14 - Psycholological Disorders

Question 1

The thing about disorders - psychopathology

Answer 1

Distinguishing between natural UNIQUE responses (emotions, thoughts and behaviors) and underlying problems that are led by those patterns of response is hard
Rule of thumb - when its chronic and disrupt life
Psychopathology is sickness of the mind

WO4- its leading cause of disability OVER cancer and heart diseases

Question 2

Context and systemic

Answer 2

Women, poor people, cultures
“Odd” behaviors from our view of things are confused with psychopathy
Some ppls personalities are just “crazy”
Religion does not equal hallucinations

Question 3

Diagnosing criteria

Answer 3

These are all flawed -> use rule o.f thumb
1. Deviate from cultural norm
- clearly they think that social norms are embedded in our brain and we cant simply be influenced by our environment or personality??!!
2. Maladaptive- acting in ways impaired and compromising your safety
- sane ppl do this all the time
3. Personal distress and harmful to others - no empathy or remorse
- but sane ppl get personally distressed about a lot of identity things (dont harm tho)
4. Causes discomfort to others - acting in strange or mean ways
- mean ppl are just mean sometimes

Question 4

4 perspectives for proper diagnosis

Answer 4

Etiology -what led to development of disordered traits
Identity and assess symptoms to understand it fully
Group these symptoms into meaningful categories
This then leads to possible treatments

Question 5

Nature v nurture, or disorder

Answer 5

Diathesis-stress model and Biopsychosocial model

Question 6

Diathesis stress model

Answer 6

2 factors to explain
- diathesis is vulnerability to disorder though genes or childhood trauma (environment) diatheisis doesn’t create disorder on its own
- at least one disorder in fam history leads to POSSIBILITY
- stress- overpowers persons current ability to cope with it

This model implies that good mental health and coping with stress manages the effects of stressors

WO4- self control is not important to disorders
WO4- this doesn’t cover cultural things like Biopsychosocial

Question 7

Biopsychosocial factors

Answer 7

Vulnerability, stress ANDD biological, psychological and sociocultural factors

Question 8

Biological (BPS)

Answer 8

Physiological - brain deficiencies (neurotransmitters imbalances, genetics, Brian functions)
Twins and adoptees show importance of genes
Gut microbiome abnormalities in digestive tract contributes (eating unhealthy foods too)

Question 9

Psychological (BPS)

Answer 9

Thoughts, emotions, personality and learned expiriences
Inability to regulate emotions, personality that is disinterested in that, emotional expiricnes in daily lives (stressors), how ppl think about themselves (SOCIAL CONDITIONING)

Question 10

Sociocultural (BPS) * several factors combined are at play

Answer 10

Situational -> family relationships, socioeconomic status, natural disasters, cultural context
Cultural context = being goth, being a college student, being in a culture with strict oppressive values (personality can come into play here _ of your desire to break from these, while others wont want to)

Cultural - social media is a huge enforcer of stress that can develop into disorders (imposes so many negative social norms)
- being a minority or underrepresented group _ of lack of attention and non specialized health care or any health care at all

Question 11

Assessment

Answer 11

Interviews, self reports, observations, psychological testing for mental functions and actions -> categorizes persons thoughts emotions and behaviors to make diagnosis

Possible outcome of condition = prognosis
Prognosis depends on the particular category diagnosed ( what traits are pulled from the category)

Assessment
Diagnosis
Treatment
Ongoing assessment

Question 12

Self report (assessment method 1)

Answer 12

Interview the client for context
Loss of family member or homing situation ‘

Question 13

Observations (assessing method 2)

Answer 13

Observe behavior during interview (eye movement, chest movement)
Especially good when observing kid interact with other kids because of their limited vocab

Question 14

Depressive disorders

Answer 14

Mood disorder that impairs life and LASTS and is pervasive and COMMON

Question 15

Depressive disorders category

Answer 15

Major depressive disorder (DSM- 5)- very depressed (irritable) mood or no interest in pleasurable activities FOR 2 WEEKS OR MORE

Persistent depressive disorder - same symptoms but less intense (every other day for at least 2 years)

• lead king rims factor for suicide and is “common cold” for psych disorders, but many dont seek treatment _ of stigma of having psych disorder -> show how common these are, educate about effective treatments

Question 16

Major depressive disorder

Answer 16

Major depressive disorder (DSM- 5)- very depressed (irritable) mood or no interest in pleasurable activities FOR 2 WEEKS OR MORE

• ALSO appetite changes, sleep problems, loss of energy, difficulty concentrating, feelings of self-guilt and suicidal thoughts (or death in general)
• severity = lasting months and years

More in women

Question 17

Persistent depressive disorder

Answer 17

Persistent depressive disorder - same symptoms but less intense (every other day for at least 2 years)

Mostly 5 to 10 years

Question 18

Biological in depressive disorders

Answer 18

Depression is genetic
Involves neurotransmitters that regulate emotions
Brain structures- prefrontal regions in processing info loses connect toon to limbic regions of reward
Alternations in biological rhythms _ they sleep more and enter REM more

Question 19

Psychological in depressive disorders

Answer 19

The cool girl in movies who has a friend group but is depressed- its because those friends don’t have a special connection to her
This support plays into hwo ppl deal with major life stressors
Cognitive biases- unconscious emphasis of negatiev stimuli (biological? No cuz its under psychological) and maladaptive stretches for controlling emotion (being taught or being accustomed to ruminating)
Cognitive triad- how we think of ourselves in relation to social situations, our roles and our futures
- overgeneralize reasonings, exaggerate their logic
- blame themselves and think good things are luck
Learned helplessness

WO4- OCD is affected by operant conditioning, not depression

Question 20

Learned helplessness

Answer 20

Theory of depression
They believe they have no effect on their lives (everything is out of their control and they are the result of one of the duds in gods life giving machine)
Like animals, they will lack motivation even when given opportunities
Logic stems from unchanging personal factors (all my fault) and not realistic situational factors

Question 21

Sociocultural in dperessiev

Answer 21

Stigma around “being depressed” deters treatment seeking in developing countries
They also may not believe it
Or have no resources available to treat
Women internalize feelings and men externalize through drugs and violence

Question 22

Blinded by the options that “aren’t there”

Answer 22

The cognitive fog that restricts us from knowing where we are or what we can do, or that we can DO

Question 23

Bipolar disorder

Answer 23

Manic episodes- vary _ some ppls are more negative (restlessness and agitated) than others
Episodes : abnormal or long time elevated mood, energy level and psychical activity, no sleep, grandiose ideas, racing thoughts and distractibility

These last one week or more
Excessive involvement in pleasurable but FOOLISH activities (out of character things they’ll regret after)

Question 24

Bipolar I disorder

Answer 24

DSM - 5 need: extreme mania fro 1 week, major depressive episodes NOT NEEDED for diagnosis but they are still there within ppl with this
Hallucination, thought disturbances, reality distortions from hallucinations
Diagnosed earlier than II

Question 25

Bipolar II disorder

Answer 25

Hypomania = Less extreme mood elevation - more pleasurable creativity and productivity DSM -5 - must last 4 consecutive days and be there most of that period - NEEDS at least one episode of major depressive disorder of 2 weeks Doesn’t cause severe impairment of daily functions or hospitalization (like I)

Question 26

Bipolar facts

Answer 26

3 to 4% will have it in lifetime Equally in women and men Mostly during late adolescence or early adulthood Strong genetic component - not linked to just one gene Family inheritance is severe and at younger ages in next gens

Question 27

Schizophrenia

Answer 27

Extreme changes in thought patterns and consciousness -> psychosis (distorts reality) Same in women and men Cognitive, behavioral abnormalities that impair social, personal and occupational functioning

Question 28

Schizophrenia diagnosis

Answer 28

DSM - 5- symptoms : delusions 2, hallucinations 3. Disorganized speech. 4. Disorganized behavior 5. Negative symptoms NEED: show two or more. At least one must be from the first 3 symptoms Symptoms in categories: positive symptoms - ADD unusual behaviors or experiences Negative symptoms- DEFICITS in functioning

Question 29

Schizophrenic delusions (positive)

Answer 29

They are delusional _ their cognitive processes misinform them about reality Different across cultures _ of the different values that are embedded in one’s mindset and unconscious cognition. Japanese man is delusional - worries ppl slander him German man - worry of religious guilt Types- persecution (others are out to get you) grandiose (you have great power), referential (stop sign has a personal message 4 u), identity ( think you’re the president) guilt , and control (you are being controlled)

Question 30

Schizophrenic hallucinations (positive)

Answer 30

Auditory with accusatory voices - danger and humiliation Brian activity in areas that engaged when ppl hear external sounds or talk in their heads, so its a mix up They are talking to themselves but associating it with outside noises

Question 31

Schizophrenic disoriganize speech (positive)

Answer 31

Loosening of associations - change topics Clang association - strong words that rhyme with no link Display strange emotions while talking

Question 32

Disorganized behavior (positive)

Answer 32

Walk along muttering to themselves or do crazy shit

Question 33

Negative symptoms (schizophrenia)

Answer 33

Avoid eye contact, no emotion when discussing emotional things, speech is slowed, say less, speak monotone Dont answer question Slow movements, dont initiate behavior or socialize More in MEN

Question 34

Schizophrenia biological

Answer 34

Ppl inherit predisposition, not disorder itself Other factors play in that’s why the chances of getting it are not 100% Brain disorder - cavities filled with ventricles (fluid) are ENLARGED - this enlargement causes less brain tissue in frontal lobes and medial temporal lobes - no connection between Brian regions - not changed functions in any particular brain region - develops over life but obvious symptoms at late adolescence

Question 35

Schizophrenia environmental

Answer 35

Household not dysfunctional = no risk of triggering the predisposition Environment can never give schizophrenia to anyone that doesn’t have the genes Raised in urban area, air pollution, inflammation of illness during pregnancy WO4- contacting virus anytime also

Question 36

Personality disorders

Answer 36

How the person interacts with others Cluster A of disorders: odd behavior (paranoid, schizoid, schizotypal) - isolated and suspicious, no personal relationships _ of this - same as schizo but less severe Cluster B: dramatic or erratic behaviors (antisocial, borderline, histrionic, narcissistic,) Cluster C: maladaptive ways of interacting or responding than anxiety disorders (avoidant, dependent , obsessive-compulsive) - OCD isn’t OCD personality disorder _ its not fixation on one thing, just have certain lifestyles but aren’t aware of it/ get upset when ppl interfere with their behavior (OCD hate themselves)

Question 37

Borderline personality (peronsalitY)

Answer 37

Bordering normal and psychotic More in women than men Less sense of self - cant be alone - fear of it Need manipulative relationship with someone to control it for sene of safety Episodes of depression, anxiety, anger- hours to days Impulsivity - higehr prison rate Self mutilation (suicidal) 80% experienced abuse Theories - caretakers were unavailable - no learning experiences on how to regulate emotions and understand emotional reactions OR parents make kids too reliant on them - no sense of self and I rejected by others = reject themselves (emphasis on relationships all their life)

Question 38

Antisocial disorder (personality) and psychopath

Answer 38

Focus on own pleasure and have IMPULSIVITY when kill (need external reason) More in MEN Improve on their own around age 40 Those with APD don’t become anxious with negative stimuli - since negative things dont affect them, they never learn from punishment Psychopath = have APD but more extreme - lack of care for others, narcissi and Machiavellianism Only highest level of psychopath are considered to REFLECT symptoms of personality disorders - but show others not found in APD - grandiose, manipulation, and fearless When kill it’s with internal INTENTION

Question 39

PTSD

Answer 39

Dissociative disorder from extreme stress - splits off a traumatic event to protect sense of self

Question 40

Disaasociatiive amnesia

Answer 40

Forgets events AND awareness in large blocks of time Way more extreme than meteors loss from drugs or alcohol Extreme form of this = dissociative fugue - loss of identity which leads to assuming new ones in another location

Question 41

Dissociative identity disorder (DID)

Answer 41

Formerly -multiple personality disorder 2 or more identities In WOMEN who were abused as children -> cope with it by dissociating their mental state from their bodies and pretend that the abuse is happening to someone else He coping identities form each one trauma Diagnosis - difficulty accounting for large chunks of time These identities are so elaborative and this is only cogitnitley possible because they have different organization of brain than others Difficult to tell if ppl are e lying about having it after they lie about committing a crime

Question 42

Eating disorders

Answer 42

BODY IMAGE Cross culturally and MEDIA Chronic dieters -> depressed Then more extreme -> drugs, purging, fasting, excesses Excercsie, purging (vomit) Anorexia nervosa, builimia nervosa, binge eating disorder

Question 43

Anorexia nervosa

Answer 43

FEAR of being fat -> restricted eating -> loss of energy -> body weight is lower than OPITMAL LEVAL of desire/ homeostasis Think they’re much bigger than they actually are (psychological) MEDIA affects more than race or class DSM-5- objective measures of thinness and psychological characteristics leading to abnormal obsession with food and weight Starve themselves and purge Causes - heart disease, loss of bone density Hard to treat and suicide and FATAL

Question 44

Builimia nervosa

Answer 44

ALTENRAET between dieting, binge eating, compensating behaviors (purging) Overestimate their size TOO More in WOMEN In both genders this is more common than anorexia Anorexia - not easy to hide Bulimia- easier to hide - hide binge eating and vomit quietly Causes- dental and cardiac disorders - SELDOM fatal

Question 45

Binge eating disorder

Answer 45

Binge eating for at least a week but DONT purge Eat quickly EVEN when not hungry !!! Guilt and embarrassment Allen to hide behaviors and affected by obesity Mostly in MEN

Question 46

Nuerodevelopmental disorders

Answer 46

Specific learning disorders, communication disorders, or Austin’s ones Impair social functioning, control of thought, action and emotion

Question 47

Autism spectrum disorder and Asperger’s

Answer 47

Bad social interaction (deficits) Impaired communication Restricted, repetitive behaviors and interest More in boys but may be since boys are stereotypically not expected to be so socially isolated Symptoms = not responding to vocializations, reject psychical, no eye contact and dont use gaze to get attention - 14 months of age - deficits in verbal and nonverbal communication - restricted behavariors- dont notice ppl aroudn them or social interactions, only details of objects. Changes in daily routine upset, okay is obsessive which can be self harm (strange hand movements toO) Vaccines in young kids doesnt cause it, autism just starts at young age (correlational) as does talking Severity - mild to server social and intellectual impairments Asperger’s syndrome (NOT DSM-5) - Normal intelligence BUT with deficits in social interaction _ of underdeveloped theory of mind (aware of others mental states and predict their behaviro )

Question 48

Development of autism

Answer 48

Prenatal and early childhood

Question 49

ADHD

Answer 49

Inattentivness Need directions repeated and rules explained over and over to them Social butterflies Hyperactive Impulsive Fidget

Question 50

Social anxiety

Answer 50

Different than regular anxiety - digestive probs + cant concentrate on things or RMEMEBR things In kids with inhibited personalities They say fear of netting new ppl, or speaking or eating in public but those seem specific to certain leanred phobias that happen to manifest in social settings Mine is special in that way too but i guess they dont recognize it- debilitating IN THE MOMENT WO4- guilt is for depression Difficulty sleeping You cant feel sad with anxiety i guess

Question 51

OCD

Answer 51

Obsess in order to REDUCE anxiety/ get rid of intrusive thought

Question 52

Phobias

Answer 52

Classically conditioned

Question 53

Generalized anxiety disorder

Answer 53

Constant anxiety not associated with one specific thing - but multiple specific things? Or non specific things?

Question 54

Panic disorder

Answer 54

Chest pains, shortness of breath, dizziness, numbness and tingling in hands and feet

Question 55

Specific phobia

Answer 55

UnREASONably afraid of a threat

Question 56

Agoraphobia

Answer 56

Fear of being in a situation from which one cannot escape