Health Psychology & Psychological Disorders

HEALTH PSYCHOLOGY

Types of Stress

  • Eustress: Good stress, which is motivating and focusing. Example: Studying for an exam.

  • Distress: Bad stress, which feels overwhelming. Example: Losing a job.

  • Mnemonic: “EU = Excellent, D = Damaging”

Adverse Childhood Experiences (ACEs)

  • Early trauma (e.g., abuse, neglect) can lead to long-term health risks.

General Adaptation Syndrome (GAS)

  • Mnemonic: GAS ARE US

    1. Alarm: Initial reaction (fight or flight). Example: Your heart races when you hear bad news.

    2. Resistance: The body tries to cope. Example: Studying hard while stressed.

    3. Exhaustion: Resources depleted, leading to burnout from chronic stress.

Tend-and-Befriend Theory

  • Women under stress seek social connections and nurturing behavior.

  • Example: Comforting each other during emotional times.

Coping Styles

  • Problem-focused coping: Solving the issue directly. Example: Making a study plan.

  • Emotion-focused coping: Managing feelings related to the issue. Example: Journaling or meditating.

POSITIVE PSYCHOLOGY

Resilience

  • Bouncing back from hardship (grit). Example: Rebuilding life after loss.

Gratitude

  • Being thankful improves well-being. Example: Keeping a gratitude journal can contribute to a longer life.

Signature Strengths

  • Personal virtues: wisdom, courage, justice, humanity, etc. Example: Volunteering utilizes the “kindness” strength.

Posttraumatic Growth

  • Becoming stronger after trauma. Example: A survivor becoming a mental health advocate.

CLASSIFYING PSYCHOLOGICAL DISORDERS

Three Considerations

  1. Deviance: Unusual or socially unacceptable behavior.

  2. Distress: Behavior that causes emotional pain.

  3. Dysfunction: Behavior that interferes with daily life.

Stigma

  • Negative stereotypes about mental illness lead to shame and avoidance of seeking help.

Diagnostic Tools

  • DSM-5: U.S. diagnostic manual.

  • ICD-11: Global disease classification system.

Approaches

  • Eclectic approach: Combining multiple perspectives in treatment.

  • Diathesis-Stress Model: Genetic vulnerability + environmental stress = disorder.

NEURODEVELOPMENTAL DISORDERS

ADHD

  • Hyperactive-Impulsive: Fidgeting, interrupting.

  • Inattentive: Forgetful, distractible.

  • Combined: Both hyperactive-impulsive and inattentive symptoms.

Autism Spectrum Disorder

  • Challenges in social skills and repetitive behaviors.

SCHIZOPHRENIC SPECTRUM

  • Delusions: False beliefs (e.g., paranoia).

  • Hallucinations: Sensing things that are not there (e.g., hearing voices).

  • Disorganized Thinking/Speech: Word salad, jumping topics.

  • Disorganized Motor Behavior: Strange movements or stillness.

    • Catatonia: Little or no movement.

  • Negative Symptoms: Flat affect, low motivation.

  • Acute: Sudden onset.

  • Chronic: Long-lasting, persistent.

DEPRESSIVE DISORDERS

  • Major Depressive Disorder (MDD): Intense, lasts >2 weeks.

  • Persistent Depressive Disorder: Less severe, longer-lasting.

BIPOLAR DISORDERS

  • Mania: High energy, impulsivity.

  • Depression: Sadness, hopelessness.

  • Cycling: Shifting between mania and depression.

  • Bipolar I: Full mania.

  • Bipolar II: Hypomania (less intense).

ANXIETY DISORDERS

Phobias

  • Acrophobia: Heights.

  • Arachnophobia: Spiders.

  • Agoraphobia: Leaving safe spaces.

Panic Disorder

  • Sudden panic attacks.

  • Ataques de nervios: Culture-specific (Caribbean/Iberia).

Social Anxiety

  • Fear of social judgment.

  • Taijin kyofusho: Fear of being offensive (Japan).

Generalized Anxiety Disorder (GAD)

  • Chronic worry about everyday life.

OBSESSIVE-COMPULSIVE & RELATED

  • Obsessions: Intrusive thoughts.

  • Compulsions: Repetitive behaviors to relieve an obsession.

  • OCD: Obsession + compulsion cycle.

  • Hoarding Disorder: Difficulty discarding items.

DISSOCIATIVE DISORDERS

  • Dissociations: Disconnections from identity/reality.

  • Dissociative Amnesia: Forget personal info.

    • Fugue State: Travel + identity loss.

  • Dissociative Identity Disorder: Two or more identities.

TRAUMA & STRESSOR-RELATED

  • PTSD Symptoms:

    • Trauma, hypervigilance, flashbacks, insomnia, emotional numbness, and hostility.

FEEDING & EATING DISORDERS

  • Anorexia Nervosa: Extreme food restriction, low weight.

  • Bulimia Nervosa: Binge eating + purging.

PERSONALITY DISORDERS

Cluster A (Odd/Eccentric)

  • Paranoid: Distrustful.

  • Schizoid: Emotionally detached.

  • Schizotypal: Eccentric thinking.

Cluster B (Dramatic/Erratic)

  • Antisocial: No remorse.

  • Histrionic: Attention-seeking.

  • Narcissistic: Self-centered.

  • Borderline: Mood swings, fear of abandonment.

Cluster C (Anxious/Fearful)

  • Avoidant: Social inhibition.

  • Dependent: Clingy, needs reassurance.

  • Obsessive-Compulsive Personality Disorder: Perfectionism (not OCD!).

TREATMENT

General Approaches

  • Evidence-Based Interventions: Backed by research.

  • Decentralized Care: Access care outside traditional clinics.

Ethical Guidelines

  • Nonmaleficence: Do no harm.

  • Fidelity: Be trustworthy.

  • Integrity: Be honest.

  • Respect: Uphold dignity and rights.

Therapy Types

Psychodynamic
  • Techniques: Free association, dream interpretation.

Cognitive
  • Cognitive restructuring: Change negative thought patterns.

  • Cognitive triad: Self, world, future.

Exposure
  • Systematic desensitization: Gradual exposure to fears.

Aversion
  • Pairing behavior with an unpleasant stimulus.

Token Economies
  • Rewards for behavior (e.g., classroom stickers).

Biofeedback
  • Control body functions (e.g., heart rate) through feedback.

CBT (Cognitive-Behavioral Therapy)
  • DBT: For borderline personality.

  • REBT: Challenge irrational beliefs.

Humanistic
  • Person-Centered Therapy: Unconditional positive regard.

Group/Family Therapy:
  • Work through dynamics in groups or families.

Talk Therapy/Hypnosis:
  • Verbal processing or hypnotic suggestion.

Medications

  • Antidepressants: For depression (SSRIs).

  • Antianxiety drugs: Calm nervous system.

  • Lithium: Mood stabilizer (bipolar).

  • Antipsychotics: Treat schizophrenia.

    • Tardive dyskinesia: Side effect (involuntary movements).

Surgical/Medical Interventions

  • Psychosurgery: Rare—last resort.

  • Lesioning: Destroy problematic brain tissue.

  • TMS (Transcranial Magnetic Stimulation): Magnetic pulses to stimulate areas.

  • ECT (Electroconvulsive Therapy): Used for severe depression.

  • Lobotomy: An outdated procedure to sever brain connections.