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Central nervous system (CNS)
Consists of brain and spinal cord
Occupies central position in body, crucial for processing sensory stimuli
Integrates and coordinates sensory information, initiates motor messages
Sends both conscious and unconscious commands to the body
Brain
Highly intricate organ composed of around 86 billion neurons
Processes sensory input, coordinates voluntary movements, emotions, and conscious thought
Regulates involuntary functions like breathing, temperature, and hunger without conscious awareness
Communication with the body occurs through the spinal cord and nerves
Spinal cord
45-centimeter extension of the brain stem, made of nerve fibers
Directly connected to the peripheral nervous system via 31 pairs of spinal nerves
Main functions: Transmit sensory information from body to brain, relay motor commands from brain to body
Peripheral nervous system (PNS)
Consists of all nerves outside of the CNS, including sensory and motor neurons.
Transmits messages between CNS and muscles, organs, and glands
Subdivisions: Somatic nervous system and autonomic nervous system, each with distinct roles
Sensory neurons
Transmit sensory information to the CNS.
Motor neurons
Transmit motor commands from the CNS to muscles and glands.
Somatic nervous system
Transmits sensory information to CNS (brain, spinal cord)
Involves sensory receptors and neurons collecting data from the five senses
Also carries motor commands from the CNS to the body for voluntary movements
Motor neurons in the […] system control voluntary actions
Autonomic nervous system
Controls the body’s internal environment in an autonomous or self-regulated manner.
Directly connected to organs, glands, and visceral muscles (smooth, involuntary muscles)
Controls functions of stomach, digestive tract, and other internal organs
Plays significant role in stress, fear, and anger responses
Subdivisions of ANS reveal distinct roles during stress, fear, and anger
Sympathetic nervous system
Responsible for the "fight or flight" response.
Dominant during perceived threats or stress
Primary role: Heighten arousal, preparing body for quick response (fight-or-flight-or-freeze)
Examples
Dilated pupils
Increased heart rate and breathing
Inhibited digestion
Inhibited salivation
Parasympathetic nervous system
Responsible for the "rest and digest" response.
Functions:
Maintaining a balanced internal state, otherwise known as homeostasis
Counterbalancing the energising function of the sympathetic nervous system by lowering arousal and restoring the body to a calm state after a threat has passed.
Enteric nervous system
Governs the function of the gastrointestinal tract.
Unconscious responses
Don't require awareness and are typically simpler than conscious responses.
Do not involve learning
Can include involuntary functions such as those regulated by the autonomic NS
Examples:
Blinking, a simple eyelid closure, is an innate, unlearned response.
Reflexes like sneezing, coughing, or withdrawing hand from a hot object.
Responses to temperature changes: shivering when cold, sweating when hot.
Emotional responses like blushing when embarrassed.
Digestion of food in the gut is also an unconscious process.
Spinal reflex
Crucial for survival, enabling rapid responses to stimuli.
They're involuntary, unconscious reactions involving the spinal cord, bypassing the brain.
These reflexes happen without conscious awareness, ensuring swift reactions to stimuli.
Conscious responses
Involves awareness and input from the CNS (brain), often involving decision-making.
They tend to be complex and can involve a series of actions.
Can involve learning
Includes voluntary responses, such as movement performed by the somatic NS
Examples include:
Putting on a jumper when feeling cold.
Scratching an itch.
Throwing a ball.
Recalling what you ate for breakfast.
Solving a math problem.
Writing an essay.
Neurons
The basic building blocks of the nervous system
Specialized to communicate information around the body
There are three different types
Sensory (afferent)
Motor (efferent)
Interneuron
Motor neuron
Dendrite
Receives incoming neural messages
Soma
The body of the neuron, containing the nucleus with the genetic material for the neuron
Axon
The pathway down which the neural message travels
Myelin sheath
Fatty tissue that encases the axon to aid in speed of transmission
Axon terminals
Exit pathways for neural messages to make their way to the next neuron
Terminal buttons
Releases a chemical substance known as a neurotransmitter to a receiving neuron for communication purposes; also referred to as synaptic knobs
Neural transmission
Neurons communicate via a process that uses electrochemical energy.
A neural impulse (electrical energy) runs from the dendrite down the axon and to the axon terminals.
The terminal buttons (synaptic knobs) then release a chemical substance (chemical energy).
This chemical substance, known as a neurotransmitter, crosses the synapse (space from one neuron to the next).
The neurotransmitter is then picked up by the receiving neuron via the dendrites.
Neurotransmitters
Chemicals that transmit information from one neuron to the next.
Transported in the axon
Released at the synapse
to cause chemical and electrical changes in the adjacent cells
Play different roles throughout the body, many of which are unknown yet
Contained in small sacs called synaptic vesicles, within the terminal button of the neuron's axon terminal
Effects can be excitatory or inhibitory
Excitatory neurotransmitter
Increase the likelihood that the post-synaptic neuron will fire an action potential or neural impulse
Inhibitory neurotransmitter
Inhibitory neurotransmitters reduce the chances of a post-synaptic neuron firing.
Gamma-aminobutyric acid (GABA) is the primary inhibitory neurotransmitter.
Proper neurotransmitter balance is crucial; imbalances can harm neuron function.
Insufficient GABA levels can lead to excessive excitatory effects from glutamate, causing anxiety and other mental disorders.
Glutamate
Is the primary excitatory neurotransmitter in the CNS, making post-synaptic neurons more likely to fire
Activates or stimulates neural activity in the brain
Is involved in neural plasticity and the processes of learning and storing a memory.
GABA
Is the primary inhibitory neurotransmitter in the CNS, making post-synaptic neurons less likely to fire
Suppresses or slows down neural activity in the brain
In low levels is associated with conditions such as anxiety and specific phobias
Neuromodulators
A subclass of neurotransmitters
Like neurotransmitters, these are chemical molecules.
They don't just enable communication across one synapse but can affect neural transmission across whole brain regions.
They alter the overall effectiveness of neural communication in entire regions of the brain.
Does not result in excitation or inhibition of a specific neuron.
Instead, it can alter multiple neurons so that neurotransmission between them is altered.
Neuromodulators can enhance synaptic transfer efficiency and fortify learning and memory pathways.
They achieve this by activating neurons and inducing enduring changes in synaptic activity.
Cellular changes may involve boosting dendritic receptors in post-synaptic neurons and increasing neurotransmitter production in pre-synaptic neurons.
Dopamine
When you do any activity you enjoy ________ is released giving you feelings of pleasure and wellbeing
Is a multifunctional neurotransmitter with both excitatory and inhibitory effects
involved in many CNS functions in addition to pleasure, such as movement, attention, mood, cognition and motivation.
Acts as a modulating neurotransmitter or neuromodulator by enhancing neural activity in brain regions linked to various functions, such as the reward pathway.
Reward pathway
Consists of brain structures activated by rewarding stimuli, like seeing food when hungry or anticipating water when thirsty.
Increased dopamine release in this pathway enhances the perception of a stimulus as rewarding.
Dopamine signals within the reward pathway encourage repetition of actions that lead to rewards, whether it's seeing a desired stimulus or anticipating it.
Serotonin
An inhibitory neurotransmitter that also acts as a neuromodulator.
responsible for mood, perception, reward, anger, aggression, appetite, memory, sexuality and attention.
Helps regulate brain activity associated with impulsive and aggressive behaviours.
Higher […] levels in specific brain areas correlate with increased patience for rewards, reducing impulsivity.
Synaptic plasticity
Learning and memory formation involve the creation of stable connections between neurons, known as […]
[…] results in strengthening or weakening of connections based on activity levels.
Glutamate is released during the activation of neural pathways associated with experiences.
Glutamate stimulates activity in pathways and promotes neural connectivity, thereby enhancing memory strength.
Consists of two important processes involved in neural plasticity: long-term potentiation (LTP) and long-term depression (LTD).
Long-term potentiation (LTP)
A relatively permanent strengthening of synaptic connections resulting from repeated activation of a neural pathway.
Long-term Depression (LTD)
Involves a relatively permanent weakening of synaptic connections.
This is usually a result of repeatedly lower levels of activity in a neural pathway
Helps our brain to adapt or change neural pathways and to get rid of or ‘prune’ neural connections that are no longer useful
Sprouting
This process involves the growth of axon and/or dendrite fibres at the synapse.
Growth of dendritic spines on the post-synaptic neuron, resulting in the dendrites appearing ‘bushier’
Growth of axon sprouts called filigree appendages on the axon terminal of the presynaptic neuron
Formation of additional synapses as synaptogenesis.
Sprouting likely occurs as neurons in new pathway strengthen
Rerouting
Learning efficiency involves rerouting neural connections
Original technique forms strong neural pathway via Long-Term Potentiation (LTP)
New technique prompts rerouting via Long-Term Depression (LTD)
Alternative pathway forms for new technique
Practice reinforces new serving technique over time
Pruning
Synaptic pruning fine-tunes neural networks, strengthening crucial connections
Similar to a gardener pruning a fruit tree for healthier fruit
LTD process involves pruning, eliminating excess neurons and connections
Aim is to enhance efficiency of neuronal transmissions
Mental Health Spectrum
Mental health exists on a continuum from high to low.
Each individual occupies a unique point on this spectrum.
A person's position on the spectrum can change over time.
Changes depend on life experiences and circumstances.
Factors that influence mental health
Key factors include personal experiences and resilience.
Use of the Mental Health Spectrum
Understanding where one stands on the spectrum can aid in addressing mental health needs.
Continuous monitoring and support may be necessary for wellbeing.
Importance of high level mental wellbeing
Essential for engaging in everyday tasks like work or school.
Characteristics of Mentally healthy people
have a high level of functioning
manage their feelings and emotions (high level of emotional wellbeing)
can form positive relationships with others (high level of social wellbeing)
cope with the normal stresses that arise every day; that is, they have the resilience to cope with and
manage change and uncertainty
think logically and problem solve
have reasonable levels of confidence in their abilities and self-esteem.
Characteristics of High level mental wellbeing.
a high level of functioning
social and emotional wellbeing
resilience to life stressors.
High Level of functioning
The ability to carry out a wide range of daily activities:
attend to self-care
maintain interpersonal relationships
demonstrate resilience in the face of everyday challenges.
High levels of functioning examples.
Activities of Daily Living:
Engaging in self-care routines.
Maintaining personal hygiene.
Work or Occupational Settings:
Being productive and meeting targets.
Contributing positively to the workplace.
School Settings:
Actively participating in class activities.
Getting along well with peers and teachers.
Interpersonal Relationships:
Developing and maintaining friendships.
Building and sustaining healthy relationships with others.
Social Wellbeing
Relates to the connections made with others and the ability to interact positively within a community.
Social Wellbeing Examples
Forming relationships with family and friends
Respecting and interacting appropriately to different ethnic and cultural backgrounds
Working as a part of a team
Contributing to society (e.g. volunteering)
Emotional Wellbeing
Refers to the ability to feel a range of emotions and express them in a positive way.
High levels of emotional wellbeing examples
Expressing a range of emotions relevant to the context
Controlling different emotions and responding to them positively
Acting positively and having a positive outlook
Identifying emotions in others and responding appropriately
Responding with appropriate emotions to setbacks.
Resilience
Ability to respond or ‘bounce back’ to previous normal functioning when faced with adversity
Even people with high levels of mental wellbeing can experience challenges causing grief, anger, and despair
Capacity to adapt to or overcome stressful circumstances and continue with day-to-day life demonstrates resilience
Promote resilience
Strong social support
High levels of self-efficacy
Problem-solving abilities
Ability to make and carry out plans
Mental Health Problems
Can occur in the middle of the mental wellbeing continuum
Typically cause disruption to everyday functioning
Usually result in mild and temporary impairment
Often considered natural responses to negative events
Characteristics of Mental Health Problems
Increased or decreased sleep and appetite
Loss of energy and motivation
Difficulty concentrating
Difficulty focusing/completing work or study tasks
Irritability
Becoming withdrawn
Mental Disorders
Approximately 20% of Australians will experience this in any given 12-month period
Typically affect mood, thinking, and behavior
Diagnosed using set criteria
Examples:
Major depression
Schizophrenia
Three D’s of mental Disorders
Distress
Unpleasant experiences like sadness, anxiety, or feeling overwhelmed
Dysfunction
Impact on the person’s ability to complete daily activities (e.g., work or school)
Deviance
Thoughts and behaviours inconsistent with the person’s culture or society
Characteristics of Mental Disorders
Have Reduced level of day-to-day functioning
Have reduced ability to cope with and manage change and uncertainty.
Have impaired ability to engage in social relationships.
Experience significant changes in thoughts, feelings, behaviours or lack of interest (apathy).
Show serious or prolonged changes in typical character.
Have impaired ability to function independently, such as taking care of oneself at home.
SEWB Model Domains
Connection to Body
Connection to Mind and Emotions
Connection to Family and Kinship
Connection to Community
Connection to Culture
Connection to Country
Connection to Spirit, Spirituality and Ancestors
SELF at the Centre
Surrounded by a network of relationships between individuals, family, kin, and community
Recognizes the importance of connection to land, culture, spirituality, and ancestry
SEWB influences on mental health
Social Determinants
Historical Determinants
Political Determinants
Social Determinants
Socio-economic status
Impact of poverty
Unemployment
Housing
Educational attainment
Racial discrimination
Exposure to violence, trauma, and stressful life events
Access to community resources
Historical Determinants
Impact of past government policies
Extent of historical oppression and cultural displacement
Political Determinants
Unresolved issues of land
Control of resources
Cultural security
Rights of self-determination and sovereignty
External factors
Originate outside a person
Includes:
Relationships
Education level
Income
Social support
Homelessness
Experience of abuse
Cultural values
Employment
Discrimination
Internal factors
Originate inside a person
Includes:
Genetics
Sex
Neurotransmitter function
Hormones
Immune function
Nervous system activity
Negative thinking
Beliefs and attitudes
Emotions
Learning and memory
Personality traits
The biopsychosocial model
The idea that an illness does not have a single cause, but results from the close interaction between biological, psychological and social factors.
Biological factors
Refers to the functioning of a person’s body, which is often outside the control of the individual.
Internal factors
Examples of Biological Factors
genetics
sex
neurotransmitter function
hormones
immune function
nervous system activity
physical health.
Psychological Factors
Refers to the influences that come from mental processes and may relate to prior learning experiences and memory.
Internal factors
Examples of Psychological Factors
styles of thinking
beliefs and attitudes
emotions
learning and memory
personality traits.
Social Factors
Refers to the conditions in which people live and grow.
External factors
Examples of Social Factors
relationships
early life experience
education level
income
social support
stability of accommodation
experience of abuse
cultural values
employment
discrimination.
Stress
A state of mental, emotional, and physiological tension.
Resulting from perceived challenges or threats to coping abilities.
Anxiety
An emotion characterised by worry and uneasiness about potential negative outcomes.
Often accompanied by physical symptoms (e.g., increased heart rate, sweating).
The most common mental health condition in Australia.
People with this may have low levels of GABA
Anxiety Disorder
Describes chronic and/or severe anxiety.
Interferes with daily life and activities.
Phobia
A persistent, intense, and irrational fear of a specific object or event.
Intense fear leads to avoidance of the feared stimulus.
When faced with the stimulus, individuals may experience acute physiological arousal (fight-or-flight-or-freeze response).
Biological Risk Factors
A range of factors that relate to the physiological functioning of the body.
Genetic Vulnerability (Genetic Predisposition)
Increased likelihood of developing a particular illness or physical characteristic due to DNA
A range of mental disorders have this such as:
Schizophrenia
Autism spectrum disorders
Does not guarantee the development of a condition, but it increases the risk.
Poor Response To Medication
Occurs when a person takes medication to relieve symptoms, but the desired effect does not occur
Variation in DNA can cause different responses to medication
Genes may affect the absorption, distribution, or metabolism of a particular medication, leading to a poor response
Poor Sleep
Has various physiological impacts on the body
Contributes to a lack of biological resources needed to cope with daily life demands
Can lead to the development of mental disorders
Impacts of poor sleep
Issues with memory consolidation
Inability to restore neurotransmitter levels
Reduced resilience
Mental Disorders Associated with Poor Sleep
Anxiety
Depression
Bipolar disorder
Attention deficit hyperactivity disorder (ADHD)
Substance Abuse
Refers to the harmful use of, or dependence on, psychoactive substances, including alcohol and illicit drugs.
Considered a biological factor due to the interaction of substance ingredients with a person's biology
Prevents a person from functioning in day-to-day life without the drug
Mental Disorders Associated with Substance Abuse
Most types of mental disorders, including mood, anxiety, personality and schizophrenia-spectrum disorders, are associated with an increase in co-occurring substance use disorder.
Co-occurrence rate is typically around 50% compared to the general population
Psychological Risk Factors
A range of Factors related to the functioning of the brain and mind, including cognitive and affective processes such as thought patterns and memory
Rumination
Refers to thinking about and focusing on negative thoughts and experiences.
Can be dangerous for mental wellbeing due to repeated focus on negative emotions.
Contributes to the development of mental disorders or prolongs existing ones.
Leads to distress by continuously revisiting negative thoughts and experiences.
Impaired Memory and Reasoning
Cognitive problems like impaired memory and reasoning may contribute to the development of a mental disorder.
Often a result of cognitive bias, where a person's subjective reality affects logical thinking and accurately processing and recalling information.
Effects of Impaired Memory and Reasoning
Difficulty with thinking logically and recalling information accurately
Can lead to poor decision-making
Potentially contributes to the development or exacerbation of mental disorders
Stress
Linked to both psychological and biological processes when encountering a stimulus that challenges coping mechanisms.
Appraisal of the stimulus as challenging or exceeding coping ability can lead to a stress response that contributes to the development of mental disorders
Vulnerability Factors of Stress
Everyone has some vulnerability to stress-related mental disorders
Chance of developing a disorder depends on:
Individual’s level of vulnerability
Level of stress
Ability to cope
Level may be influenced by a single stressor or a combination of stressors
Self Efficacy
Relates to a person’s confidence in their ability to complete life tasks and meet goals
High Self Efficacy
Belief in the ability to influence events that affect their life and control how events are experienced.
Helps interpret potential threats as manageable and reduces stress.
Poor Self Efficacy
Negative thought patterns about coping with everyday demands.
Can contribute to the development of a mental disorder
Social Risk Factors
Factors related to a person’s social contacts and the influence of culture and the social environment on development of mental disorders.
Disorganised Insecure Attachment
Occurs when an infant or young child does not receive consistent care or emotional support from a primary caregiver
Causes of Disorganised Insecure Attachment
Changes or disruptions in the primary caregiver.
Unpredictable emotional responses from the caregiver.
Effects of Disorganised Insecure Attachment
Results in inconsistent behaviour towards the caregiver.
Can lead to difficulties in forming trusting relationships later in life.
May contribute to feelings of inability to rely on other people
Loss of Significant Relationship
Losing a loved one, which can include death of a family member or close friend, separation, relocation away from someone close, or loss of a pet.
Impact of a Loss of Significant Relationship
Adapting to life without the presence of the significant person.
Studies show that distress from losing a spouse or child in a car accident can last 4–7 years
Symptoms of Prolonged Distress
Depression
Sleep disturbances
Fatigue
Panic attacks
Loneliness
Increased mortality rate