Introduction – Understanding Psychological Disorders
Psychological disorders refer to patterns of thoughts, emotions, and behaviors that cause distress, dysfunction, or deviation from societal norms.
Studies use a variety of perspectives to ensure accurate diagnosis and effective treatment.
Defining Disorders
The classification of disorders often hinges on functionality, distress, and deviation from norms.
Examples: A person with severe anxiety may have difficulty working, while someone with schizophrenia may experience a break from reality.
Diagnostic Tools
The DSM-5 (Diagnostic and Statistical Manual) and ICD (International Classification of Diseases) offer standardized criteria for diagnosing mental disorders, focusing on symptoms, duration, and severity.
Treatment Perspectives
Multiple approaches (behavioral, cognitive, psychodynamic, biological) provide different methods of treatment for mental disorders.
Models of Interaction
Biopsychosocial Model and Diathesis-Stress Model emphasize multi-factorial approaches, highlighting how genetics, stress, and environment interact in shaping mental health.
Level of Dysfunction ⚖
The degree to which behavior disrupts daily functioning is a key indicator.
Ex: Severe anxiety preventing an individual from going to work.
Perception of Distress 😢
The emotional or psychological pain experienced by the individual.
Ex: Persistent sadness, feelings of hopelessness, or apathy.
Deviation from Social Norms ❗
Behaviors that violate societal expectations or deviate from cultural norms.
Ex: Aggressive outbursts or extreme withdrawal from social situations.
Definition: The act of recognizing and appreciating positive aspects of life.
Ex: Keeping a gratitude journal or expressing thankfulness to others.
Benefits: Increases life satisfaction and reduces stress by shifting focus toward positivity and fostering healthy relationships.
DSM-5 (Diagnostic and Statistical Manual)
Standardized criteria for diagnosing mental disorders based on symptoms, severity, and duration.
ICD (International Classification of Diseases)
A global system created by the WHO for consistent diagnosis and treatment across countries.
An approach that combines multiple perspectives to offer a comprehensive treatment plan.
Ex: Combining cognitive therapy, medication, and lifestyle changes for effective treatment.
Focus: Learned behaviors and associations causing disorders.
Example: Phobias formed through classical conditioning.
Treatment: Behavioral therapies (e.g., exposure therapy) to unlearn maladaptive behaviors.
Focus: Unconscious conflicts, early childhood experiences, and unresolved issues.
Example: Repressed memories influencing adult behavior.
Treatment: Psychoanalysis to uncover and address hidden psychological issues.
Focus: Fulfilling personal potential and the role of social support in mental health.
Example: Depression caused by isolation and lack of purpose.
Treatment: Encourages self-growth and self-actualization.
Focus: Maladaptive thoughts and beliefs that affect emotions and behaviors.
Example: Negative self-talk causing anxiety or depression.
Treatment: Cognitive-behavioral therapy (CBT) to challenge and reframe negative thoughts.
Goal-oriented and evidence-based therapy focused on identifying and changing negative thoughts and behaviors.
Core Principles:
Thoughts, Feelings, and Behaviors Are Connected: Negative thoughts often lead to emotional distress and maladaptive actions.
Changing Thoughts Can Change Feelings and Behaviors: Focuses on problem-solving and self-awareness to break harmful cycles.
Particularly effective for treating anxiety, depression, phobias, and stress-related disorders.
Cognitive Restructuring
Identifying and challenging negative thoughts to replace them with rational beliefs.
Ex: Replacing “I’ll fail this test” with “I’m prepared and will try my best.”
Behavioral Activation
Encouraging positive actions to improve mood and motivation.
Ex: Scheduling enjoyable activities to reduce depression.
Exposure Therapy
Gradual exposure to fears to reduce anxiety and build confidence.
Ex: Practicing social interactions to overcome social anxiety.
Focus: Behaviors tied to survival, but may no longer be adaptive.
Ex: Excessive fear of heights rooted in ancient threats to survival.
Focus: Social and cultural influences on mental health.
Ex: Cultural stigma affecting treatment for mental illness or gender roles influencing symptoms.
Focuses on how genetic, neurological, and physiological factors contribute to mental health conditions.
Ex: Depression can result from neurotransmitter imbalances, like low serotonin levels.
Medications: Antidepressants, anti-anxiety drugs, and mood stabilizers can correct chemical imbalances. 💊
Medical Interventions: Electroconvulsive therapy (ECT) and brain stimulation techniques are used in severe cases.
Interaction models emphasize how genetics, stress, and environment work together to influence mental health, promoting multi-factorial approaches to diagnosis and treatment. 🌱✨
Key Idea: Mental disorders result from the interplay of biological, psychological, and social influences.
Ex: Depression may result from genetic predispositions (biological), negative thinking patterns (psychological), and social isolation (social).
Key Idea: Disorders arise when a genetic vulnerability (diathesis) interacts with environmental stressors.
Ex: A person with a genetic vulnerability may develop anxiety after a traumatic event like a car accident.
Psychological disorders are patterns of thoughts, emotions, and behaviors causing distress or deviation from norms. Understanding these disorders helps with diagnosis, treatment, and support.
Key Types of Disorders:
Neurodevelopmental Disorders: Conditions like ADHD and ASD that affect childhood behavior and cognition.
Mood Disorders: Depression and bipolar disorders that impact emotional states.
Anxiety Disorders: Excessive fear and worry.
Schizophrenia Spectrum: Hallucinations, delusions, and disorganized thinking.
Obsessive-Compulsive and Trauma-Related Disorders: Obsessions, compulsions, and stress responses.
ADHD – Inattention, hyperactivity, impulsivity. ASD – Social communication challenges, repetitive behaviors.
Causes:
Environmental: Toxin exposure, prenatal malnutrition.
Physiological: Brain structure abnormalities, neurotransmitter issues.
Genetic: Family history and genetic mutations.
Symptoms:
Positive: Delusions, hallucinations, disorganized thinking.
Negative: Flat affect, reduced motivation.
Causes:
Genetic: Family history increases risk.
Biological: Dopamine imbalance.
Environmental: Prenatal stress, viruses.
Major Depression: Persistent sadness, loss of interest. Persistent Depression (Dysthymia): Chronic mild symptoms.
Causes:
Biological: Low serotonin, dopamine.
Social: Lack of support, trauma.
Cognitive: Negative thought patterns.
Bipolar I: Severe mania and depression. Bipolar II: Milder mania and prolonged depression.
Causes:
Biological: Altered neurotransmitter activity.
Social/Cognitive: Stress, maladaptive thinking.
Specific Phobias, Panic Disorder, Social Anxiety, Generalized Anxiety Disorder (GAD)
Causes:
Learned Associations: Fear developed through traumatic experiences.
Cognitive: Catastrophic thinking.
Biological: Genetic risk, neurotransmitter imbalances.
Obsessive-Compulsive Disorder: Obsessions (intrusive thoughts) and compulsions (repetitive behaviors).
Causes:
Learned: Behaviors provide temporary relief.
Cognitive: Irrational beliefs about harm.
Biological: Genetics, serotonin issues.
Dissociative Amnesia: Memory loss due to trauma. Dissociative Identity Disorder (DID): Presence of distinct personalities.
Causes:
Trauma: Abuse or stress during childhood.
Stress: Triggers detachment or memory loss.
PTSD: Flashbacks, hypervigilance, detachment from trauma.
Causes:
Trauma: Life-threatening events.
Stress: Chronic abuse or neglect.
Anorexia Nervosa: Food restriction due to fear of weight gain. Bulimia Nervosa: Binge eating and purging.
Causes:
Biological: Genetics, neurotransmitter imbalances.
Social: Cultural norms and media pressures.
Cognitive: Maladaptive beliefs about body image.
Cluster A (Odd/Eccentric): Paranoid, schizoid, schizotypal.
Cluster B (Dramatic/Erratic): Antisocial, histrionic, narcissistic, borderline.
Cluster C (Anxious/Fearful): Avoidant, dependent, obsessive-compulsive.
Each type involves long-term patterns deviating from societal norms, affecting behavior, relationships, and emotional regulation.
Effectiveness of Psychotherapy
Research and trends in evidence-based treatments. 📊
Ethical Principles in Therapy
Ensuring safety, confidentiality, and respect in care
Therapy Techniques
Exploring methods like psychodynamic and cognitive approaches
Biological Interventions
Medications and their role in treating disorders
Therapy Techniques
Definition: Motivation drives behaviors to fulfill physical needs, desires, and goals.
Drive-Reduction Theory: Behaviors reduce physical drives to maintain homeostasis.
Example: Eating to restore balance when hungry.
Arousal Theory: People seek optimal arousal levels.
Example: Thrill-seeking for excitement, or relaxation to unwind.
Yerkes-Dodson Law: Performance improves with moderate arousal, declines with high stress.
Example: Performing well under moderate stress but struggling under extreme pressure.
Biopsychosocial & Diathesis-Stress Models: Multi-factor models explaining interactions in motivation.
Self-Determination Theory: Focuses on intrinsic vs. extrinsic motivation.
Intrinsic: Motivation driven by personal satisfaction.
Example: Reading for pleasure.
Extrinsic: Motivation driven by external rewards.
Example: Studying for grades.
Incentive Theory: External rewards influence behavior.
Example: Studying hard for a good grade.
Instincts: Innate, automatic behaviors triggered by stimuli.
Purpose: Survival and reproduction.
Examples:
Bird Migration: Traveling for food and nesting.
Spider Web-Spinning: Instinctive behavior for hunting.
Human Motivation: Less reliant on instincts, shaped by experiences, culture, and goals.
Examples:
Career Goals: Pursuing education for success.
Social Connections: Seeking relationships for emotional well-being.
Personal Growth: Engaging in self-improvement or new hobbies.
Approach-Approach: Choosing between two desirable options.
Example: Deciding between two great job offers.
Approach-Avoidance: One option with both positive and negative aspects.
Example: Accepting a high-paying job with a relocation requirement.
Avoidance-Avoidance: Choosing between two undesirable options.
Example: Deciding whether to clean the garage or pay a fine.
Definition: The drive for novelty, excitement, and risk-taking to maintain engagement.
Purpose: Explains behaviors related to curiosity and risk.
Examples:
Adventures: Trying new cuisines, traveling, extreme sports.
Experience Seeking: Desire for new ideas, cultures, and sensory experiences.
Example: Traveling to new places or trying unfamiliar foods.
Thrill/Adventure Seeking: Pursuing physical risks and adrenaline-pumping activities.
Example: Skydiving, rock climbing.
Disinhibition: Preference for spontaneous, impulsive activities.
Example: Enjoying parties or risky behavior.
Boredom Susceptibility: Low tolerance for routine or monotonous tasks.
Example: Constantly seeking new challenges or experiences.
Biological Factors:
Ghrelin: Stimulates hunger.
Leptin: Promotes satiety (feeling full).
Hypothalamus: Regulates hunger and energy balance.
Example: Feeling hungry before a meal and full afterward.
External Factors: Social and environmental cues influence eating.
Example: Eating during social gatherings, or based on the time of day rather than hunger.
Overview:
Health psychology focuses on how stress, coping strategies, and social support affect mental and physical health. It examines the connection between the mind and body, and how psychological factors impact overall wellness.
Types of Stress & Stressors
Eustress (Positive Stress): Motivates and enhances performance (e.g., preparing for a presentation).
Distress (Negative Stress): Overwhelms and causes harm (e.g., chronic work stress).
Biological Stress Responses
The General Adaptation Syndrome (GAS) model explains how stress affects the body in three phases:
Alarm Reaction: Immediate reaction (e.g., fight-or-flight).
Resistance: Prolonged effort to cope (e.g., maintaining focus on a work project).
Exhaustion: Depletion of resources, leading to burnout (e.g., physical breakdown).
Types of Stressors
Traumatic Events: Life-altering events that cause prolonged stress (e.g., natural disasters, accidents).
Daily Hassles: Minor, repetitive stressors that build up over time (e.g., traffic jams, work pressure).
Adverse Childhood Experiences (ACEs): Early-life stressors that impact long-term mental and physical health (e.g., abuse, neglect).
Hypertension (High Blood Pressure)
Chronic stress leads to elevated blood pressure, which can increase the risk of heart disease and stroke. Stress hormones like cortisol can constrict blood vessels and elevate heart rate, contributing to hypertension.
Headaches
Tension and migraines are commonly stress-induced. Prolonged stress can lead to frequent headaches due to muscle tension and changes in blood flow.
Immune Suppression
Long-term stress weakens the immune system, making the body more susceptible to infections. Stress hormones can suppress immune cell production and function, leaving the body more vulnerable to illness.
Problem-Focused Coping
Directly addressing the stressor (e.g., making a schedule to meet work deadlines).
Example: Creating a detailed plan to resolve financial stress or manage work projects.
Emotion-Focused Coping
Managing emotional responses to stress rather than solving the problem itself (e.g., using relaxation techniques).
Example: Deep breathing, meditation, and using medication to reduce stress symptoms.
Social Support & Health
Strong social networks reduce stress and promote resilience. Connections with others act as a buffer against stress, offering emotional and practical support.
Example: Reaching out to friends or family for support during tough times.
Overview:
Positive psychology focuses on what contributes to happiness and well-being. It emphasizes personal strengths, virtues, and positive emotions, rather than only addressing mental health issues.
Positive Experiences
Gratitude and mindfulness practices can improve life satisfaction.
Example: Keeping a gratitude journal or expressing thanks to others to boost happiness.
Personal Strengths
Using personal strengths like kindness, curiosity, and perseverance enhances happiness and growth.
Example: Volunteering to help others (kindness) or exploring new interests (curiosity).
Posttraumatic Growth
Positive changes resulting from overcoming adversity, leading to greater resilience and personal transformation.
Example: Recovering from an illness can provide a new perspective on life, fostering appreciation and strength.
Wisdom: Cognitive strengths like creativity and curiosity.
Courage: Emotional strengths that help overcome challenges.
Humanity: Strengths that promote connection with others (e.g., kindness, love).
Justice: Strengths that promote fairness and leadership.
Temperance: Strengths that prevent excess (e.g., forgiveness, self-regulation).
Transcendence: Strengths that connect us to a higher purpose (e.g., gratitude, spirituality).
Gratitude
Practicing gratitude increases happiness and reduces stress. It helps shift focus away from negativity to what’s going well.
Example: Reflecting on positive moments through a gratitude journal or expressing thanks regularly.
What It Is
PTG refers to positive psychological changes after trauma or stress, leading to greater resilience and personal insight.
Example: Recovering from trauma and developing a deeper appreciation for life.
Aspects of PTG
Improved Relationships: Strengthened emotional bonds.
New Possibilities: Recognizing new opportunities in life.
Personal Strength: Discovering inner resilience.
Spiritual Change: Enhanced spiritual awareness.
Appreciation of Life: Valuing small, everyday moments.