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Mood
A general feeling, not a reaction to a particular situation
Mood
Any short-lived emotional state, usually low intensity
Mood
A disposition to respond emotionally in a particular way that may last for hours, days, or even weeks, perhaps at low level and without the person knowing what prompyed state
Euphoric, Dysphoric
Two types of euphoria
Euphoric mood
Feeling state that is more cheerful and elated than average possibly even ecstatic
Dysphoric mood
Unpleasant feelings, such as sadness and irritability
Episode
A time-limited period during which specific symptoms of a disorder are present.
Rate severity, note whether it is the first episode or recurrence, specify nature of a prominent syptoms
What would clinicians do during an episode?
Mood disorders
Group of disorders involving severe and enduring disturbances in emotion (mood)
Major depressive episode
Extremely depressed mood state that lasts at least 2 weeks and includes cognitive symptoms and physical symptoms.
Mania
Episode of joy and euphoria marked by individual's extreme pleasure in every activity, hyperactivity, and little sleep
Hypomania
Less severe version of a manic episode that does not cause marked impairment in social or occupational functioning
Dysphoric manic or mixed episode
The individual experiences both elation and depression or anxiety at the same time
Unipolar mood disorder
Individuals experiences either depression or mania but not both
Bipolar mood disorder
Indviduals alternate between depression and mania
Major depressive disorder
Defined by the presence of depression and the absence of manic, or hypomanic episodes, before or during the disorder
Persistent depressive disorder / dysthymia
A depressed mood that continues to at least 2 years, during which the patient cannot be sumptom free for more than 2 months at a time even though they may not experience all of the symptoms of a major depressive episode
Persistent depressive disorder / dysthymia
Shares many of the symptoms of MDD but differs on its course.
Double depression
Individual experiences both major depressive episodes and persistent depression with fewer symptoms
Severe temper outburst
Key feature of disruptive mood dysregulation disorder
Melancholic feature
People lose interest or pleasure in most daily activities
Seasonal pattern
Develop a depressive episode at about the same time each year, usually 2 months in fall or winter
With pure dysthymic syndrom
Full criteria for a major depressive episode have not been met in at least the preceding 2 years
With persistent major depressive episode
Full criteria for a major depressive episode have been met throughout the preceding 2 year period
With intermittent major depressive episodes, with current episode
Full criteria for a major depressive episode are currently met, but there have been periods of at least 8 weeks in at least the preceding 2 years with symptoms below the threshold for a full major depressive episode
With intermittent major depressive episodes, without current episode
Full criteria for a major depressive episode are not currently met, but there has been one or more major depressive episodes in at least the preceding 2 years.
Manic
Individuals find extreme pleasure in every activity
Flight of ideas
Speech is typically rapid and may become incoherent, because the individual is attempting to express so manu exciting ideas at once.
Hypomanic
A less severe version of a manic episode that does not cause marked impairment in social or occupational functioning and need last only 4 days rather than a full week
Hypo
This means below; thus the episode is below the level of a manic episode
At least 1 week ; 4 consecutive days
Duration:
Manic: _____ ; Hypomanic: ______
Bipolar I disorder
Criteria have been met for at least one manic episode
Bipolar II disorder
At least one hypomanic episode and at least one major depressive episode
Bipolar I
Type of bipolar disorder that may have psychotic features
Bipolar II
Type of bipolar that may have suicidal ideation
Cyclothymic disorder
Hypomania with mild depressive episode in a least 2 years in duration
18 to 24
Age range of highest rate of committing suicide
4th
Suicide is the ___ leading cause of death of children ages 10 to 14 in America
3rd
Suicide is the ___ most common cause of death for ages 15 to 24 in America
Needing to escape , Desire to communicate
2 main reasons of suicide
Obsessive-Compulsive Disorder
The devastating culmination of anxiety disorders
Obsessions
Intrusive, persistent, and uncontollable thoughts or urges and experienced as irrational
Obsessions
Are intrusive and mostly nonsensical thoughts, images, or urges that the individual tries to resist or eliminate
Obsessions
Recurrent and persistent thoughts, urges, or images that are experienced as intrusive and unwanted
Compulsion
Impulse to repeat certain behaviors or mental acts to avoid distress and extremely difficut to resist the impulse
Compulsion
May involve elaboraye behavioral rituals
Compulsion
The thoughts or actions used to suppress the obsessions and provide relief
Compulsion
Repetitive behaviors or mental acts that an individual feels driven to perform in response to an obsessions or according to rules that must be applied rigidly.
Body dysmorphic disorder
Characterized by preoccupation with one or more perceived defects or flaws in physical appearace that are not observable or appear only slight to others, and by repetitive behaviors or mental acts in response to the appearance concerns
Body dysmorphic disorder
Referred to as “ imagined ugliness”
Dysmorphophobia
Body dysmorphic disorder is formerly known as this
Muscle dysmorphia
The individual is preoccupied with the idea that his or her body build is too small or insufficiently muscular.
Hoarding disorder
Characterized by persistent difficulty discarding or parting with possessions, regardless of their actual value, as a result of strong perceived need to save the items and to distress associated with discarding them
Cognitive behavioral therapy
A promising treatment for hoarding disorder
Animal hoarding
Accumulation of a large number of animals and a failure to provide animal standards of nutrition, sanitation, and veterinary care and to act on the detoriating conditions of the animals and the environment
Trichotillomania disorder
Characterized by recurrent pulling out of one's hair resulting in hair loss, and repeated attempts to decrease or stop hair pulling
Scalp, eyebrows, eyelids
Common sites of pulling hair
Excoriation disorder
Characterized by recurrent picking of one's skin resulting in skin lesions and repeated attempts to decrease or stop skin picking
Face, arms, hands
Most commonly picked sites for skin picking
Personality disorders
Associated with ways of thinking and feeling about oneself and others that significantly and adversely affect how an individual functions in many aspects of life
Personality disorder
A persistent patten of emotions, cognitions, and behavior that results in enduring emotional distress for the person affected and/or for others and may cause difficulties with work and relationships
Personality disorder
An enduring pattern of inner experiences and behavior that deviates markedly from the expectations of the individual's culture, is pervasive and inflexible, has an onset in adolescence or early adulthood, is stable over time, and leads to distress and impairment.
Paranoid, schizoid, schizotypal
Personality disorders under cluster A
Antisocial, histrionic, narcissistic, borderline
Personality disorders under cluster B
Avoidant, dependent, obsessive-compulsive
Personality disorders under cluster C
Cluster a
Appear odd or eccentric
Paranoid personality disorder
A pattern of distruct and suspiciousness such that others’ motives are interpreted as malevolent
Paranoid personality disorder
Excessively mistrustful and suspicious of others, without any justification
Paranoid personality disorder
Assumes that other people are out to harm and trick them
Get fact
Abreviation for symptoms of paranoid personality disorder
Schizoid personality disorder
A pattern of detachment from social relationships and a restricted range of emotional expression
Schizoid
A term used by Bleuler to describe people who have a tendency to turn inward and away from the outside world
Schizoid personality disorder
They seem aloof, cold, and indifferent to other people and were said to lack emotional expressiveness and pursued vague interest
Schizoid personality disorder
Have social isolation, poor rapport, and constricted affect
Sir safe
Abbreviation for symptoms of schizoid personality disorder
Schizotypal personality disorder
A pattern of acute discomfort in close relationships, cognitive or perceptual distortions, and eccentricities of behavior
Schizotypal personality disorder
Are typically socially isolated and tend to be passive and unengaged and are hypersensitive to criticism
Schizotype
Word used to describe people who were predisposed to develop schizophrenia
UFO aider
Abbreviation for the symptoms of schizotypal personality disorder
Paranoid
Suspicious, hypersensitive, secretive
Schizoid
Seclusive, indifferent, passive
Schizotypal
Odd thinking, bizarre fantasy, peculiar language
Cluster b
Appear dramatic, emotional, or erratic
Antisocial personality disorder
A pattern of disregard for, and violation of, the rights of others
Antisocial personal disorder
Failure to comply with social norms and labeled as moral insanity, egopathy, sociopathy, psychopathy, and dyssocial personality disorder
Philippe Pinel
He first identified antisocial personality disorder as a medical problem
Callous man
Abbreviation of the symptoms of antisocial personality disorder
Borderline personality disorder
A pattern of instability in interpersonal relationships, self-image, and affects, and marked impulsivity
Borderline personality disorder
Their moods and relationships are unstable, and usually they have poor self-image
I raised a pain
Abbreviation for the symptoms of borderline personality disorder
Histrionic personality disorder
A pattern of excessive emotionality and attention-seeking
Histrionic personality disorder
Tend to be overly dramatic and often seem almost to be acting
Histrionic personality disorder
Inclined to express their emotions in an exaggerated fashion
I crave sin
Abbreviation for the symptoms of histrionic personality disorder
Narcissistic personality disorder
A pattern of grandiosity, need for admiration, and lack of empathy
Narcissistic personality disorder
Consider themselves as different from others and deserving of special treatment
Narcissistic
Used to describe people who show an exaggerated sense of self-importance and are preoccupied with receiving attention
Grandiosity
Exaggerated feelings and their fantasies of greatness
A fame game
Abbreviation for the symptoms of narcissistic personality disorder
Histrionic
Attention seeking, flamboyant, proactive