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disorder
deviant from social norms, maladaptive, distressing for the person or others
DSM-V
Diagnostic and Statistical Manual of Mental Disorders 5th edition, used in USA
ICD-10
created by World Health Organization, international classification of disorders
pros of identifying disorder
access to support/resources, potential coverage by insurance, understanding and validation, improved communication
cons of identifying disorder
stigma, racism, sexism, able-ism, discrimination once diagnosed
biological explanation for disorders
medical/genetic issues, chemical imbalance (NTs and hormones) tumors, structural issues
psychodynamic explanation for disorders
unconscious thoughts and drives, childhood experiences
behavioral explanation for disorders
responses learned in our environment through conditioning and reinforcement
cognitive explanation for disorders
maladaptive, irrational, dysfunctional thoughts and beliefs
socio-cultural explanation for disorders
social and cultural relationships and dynamics
humanistic explanation for disorders
lack of social support, difference between real and ideal self, being unable to reach full potential
evolutionary explanation for disorders
behaviors and mental processes that impact our chance of survival
eclectic approach
most psychologists use more than one perspective when diagnosing and treating clients
positive symptoms
delusions (thoughts), hallucinations (sensory) atypical behavior
negative symptoms
lack of affect (emotion) inability to express/experience pleasure, lack of motivation, limited speech, impaired attention
biopsychosocial model
disorders reflect genetic predispositions and physiological states, inner psychological dynamics and social and cultural circumstances
diathesis-stress model
mental disorders result from the person’s inherent vulnerability (diathesis) and environmental studies
trend in treatment
meta-analysis studies conclude that psychotherapies are generally effective
Evidence-based interventions are used to create treatment plans
Therapists should exhibit cultural humility and establish a therapeutic alliance with the client to deliver therapy successfully
deinstitutionalization
the process of replacing long-stay psychiatric hospitals with less isolated community mental health services for those diagnosed with mental disorder
ethics in treatment
nonmalfiecense (do no harm)
fidelity (confidentiality)
integrity
respect for people’s rights
positive psychology
scientific study of human strengths, well-being, and factors that contribute to a fulfilling life, happiness, resilience, personal growth
6 factors that can increase happiness and health
gratitude, Acts of kindness, social connection, meditation and mindfulness, more experiences less stuff, find your flow state
post-traumatic growth
found that after trauma, many people develop greater personal strength/growth, deeper relationships, and renewed appreciation for life
areas of post traumatic growth
spiritual development, new possibilities, personal strength, close relationships, greater appreciation of life
ADHD
persistent patterns of inattention and/or impulsivity that interfere with functioning or development (ex: forgetful, interrupts conversations or intrudes on others)
Autism spectrum disorder (ASD)
persistent deficits in social communication and social interaction across multiple contexts, communication issues (wont respond to their name)
schizophrenia
positive symptoms: delusions, hallucinations, disorganized thinking/speech, disordered movement
negative symptoms: flat affect (zero emotional expression), catatonic stupor (lack of interest and motivation)
major depressive disorder
bout of intense depressive symptoms that last for over two weeks (loss of interest in favorite activities, changes in sleep, fatigue and feelings of worthlessness)
persistent depressive disorder (dysthymic)
more mild symptoms of depression that have lasted for a long period of time (2+ years), not due to drug use and no manic episodes, just lightly pervasive depressive symptoms
bipolar 1
most severe form of bipolar, full-blown manic episodes for long stretches of time with sudden swing into intense depressive episode, severe impulsivity and possible psychosis (losing touch with reality)
bipolar 2
less severe form of bipolar, hypomanic episodes that suddenly swing into depressive symptoms but less severe, no psychosis, still significant impact on daily functioning
specific phobia
fear or anxiety towards a specific object or situation (ex: acrophobia is fear of heights and arachnophobia is fear of spiders)
agoraphobia
intense fear of social situations including using public transportation, being in open or enclosed spaces, feeling trapped and unable to escape, intense fear of a panic attack
panic disorder
the experience of panic attacks without any apparent reason
ataque de nervios
culture-bound anxiety disorder; people of Caribbean and Iberian descent experiencing panic disorder
taijin kyofusho
culture-bound anxiety disorder experienced mainly by Japanese people in which people fear others are judging their bodies as undesirable, offensive, or unpleasing
social anxiety disorder
intense fear of being judged or watched by others (distinct from agoraphobia but may include it)
generalized anxiety disorder
prolonged experiences of non-specific anxiety or fear, uncontrollable worry about a wide range of everyday situations (must be 6+ months of this and impede daily functioning)
OCD
characterized by obsessions (recurrent and persistent intrusive thoughts) and compulsions (repetitive behaviors or mental acts the individual feels driven to perform)
hoarding disorder
persistent difficulty discarding possessions regardless of their actual value, difficulty stems from perceived need to save the items and stress associated with discarding them
dissociative amnesia (with and without fugue)
caused by intense trauma or stress, loss of autobiographical information, inability to remember specific events or periods of time, confusion and disorientation in one’s own life, (fugue state- individual wanders or travels without any awareness of their identity or situation)
dissociative identity disorder
severe condition characterized by the presence of two or more distinct personality states (alters) with their own unique identities, memories, behaviors, and perspectives
PTSD
subsequent psychological distress after intense trauma, hypervigilance, flashbacks, emotional detachment, hostility, anxiety and depression, substance use or self-destructive behavior
anorexia nervosa
refusal to maintain body weight at or above minimum normal weight, intense fear of gaining weight or becoming overweight even though underweight
bulimia nervosa
cycle of bingeing and purging, recurrent episodes of binge eating (amount definitively larger than what most individuals would eat in a two-hour period) acting to prevent significant weight gain by self-induced vomiting
personality disorder requirements
deviant from one’s culture, is pervasive and flexible, begins in adolescence or early adulthood, stable over time, leads to personal distress or impairment
paranoid personality disorder (cluster a)
irrational fear and distrust of others, interprets innocent motives of others as malevolent, no psychosis and no loss of touch of reality
schizoid personality disorder (cluster a)
lack of interest in social relationships, indifferent to criticism or praise, lack of understanding of social norms, lack of social skills
schizotypal personality disorder (cluster a)
odd and eccentric behavior, thinking and appearance, magical thinking, social anxiety, superstitions and paranoia
antisocial personality disorder (cluster b)
persistent pattern of disregard for and violation of the rights and well-being of others, lack of empathy remorse and responsibility
histrionic personality disorder (cluster b)
pervasive pattern of excessive emotionality and attention-seeking behaviors, theatrical displays to gain external validation
narcissistic personality disorder (cluster b)
exaggerated sense of self-importance, need for excessive admiration, sense of entitlement and sensitivity to criticism, internal importance displayed as need for special treatment
borderline personality disorder (cluster b)
instability in mood, self-image, intense emotions, impulsivity roller coaster
avoidant personality disorder (cluster c)
extreme shyness and social anxiety, fear of rejection and criticism, feeling inadequate and inferior in social situations and relationships even though they really want them
dependent personality disorder (cluster c)
difficulty making everyday decisions without reassurance, excessive need for advice and guidance, fear of separation and abandonment (clingy) difficulty asserting themselves
obsessive compulsive personality disorder
perfectionism, stubborn and rigid, constant need for orderliness and control, strict moral codes and stingy, can’t delegate
free association
laying on the couch and speaking in a stream of consciousness to reveal the unconscious mind, hidden thoughts and feelings
dream interpretation
analyzing dreams to reveal the unconscious mind
cognitive restructuring
combating maladaptive thinking patterns
fear hierarchies
making a list of anxiety-provoking situations or objects, ranked from least to most distressing, used with CBT
cognitive triad
negative thoughts about oneself, the world, and the future
exposure therapies
gradually exposing individuals to feared or anxiety-provoking situations in a safe and controlled environment
systematic desensitization
taking little steps up a hierarchy of fear to reduce anxiety response
aversion therapies
to reduce or eliminate