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Psych Disorders
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110
Psychology
Undergraduate 1
11/27/2012

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Term
different does not mean
Definition
disordered
Term
3 criteria for diagnosing someone:
Definition
Deviant: diff from norm
Distressing: symptoms led to extreme discomfort
Dysfunctional: interupt life, can’t get thru the day
Term
Culture plays a role in:
2 ex:
Definition
expression and diagnosis
Ex: Pic of girl with “grisi siknis” only found in mosquito people of south central america. Its contagious. Not found in other cultures.
In US we have anorexia, it doesnt exist in asia and africa.
Term
Diagnostic and statistical manual (DSM)
Definition
Published by American Psychiatric Association.
The “bible”
Term
DSM classifies disorders into # of categories which are-
Definition
2
axis one and two
Term
axis one disorders
Definition
the major clinical syndromes that cause significant impairment
Syndromes- groups or cluseters of relatated symptoms that characterize a disorder. Believe that they dont match with personality/ How a person isn’t supposed to be. (anorexia)
Term
syndromes-
Definition
Syndromes- groups or cluseters of relatated symptoms that characterize a disorder. Believe that they dont match with personality/ How a person isn’t supposed to be. (anorexia)
Term
axis 2 disorders-
Definition
the more long-standing personality disorders (learning disability/mental retard). Just how a person is.
Term
the other three axis include:
Definition
General medical conditions such as a Tumor pushing on amygdala
Environmental and psychosocial factors such as Divorce, death of loved one.
Global assessment of functioning
Term
% of Americans have a diagnosable disorder this year.
%of US adults will suffer from a disorder during lifetime, of which # will suffer from --
Definition
26
46
half
comorbidity
Term
comorbidity
Definition
occur together
Term
Anxiety disorders affect % of US population
Definition
29%
Term
anxiety-
Definition
is out of proportion to the situation and interferes with daily functioning
Term
Seven common forms of anxiety disorders:
Definition
Generalized
Panic disorder
PTSD
Social
Obsessive-compulsive
impulse control
Term
Generalized anxiety disorder-
Definition
state of pervasive and excessive anxiety lasting at least 6 months
More common in women than in men
Anxiety is lifelong and beginning point is usually indeterminable “worrywarts”
Term
Panic Attacks-
Definition
Breif episodes of anxiety associated with perceptions of threat
Term
Panic attacks are due from:
Definition
• Fear of danger
• Inability to escape
• Embarrassment
• Specific objects
Term
Panic attac duration
Definition
10 mins, may reoccur within 1 hour
Term
panic attack can be interpretted as
Definition
a heart attack
Term
panic disorder
Definition
an anxiety disorder characterized by panic attacks and persistent anxiety about having more panic attacks.
Term
What type of feedback is the panic disorder?
Definition
positve feedback cycle: worry about having one, then they end up having one.
Term
agoraphobia
Definition
a fear of being in places from which escape might be difficult should a panic attack occur. (fears having panic attack in public)
Term
Post-traumatic stress disorder (PTSD)-
Definition
an anxiety disorder triggered by exposure to a specific event that poses serious harm or threat.
Term
PTSD causes:
Definition
war abuse rape natural disaster
Term
3 categories of symptoms for PTSD?
Definition
1. Re-experiencing the trauma
2. Avoiding thoughts, feelings, and activities associated with the trauma
3. Increased arousal (on edge)
Term
phobia-
Definition
a persistent and unreasonable fear of a particular object, situation, or activity
1/8 people develop a phobia
Term
Social anxiety disorder (social phobia)
Definition
fear of humiliation in the presence of others, characterized by intense self-consciousness about appearance and/or behavior
Term
obsessive-compulsive disorder (OCD)-
Definition
Anxiety disorder in which obsessive thoughts lead to compulsive behavior
superstitions
Term
obsession-
Definition
- an unwanted thought, word, phrase, or images, that persistently and repeatedly comes into a persons mind and causes distress
Term
compulsion
Definition
a repetitive behavior performed in response to uncontrollable urges
Term
impulse control disorder-
Definition
An anxiety disorder related to OCD in which a person feels an intense, repetitive desire to perform certain behaviors
ex: shopping, gambling, fire starting
Term
Nature/Nurture of anxiety disorders
Definition
Diatheisis-stress model- explains the origins of psychological disorders as a combination of biological predisposistions plus stress in the environment
Term
3 biological factors combined with the environment to make for an anxiety disorder:
Definition
Deficient in GABA neurotransmitter; GABA decreases fear
Genetic heritage 30-40% heritability of anxiety disorder
Personality-
People who are more neurotic are more susepetical to anxiety.
Term
Mood disorders-
Definition
Caategory of disorders are characterized by distrubances in emotional behavior that inhibit daily functioning
Term
two major forms of mood disorders:
Definition
depression
bipolar
Term
Major depressive disorder
Definition
pervasive low mood, lack of motivation, low energy, and feelings of worthlessness
must last 2 weeks
10% of US pop thruougout life
Term
Dysthymia-
Definition
form of depression that is milder in intensity but longer in duration
Term
depression can lead to
Definition
suicide
Term
causes of depression:
Definition
Abusive and extremely stressful environments
Biological disposition
Personality traits
Term
bipolar disorder
Definition
mood disorder characterized by substantial mood fluctuations, cycling between very low and very high moods. (one extreme or another) • Includes periods of depression and periods of mania. Alot time the depression will last longer
Term
manic episodes
Definition
very high mood of bipolar disorder
Term
manic episodes include
Definition
• Increased energy, sex drive, and sleeplessness
• Euphoria
• Irritability
• Delusions of grandeur (close w/famous people)
• Racing thoughts
• Express creativity during this. Convince others their at a high status.
Term
manic episodes start as -- but soon--
Definition
• Start as pleasant but spirals out of control
Primiscuity, can’t control what they say.
Term
do manic episodes or depressive episodes occur less frequently than the other?
Definition
o Manic episodes occur less freq than depressive episodes in bipolar disorder
Term
bipolar disorder effects men or women?
Definition
both, equally
Term
Cyclothymia-
Definition
a relatively mild but long lasting form of bipolar disorder. Cycle people go thru of manic episodes and depression.
Term
Nature/nurture of bipolar disorder examles
Definition
o Fetuses exposed to alcohol have increased risk
o Genetic component is complex. (not straight forward)
Term
percent of having bipolar disorder if your identical twin has it
Definition
40-70% chance
Term
People with bipolar disorder have abnormal brain areas and hormone production that include:
Definition
• PFC
• Amydala
• Hippocampus
• Basal ganglia
o Low levels of serotonin and alternating levels of norepinephrine (bipolar).
Term
“a person who smiles while telling a very disturbing story”
most likely has which disorder?
Definition
Schizophrenia
Term
o Basic myth: split/multiple personalities (associative identity disorder)
Definition
o Truth: Difference between thoughts and actions.
Term
o Myth: schizo are dangerous
Definition
o Truth: not any more than avg person
Term
o Myth: schizo are unproductive
Definition
o True: 62% manage disease, thrive in independent living, employeed
Term
o Myth: can’t get better, must suffer
Definition
o True: not curable, but symptoms can be treated
Term
• Psychotic disorders definition and includes:
Definition
disorders of thought and perception, characterized by inability to distinguish between what is real and what is imagined.
o Includes schizophrenia
o Drug induced psychosis, hallucinations that present signs of schizophrenia
Term
• Schizophrenia
Definition
psychotic disorder characterized by disturbances in thought and emotion, specifically with perception.
o Literally means: “split mind”
Term
diagnosis of Schizophrenia
Definition
• Delusions
• Hallucinations
• Disorganized speech, grossly disorganized behavior, or catatonic behavior
• Negative symptoms
• At least one for 6 months and two present during 6 months.
Term
positive symptoms of Schizophrenia
Definition
• Positive symptoms (not good, but outward, can be seen) playing with hair
• Hallucinations
o Most common are auditory
• Delusional thinking
• Disorganized thought/speech
Term
negative symptoms of Schizophrenia
Definition
• Negative symptoms (suppressed, don’t see)
• Flat affect
o Person has no/shows no emotions
• Nonresponsiveness
• Catatonia
o Physically incapable of moving
• Inability to complete tasks.
Term
cognitive symptoms of Schizophrenia
Definition
• Cognitive symptoms
• Working memory
• Attention
• Verbal/visual learning and memory
• Reasoning and problem solving
• Speech (word salad)
o Grammar correct but off on random random tangent. Why picture has a headache- sperm and egg meet
Term
• Abuse and neglect in childhood increase likelihood of
Definition
suffering from schizophrenia later
Term
heritibility rate of Schizophrenia
Definition
80-85% (genetic component)
Term
causes of Schizophrenia
Definition
• Maternal infections (diseases/toxic substances)(might be during 2nd trimester), structural differences in brain (neurons are firing in chaos), role of dopamine (associated with reward and pleasure )
• Must have genetic makeup/biology to get schizophrenia, but the environment must be included as well.
Term
Dissociative disorders
Definition
o Psychological disorders characterized by extreme splits in memory, identity, or consciousness Out of body experiences/ feel outside.
Term
Dissociative disorders caused by:
Definition
highly traumatic experiences and biological predispositions
Term
over 90% of people with Dissociative disorders had --
Researchers believe-
Definition
had traumatic experience in life
• Researchers believe that during trama the person tries to remove themselves from a situation and project themself somewhere else triggering.
Term
o Dissociative identity disorder (DID)-
Definition
disorder in which a person develops at least two distinct personalities.
Term
most common Dissociative disorder
Definition
Dissociative identity disorder aka multiple personalities
Term
symptoms of Dissociative identity disorder
Definition
• Amnesia
• Person only remembers what happens in that personality
• Self-destructive behaviors
• Auditory hallucinations
o Effects about 1/1000 people
o Women get it 3x more than men
o Personalities have their own unique personality, gender, and age, language.
Term
Somatoform disorders
Definition
o Somatoform disorders- disorders that take bodily or physical form and mimic physical diseases but have no medical basis.
Term
which axis in DSM are Somatoform disorders
Definition
axis 1
Term
Somatoform disorders are believed to be -- bc --
Definition
o No evidence, belived to be neurological/psychological
Term
types of somatoform disorders
Definition
somatization d.
hpochondriasis
cyberchondriacs
Term
Somatization disorder
Definition
Somatization disorder- disorder in which a person complains of multiple physical disorders that have no known medical or physical basis
Term
Somatization disorder criteria:
Definition
(not at all at same time, in cycles)
o History, over several years. Starts before age of 30
o 4 pain spots
o 2 gastrointestinal problems other than pain
o 1 sexual symptom (ED, no drive)
o 1 pseudoneurological symptom (temp. blindness, fainting)
Term
Hypochondriasis
Definition
Hypochondriasis- pervasive and debilitating fear of suffering from serious physical illness.
Term
Different from somatization disorder bc--
Definition
they’re not experiencing the symptoms they are just afriad with getting sick
Term
behaviors of people with hypochondriasis
Definition
o Obession with, misperception of, and exaggeration of physical symptoms of a disease.
o Go to a bunch of doctors bc they dont belive them when they think something is wrong.
o Connect symptoms creatively with bigger symptoms
Term
o Cyberchondriacs-
Definition
look up the symptoms online bc of webmd continuely finding new diseases. Self diagnosis.
Term
personality disorders are in axis -- in DSM
Definition
2
Term
Personality Disorders (PDs)-
Definition
patterns of maladaptive and inflexible congnitions, emotions, and behavior Thoughts,feelings, and behaviors are extreme variants found in healthy functioning people.
Term
o Three clusters of personality D.
Definition
• Cluster A: odd-eccentric
• Cluster B: dramatic-emotional
• Cluster C: Anxious-fearful
Term
disorders in cluster A odd eccentric
Definition
schizoid
schizotypal
paranoid
Term
Schizotypal personality disorder-
Definition
char by: live in isolation without social contact and odd thoughts/beliefs.
Term
Schizotypal believe and tend to:
Definition
• Tend to believe they have magical thinking. Think what the news is reporting is about them, they can read minds, predict future.
• Have higher rates of relatives with schizophrenia
Term
schizoid pd
Definition
characterized by: avoid close relationships, emotional aloofness, reclusively, and lack of humor
Term
• Find no pleasure or fun in any activities
Definition
schizoid pd
Term
is schizoid PD more in males or females?
Definition
Males
Term
Paranoid personality disorder
Definition
char by extreme suspicions of others.
Term
behaviors of people with paranoid PD
Definition
• Not getting promoted- they’ll hold a huge grudge for a long time.
• Trust issues. Put people through tests. Have trouble with romantic relationships bc they think mate will cheat.
Term
disorders in cluster B Dramatic-emotional PD
Definition
histrionic PD
Borderline PD
Narcissitic PD
Antisocial PD
Term
Histrionic personality disorder
Definition
the desire to be the center of attention and dramatic behaviors.
Term
does Histrionic PD happen more in males or females?
Definition
Females
Term
Behaviors/ thoughts of people with histrionic PD
Definition
• Use seduction
• No self worth
• Flamboyant, keep people wrapped around their finger
• Thought process: no self worth. Act differently than what they’re feeling. Put on a huge show when people are around.
Term
borderline PD
Definition
emotional instability, fear of abandonment, and alternations between idealizing and despising others.
Term
behaviors or thoughts of ppl with borderline PD
Definition
• Put people in doghouse, and then later they want them back.
• Self harm
Term
is borderline PD more in males or females?
Definition
exclusively females
Term
how much of population suffer from borderline PD?
Definition
1-3%
Term
Narcissistic personality disorder
Definition
having an extremely positive and arrogant self-image and behaving self-centered.
Term
behaviors/thoughts of ppl with Narcissistic PD
Definition
• Believe they are god’s gift to the world- better than the rest.
• Talk about themselves, think about themselves
• Ignore the needs of others, don’t show that they care. Turn subject around to talk about themselves
• Don’t nec. Make a scene/ put on a show.
Term
o Antisocial personality disorder-
Definition
impulsivity, deception, violence, ruthlessness, and callous behaviors toward others.
Term
Antisocial personality disorder is similar to -- but is in --
Definition
• Similar to borderline, but this is found in Males.
Term
45-70% of who have antisocial personality disorder
Definition
inmates convicted of violent crimes have this disorder
Term
What disorders are in cluster C: Anxious- fearful PDs
Definition
o Avoidant personality disorder
o Dependent personality disorder
o Obsessive- compulsive PD
Term
Avoidant personality disorder-
Definition
extreme fear of being criticised, low self esteem and avoidance of social interaction
Term
behaviors/thoughts of people with avoidant PD
Definition
• Work from home,
• Scared of being rejected/criticized by people
Term
Dependent personality disorder-
Definition
characterized by fear of being rejecting and a strong need to be cared for
Term
behaviors/thoughts of dependent PD ppl:
Definition
• Codependency, attachment, strong need to be cared for.
• When someone is needy- the person that is being latched on to will reject them, the needy person becomes more needy (positive feedback system)
Term
Obsessive- compulsive PD
Definition
- rigid habits and extreme perfectionism
Term
ADHD
Ausbergers Syndrome
Autism-
Definition
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