Psychological Disorders

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Bartholomew Barton
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1 Psychological Disorders An Introduction Stolen from

2 What are 2 major classifications of disorders? What makes a psychological disorder? What is the DSM-IV? What are culture-bound syndromes? What are anxiety disorders? What are mood disorders? What are somatoform disorders? What are dissociative disorders? What are schizophrenic disorders? What are sleep disorders? What are eating disorders? What are personality disorders? What is trephening? What is the Rosenhan Study?

3 What is a Psychological Disorder? A harmful dysfunction in which behavior is judged to be atypical, disturbing, maladaptive and unjustifiable. All this depends on: Culture Time Period Environmental Conditions Individual Person Is playing video games 5 hours per day a disorder?

4 Early Theories Afflicted people were possessed by evil spirits.

5 Early Theories Music or singing was often used to chase away spirits. In some cases trephening was used: Cutting a hole in the head of the afflicted to let out the evil spirit.

6 Trephening

7 Early Theories Another theory was to make the body extremely uncomfortable.

8 History of Mental Disorders In the 1800 s, disturbed people were no longer thought of as madmen, but as mentally ill. They were first put in hospitals. Did this mean better treatment?

9 Early Mental Hospitals They were nothing more than barbaric prisons. The patients were chained and locked away. Some hospitals even charged admission for the public to see the crazies, just like a zoo.

10 Philippe Pinel French doctor who was the first to take the chains off and declare that these people are sick and a cure must be found!!!

11 Somatogenic At this time- it was believed that mental illness had a bodily cause- Somatogenic. Remember that soma = body But Somatogenic could not explain disorders such as hysteria (now called conversion disorder). Many disorders are psychogenic: the origin is psychological, not physical.

12 Current Perspectives Medical Perspective: psychological disorders are sicknesses and can be diagnosed, treated and cured.

13 Current Perspectives Bio-Psycho-Social Perspective: assumes biological, psychological and sociocultural factors combine to interact causing psychological disorders. Used to be called Diathesis-Stress Model: diathesis meaning predisposition and stress meaning environment.

14 Classifying Psychological Disorders What is the DSM- IV? Diagnostic Statistical Manual of Mental Disorders: the book to classify mental disorders Two Major Classifications:

15 Psychotic Disorders Person loses contact with reality, experiences distorted perceptions

16 Neurotic Disorders Distressing but one can still function in society and act rationally Spongebob may be hyperactive and manic, but not psychotic.

17 Personality Disorders Psychological disorders characterized by inflexible and enduring behavior patterns that impair social functioning.

18 Personality Disorders Paranoid Antisocial Borderline Histrionic Narscisstic Schizoid Avoidant dependent

19 Paranoid Personality Disorder Paranoid personality disorder is characterized by a distrust of others and a constant suspicion that people around you have sinister motives. Everyone is out to get you.

20 Paranoid Personality Disorder They search for hidden meanings in everything and read hostile intentions into the actions of others. They are quick to challenge the loyalties of friends and loved ones and often appear cold and distant to others. They usually shift blame to others and tend to carry long grudges.

21 Antisocial Personality Disorder antisocial personality disorder is characterized by a lack of conscience People with this disorder are prone to criminal behavior, believing that their victims are weak and deserving of being taken advantage of. They tend to lie and steal

consequences They are often aggressive and are much

22 Antisocial Personality Disorder they are careless with money and take action without thinking about consequences They are often aggressive and are much more concerned with their own needs than the needs of others.

23 Borderline Personality Disorder characterized by mood instability and poor self-image I hate you. Get away!... Why did you leave me asshole?!

24 Borderline Personality Disorder they will take their anger out on themselves, causing themselves injury Suicidal threats and actions are not uncommon They are quick to anger when their expectations are not met.

25 Histrionic Personality Disorder constant attention seekers They need to be the center of attention all the time, often interrupting others in order to dominate the conversation.

26 Histrionic Personality Disorder They may dress provocatively or exaggerate illnesses in order to gain attention. They also tend to exaggerate friendships and relationships, believing that everyone loves them

27 Narcissistic Personality Disorder characterized by selfcenteredness They exaggerate their achievements, expecting others to recognize them as being superior

28 Narcissistic Personality Disorder They tend to be choosy about picking friends, since they believe that not just anyone is worthy of being their friend. They are generally uninterested in the feelings of others and may take advantage of them.

29 Schizoid Personality Disorder People with schizoid personality disorder avoid relationships and do not show much emotion They genuinely prefer to be alone and do not secretly wish for popularity.

30 Schizoid Personality Disorder They tend to seek jobs that require little social contact Their social skills are often weak and they do not show a need for attention or acceptance They are perceived as humorless and distant and often are termed "loners."

31 Schizotypal Personality Disorder characterized by a need for social isolation, odd behavior and thinking, and often unconventional beliefs such as being convinced of having extra sensory abilities. Some people believe that schizotypal personality disorder is a mild form of schizophrenia.

Avoidant personality disorder characterized by a pervasive pattern of social inhibition, feelings of inadequacy, and extreme sensitivity to negative

32 Avoidant personality disorder characterized by a pervasive pattern of social inhibition, feelings of inadequacy, and extreme sensitivity to negative evaluation. consider themselves to be socially inept or personally unappealing, and avoid social interaction for fear of being ridiculed or humiliated.

has difficulty making everyday decisions without an

33 Dependent personality disorder characterized by a pervasive psychological dependence on other people. has difficulty making everyday decisions without an excessive amount of advice and reassurance from others

34 Obsessive Compulsive Personality Disorder characterized by a general psychological inflexibility, rigid conformity to rules and procedures, perfectionism, and excessive orderliness. people with OCPD tend to stress perfectionism above all else, and feel anxious when they perceive that things aren't "right".

36 Mood Disorders Psychological Disorders characterized by emotional extremes. Dysthymic Disorder Major Depressive Disorder Seasonal Affective Disorder Bipolar Disorder

37 Depression

38 Depression

39 Major Depressive Disorder A person, for no apparent reason, experiences two or more weeks of depressive moods. Includes feelings of worthlessness and diminished interest or pleasure in most activities.

40 Dysthymic Disorder Suffering from mild depression every day for at least two years.

41 Seasonal Affective Disorder

42 Bipolar Disorder Person alternates between the hopelessness and lethargy of depression and the overexcited state of mania.

43 Famous People with Bipolar

44 Bipolar Brain

45 Norepinephrine Increases arousal and boosts moods.

46 Suicide

47 Suicide

48 Eating disorders Anorexia starving yourself Bulimia binging and purging Both deal with poor self image and possibly body dysmorphic disorder

49 Anxiety Disorders a group of conditions where the primary symptoms are anxiety or defenses against anxiety. the patient fears something awful will happen to them. Are anxiety disorders a neurosis or psychosis.?

50 Anxiety disorders? GAD generalized anxiety disorder Panic disorder Phobias OCD obsessive compulsive disorder

51 What is anxiety? is a state of intense apprehension, uneasiness, uncertainty, or fear.

52 Generalized Anxiety Disorder An anxiety disorder in which a person is continuously tense, apprehensive and in a state of autonomic nervous system arousal. The patient is constantly tense and worried, feels inadequate, is oversensitive, can t concentrate and suffers from insomnia.

53 Panic Disorder An anxiety disorder marked by a minutes-long episode of intense dread in which a person experiences terror and accompanying chest pain, choking and other frightening sensations. Can cause secondary disorders, such as agoraphobia.

54 Phobias A person experiences sudden episodes of intense dread.

55 Obsessive Compulsive Disorder An anxiety disorder characterized by unwanted repetitive thoughts (obsessions) and/or actions (compulsions).

56 Common Examples of OCD Common Obsessions: Contamination fears of germs, dirt, etc. Imagining having harmed self or others Imagining losing control of aggressive urges Intrusive sexual thoughts or urges Excessive religious or moral doubt Forbidden thoughts A need to have things "just so" A need to tell, ask, confess Washing Common Compulsions: Repeating Checking Touching Counting Ordering/arranging Hoarding or saving Praying

57 Explanations for Anxiety Disorders You Learn them through conditioning. Evolution Genes Physiology (the brain)

58 Dissociative Disorders

59 What are dissociative disorders? DID dissociative identity disorder Dissociative amnesia Dissociative fugue

60 What are dissociative disorders? Dissociative fuge Dissociative amnesia Dissociative identity disorder

61 Dissociative Disorders Disorders in which conscious awareness becomes separated (dissociated) from previous memories, thoughts and feelings.

62 Dissociative Amnesia This disorder is characterized by a blocking out of critical personal information, usually of a traumatic or stressful nature.

63 Dissociative Amnesia Dissociative amnesia, unlike other types of amnesia, does NOT result from other medical trauma (e.g. a blow to the head).

64 Dissociative Amnesia Localized amnesia is present in an individual who has no memory of specific events that took place, usually traumatic. The loss of memory is localized with a specific window of time. For example, a survivor of a car wreck who has no memory of the experience until two days later is experiencing localized amnesia. Selective amnesia happens when a person can recall only small parts of events that took place in a defined period of time. For example, an abuse victim may recall only some parts of the series of events around the abuse. Generalized amnesia is diagnosed when a person's amnesia encompasses his or her entire life. Systematized amnesia is characterized by a loss of memory for a specific category of information. A person with this disorder might, for example, be missing all memories about one specific family member.

her surroundings and sets off on a journey of some kind.

65 Dissociative Fugue An individual with dissociative fugue suddenly and unexpectedly takes physical leave of his or her surroundings and sets off on a journey of some kind. These journeys can last hours, or even several days or months.

66 Dissociative Fugue Individuals experiencing a dissociative fugue have traveled over thousands of miles. An individual in a fugue state is unaware of or confused about his identity, and in some cases will assume a new identity (although this is the exception).

67 Dissociative Identity Disorder A rare dissociative disorder in which a person exhibits two or more distinct and alternating personalities. Also known as multiple personality disorder.

68 Somatoform disorders Soma = body Physical illnesses caused by the mind ex: conversion disorder significant loss of bodily function with no physical cause Ex: hysterical blindness blindness after traumatic event (no physical cause) Hysterical pregnancy body acts pregnant but no baby! Hypochondriasis excessive worry about getting sick.

69 Schizophrenia

70 How Prevalent? About 1 in every 100 people are diagnosed with schizophrenia.

72 Symptoms of Schizophrenia Disorganized thinking. Disturbed Perceptions Inappropriate Emotions and Actions

73 Disorganized Thinking The thinking of a person with Schizophrenia is fragmented and bizarre and distorted with false beliefs. Disorganized thinking comes from a breakdown in selective attention.- they cannot filter out information. Often causes

74 Delusions (false beliefs) Delusions of Persecution Delusions of Grandeur

75 Disturbed Perceptions hallucinations- sensory experiences without sensory stimulation.

76 Inappropriate Emotions and Actions Laugh at inappropriate times. Flat Effect (no emotion) Senseless, compulsive acts. Catatonia- motionless Waxy Flexibility

77 Positive v. Negative Symptoms Positive Symptoms Presence of inappropriate symptoms Negative Symptoms Absence of appropriate ones.

78 Types of Schizophrenia

79 Paranoid Schizophrenia preoccupation with delusions or hallucinations. Somebody is out to get me!!!!

80 Disorganized Schizophrenia disorganized speech or behavior, or flat or inappropriate emotion.

81 Catatonic Schizophrenia parrot like repeating of another s speech and movements

82 Undifferentiated Schizophrenia Many and varied Symptoms.

83 1 A person who seeks therapy form a clinical psychologist because she is tense, has difficulty sitting still, and is continually worried about the future is suffering from a/an disorder. A) anxiety B) panic C) obsessive-compulsive D) somatoform

84 2 A college student seeks help from the counseling center because he is experiencing frequent episodes during which he becomes very fearful, or even terrified, often for no apparent reason. A likely diagnosis for this student's problem is. A) phobic B) dysthymic C) panic D) conversion

85 3 A person who has developed such an intense fear of insects that she rarely leaves her apartment has developed a disorder. A) panic B) post-traumatic stress C) bipolar D) phobic

86 4. A student visits the student health service several times each week complaining of severe stomach pain, but no physical cause of his symptoms can be found. The student is experiencing a disorder. A) panic B) bipolar C) somatoform D) dissociative

87 5. A young man found wandering the streets of his hometown claimed that he did not know his name or where he lived. He was taken to a hospital for examination, but no physical injuries were found. After several days in the hospital, he awoke and remembered that he had had an argument with his parents that included threats of physical violence on both sides. In order to escape this stressful situation, the young man developed. A) dissociative amnesia B) learned helplessness C) agoraphobia D) catatonic schiziophrenia

88 6 A middle-aged woman did not return from a shopping trip one day and was not found until the police located her in another city three months later. Formerly a restaurant owner, she was working as a server in a restaurant and had just been promoted to a supervisory role. She had rented an apartment and was engaged to be married. This behavior is an example of. A) paranoid schizophrenia B) post-traumatic stress disorder C) dissociative fugue D) bipolar disorder

89 7. A psychologist who spends most of his time treating people suffering from depression and bipolar disorders focuses on. A) phobic disorders B) somatoform disorders C) dissociative disorders D) mood disorders

90 8 A college student seen by a counseling psychologist stated that he had cut almost all his classes during the past two weeks, had experienced difficulty sleeping, and felt like his academic situation was hopeless. The psychologist's diagnosis would be. A) dissociative disorder B) major depressive disorder C) undifferentiated schizophrenia D) bipolar disorder

91 9. After being depressed for two years following her divorce, a middle-aged woman makes an appointment with a clinical psychologist. She tells the psychologist that in addition to her mood, she lost weight and has never felt happy for more than a week during this time. The psychologist's diagnosis would be, A) bipolar disorder B) major depressive disorder C) paranoid schizophrenia D) dysthymic disorder

92 10. For the past two weeks, a realtor has been so depressed that she can barely make the effort to show houses to prospective buyers. However, this period of depression was preceded by a similar period when her energy and enthusiasm enabled her to sell several houses. She is consulting a clinical psychologist because this is a recurring behavior pattern. The psychologist's diagnosis will be. A) major depressive disorder B) hypochondriasis C) bipolar disorder D) panic disorder

93 11. Because of his age, a man in late middle age has been unable to find a permanent job since being laid off by his employer three years ago. During this time, he has had to sell many of his possessions and has been unable to provide the medical care his wife requires. He is referred to a clinical psychologist because he is apathetic and tells people that he can do nothing about his situation. This behavior is an example of. A) learned helplessness B) post-traumatic stress disorder C) catatonic schizophrenia D) antisocial personality disorder

94 12. A psychologist who bases his diagnosis of a man's mental disorder primarily on the presence of hallucinations and delusions is making a diagnosis of. A) phobic disorder B) mood disorder C) dysthymia D) schizophrenia

95 13. A man believes that his escape from a house destroyed by a tornado was a message that he has a special mission in life to advise the president about religious matters. He has been referred to a clinical psychologist because he believes that people opposed to his views are attempting to kill him in order to keep him from expressing them. The psychologist diagnosis would be schizophrenia. A) catatonic B) disorganized C) paranoid D) undifferentiated

96 14. A clinical psychologist is treating a man whose behavior includes hallucinations, delusions, and incoherent speech and mannerisms. However, the man's behavior does not clearly fit a particular type of schizophrenia. The man's behavior is an example of schizophrenia. A) catatonic B) disorganized C) paranoid D) undifferentiated

97 15. A clinical psychologist explains his diagnosis of paranoid schizophrenia to a client's family by stating that the client had a genetic predisposition to develop the disorder and that the stress of losing her job was probably the precipitating event. The psychologist's explanation is based on. A) the diathesis-stress view B) learned helplessness C) an insanity defense D) DSM-IV

98 History and Approaches (2-4%) (no) Research and Methods (6-8%) (no) Biological Bases of Behavior (8-10%) (50%) Sensation and Perception (7-9%) (yes) States of Consciousness (2-4%) (maybe next week) Learning (7-9%) (totally) Cognition (8-10%) (no) Motivation and Emotion (7-9%) (a little from sex film) Developmental Psychology (7-9%) (80%) Personality (6-8%) (all the hard stuff 80%) Testing and Individual Differences (5-7%) (intelligence 70%) Abnormal Psychology (7-9%) (yes!!) Treatment of Psychological Disorders (5-7%) (yes) Social Psychology (7-9%) (today)

Psychological Disorders

Psychological Disorders 1917 (22) WWI (1914-1918) DSM 1-1952 (106) WWII (1939-1945) DSM II-1968 Vietnam (1955-1975) DSMIII-1980 DSMIV-1994 (297) DSMIVR-2000 DSM V-2013 Abnormal Behavior The APA uses the