental disorder
resilience
the ability to successfully cope with and manage change, uncertainty and adversity, and to ‘bounce back’ and restore positive functioning
social and emotional wellbeing (SEWB)
a holistic, multi-dimension framework that describes and explains physical, social, emotional, spiritual and cultural wellbeing
SEWB domains
Connection to body and behaviours.
Connection to mind and emotions
Connection to family and kinship
Connection to community
Connection to culture
Connection to Country and land
Connection to spirit, spirituality and ancestors
connection to body and behaviours
Connecting to the physical body and health in order to participate fully in all aspects of life.
connection to mind and emotions
Ability to effectively manage thoughts and feelings.
connection to family and kinships
Connection to the immediate and wider family group and community.
connection to community
Connection to wider social systems, providing individuals and families the ability to connect with and support each other.
connection to culture
A strong sense of identity, values, tradition, and connection between the past, present, and future that drives behaviour and beliefs.
connection to Country and land
The traditional lands of a particular language or cultural group, both geographically and the spiritual, emotional, and intellectual connections to and within it.
connection to spirt, spirituality and ancestors
a concept that connects all things, and shapes beliefs, values, and behaviour.
Mental wellbeing as a continuum
mentally healthy — mental health problem - mental disorder
Internal factors
factors that arise within an individual.
Examples include:
stress response
thought patterns
genetic predisposition
External factors
factors that arise from an individuals environment
Stress
a psychological and physiological experience that occurs when an individual encounters something of significance that demands their attention and/or efforts to cope
normal and not necessarily a sign of low levels of mental wellbeing
distress can occur
known cause
can be positive and negative
Anxiety
a psychological and physiological response that involves feelings of worry and apprehension about a perceived threat
negative feelings
unknown stimulus
future-oriented
is excessive and persistent, can interrupt daily functioning could mean lower levels of mental wellbeing
Specific Phobia
a type of diagnosable anxiety disorder that is categorised by excessive and disproportionate fear when encountering or anticipating the encounter of a particular stimulus
sympathetic NS dominant
disrupts daily functioning
low levels of mental wellbeing when encountering phobic stimulus
Biopsychosocial approach
a holistic, interdisciplinary framework for understanding the human experience in terms of the influence of biological, psychological, and social factors
Biological factors
internal, genetic, and/or physiologically based factors
GABA dysfunction
Long-term potentiation
Psychological factors
internal factors relating to an individual’s mental processes, including their cognition, affect, thoughts, beliefs, and attitudes
Classical conditioning
Operant conditioning
Cognitive biases
Social factors
external factors relating to an individual’s interactions with others and their external environment, including their relationships and community involvement
Specific environmental triggers
Stigma
GABA dysfunction
insufficient neural transmission or reception of GABA in the body
GABA is the main inhibitory neurotransmitter, and it regulates postsynaptic activation in neural pathways, preventing over excitation and uncontrolled firing
can cause fight-flight-freeze response to be activated more easily
Long-term potentiation
the long-lasting and experience-dependent strengthening of synaptic connections that are regularly coactivated
through repeated coactivation the signals involves in perceiving a phobic stimulus is more readily triggered
Classical conditioning
NS - what will become the phobic stimulus
UCS -
UCR - pain/fear
CS - phobic stimulus
CR - fear
How Operant Conditioning affects phobias
antecedent - phobic stimulus
behaviour - avoiding phobic stimulus
consequence - avoids fear response
negatively reinforces behaviour of avoiding phobic stimulus
Cognitive biases
a predisposition to think about and process information in a certain way
Memory bias - a type of cognitive bias caused by inaccurate or exaggerated memory
Catastrophic thinking - a type of cognitive bias in which a stimulus or event is predicted to be far worse than it actually is
Specific environmental triggers
stimuli or experiences in a person’s environment that evoke an extreme stress response, leading to the development of a phobia
Can be from:
direct confrontation
observation
learning/indirect confrontation
Stigma around seeking treatment
refers to the sense of shame a person might feel about getting professional help for their phobia.
Evidence based Interventions
Biological - GABA agonists, breathing retraining
Psychological - Cognitive behavioural therapy, systematic desensitization
Social - psychoeducation
GABA agonists/benzodiazepines
a type of medication that depresses central nervous system activity and is often used as a short-acting antianxiety medication
bind to GABA receptor sites and mimic the effects of GABA to increase its inhibitory response.
GABA has its effect - reducing the likelihood of the neuron will fire
Breathing retraining
a method used to teach breathing control techniques that may reduce physiological arousal - SNS dominant
step 1 - teach individual to consciously control their breathing through slow and deep inhalations and exhalations
step 2 - applies breathing techniques when in presence of phobic stimulus. restores the amount of oxygen in body, PNS and reducing anxiety
Cognitive behavioral therapy
a form of psychotherapy that encourages individuals to substitute dysfunctional cognitions and behaviours with more adaptive ones
cognitive component - identifying negative thoughts and feelings and replacing them with positive ones
behavioural component - identifying negative behaviours and developing and maintaining more positive behaviours
Systematic desensitisation
a therapeutic technique used to overcome phobias that involves a patient being exposed incrementally to increasingly anxiety-inducing stimuli, combined with the use of relaxation techniques
learning of relaxation techniques
development of fear hierarchy
gradual step-by-step exposure
the continuation of this systematic exposure
Psychoeducation
teaching families and supporters of individuals with mental health disorders how to better understand, deal with, and treat their disorder
challenging unrealistic or anxious thoughts
not encouraging avoidance behaviours
Protective factors examples
biological - adequate nutrition and hydration, sleep
psychological - cognitive behavioural strategies, mindfulness meditation
social - support from peers
how does sleep relate to mental illness
there is a link between sleep deprivation and mental illness
bidirectional relationship
Cognitive behavioural strategies
techniques that utilise traits of cognitive behavioural therapy, particularly recognising and changing dysfunctional thought and behavioural patterns
cognitive component - identifying dysfunctional feelings and thoughts and replacing these with more functional ones.
behavioural component - identifying dysfunctional behaviours and developing and maintaining more functional behaviours
Mindfulness meditation
the practice of meditation in which an individual focuses on their present experience to promote feelings of calm and peace
support
genuine and effective assistance provided by family, friends, and community
authentic and energizing support
genuinely aims to promote mental wellbeing
is focused on creating an environment that is likely to improve mental wellbeing
uses legitimate and effective advice.
cultural determinants of wellbeing
cultural continuity
self-determination
culture
a strong sense of identity, values, tradition, and connection between the past, present and future that drives behaviour and beliefs
cultural continuity
the passing down and active practice of cultural knowledge, traditions, and values from generation to generation
self-determination
the rights of all peoples to pursue freely their economic, social, and cultural development without outside interference
consciousness
awareness of something either internal or external to oneself, including objects and events in the external world, and of our sensations, mental experiences and own existence at any given moment
types of investigations
case study - an in-depth , detailed study on a particular activity, behaviour or problem.
observational studies (field work) - observing and interacting with an environment in a naturalistic setting
correlation studies - look at a relationship between two variables
literature reviews - use secondary data to answer a question
DARE stands for:
detects, amplifies, records, electrical activity of ____
between- subjects design
A Between‑Subjects Design is an experimental method where different participants are assigned to different conditions.
within- subjects design
A within‑subjects design is an experimental method where the same participants experience all conditions of the independent variable.
types of sampling
Convenience Sampling: Picking participants who are easily accessible.
Random Sampling: Every individual in the population has an equal chance of being selected, reducing selection bias
Stratified Sampling: The population is divided into meaningful subgroups (strata) such as age or gender, and samples are randomly selected from each group to ensure representation across categories
cortisol is released from the ___
adrenal glands (coordinated by the suprachiasmatic nucleas)
Zeitgebers examples
light levels (most potent)
meal timing
temperature
social cues
exercise
what is a zeitgeber?
A zeitgeber (from German, meaning “time‑giver”) is an external or environmental cue—such as light, temperature, or meal times—that synchronizes your internal biological clock (circadian rhythm) to the 24-hour day
Light is the most powerful zeitgeber for humans
examples of internal cues that regulate sleep-wake cycle
Suprachiasmatic nucleus (SCN): The master internal clock, located in the hypothalamus, that regulates circadian rhythms
Melatonin: A sleep-promoting hormone produced by the pineal gland
Cortisol: A hormone that increases in the morning to promote wakefulness
Body temperature fluctuations: Your core body temperature peaks during the day and drops at night, aiding sleep–wake regulation.
examples of external cues that regulate sleep-wake cycle
light levels
eating times
temperature (environmental)
social cues
when should bright light therapy occur and for how long?
exposure to high intensity light source should occur for a minimum of 15 minutes, for a minimum of 2 weeks
when should bright light therapy occur for shift workers?
right before their shift starts
a BAC of 0.05 and a BAC of 0.10 are equivalent to ____ hours of sleep deprivation
0.05 = 17 hours (partial sleep deprivation)
0.10 = 24 hours (full sleep deprivation)
examples of affective effects from sleep deprivation
poor emotional regulation;
irritability and moodiness
increase in negative emotions
reduced ability to cope with stress
examples of cognitive effects from sleep deprivation
reduced concentration
impairment of short-term memory; thus, diminishing the ability to actively process and mentally manipulate information
diminished ability to perform cognitive tasks, particularly as the duration of the task increases
lapses in attention
impaired decision-making processes and problem-solving abilities
examples of behavioural effects from sleep deprivation
sleep inertia (sense of disorientation after waking)
excessive sleepiness during the day
increased likelihood of engaging in risk-taking behaviours
fatigue/lack of energy
Describe the sequence of the first sleep cycle.
sleep cycle will begin with NREM stage 1, in which you would transition from being awake to a light stage of sleep and would likely experience a hypnic jerk.
Then you would move into NREM stage 2, which is still a light stage of sleep but is the first stage you would be completely asleep.
Then you would move into NREM stage 3, which is a deep stage of sleep and you would feel drowsy if woken in this stage.
Lastly, you would transition into REM sleep, in which they may experience vivid dreams.4
how much sleep do infants (neonatal period) need? what percentage of their sleep is REM?
16 hours.
50% REM
how much sleep do young children need? what percentage of their sleep is REM?
12 - 13 hours (1yr old)
10-12 hours (3-5yr old)
9-11 hours (6-13 yr old)
20-25% REM
how much sleep do adolescents need? what percentage of their sleep is REM?
9 hours
20-25% REM
how much sleep do adults need? what percentage of their sleep is REM?
8 hours
20 - 25% REM
how much sleep do elderly need? what percentage of their sleep is REM?
5-7 hours
15% REM
states of consciousness
a state of awareness with variations in level and associated with distinguishable psychological and physiological characteristics
normal waking consciousness (NWC)
state of consciousness associated with being awake and aware of objects and events in the external world, and of one’s sensations, mental experiences and own existence
altered state of consciousness
any state of consciousness that is distinctly different from NWC or any waking state in terms of level of awareness and experience