EM

Psychological Disorders Notes

Psychological Disorders

  • Definition: No universal definition, varies with culture.
  • Characteristics:
    • Abnormal thoughts, feelings, behaviors.
    • Distressful, dysfunctional, and sometimes dangerous.
    • APA Definition:
    • Significant disturbances in thoughts, feelings, and behaviors.
    • Reflect biological, psychological, or developmental dysfunction.
    • Cause significant distress/disability in life.
    • Not expected/culturally approved responses, e.g., extreme sadness after a family member's death.

DSM-5

  • Diagnostic and Statistical Manual of Mental Disorders (5th Ed., APA)
    • Used widely in research.
    • Provides explicit diagnostic criteria.

Biopsychosocial Framework

  • Emphasizes the role of biological, psychological, and social factors.
  • Promotes seeing individuals as “having” a disorder instead of “being disordered.”
  • Diathesis-Stress Model:
    • Predisposition (diathesis) + Environmental factors (stress).

Anxiety Disorders

  • Fear vs. Anxiety:
    • Fear: Immediate reaction to imminent threat.
    • Anxiety: Apprehensive about potential danger.
  • Symptoms include excessive, persistent fear and anxiety leading to behavioral disturbances.
  • Prevalence: Affects 25%-30% of the U.S. population, more common in women.

Specific Phobia

  • Excessive and persistent fear/anxiety about specific objects/situations.
  • Common Phobias:
    • Acrophobia: Heights.
    • Aerophobia: Flying.
    • Arachnophobia: Spiders.
    • Claustrophobia: Enclosed spaces.
  • Agoraphobia: Fear of situations where escape may be difficult, e.g., public transport, crowds.

Social Anxiety Disorder

  • Extreme fear/anxiety about being evaluated negatively in social situations.
  • Leads to lower educational attainment and employment issues.
  • Safety Behaviors include avoiding eye contact, rehearsing sentences.

Panic Disorder

  • Characterized by recurrent, unexpected panic attacks and persistent concern about future attacks.
  • Panic Attack: Extreme fear or discomfort, peaks within 10 minutes, can be expected or unexpected.

Generalized Anxiety Disorder (GAD)

  • Continuous excessive worry & apprehension not attributable to other disorders; symptoms for more than 6 months.
  • Symptoms include restlessness, fatigue, irritability, etc.
  • Prevalence: 5.7% of U.S. population; twice as likely in females.

Obsessive-Compulsive Disorder (OCD)

  • Obsessions: Intrusive, unwanted thoughts.
  • Compulsions: Repetitive behaviors to alleviate distress from obsessions.

Body Dysmorphic Disorder

  • Preoccupation with perceived physical flaws, resulting in significant distress and repetitive behaviors (e.g., mirror checking).

Hoarding Disorder

  • Difficulty discarding possessions, leading to clutter that severely impacts living spaces.

PTSD (Post-Traumatic Stress Disorder)

  • Result of exposure to traumatic events, with symptoms lasting over a month including flashbacks and emotional withdrawal.

Mood Disorders

  • Massive disruptions in mood affecting life functioning.
  • Depressive Disorders: Intense sadness.
  • Bipolar Disorders: Fluctuations between depression and mania.

Major Depressive Disorder

  • Criteria include depressed mood and loss of interest, symptoms causing distress or impairment for at least two weeks.

Bipolar Disorder

  • Mood states between depression and mania.
  • Mania Symptoms: Excessive talkativeness, irritability, grandiosity, impulsivity.

Cognitive Distortions

  • Irrational thoughts that influence emotions; can lead to extreme debilitation.

Schizophrenia

  • Symptoms:
    • Hallucinations (often auditory), Delusions (paranoid, grandiose), Disorganized thinking.
    • Negative Symptoms: Avolition, Alogia, Asociality, Anhedonia.

Personality Disorders

  • Marked by inflexible personality styles differing from cultural expectations, typically beginning in adolescence/early adulthood.
  • Clusters:
    • Cluster A: Paranoid, Schizoid, Schizotypal.
    • Cluster B: Antisocial, Histrionic, Narcissistic, Borderline.
    • Cluster C: Avoidant, Dependent, Obsessive-Compulsive.

Borderline Personality Disorder

  • Instability in relationships and self-image, impulsivity, fear of abandonment.

Antisocial Personality Disorder

  • Lack of regard for others’ rights; symptoms include impulsivity, lying, legal issues.

ADHD (Attention-Deficit/Hyperactivity Disorder)

  • Characterized by inattention and hyperactive behavior impacting functioning.
  • Symptoms include disorganization, excessive movement, impulsivity.

Autism Spectrum Disorder

  • Symptoms: Deficits in social interaction and communication, repetitive behaviors.
  • Prevalence: Approx. 1 in 88 children; higher in boys.

Mental Health Treatment

  • No treatment mentioned in detail but implicit understanding of therapy’s role in managing symptoms.

Exam Preparation Reminders

  • Upcoming topics and dates for review sessions and exams.