Mood Swings and personality disorders Flashcards

(77 cards)

1
Q

What has caused mood swings to become more common these days>

A

Modern high stress lifestyles

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2
Q

What are the 2 phases of mood swings?

A

Manic
Depressive

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3
Q

What is the difference between bi polar and uni polar?

A

Bipolar = manic then depressive
Uni polar = straight to depressive

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4
Q

How does the system try and resist an on coming depression?

A

Through the manic phase

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5
Q

Is a manic phase always visible to others

A

No - socially the person might feel ok but inside they can often feel what is brewing

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6
Q

What is a hypomanic phase?

A

When the paitent feels the symptoms inside but it is not visible to others. The manic phase is connected to anxiety

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7
Q

What is a dysphoric phase?

A

A manic phase that is short lived and goes quickly into depression

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8
Q

What force is depression linked to?

A

HT - imbalance of Shen = imbalance of everything else
HT fire

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9
Q

If someone has a severe bout of depression what is the chance of them relapsing in the next 3 years

A

80% - HT fire is weak

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10
Q

What are some ways depressed people can reawaken the HT fire

A

Find enthusiasm and healthy joy. New hobbies, community, a spiritual practice etc

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11
Q

What is dysthymia?

A

A light depression that stabilizes and is often chronic.
Very light, comes and goes but is consistently there

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12
Q

Can dysthymia become the default operating system?

A

Yes. Many people live with it because they think it is normal

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13
Q

Real Depression can often be proceeded by what?

A

Dysthymia

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14
Q

Why is it important to distinguish if there is a manic phase preceding depression?

A

If so there is a big and deep anxiety within. Often it is better to treat the anxiety before the depression

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15
Q

What is serotonin depression

A

Mood swing that are closer to bipolar depression. Often chronic. Often no significant enough to disturb professional and personal life

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16
Q

What can cause grief to be a mood problem?

A

When it doesn’t have a real source

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17
Q

How did old Asian cultures treat problems of the mind?

A

As possession

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18
Q

What are the 3 causes of Mood Swings

A
  1. Jing - in jing we develop something that is never really us. A potential that needs to be discovered and realized.
  2. Feng Shui - pressure of the world
  3. Combination of above - Some people are strong or weak. Hormonal imbalance, relationships etc
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19
Q

Why is a spiritual practice important in regards to mood disorders

A

Because they are difficult to treat. Best to help before it becomes a problem

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20
Q

What are some negative factors that can contribute to suicidal depression

A

Family history
Jing aspect
Biology

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21
Q

What are some positive factors that can help prevent suicidal depression

A

Education
Absence of traumatic events
Support networks, good relationships
Behavioural work and self examination
Spirtual practice, therapy
Finding small things in lift that bring hope

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22
Q

What are the 2 factors required to follow through with suicide

A

Dying seem like a better option than life
Need a plan on how to carry it out

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23
Q

What does a manic phase look like

A

Extreme overwhelm, feeling of being great and invincible . Tons of energy

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24
Q

What is the best way to treat a manic phase

A

Cool down, stay home, be around close friends or family , avoid agrivating stimuli

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25
What does a depressive phase look like?
Intense feeling of exhaustion, lack of energy and interest, no good feelings or pleasure. Feel broken with no trust
26
How does a persons Jing contribute to mood swings
Biological, what a person has inside but there still needs to be something that pushes them toward and revels this
27
How can we treat neurological weakness or breakdown that causes depression?
Nei Gong - builds the connections
28
How does sleep infulence mood swings?
Circadian rhythm is crucial
29
How can social factors cause mood swings
If someone feels oppressed or not equal, taken advantage of or worthless. If they are under socialized or too passive
30
Why is important to train sexuality in regards to mood swings
Linked to jing. Can’t be depressed with good sexuality. However depressed people can sometimes go to excess
31
Why is it important to know oneself?
Otherwise it is difficult to find pleasure in everyday life. Leads to confusion - difficult to align intent and action. Find clarity = simple life
32
What is a good basic treatment for mood swings and depression
Going out, taking care of physical appearance, getting involved in things. Avoid things that make angry or upset.
33
Why is clarity key in treating mood swings and depression
Clear planning = action = responsibility = no time to feel depressed
34
What is the difference between dysthymia and major depressive troubles
Major depressive troubles start quickly and are always linked to analyzed problems such as big change or loss or trauma
35
Why is it important for the the therapist to look for the single events that caused major depressive troubles
The paitent may not have clarity and feel like many negative experiences have caused it. However the original cause has not been fully digested and resolved
36
What is double depression
Starts as a major depressive episode and never recovered to healthy levels and settles into permanent dysthymia
37
What are bipolar troubles
Big manic phase followed by depressive phase
38
What are treatment possibilities for depression
Developing a good healthy body- finding pleasure in the simple things of life
39
Why is it important to do things like training when first feeling depression coming on
Because once depression has set in it won’t work to do anything
40
What is the defininition of a personality disorder
Mental disorders that cause problems adapting to the environment Difficulty in behaving correctly in relation to the experience of other people
41
What are the 4 main catagories of personality disorders
Wierd Anxious Dramatic The rest
42
What are the 3 catagories of Weird types
Paranoid Schizoid Schizotypal
43
What are some traits of the paranoid type
Complex thinking and overthinking Strong narcissistic tendencies - keep grudges Rigid and untrusting Express themselves in a way to prove they are right to be paranoid
44
The paranoid type has a possible link to what western biological diagnosis
Schizophrenia
45
Why do paranoid types generally not want treatment
They do not trust therapy and always feel superior
46
What are the important things to remember when treating a paranoid type
Do not speak your mind or express how you feel Don’t make jokes Make everything clear about the treatment Don’t argue always agree Refer to something bigger eg. canonical text, famous dr’s Let them talk and give ideas
47
What western biological diagnosis is potentially linked to the schizoid type
Autism
48
What are some traits of the schizoid
Likes to be alone Few emotions Can seem cold or detached from things No interest in friends or sexual relations Can be more inside themselves with thier own reality rather than outside reality
49
As the therapist how should we deal with the schizoid type
Don’t ask them to get too personal or ask questions about deeper feelings Just take relevant information Don’t try to befriend or explain TCM Can ask them to email or write out things if they have difficulty talking about thier illness Encourage them to develop basic relationships with others and be less inside themselves
50
What are some traits of schizotypal
Act wierd Dress weird Very suspicious Believes in wrong kind of magical thinking Often deep depression
51
Which western diagonais can the schizotypal develop into
Schitzophrenia
52
As the therapist how should we deal with the schizotypal
Avoid keeping them - refer to psychiatrist or Daoist medicine
53
What are the 4 anxious type personality disorders
Anxious Dependent Avoidant Obsessive compulsive
54
Traits of the anxious type
Very tense Always anticipating bad things happening Once comfortable don’t like change
55
As the therapist how should we treat the anxious
Make jokes to lighten the mood Take care of them Let them talk about thier problems - but not once needles are in Keep everything as consistent as possible so there are no surprises -
56
Traits of the dependent type
Needs to be supported Submissive Timid Passive Often make bad decisions because they are timid
57
How should the therapist support the dependent type
Help but don’t make decision for them Assis them to make their own decisions Make them feel important and responsible Talk about different options but don’t give solutions Maintain limits and boundaries
58
Traits of the avoidant type
Poor self image. and big fear of rejection or criticism Don’t trust themselves Want to disappear Extremely susceptible to social phobias Maybe rejected as a child - absent parents Don’t want to be alone but it happens out of fear not preference Complain a lot and look for the negative
59
How should the therapist work with the avoidant type
Must do a great job the first time so that they return Don’t get upset or show disaproval Don’t make jokes or criticize Make the treatment soft, slow and reassuring Real possibility of transforming their lives
60
Traits of the OCD type
Rigid Dependent on routine and consistency Looks like OCD but not as bad Everything needs to be clean and clear Afraid of the world Don’t like change Distorted ideas about morals. an cleanliness
61
How should the therapist treat the OCD type
Don’t mock tendancies Make them feel at home - can ask for decorating advice Don’t force them to explain Make them feel like you are Can really be helped by treatment
62
What are the 4 dramaic personality types
Anti. social Histrionic Narcissistic Borderline personality disorder
63
Traits of the anti social
Aggressive Impulsive Lacks empathy Tendency toward crime Trouble intergrating into society, following rules Bully Often settles down in 40’s
64
How should the therapist treat the antisocial type
Don’t. Refer to psychologist
65
Histrionic type traits
Theatrical Emotional Proud Egotistical Can be seductive Lie a lot
66
As the therapist how should we treat the histrionic type
Put limits in place and make the therapy relationship very clear Don’t make jokes or take their stories too serious Do not play their games Establish yourself as dircector, dr etc
67
Narcissistic traits
Think they are exceptional - pushed to max Make themselves the centre Always talk about how great they are Shocked if you don’t agree No empathy for others
68
How should the narcissistic type be treated
Be polite Talk with them Don’t criticize Don’t talk about own success Don’t go against them Choose boundaries and what you will accept
69
Borderline personality traits
Deep depression Dysthymia and mood troubles Suicidal tendencies Bad mood Don’t know themselves so don’t like themselves Excessive, erratic
70
How should the therapist treat the borderline personality type
Do not criticize Lisen and be open -= let them talk about their problems
71
What are the 4 “rest” types
Passive aggressive Depressive Sadistic Borderline psychotic
72
Traits of the passive aggressive
Angry but lacks the power to express it Aggression comes out in a hidden or sneaky way Will act rudely as a way of expression aggression - often with a smile
73
Should you try and help the passive aggressive type
Can do but need to decide if you want to because they can be a pain in the ass
74
Traits of the depressive type
Different to dysthemia or real depression Refers to people with a lessor mood
75
How should you treat the depressive type
Boos qi which increases the fire and vitality
76
Should you treat the borderline psychotic or sadistic types
No refer out
77
What are the 6 contributing factors to depression / mood swings
1. Biological, Jing, DNA - what a person has inside but there still needs to be something that pushes them toward and reveals this 2. Neurological - weakness or breakdown. (Nei gong builds the connection of the neurological system. 3. Sleep - poor circadian rhythm. Sleep is crucial. Someone who says they are a night owl acutely = pathology. Sleep is only a strong influence not the cause. 4. Social - If someone feels oppressed or not equal, taken advantage of, worthless. The relation to the family, group and others. If they are under socialized or too passive. Proffesional help or family or trusted confidant can help the social aspect. ** Ask for help 5. Cognitive factors - Memory - work the mind, train the dreams, look for the good in things. Without this it is easy to just see the bad in things. Focus - if focussed can’t be depressed. 6. Emotional - Pleasure.