Week 7: Mental Illness Flashcards

1
Q

Which branch of psychology focuses on the diagnosis and treatment of mental disorders?

A

Clinical Psychology: Clinical or “abnormal”, psychology focuses on diagnosing and treating mental disorders. This branch of psychology is rooted in the work of Sigmund Freud who took a medical, rather than experimental, approach to understanding the causes of human behavior.

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2
Q

When does an “abnormal” trait become characterized as a mental disorder?

A

When it interferes with the quality of a person’s life. While we all possess one or more “abnormal” traits, they do not typically mean that we have a mental disorder. Abnormal traits are only used to diagnose a mental disorder when they interfere with a person’s life in a negative way. For example, the ability to remember pi to 100 decimal places is considered abnormal – in the sense that most people are not able to do this – however, it is unlikely that this abnormal trait has a negative impact on a person life and, thus, does not warrant a diagnosis of mental disorder.

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3
Q

What is the DSM

A

The Diagnostic and Statistical Manual of Mental Disorders is used by clinicians and psychiatrists to diagnose psychiatric illnesses. In 2013, the latest version known as the DSM-5 was released. The DSM is published by the American Psychiatric Association and covers all categories of mental health disorders for both adults and children.

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4
Q

Axis I of DSM

A

Clinical Syndromes: This is what we typically think of as the diagnosis (e.g., depression, schizophrenia, social phobia)

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5
Q

Axis II of DSM

A

Developmental Disorders and Personality Disorders
Developmental disorders include autism and mental retardation, disorders which are typically first evident in childhood
Personality disorders are clinical syndromes that tend to have longer-lasting symptoms and encompass the individual’s way of interacting with the world. They include Paranoid, Antisocial, and Borderline Personality Disorders.

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6
Q

Axis III of DSM

A

Physical Conditions: which play a role in the development, continuance, or exacerbation of Axis I and II Disorders. Physical conditions such as brain injury or HIV/AIDS that can result in symptoms of mental illness are included here.

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7
Q

Axis IV of DSM

A

Severity of Psychosocial Stressors: Events in a person’s life, such as the death of a loved one, starting a new job, college, unemployment, and even marriage can impact the disorders listed in Axis I and II. These events are both listed and rated for this axis.

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8
Q

Axis V of DSM

A

Highest Level of Functioning: On the final axis, the clinician rates the person’s level of functioning both at the present time and the highest level within the previous year. This helps the clinician understand how the above four axes are affecting the person and what type of changes could be expected.

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9
Q

What disorder is characterized by overwhelming and concurrent feelings of sadness, worthlessness, helplessness, lethargy, and apathy?

A

Major Depressive Disorder: While we all feel all of these emotions at some point in our lives, a person with Major Depressive Disorder feels all of these feelings at the same time and all of the time.

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10
Q

Major Depressive Disorder is ________ common in females

A

“More” Major Depressive Disorder (MDD) is more common in females than in males. However, MDD overall is more common in the general population than most other mental disorders and often appears in the “post-pubescent” period of a person’s life when social context and interactions begin to play a prominent role.

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11
Q

Bipolar disorder 1

A

Bipolar I disorder (pronounced “bipolar one” and also known as manic-depressive disorder or manic depression) is a form of mental illness. A person affected by bipolar I disorder has had at least one manic episode in his or her life. A manic episode is a period of abnormally elevated or irritable mood and high energy, accompanied by abnormal behavior that disrupts life.
Most people with bipolar I disorder also suffer from episodes of depression. Often, there is a pattern of cycling between mania and depression. This is where the term “manic depression” comes from. In between episodes of mania and depression, many people with bipolar I disorder can live normal lives

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12
Q

Bipolar disorder 2

A

Bipolar II disorder (pronounced “bipolar two”) is a form of mental illness. Bipolar II is similar to bipolar I disorder, with moods cycling between high and low over time.
However, in bipolar II disorder, the “up” moods never reach full-blown mania. The less-intense elevated moods in bipolar II disorder are called hypomanic episodes, or hypomania.

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13
Q

What does the term “Schizophrenia” mean?

A

“Split mind” The term Schizophrenia means “Split Mind”. However, this does not mean split or multiple personalities. Instead, it refers to the distorted thoughts, perceptions, behaviors, and emotions that are characteristic of this group of psychological disorders.

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14
Q

In males, at what age does Schizophrenia most often result in hospitalization?

A

Midlife (20-40yrs) Schizophrenia in males is often diagnosed between 20 and 40 years of age. In contrast, women are often diagnosed with schizophrenia slightly later: between 35 and 50 years of age. While there are very few cases of schizophrenia during childhood, the onset can occur at any time in life, even during later life and old age.

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15
Q

What class of personality disorder does “Antisocial” belong to?

A

“Dramatic/Emotional” Antisocial personality disorder is a form of dramatic/emotional personality disorder. In it’s a most extreme form, psychopathy, a person is both charming and manipulative and can understand emotions in others as a means to manipulate them, but does not share those emotions (i.e., they have a Theory of Mind, but lack empathy). In it’s lesser form, sociopathy, a person will appear impulsive and irresponsible – constantly getting into trouble and repeating negative behaviors.

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16
Q

Psychopath vs Psychotic

A

It should be noted that psychopaths are not “insane” or mentally disabled. A psychotic person suffers a break from reality, characterized by delusions and hallucinations. This usually renders the individual unable to function normally. But psychopaths are not mentally disabled and do not lose contact with reality.

17
Q

What is schizophrenia or paranoid schizophrenia?

A

Schizophrenia is a challenging brain disorder that often makes it difficult to distinguish between what is real and unreal, to think clearly, manage emotions, relate to others, and function normally. It affects the way a person behaves, thinks, and sees the world.

18
Q

Symptoms of schizophrenia

A

Positive symptoms:
- Delusions
- Hallucinations
- Disorganized speech
- Disorganized behavior
Negative symptoms (absence of normal behaviors):
- Lack of emotional expression
- Lack of interest or enthusiasm
- Seeming lack of interest in the world
- Speech difficulties and abnormalities

19
Q

Generalized anxiety disorder symptoms

A
  • Excessive anxiety and worry
  • Restlessness or feeling keyed up or on edge
  • Being easily fatigued
  • Difficulty concentrating or mind going blank
  • Irritability
  • Muscle tension
  • Sleep disturbance (difficulty falling or staying asleep, or restless unsatisfying sleep)
20
Q

What is depression?

A

Depression, otherwise known as major depressive disorder or clinical depression, is a common and serious mood disorder. Those who suffer from depression experience persistent feelings of sadness and hopelessness and lose interest in activities they once enjoyed. Aside from the emotional problems caused by depression, individuals can also present with a physical symptom such as chronic pain or digestive issues. To be diagnosed with depression, symptoms must be present for at least two weeks.

21
Q

Depression symptoms

A
  • Depressed mood most of the day, nearly every day.
  • Markedly diminished interest or pleasure in all, or almost all, activities most of the day, nearly every day.
  • Significant weight loss when not dieting or weight gain, or decrease or increase in appetite nearly every day.
  • A slowing down of thought and a reduction of physical movement (observable by others, not merely subjective feelings of restlessness or being slowed down).
  • Fatigue or loss of energy nearly every day.
  • Feelings of worthlessness or excessive or inappropriate guilt nearly every day.
  • Diminished ability to think or concentrate, or indecisiveness, nearly every day.
  • Recurrent thoughts of death, recurrent suicidal ideation without a specific plan, or a suicide attempt or a specific plan for committing suicide.
22
Q

What is Generalized Anxiety disorder?

A

Excessive anxiety and worry (apprehensive expectation), occurring more days than not for at least 6 months, about a number of events or activities (such as work or school performance).

23
Q

Insight Therapy limitations

A
  • The client must be intelligent, articulate, motivated, and wealthy enough to spend days, months, or years in the process of therapy.
  • No many scientific studies assessing effectiveness.
  • Not at effective as cognitive-behavioral therapy.
24
Q

Reducing a phobia by presenting the anxiety-provoking stimulus in a relaxing context is using the principles of _____________.

A

“Classical Conditioning” This type of therapy operates on the principles of classical conditioning. The idea is that a person can’t be both anxious and relaxed at the same time. Thus, by associating the act of relaxation with the anxiety-provoking stimulus a person can actually reduce the anxiety associated with the stimulus.

25
Q

What is the term for the type of therapy in which a phobic person practices relaxing while being exposed to increasingly more anxiety-provoking stimuli?

A

“Systematic Desensitization” This type of therapy is referred to as systematic desensitization. In this therapy, a person is taught to relax while being exposed to increasingly stressful stimuli that exist in a hierarchy of fears.

26
Q

Giving a patient medication is considered a __________ approach to the treatment of psychological disorders.

A

“Biological” Treatment of mental disorders with medication is indicative of a biological approach to psychological disorders. The idea is that a psychological disorder is rooted in some physical or physiological condition (e.g., hormonal imbalance) and medication can be used to treat rectify the physical condition and, thus, alleviate the psychological symptoms. While this has recently become a “first step” treatment, in many cases, medications treat only the symptoms and not the underlying cause.