Chapter 15: Psychological Disorders Flashcards

(49 cards)

1
Q

Psychological Disorder

Also: Mental Disorder, Psychiatric Disorder

A

syndrome characterized by clinically significant disturbance in an individual’s cognition, emotional regulation, or behavior that reflects a dysfunction in the social, occupational, and other important activities or impairment of successfully executing activities of daily life

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2
Q

Psychopathology

Pathology - study of diseases

A

study of psychological disorders, including their symptoms, etiology, and treatment

  • Etiology - causes
    • accident
    • DNA - nature vs. nurture
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3
Q

Are atypical characteristics signs of a psychological disorder?

A

can be, but atypical does not always mean abnormal

e.g. red heads

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4
Q

Behaviors vary from one culture to another. How do some behaviors translate between cultures?

A

may be considered acceptable in one culture, but inappropriate in others

e.g. eye contact is acceptable in western cultures, but it is considered a sign of disrespect and anger in eastern cultures

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5
Q

Experiences vary and are…?

A

subjective in every person’s internalization of the experiencce

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6
Q

Harmful Dysfunction

A

dysfunction must be harmful when it leads to negative consequences for the individual or others (as judged by the standards of the individual’s culture)

Mental disorders hindering one from their day-to-day duties and responsibilities.

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7
Q

What are the four criteria to diagnose a psychological disorder?

A
  1. disturbances in thoughts, feelings, and behaviors
  2. disturbances reflect a biological, psychological, or developmental dysfunction
  3. disturbances lead to distress or disability in one’s life
  4. disturbances do not reflect expected or culturally approved responses to certain events

  1. OCD, constantly thinking of germs
  2. resort to childlike behaviors to come with trauma (e.g. hide in a corner of the bathroom, temper trantrum as an adult)
  3. needs drugs to function, social anxiety
  4. expected for one to grieve after losing someone, but eventually move on; abnormal to fall into a deep state of depression and refuse to move on
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8
Q

Diagnosis

A

appropriately identify and label a set of defined symptoms for proper intervention and patient care

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9
Q

What are the basic features does the DSM-5 include?

A
  • diagnostic features
  • diagnostic criteria
  • prevalence
  • risk factors

Consider frequency, duration, severity to diagnose. Has to be over a long period of time.

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10
Q

comorbidity

A

occurrence of two or more simultaneous disorders

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11
Q

What are the most common psychological disorders?

A
  • Major Depressive Disorder (MDD)
  • Generalized Anxiety Disorder (GAD)
  • Substance Use Disorder (SUD)
    - alcohol is most abused substance, numb themselves
  • Post-Traumatic Stress Disorder (PTSD)
  • Panic Disorder
  • Social Anxiety Disorder
  • Obsessive-Compulsive Disorder (OCD)
  • Dysthymia
    • up and down mood
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12
Q

What is the difference between normal anxiety and pathological anxiety (ANX)?

A

fears and bad stress will prevent people from completing their responsibilities, while healthy anxiety will help people prepare to take action

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13
Q

What disorders make people live in the future or the past?

A
  • anxiety - worry about the future
  • depression - cannot move forward from the past

Neither live in the present, which affects their current everyday life.

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14
Q

Social Anxiety Disorder

A
  • fear and avoidance of social functions
  • concerns of humiliation and embarassment

Rehearse a script to practice speaking. No control over anxiety; it isn’t a choice to not go out.

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15
Q

Panic Disorder

A
  • physiological in nature, recurrent
    • abrupt sweating and trembling, heart racing, trouble breathing, dizzy and nauseous
  • unconscious for 10 minutes long
  • panic attack - a single episode
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16
Q

Generalized Anxiety Disorder (GAD)

A
  • continuous state of excessive, uncontrollable, and pointless worry
  • apprehension becomes a routine and affects the ability to perform responsibilities effectively

23% of women and 24% of men.

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17
Q

Obsessive-Compulsive Disorder (OCD)

A
  • obsession - thoughts and urges that are intrusive and unwanted
  • compulsion - need to engage in repetitive behaviors or mental acts

  • Go back to complete action, cannot move on without completing it.
  • 2.3% of population experience OCD in their lifetime.
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18
Q

Body Dysmorphia Disorder

A

preoccupied with a perceived flaw in physical appearance that is either non-existence or barely noticeable to other people

Leads to eating disorders. 2.4% of adults in the US meet criteria for body dismorphia.

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19
Q

Hoarding Disorder

A
  • accumulation of excessive amounts of usually worthless items, clutter living areas
  • items may become of some use, or hold sentimental attachment

Loved one dies, hoard items to remember them. (Experience loss, need to gain something.)

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20
Q

Post-Traumatic Stress Disorder (PTSD)

A
  • exposed to or witnessed the details of a traumatic event
  • symptoms
    • flashbacks (relive event), hypervigilance, nightmares, sleep disturbances

7% of adultts in the US (9% of women, 3.6% of men).

21
Q

What are the major symptoms of schizophrenia?

A
  1. delusions
  2. disorganized thinking
  3. negative symptoms
22
Q

Delusions

A

beliefs contrary to reality and are faced with contradictory evidence

23
Q

What are the different types of delusions?

A
  • Paranoid Delusions - false belief that other people are plotting something to cause harm
  • Gradiose Delusions - false belief that someone holds a special power (e.g. godly)
  • Somatic Delusions - belief that something abnormal is happening to one’s body
24
Q

Disorganized Thinking

A
  • disjointed and incoherent thought processes
  • person jumps from topic and topic, so conversations make no sense
25
What are examples of negative symptoms?
* **Avolition** - *lack of motivation* to engage in self-initiated meaningful activity * **Alogia** - *reduced speech* output * **Anhedonia** - *little interest* in what others would consider pleasurable activities
26
Prodormal Symptoms
experience **early symptoms** of schizophrenia like minor **signs of psychosis** (hallucinations, delusions)
27
Personality Disorder
* exhibit a personality style that differs from the expectations of their culture * begins in adolescence or early adulthood
28
What is Cluster A called?
Odd and Eccentrics
29
Paranoid ## Footnote Cluster A
* pervasive and unjustifiable **suspiciousness and mistrust** in others * takes offense and bears grudges
30
Schizoid ## Footnote Cluster A
* **lacks interest to form relationships** with others * all kinds of relationships, like professional * aloof, cold, and emotionally detached * indifferent to approval or criticism ## Footnote Knows about their issue, but do not seek help since they prefer to live alone.
31
Schizotypal ## Footnote Cluster A
* **eccentricities in thought** (strange beliefs and fantasies), perception, emotion, speech, and behavior * suspicious and paranoid ## Footnote Wants to form relationships but cannot due to eccentricities.
32
What is Cluster B called?
Dramatics
33
Antisocial ## Footnote Cluster B
* continuously **violates the rights of others** * deceitful and manipulative to gain profit or pleasure * **17 and younger -> diagnosed with conduct disorder**; 18 and older -> diagnosed with antisocial disorder
34
Histrionic ## Footnote Cluster B
* excessively **overdramatic and emotional** * believes relationships are more meaningful than they actually are * seeks to be the **center of attention** * believes they should be treated with significant importance and given **special treatment** * validation fuels their ego, lashes without it
35
Narcissistic ## Footnote Cluster B
* *overinflated ego* and unjustified sense of **self-importance** * preoccupied with fantasies of success * takes advantage of others * **lacks empathy**
36
Borderline ## Footnote Cluster B
* **unstable self-image, mood, and behavior** * mood flips the second something goes wrong * cannot tolerate being alone, experiences chronic feelings of emptiness * shows intense and in appropriate anger * *unable to form intense and long lasting relationships* ## Footnote Women are typically diagnosed with borderline personality disorder, while men are typically diagnosed with antisocial personality disorder.
37
What is Cluster C called?
Depressed
38
Avoidant ## Footnote Cluster C
* **socially inhibited** and oversensitive to negative evaluation * **fears criticism and rejection** * anxious about how others perceive them, causes them to withdraw from society
39
Dependent ## Footnote Cluster C
* allows others to take over their life * lacks self-confidence * **cannot make their own decisions** * always asks others to validate their decisions * adults that do not grow out of childhood separation anxiety are diagnosed with dependent personality disorder
40
Obsessive-Compulsive ## Footnote Cluster C
* pervasive need for **perfectionism and ability to complete tasks** * need to complete task to move on, lose track of otthers tasks * preoccupied with details, rules, orders, and schedules * inflexible and stubborn ## Footnote OCPD is different from OCD.
41
Major Depressive Disorder (MDD)
* experience symptoms for at least **2 weeks** for diagnosis * symptoms * depressed mood * loss of pleasure * loss of energy * insomnia or hypersomnia * loss of appetite * diminished ability to think/concentrate
42
In the DSM-4, what is the difference between Bipolar 1 and Bipolar 2?
* Bipolar 1 * depression * high mania * Bipolar 2 * depression * low mania
43
Manic Episode/Mania
* experience **3+** symptoms for at least **1 week** to diagnose * symptoms * inflated self-esteem * decreased need for sleep * more talkative * **flight of ideas** * distractibility * increased goal-directed activity * excessive involvement in activities that have major consequences
44
Dissociative Disorder
* individual splits off (disassociates) from their core sense of self * **causes are psychological rather than physical**
45
Depersonalization
* detachment from, or unfamiliarity with, oneself * believe thoughts and feelings are not their own ## Footnote Out of body, same environment.
46
Derealization
* detachment from, or unfamiliarity with, the world * surrounding **world is artifical or unreal** ## Footnote In body, different environment.
47
Dissociative Identity Disorder (DID)
exhibited two or more personalities or identities, each well-defined and distinct from each other
48
Attention Deficit Hyperactivity Disorder (ADHD)
* child shows a constant pattern of **inattention and/or hyperactive and impulsive behavior** * **hyperactivity** - excessive movement
49
Autism Spectrum Disorder (ASD)
show disturbances in: 1. deficits in social interaction 2. deficits in communication 3. repetitive patterns of behaviors or interests