Exam 4 Study Flashcards
(41 cards)
3 criteria of abnormal behavior
- deviant
- maladaptive
- personally distressful
deviant/disruptive behavior
statistically atypical, deviates from cultural norms
maladaptive/dysfunctional behavior
compromise ability to lead satisfying life, function effectively, or dangerous to self/others
personally distressful behavior
the person finds it troubling
biopsychosocial approach
- recognizes all 3 abnormal behavior criteria as potential influences of behavior
- recognizes that psychological disorders are caused by multiple factors
- recognizes that pre-existing conditions can put an individual at risk of developing a psychological disorder
vulnerabitlity stress model versus diathesis stress model
part of biopsychosocial approach
vulnerability stress - model that points out that a positive outcome of psychiatric disorder is more likely if environmental stress is minimized or managed, meds are taken and alcohol.drug is avoided
diathesis stress - model that believes that mental and physical disorders develop from a genetic or biological predisposition for that illness combined with stressful conditions
Purposes of classification
- understand, treat, prevent, predict
- communication between clinicians
- billing/managed care
- DSM and ICD
DSM (diagnostic statistical manual) critiques
- relies too much on social norms and subjective judgements
- too many new categories without sufficient evidence
- loosened standards to meet criteria
- heterogeneity of presentation
- comorbidity
- focuses on problems, not strengths
neuro developmental disorders
- diagnosed in childhood
- often due to genetic differences, atypical brain development, prenatal exposure to teratogens
- include communication disorders, learning disabilities, intellectual disabilities, etc
Generalized Anxiety Disorder (GAD)
- excessive anxiety and worry
- fatigue
- restlessness
- increased muscle aches and soreness
- impaired concentration
- irritability
- difficulty sleeping
OCD criteria
- presence of obsessions, compulsions or both
- these are time consuming and/or cause significant distress
-obsessions - recurrent and persistent thoughts, THOUGHTS
-compulsions - repetitive behaviors, ACTIONS
OCD cycle
obsessions > anxiety > relief > compulsions
Major depressive disorder
5 or more of the following during a 2 week period:
- depressed mood most of the day
- diminished interest or pleasure
- significant weight or appetite changes
- insomnia or hypersomnia
- psychomotor changes
- fatigue
- feelings of worthlessness
- difficulty concentrating
- suicidal ideation
Persistent Depressive Disorder
when major depressive disorder symptoms last for 2 years
mania
manic episode versus hypomanic episode
Common symptoms: decreased need for sleep, high sex drive, noticeability talking more, feeling euphoric, engaging in risky behavior (self harm, spending lots of money), increased energy levels
manic episode
Bipolar 1
abnormally and persistently elevated, expansive or irritable mood and abnormally and persistently increased goal-directed activity or energy, lasting at least 1 week
hypomanic episode
bipolar 2
4 consecutive days of manic behavior
physical indications of fight or flight response
dilated pupils
pale/flushed skin
trembling
rapid HB and breathing
GAS - general adaption syndrome
identified by Hans Selye
Our stress response system defends, then fatigue
3 phases
phase 1 - alarm reaction
phase 2 - resistance
phase 3 - exhaustion
functions of stress
- stress can invigorate our lives by arousing and motivating us
- an unstressed life would not be challenging or productive
- stress keeps us safe
- stress reactions are related to self-preservation and species-preservation
functions of anger
- anger exists to promote survival
- anger can be motivating
- anger serves as a social and personal value indicator and regulator
- anger can be used as a “bargaining tool” and can increase cooperation
- anger can alert us to injustices
social determinants of health
- economic stability
- education access and quality
- health care access and quality
- neighborhood and built environment
- social and community context
- institutionalized discrimination = chronic stress
emotion focused coping skills
exercise, take a bath, give yourself a pep talk, meditate
problem focused coping skills
work on managing time, ask for support, establish healthy boundaries, create a to-do list