Counseling and Psychotherapy Theory. Week 2. Counseling and Human Change

Size: px
Start display at page:

Download "Counseling and Psychotherapy Theory. Week 2. Counseling and Human Change"

Transcription

1 Counseling and Psychotherapy Theory Week 2. Counseling and Human Change

2 Contents Understanding Client Problems 1 2 Scientific/Statistical Approach Practical Approach Understanding the Causes of Client Problems 1 2 Rethinking about Cause Three Dimensions for Understanding Cause Understanding Client Change 1 2 Elimination of Problems vs. Promotion of Growth Starting from Big Change vs. Small Change

3 Ⅰ. Understanding Client Problems 1 Scientific/Statistical Approach 1 Pathological Diagnosis System 2 Statistical Cutoff Scores

4 Pathological Diagnosis System Meaning Defining problems according to the standards set by a pathological diagnosis system. DSM Criteria Diagnostic and Statistical Manual of Mental Disorders. Current version: DSM-5 American Psychiatric Association ICD Criteria International Classification of Disease Current version: ICD-10 (ICD-11 in 2018) World Health Organization

5 Pathological Diagnosis System Evolution of DSM Version Publish Date Number of Categories Number of Total Diagnosis Axial System DSM-I None DSM-II None DSM-III Multiaxial DSM-III-R Multiaxial DSM-IV Multiaxial DSM-IV-TR Multiaxial DSM ~300 Multiaxial system abolished

6 Pathological Diagnosis System DSM (category examples) 1 Neurodevelopmental Disorders 11 Elimination Disorders 2 Schizophrenia Spectrum and Other Psychotic Disorders 12 Sleep-Wake Disorders 3 Bipolar and Related Disorders 13 Sexual Dysfunctions 4 Depressive Disorders 14 Gender Dysphoria 5 Anxiety Disorders 15 Disruptive, Impulse Control and Conduct Disorders 6 Obsessive-Compulsive and Related Disorders 16 Substance Use and Addictive Disorders 7 Trauma- and Stressor-Related Disorders 17 Neurocognitive Disorders 8 Dissociative Disorders 18 Personality Disorders 9 Somatic Symptom Disorders 19 Paraphilic Disorders 10 Feeding and Eating Disorders 20 Other Disorders

7 Pathological Diagnosis System DSM (subcategory examples) (Example 1) Depressive Disorders 1 2 Subcategory Disruptive Mood Dysregulation Disorder Major Depressive Disorder Main diagnostic characteristics - (3 or more times per week on average) persistently irritable or angry, sporadic temper outbursts - Present for 12 or more months - Age between 6-18; onset before age 10 - Depressed mood or loss of interest or pleasure - Nearly every day for more than 2 weeks

8 Pathological Diagnosis System DSM (subcategory examples) (Example 1) Depressive Disorders 3 4 Subcategory Persistent Depressive Disorder Premenstrual Dysphoric Disorder Main diagnostic characteristics - Depressed mood for at least 2 years (in children and adolescents, at least 1 year) - Various marked (physical, emotional, cognitive) discomforts before the onset of menses

9 Pathological Diagnosis System DSM (subcategory examples) (Example 2) Anxiety Disorders 1 2 Subcategory Separation Anxiety Disorder Selective Mutism Main diagnostic characteristics - excessive anxiety and fear concerning separation from major attachment figures that last for 6 months or more - despite normal language development, failure to speak in a specific situation for one month or more

10 Pathological Diagnosis System DSM (subcategory examples) (Example 2) Anxiety Disorders 3 4 Subcategory Specific Phobia Social Anxiety Disorder Main diagnostic characteristics - Fear and avoidance of a specific object (e.g. dog, cat, spider, snake) or situation (high places, water) that last for 6 months or more - Excessive anxiety and fear of social situations where one is evaluated by others that last 6 months or more 5 Panic Disorder - Recurrent panic attacks (abrupt surge of intense anxiety and fear)

11 Pathological Diagnosis System DSM (subcategory examples) (Example 2) Anxiety Disorders Subcategory 6 Agoraphobia Main diagnostic characteristics - Fear, anxiety, and avoidance of certain places (e.g. shopping center, movie theater, sports field, elevator, subway) that last for 6 months or more 7 Generalized Anxiety Disorder - excessive anxiety and worry occurring more days than not for at least 5 months about various dangers that may or may not happen

12 Pathological Diagnosis System DSM (subcategory examples) (Example 3) Personality Disorders Personality Cluster Cluster A General Features Subtype Main diagnostic characteristics the "odd, eccentric" cluster Paranoid Schizoid Schizotyp al distrust and suspiciousness vigilant and tense malicious attitude social detachment and isolation restricted range of emotional expression wishes to be alone avoidance of interpersonal relationships cognitive, perceptual distortions eccentric appearance and behaviors and severe social isolation

13 Pathological Diagnosis System DSM (subcategory examples) (Example 3) Personality Disorders Personality Cluster General Features Subtype Main diagnostic characteristics Antisocial breaking of social norms and rules disregard for the rights of others; lacking guilt Cluster B the "dramatic, emotional, erratic" cluster Borderline Histrionic Narcissistic intense & unstable moods; interpersonal anger impulsivity, psychological instability Exaggerated emotional expression and seductive behavior to draw affection and attention of others overestimation about self desire for praise, sense of entitlement, arrogant behavior

14 Pathological Diagnosis System DSM (subcategory examples) (Example 3) Personality Disorders Personality Cluster General Features Subtype Main diagnostic characteristics Avoidant Inhibition and avoidance of social activities Feelings of inadequacy, embarrassment, hypersensitivity to negative evaluation Cluster C the "anxious, fearful" cluster Dependent Obsessive- Compulsive Lack of independent living Need and desire to be taken care of by others fear of parting orderliness, perfectionism Preoccupation with control over mind and interpersonal relationship

15 Pathological Diagnosis System Characteristics Based on long, statistical research findings Focused on medical and pharmacological interventions Provided a basis for scientific research on psychosis Widely used in the fields of medicine and clinical psychology

16 Pathological Diagnosis System Limitations Problem of over-diagnosis May assume clients (in need of diagnosis) as problematic persons Most counseling sessions deal with daily life, personal development, and decision making issues [Example] - career issues - interpersonal issues (not requiring medication) - conflict between spouses

17 Pathological Diagnosis System Limitations Emphasis on the problem instead of the person Carl Jung If one does not understand a person, one tends to regard him as a fool. Differently put, if we properly understand a person, we may not regard him as a fool or a problematic person.

18 Pathological Diagnosis System Limitations May confuse symptoms with causes At times, the problem's category is unrelated to intervention's category. Must be applied to counseling practice with caution

19 Statistical Cutoff Scores CBCL Tscore Mean Meaning Setting the scores in the extreme ends of the normal distribution curve as cutoff score [Example] MMPI, CBCL - if any score is beyond the cutoff scores, we consider it as outliers and say that the person has a problem W SC AD SP TP AP DB AB CELIAC MALE CBCL Subscales

20 Statistical Cutoff Scores Characteristics Allow us to achieve objectivity or reliability. Cutoff scores do not correspond with adverse effect in real life. - [i.e.] eccentric personality of an artist A client with an extreme score may not be in distress.

21 Statistical Cutoff Scores Limitations Making a final decision based on just the test scores is dangerous. Test scores serve as supplementary information for experts. Example - a score of over 70 on the scale 8 in MMPI does not mean the client has schizophrenia. - need to comprehensively consider various resources such as interview results, client behaviors in daily life, subjective discomfort, biological characteristics, and responses to individual items on psychological tests.

22 Ⅰ. Understanding Client Problems 2 Practical Approach 1 2 Basing on Main Complaint Gap between the Desired State and the Current State

23 Basing on Main Complaint Meaning Defining problems based on what client says his problem is. (e.g.: Kim et al. (1994), Adolescent problem type classification system: Basic research) I m anxious (depressed). I can t get along with my friends. I can t focus on my study. I can t control my anger.

24 Basing on Main Complaint Characteristics Might mean that the client is just uncomfortable I can t sleep well at night. The easiest way to define problems Can easily explore client s task at hand Is modified as counseling progresses Because the initial complaint has been resolved Because the understanding about real problem has changed

25 Basing on Main Complaint Limitations Clients may not be aware of the existence or the true colors of the real problem I don t have any problem. "My problem is that I cannot form close relationships with others," (when in reality, his problem is his anxiety) Clients may attribute the root of the problem to environment or others. "I'm so stressed. Please change my husband. "My friends all hate me." Causes, symptoms, and main complaints may get mixed up.

26 Basing on Main Complaint Limitations Different problems; same term I am depressed Same problem; different terms Attachment issues.. Relationship loss Repeated failure, helplessness, fatigue Self-blame and anger Temperamental/biological problem "It's hard to approach my friends" "I'm really upset at my parents."

27 Gap between the Desired State and the Current State Meaning Problem is defined as the gap between the desired state and the current state of each individual. No matter what the client s current status is, the goal can be to become better (happier) than now. desired state Problem current state

28 Gap between the Desired State and the Current State Characteristics Highly applicable in counseling practice Guards against the impression that the client's current state is abnormal Can prevent misunderstanding about the cause Can provide accurate understanding of what the client needs to do. Does not give negative impression about counseling Can normalize & validate clients

29 Gap between the Desired State and the Current State Limitations Difficult to secure objectivity for scientific research Need a procedure for training counselors to transform clients' main complaint into a problem that can actually be dealt with in counseling

30 Ⅱ. Understanding the Causes of Client Problems 1 Rethinking about Cause 1 2 Illusion Evoked by Language Points to Consider When Thinking about Problem and Cause

31 Illusion Evoked by Language At times, language influences our thought and behavior Example Perception & Performance research Research on the words Vision/Future

32 Illusion Evoked by Language Language causes errors even in various helping activities Psychiatry Psychology Counseling Studies

33 Illusion Evoked by Language Medicine When we say, I got sick Germs (the cause) came into my body. So I need to get rid of the germs. I am lacking something (nutrition, which I must have). So I need to fill that in.

34 Illusion Evoked by Language Medicine When we say, I am injured Something is ripped, broken(shattered) So I need to fix it.

35 Illusion Evoked by Language Medicine Cause Virus that invades must get rid of Nutrition that is lacking must fill in Germ that infects must get rid of must treat, must fix Contaminated (by germs) person Broken person Person that needs fixing

36 Illusion Evoked by Language Psychology Psychological problem There is a problem. So, I need to get rid of the problem. Because of (problem, personality, symptom, trauma) He is behaving that way because of his personality. (So in order to correct his problematic behavior/thought), his personality needs to be fixed.

37 Illusion Evoked by Language Psychology Cause Past trauma experience must eliminate (?) (not experienced) parental love must fill in (?) (Psycho)therapy Person contaminated (by germs), broken, needs fixing (?) Temporal delay Cannot remove or delete experience from our body

38 Illusion Evoked by Language because of personality, because of problem Because of I behave ~~ way. Could be synonyms repeated A series of behaviors make up personality Example I don t meet friend because of my introverted personality. She feels down because of her depression.

39 Points to consider Need to be able to do something now Interventions about the past should also be transformed into something about the present. Need to be able to intervene in the mind. It's not about removing something (like germs) physically. We cannot wipe out the traces left on the mind (or the body).

40 Points to consider Should be careful so that it's not a repetition of synonyms. Error of saying because my personality is introverted ~~ Problems and causes need to be defined in a way that can be solved. ( A Tidbit of Counseling" section)

41 Ⅱ. Understanding the Causes of Client Problems 2 Three Dimensions for Understanding Cause Past vs. Present Factor Deteriorating vs. Barrier-to-improvement Factor Environmental vs. Internal Mechanism Factor

42 Past vs. Present Factor Past factor Meaning Assume past experiences, traumatic experiences to be the cause of present problems. [Example] A client who is full of anger. He is so because his parents were sadistic. He is so because he was sexually harassed. He is so because he came to distrust the world due to oral fixation.

43 Past vs. Present Factor Past factor Characteristics (Due to the temporal delay), we cannot eliminate the past experience itself Medicine Typhoid Cause: typhoid germ* Experience of an unhygienic place where he got the typhoid germs in his body VS. Counseling Angry behavior Internal mechanism that triggers anger Abuse experience that made internal mechanism for anger settled in his body*

44 Past vs. Present Factor Past factor Characteristics At times, clients cannot remember their past experiences. - Selective forgetting - No trauma experience - Gap between actual experience and memory - Past memories are quite constructive

45 Past vs. Present Factor Present factor Meaning Assume factors that are currently hindering the client from getting better as the cause

46 Past vs. Present Factor Past me Present me

47 Past vs. Present Factor Present factor Characteristics Environmental aspect - People who stimulate anger - Unjust social system Psychological factors Cognitive Rigid thinking, dichotomous thinking Psychodynamic Explosion of unregulated, suppressed anger Experiential Weakened ability to contain anger

48 Past vs. Present Factor Present factor Characteristics Different theories assume different things to be the cause Mainly looks at psychological factors Mainly look at at barriers to change and improvement Factors that can be dealt with now Comparison of adult vs. children/youth counseling Adult counseling Looks at client s internal psychological mechanism Children/youth counseling Looks at parental and environmental factors of the present

49 Deteriorating vs. Barrier-to-improvement Factor Deteriorating factor Meaning - Assume something that triggered client problem to be the cause. Example - Parents abuse - Trauma experience

50 Deteriorating vs. Barrier-to-improvement Factor Deteriorating factor Characteristics Usually past experiences Already delayed temporally Direct intervention is difficult Reinterpreting or reprocessing deteriorating factors is possible

51 Deteriorating vs. Barrier-to-improvement Factor Barrier-to-improvement factor Meaning - Factor that makes the client to stay status quo without improving or growing Example - Angry client - Client with relationship difficulties Barriers when trying to calm down Barrier when trying to form relationships

52 Deteriorating vs. Barrier-to-improvement Factor Barrier-to-improvement factor Characteristics Current intervention is possible Usually, internal psychological mechanism or experience Different cause according to theory

53 Deteriorating vs. Barrier-to-improvement Factor Barrier-to-improvement factor Characteristics Past me Present me

54 Environmental vs. Internal Mechanism Factor Environmental factor Meaning - Looks for the factors that deteriorate and stop client from improvement from outside of client's mind. Example - Anger stimulating spouse/child - Anger stimulating social structure

55 Environmental vs. Internal Mechanism Factor Environmental factor Past me Present me

56 Environmental vs. Internal Mechanism Factor Environmental factor Characteristics Counseling usually focuses on internal mechanism. Environmental factors are of interest in the field of social welfare.

57 Environmental vs. Internal Mechanism Factor Internal mechanism factor Meaning - Looking at internal psychological mechanism of client problems Example - Rigidity of thinking - Internal mechanism created by trauma experience

58 Environmental vs. Internal Mechanism Factor Internal mechanism factor Characteristics Typically emphasized in counseling Although environment is also important, we are more interested in the internal mechanism that was formed with the influence of the environment.

59 Ⅲ. Understanding Client Change 1 Elimination of Problems vs. Promotion of Growth 1 2 Elimination of Problems Perspective Promotion of Growth Perspective

60 Elimination of Problems Perspective Meaning Sees that change can be facilitated by getting rid of the problem or cause. Problem

61 Elimination of Problems Perspective Example Relieve depression Reduce schizophrenia Fix personality Fix internet addiction Fix interpersonal relationship method

62 Elimination of Problems Perspective Characteristics Largely based on the medical perspective Prevalent among us Although past trauma experience cannot be taken away, it is often seen as the cause.

63 Promotion of Growth Perspective Meaning Instead of fixing problems or removing the cause, this perspective seeks to discover client s motivation (desire) to remove the barriers to improvement

64 Promotion of Growth Perspective Past me Present me

65 Promotion of Growth Perspective Meaning If one does not understand a person, one tends to regard him as a fool. Carl Jung Differently put, if we properly understand a person, we are able to refrain from regarding him as a problematic person.

66 Promotion of Growth Perspective Example Explores what the client (ultimately) seeks to do. (Although not expressed verbally), what the client is (ultimately) pursuing is discovered through client s actions or emotional reactions When the client tries to move forward, he is helped to remove or combat any internal barriers.

67 Promotion of Growth Perspective Characteristics Does not assume the client to be someone who has problems that needs to be fixed. Emphasizes and uses the client's strength to grow. Stresses the client's autonomy and choice Trusts the client s inner wisdom Doesn t order the client to go in a certain direction or to eliminate problems. Helps the client to see what he really hopes to pursue more clearly. Makes what the client is pursuing after clearer, and remove any barriers that he comes to face in the process of pursuing them.

68 Ⅲ. Understanding Client Change 2 Starting from Big Change vs. Small Change 1 2 Big Change Small Change Perspective Small Change Big Change Perspective

69 Big Change Small Change Perspective Meaning & Characteristics Meaning Claims that we need to take care of client's core problems before his surrounding, trivial behavioral problems or habits can be resolved. Example Client's long-standing parent-child relationship needs to be mended before her recent problems naturally get solved. Characteristics Interested in client's personality structure or core emotions Appropriate for long-term counseling

70 Big Change Small Change Perspective Meaning & Characteristics Goal Goal

71 Small Change Big Change Perspective Meaning & Characteristics Meaning Claims that we need to take care of smaller problems at hand to make a bigger change possible Example You get angry frequently. In what situation were you especially angry recently? Characteristics Emphasized in short-term counseling Stresses exploration of specific situations

72 Other Perspective Other perspective (Watzlawick, Weakland, & Fisch, 1974) Progression Sees client change as occurring progressively vs. Transformation Sees client change as innovative transformation first-order change second-order change

73 THANK YOU

How to Win Friends and Influence People Lesson 6 Psychological Patterns and Disorders

How to Win Friends and Influence People Lesson 6 Psychological Patterns and Disorders How to Win Friends and Influence People Lesson 6 Psychological Patterns and Disorders What are psychological disorders? Mental health workers view psychological disorders as ongoing patterns of thoughts,

More information

Other Disorders Myers for AP Module 69

Other Disorders Myers for AP Module 69 1 Other s Myers for AP Module 69 Describe the general characteristics of somatic symptom disorders. How does culture influence people s expression of physical complaints? Compare the symptoms of conversion

More information

Psychological Disorders. Schizophrenia Spectrum & Other Psychotic Disorders. Schizophrenia. Neurodevelopmental Disorders 4/12/2018

Psychological Disorders. Schizophrenia Spectrum & Other Psychotic Disorders. Schizophrenia. Neurodevelopmental Disorders 4/12/2018 Psychological s Schizophrenia Spectrum & Other Psychotic s Schizophrenia Spectrum & Other Psychotic s 0Presence of delusions, hallucinations, disorganized thinking/speech, disorganized or abnormal motor

More information

Personality Disorders Explained

Personality Disorders Explained Personality Disorders Explained Personality Disorders Note: This information was taken pre-dsm-v. There are ten basically defined personality disorders. These are defined below in alphabetical order. Note:

More information

Slide 1. Slide 2. Slide 3 Similar observations in all subsets of the disorder. Personality Disorders. General Symptoms. Chapter 9

Slide 1. Slide 2. Slide 3 Similar observations in all subsets of the disorder. Personality Disorders. General Symptoms. Chapter 9 Slide 1 Personality Disorders Chapter 9 Slide 2 General Symptoms Problems must be part of an enduring pattern of inner experience and behavior that deviates significantly from the expectations of the individual

More information

Managing Personality Disorders in Primary Care

Managing Personality Disorders in Primary Care Managing Personality Disorders in Primary Care James A. Bourgeois, O.D., M.D. Learning Objectives At end of presentation, attendees will be able to: Classify personality disorders according to DSM-IV-TR

More information

Personality Disorder in Primary Care. Dr Graham Ingram Consultant Psychiatrist

Personality Disorder in Primary Care. Dr Graham Ingram Consultant Psychiatrist Personality Disorder in Primary Care Dr Graham Ingram Consultant Psychiatrist Epidemiology Prevalence 6-13 % ECA etc Primary care surgery consults 24 % (Moran) Borderline PD community 1-2 % Borderline

More information

Cluster A personality disorders- are characterized by odd, eccentric thinking or behavior.

Cluster A personality disorders- are characterized by odd, eccentric thinking or behavior. Personality Disorders Personality disorders are grouped into three clusters, based on similar characteristics and symptoms. Many people with one personality disorder also have signs and symptoms of at

More information

Personality Disorders

Personality Disorders Personality Disorders What is your personality? Personality is the combination of thoughts, emotions and behaviors that makes you unique. It's the way you view, understand and relate to the outside world,

More information

Can my personality be a disorder?!

Can my personality be a disorder?! Can my personality be a disorder?! Chapter 11- Personality Disorders How would you describe your personality? A personality refers to a distinctive set of behavior patterns that make up our individuality..

More information

Personality disorders. Eccentric (Cluster A) Dramatic (Cluster B) Anxious(Cluster C)

Personality disorders. Eccentric (Cluster A) Dramatic (Cluster B) Anxious(Cluster C) Personality disorders Eccentric (Cluster A) Dramatic (Cluster B) Anxious(Cluster C) Personality Enduring pattern of perceiving, relating to and thinking about the environment and oneself in a wide range

More information

Chapter 14. Psychological Disorders

Chapter 14. Psychological Disorders Chapter 14 Psychological Disorders We ve Come a Long Way Trepanning Ancient priests or medicine men cut holes into the skills of living persons, to release the demons. What is Abnormality Psychopathology

More information

Working with Clients with Personality Disorders. Core Issues of All Personality Disorders. High Conflict Personality Disorders

Working with Clients with Personality Disorders. Core Issues of All Personality Disorders. High Conflict Personality Disorders Working with Clients with Personality Disorders AFCC Webinar July 18, 2018 Bill Eddy, LCSW, Esq. Copyright 2018 High Conflict Institute www.highconflictinstitute.com Core Issues of All Personality Disorders

More information

HIBBING COMMUNITY COLLEGE COURSE OUTLINE

HIBBING COMMUNITY COLLEGE COURSE OUTLINE HIBBING COMMUNITY COLLEGE COURSE OUTLINE COURSE NUMBER & TITLE: PSYC 1400: Abnormal Psychology CREDITS: 3 (3Lec 0 / Lab) PREREQUISITES: PSYC 1205: General Psychology CATALOG DESCRIPTION: Abnormal Psychology

More information

Psychiatric Diagnoses In Developmentally Disabled Persons

Psychiatric Diagnoses In Developmentally Disabled Persons Agenda Psychiatric Diagnoses In Developmentally Disabled Persons Kari L. Kennedy, PsyD, HSPP Dana Lasek, PhD, HSPP Wednesday, 10/26/2011 History and challenges Dementia Mood disorders Anxiety disorders

More information

Personality Disorders

Personality Disorders Personality Disorders Personality Personality Style: lifelong way of coping, manifested in how a person thinks, feels and behaves Personality Stable and predictable Flexible and adaptive We continue to

More information

Can my personality be a disorder?!

Can my personality be a disorder?! Can my personality be a disorder?! Chapter 10- Personality Disorders What is Personality? There are many characteristics of personality: George is shy Karen is outgoing Missy is such a drama queen Jane

More information

Traits: Prominent enduring aspects and qualities of a person.

Traits: Prominent enduring aspects and qualities of a person. Personality Disorders 257 Personality: The distinctive set of characteristics that defines the emotions, thoughts, perception and behavior or an individual s personal style and influence his interactions

More information

What is the DSM. Diagnostic and Statistical Manual of Mental Disorders Purpose

What is the DSM. Diagnostic and Statistical Manual of Mental Disorders Purpose DSM 5 The Basics What is the DSM Diagnostic and Statistical Manual of Mental Disorders Purpose Standardize diagnosis criteria (objectivity) Assist in research Provide common terminology Public health statistics

More information

Awareness of Borderline Personality Disorder

Awareness of Borderline Personality Disorder Borderline Personality Disorder 1 Awareness of Borderline Personality Disorder Virginia Ann Smith Written Communication Sarah Noreen, Instructor November 13, 2013 Borderline Personality Disorder 2 Awareness

More information

Abnormal Psychology. Defining Abnormality

Abnormal Psychology. Defining Abnormality Abnormal Psychology Defining Abnormality Statistical Approach abnormality = infrequency but this is not sufficient on its own Valuative Approach abnormality = social deviance unacceptable or doesn t conform

More information

Can my personality be a disorder?!

Can my personality be a disorder?! Can my personality be a disorder?! Chapter 11- Personality Disorders 1 A personality refers to a distinctive set of behavior patterns that make up our individuality. Our personality consists of traits

More information

Personality disorders. Personality disorder defined: Characteristic areas of impairment: The contributions of Theodore Millon Ph.D.

Personality disorders. Personality disorder defined: Characteristic areas of impairment: The contributions of Theodore Millon Ph.D. Personality disorders Personality disorder defined: An enduring maladaptive pattern of inner experience and outward behavior, involving impaired: (two or more of the following) sense of self emotional

More information

Personality Disorders. Mark Kimsey, M.D. March 8, 2014

Personality Disorders. Mark Kimsey, M.D. March 8, 2014 Personality Disorders Mark Kimsey, M.D. March 8, 2014 Objectives Understanding personality disorders using criteria from DSM-5. Learn approaches for separating personality disorders from other major illnesses.

More information

A-Z of Mental Health Problems

A-Z of Mental Health Problems Mental health problems can cover a broad range of disorders, but the common characteristic is that they all affect the affected person s personality, thought processes or social interactions. They can

More information

Can my personality be a disorder?!

Can my personality be a disorder?! Can my personality be a disorder?! Chapter 11- Personality Disorders What is Personality? How would YOU describe your own personality? There are many characteristics of personality: George is shy Karen

More information

Chapter 3 Self-Esteem and Mental Health

Chapter 3 Self-Esteem and Mental Health Self-Esteem and Mental Health How frequently do you engage in the following behaviors? SCORING: 1 = never 2 = occasionally 3 = most of the time 4 = all of the time 1. I praise myself when I do a good job.

More information

DSM-5 Table of Contents

DSM-5 Table of Contents DSM-5 Table of Contents DSM-5 Classification Preface Section I: DSM-5 Basics Introduction Use of DSM-5 Cautionary Statement for Forensic Use of DSM-5 Section II: Essential Elements: Diagnostic Criteria

More information

Chapter 14. Psychological Disorders 8 th Edition

Chapter 14. Psychological Disorders 8 th Edition Chapter 14 Psychological Disorders 8 th Edition Abnormal Behavior Historical aspects of mental disorders F 14.1 The medical model What is abnormal behavior? 3 criteria F 14.2 Deviant Maladaptive Causing

More information

DSM-IV-TR Diagnostic Criteria For Posttraumatic Stress Disorder

DSM-IV-TR Diagnostic Criteria For Posttraumatic Stress Disorder DSM-IV-TR Diagnostic Criteria For Posttraumatic Stress Disorder PTSD When an individual who has been exposed to a traumatic event develops anxiety symptoms, re-experiencing of the event, and avoidance

More information

Personality Disorders

Personality Disorders Personality Disorders Personality Disorders Using DSM system Longstanding difficulties coded on Axis II Idea is to capture developmental concerns Often described as problems more interpersonal in nature

More information

Personality and its disorders

Personality and its disorders Personality and its disorders An individual s unique constellation of consistent behavioral traits. Durable disposition to behave in a particular way in a variety of situations. Adjectives like honest,

More information

Personality Disorders

Personality Disorders Personality Disorders Personality What is personality? Personality is a unique and long-term pattern of inner experience and outward behavior Tends to be consistent and is often described in terms of traits

More information

What is schizoid personality disorder? Why is the salience or ability to focus and connect potential punishments important in training sociopathics?

What is schizoid personality disorder? Why is the salience or ability to focus and connect potential punishments important in training sociopathics? What is schizoid personality Why is the salience or ability to focus and connect potential punishments important in training sociopathics? Schizoid personality disorder (SPD) is a personality disorder

More information

Neurotic and Personality Disorders

Neurotic and Personality Disorders Neurotic and Personality Disorders LPT Gondar Mental Health Group www.le.ac.uk Neurosis Originally coined by the Scottish physician William Cullen in 1769. Included a range of conditions e.g. epilepsy,

More information

PSYCHOLOGY. Chapter 15 PSYCHOLOGICAL DISORDERS. Chaffey College Summer 2018 Professor Trujillo

PSYCHOLOGY. Chapter 15 PSYCHOLOGICAL DISORDERS. Chaffey College Summer 2018 Professor Trujillo PSYCHOLOGY Chapter 15 PSYCHOLOGICAL DISORDERS Chaffey College Summer 2018 Professor Trujillo 15.1 WHAT ARE PSYCHOLOGICAL DISORDERS? A psychological disorder is a condition characterized by abnormal thoughts,

More information

What the heck is PTSD? And what do I do if I have it?

What the heck is PTSD? And what do I do if I have it? What the heck is PTSD? And what do I do if I have it? Dr. Dion Goodland, Psychologist Goodland Psychology November 2015 Outline for today What is Posttraumatic Stress Disorder (PTSD)? How do I get it?

More information

Post-Traumatic Stress Disorder

Post-Traumatic Stress Disorder Post-Traumatic Stress Disorder Teena Jain 2017 Post-Traumatic Stress Disorder What is post-traumatic stress disorder, or PTSD? PTSD is a disorder that some people develop after experiencing a shocking,

More information

Chapter 5 Lesson 2: Mental Disorders. Mental disorders are medical conditions that require diagnosis and treatment.

Chapter 5 Lesson 2: Mental Disorders. Mental disorders are medical conditions that require diagnosis and treatment. Chapter 5 Lesson 2: Mental Disorders Mental disorders are medical conditions that require diagnosis and treatment. What are Mental Disorders? A mental Disorder is an illness of the mind that can affect

More information

Characteristic patterns of behavior, thought, and emotion that exhibit relative consistency across time and situation 1

Characteristic patterns of behavior, thought, and emotion that exhibit relative consistency across time and situation 1 Personality Disorders in in Primary Care Jennifer S. Cheavens, Ph.D Assistant Professor Department of Psychology The Ohio State University Wexner Medical Center Current Definition of Personality Characteristic

More information

Winter Night Shelters and Mental Healh Barney Wells, Enabling Assessment Service London.

Winter Night Shelters and Mental Healh Barney Wells, Enabling Assessment Service London. Winter Night Shelters and Mental Healh Barney Wells, Enabling Assessment Service London. Introduction goals of session - What is mental health - What is interaction between poor mental health and CWS -

More information

MENTAL HEALTH DISEASE CLASSIFICATIONS

MENTAL HEALTH DISEASE CLASSIFICATIONS MENTAL HEALTH DISEASE CLASSIFICATIONS DIAGNOSIS OF MENTAL DISORDERS DSM-IV-TR Published by APA ( 2000 ) Multiaxial system 5 categories called axes Facilitate holistic assessment for care Is a great resource

More information

Chapter 2 Lecture. Health: The Basics Tenth Edition. Promoting and Preserving Your Psychological Health

Chapter 2 Lecture. Health: The Basics Tenth Edition. Promoting and Preserving Your Psychological Health Chapter 2 Lecture Health: The Basics Tenth Edition Promoting and Preserving Your Psychological Health OBJECTIVES Define each of the four components of psychological health, and identify the basic traits

More information

Diagnosis. Shayna Sokol, LSW, CHC

Diagnosis. Shayna Sokol, LSW, CHC Diagnosis Shayna Sokol, LSW, CHC Diagnosis Across the Age Continuum 1 in 5 Children have a diagnosable MH condition I m an adult Service Coordinator, so why do I need to know about child and adolescent

More information

Explainer: what are personality disorders and how are they treated?

Explainer: what are personality disorders and how are they treated? University of Wollongong Research Online Faculty of Social Sciences - Papers Faculty of Social Sciences 2015 Explainer: what are personality disorders and how are they treated? Brin F. S Grenyer University

More information

Chapter 4. Lessons. Managing Mental and Emotional Health. Managing Mental and Emotional Health

Chapter 4. Lessons. Managing Mental and Emotional Health. Managing Mental and Emotional Health Managing Mental and Emotional Health Managing Mental and Emotional Health Lessons Lesson 1 Emotions Lesson 2 Understanding Emotions Lesson 3 Expressing Emotions Lesson 4 Coping with Emotions Lesson 5 Mental

More information

ABNORMAL PSYCHOLOGY. Psychological Disorders. Fast Track Chapter 11 (Bernstein Chapter 15)

ABNORMAL PSYCHOLOGY. Psychological Disorders. Fast Track Chapter 11 (Bernstein Chapter 15) ABNORMAL PSYCHOLOGY Psychological Disorders Fast Track Chapter 11 (Bernstein Chapter 15) Introduction to Abnormal Psychology PSYCHOPATHOLOGY the study of the causes, symptoms, and development of psychological

More information

Psychosis, Mood, and Personality: A Clinical Perspective

Psychosis, Mood, and Personality: A Clinical Perspective Psychosis, Mood, and Personality: A Clinical Perspective John R. Chamberlain, M.D. Assistant Director, Psychiatry and the Law Program Assistant Clinical Professor University of California San Francisco

More information

Medical Interpretation in Psychotherapy. Francis Stevens, Ph.D.

Medical Interpretation in Psychotherapy. Francis Stevens, Ph.D. Medical Interpretation in Psychotherapy Francis Stevens, Ph.D. Welcome My background Introduction Break up into pairs Introduce yourself What interpretation services have you done? What do you think would

More information

WHAT ARE PERSONALITY DISORDERS?

WHAT ARE PERSONALITY DISORDERS? CHAPTER 16 REVIEW WHAT ARE PERSONALITY DISORDERS? How is abnormal behaviour defined? Statistically infrequent Violates of social norms Personally distressful Disability or dysfunction Unexpected DSM-IV

More information

Answer Key for Case Studies. Grading for each case study. All Case Studies

Answer Key for Case Studies. Grading for each case study. All Case Studies Answer Key for Case Studies Grading for each case study All Case Studies *give 5 points for listing at least four accurate symptoms of the disorder *give 3 points for listing 2 symptoms of the disorder

More information

Lesson 3: Mental Health

Lesson 3: Mental Health Lesson 3: Mental Health 1 A S A R ES U LT O F T H I S L ES S O N, YO U W I L L B E B E T T E R A B L E TO : Define mental health and list factors that impact mental health Understanding Mental Health Trauma

More information

Post Traumatic Stress Disorder (PTSD) (PTSD)

Post Traumatic Stress Disorder (PTSD) (PTSD) Post Traumatic Stress Disorder (PTSD) (PTSD) Reference: http://www.psychiatry.org/military Prevalence of PTSD One in five veterans of the Iraq and Afghanistan wars is diagnosed with PTSD. (http://www.psychiatry.org/military

More information

Visualizing Psychology

Visualizing Psychology Visualizing Psychology by Siri Carpenter & Karen Huffman PowerPoint Lecture Notes Presentation Chapter 13: Psychological Disorders Siri Carpenter, Yale University Karen Huffman, Palomar College Lecture

More information

*Many of these DSM 5 Diagnoses might also be used to argue for eligibility using Other Health Impaired Criteria

*Many of these DSM 5 Diagnoses might also be used to argue for eligibility using Other Health Impaired Criteria Handout 2: DSM 5 Diagnoses that May be Associated with One or More of the Five ED Characteristics* 1. An inability to learn that cannot be explained by intellectual, sensory, or health factors. a) Selective

More information

Counseling and Psychotherapy Theory. Week 7. Humanistic Approach

Counseling and Psychotherapy Theory. Week 7. Humanistic Approach Counseling and Psychotherapy Theory Week 7. Humanistic Approach Contents 1 2 3 Major Concepts and Propositions 1 Overview 2 Person-centered Approach 3 Existentialist Approach 4 Gestalt Approach Change

More information

Typical or Troubled? Teen Mental Health

Typical or Troubled? Teen Mental Health Typical or Troubled? Teen Mental Health Adolescence is a difficult time for many teens, but how does one know the difference between typical teen issues and behavior that might signal a more serious problem?

More information

Name: Period: Chapter 14 Reading Guide Psychological Disorders

Name: Period: Chapter 14 Reading Guide Psychological Disorders Name: Period: Chapter 14 Reading Guide Psychological Disorders Introduction to Psychological Disorders (pg. 593-600) 1. List AND describe the 3 definitions of abnormal. A. Understanding Psychological Disorders

More information

10. Psychological Disorders & Health

10. Psychological Disorders & Health 10. Psychological Disorders & Health We will now study different psychological disorders and theories for treating psychopathology. We will also cover health, stress and how to cope with them. The sections

More information

Phycology and Sociology Review: Unit 3. By:Owen Krahwinkel and Luke Lajcin

Phycology and Sociology Review: Unit 3. By:Owen Krahwinkel and Luke Lajcin Phycology and Sociology Review: Unit 3 By:Owen Krahwinkel and Luke Lajcin ADHD: DSM-IV DSM-IV Codes are the classification found in the Diagnostic and Statistical Manual of Mental Disorders This is primary

More information

Does anxiety cause some difficulty for a young person you know well? What challenges does this cause for the young person in the family or school?

Does anxiety cause some difficulty for a young person you know well? What challenges does this cause for the young person in the family or school? John Walker, Ph.D. Department of Clinical Health Psychology University of Manitoba Everyone has the emotions at times. Signal us to be careful. Help us to stay safe. Most children and adults have mild

More information

ENTITLEMENT ELIGIBILITY GUIDELINE POSTTRAUMATIC STRESS DISORDER

ENTITLEMENT ELIGIBILITY GUIDELINE POSTTRAUMATIC STRESS DISORDER ENTITLEMENT ELIGIBILITY GUIDELINE POSTTRAUMATIC STRESS DISORDER MPC 00620 ICD-9 309.81 ICD-10 43.1 DEFINITION Posttraumatic Stress Disorder (PTSD) is a condition in the Diagnostic and Statistical Manual

More information

Psychological Disorder. Abnormal Psychology 3/20/15. Early Theories. Perspectives and Disorders

Psychological Disorder. Abnormal Psychology 3/20/15. Early Theories. Perspectives and Disorders 3/20/15 Abnormal Psychology Psychological Disorder How would you define a Psychological Disorder? Patterns of thoughts, feelings, or actions that are deviant, distressful, or dysfunctional. Early Theories

More information

Psychological Disorders: More Than Everyday Problems 14 /

Psychological Disorders: More Than Everyday Problems 14 / Psychological Disorders: More Than Everyday Problems 14 / Psychological Disorder(p.630) The presence of a constellation of symptoms that create significant distress; impair work, school, family, relationships,

More information

Psychopathology Psychopathy (con t) Psychopathy Characteristics High impulsivity Thrill seeking Low empathy Low anxiety What is the common factor? Callous Self-Centeredness N M P Dr. Robert Hare

More information

DSM Comparison Chart DSM-5 (Revisions in bold)

DSM Comparison Chart DSM-5 (Revisions in bold) 317.0-318.2 DSM Comparison Chart DSM-IV-TR DSM-5 (Revisions in bold) Multi-axial system s Usually First Diagnosed in Infancy, Childhood and Adolescence Single line diagnosis with specifiers Neurodevelopmental

More information

Schizoid personality disorder

Schizoid personality disorder Page 1 of 6 Original Article:http://www.mayoclinic.com/health/schizoid-personalitydisorder/DS00865 Schizoid personality disorder Introduction Schizoid personality disorder is a condition in which people

More information

ACBHCS Mental Health Outpatient (includes PES/CSU) Medi-Cal Included Diagnosis List - Alpha by Name

ACBHCS Mental Health Outpatient (includes PES/CSU) Medi-Cal Included Diagnosis List - Alpha by Name Instructions: DHCS publishes the list of diagnoses covered by Medi-Cal in format. The DSM is used because does not provide specific diagnostic criteria. Providers must always use DSM-5 first and whenever

More information

General Psychology. Chapter Outline. Psychological Disorders 4/28/2013. Psychological Disorders: Maladaptive patterns of behavior that cause distress

General Psychology. Chapter Outline. Psychological Disorders 4/28/2013. Psychological Disorders: Maladaptive patterns of behavior that cause distress General Psychology Jeffrey D. Leitzel, Ph.D. Chapter 1: Behavioral (Psychological) Disorders 1 Chapter Outline Defining abnormality Historical perspectives on abnormality Classifying/identifying disorders

More information

Mood, Emotions and MS

Mood, Emotions and MS Mood, Emotions and MS Catherine Condon Clinical Neuropsychologist Integrated Psychology Living Well with MS Living a full and meaning-filled life Social connection Valued activity Healthy exercise Healthy

More information

Mental Health Information For Teens, Fourth Edition

Mental Health Information For Teens, Fourth Edition Teen Health Series Mental Health Information For Teens, Fourth Edition Health Tips About Mental Wellness And Mental Illness Including Facts About Recognizing And Treating Mood, Anxiety, Personality, Psychotic,

More information

Mental Health and Stress

Mental Health and Stress Mental Health and Stress Learning Objectives Ø Define mental health and discuss the characteristics of mentally healthy and selfactualized people Ø Describe the various mental disorders and appropriate

More information

Advocating for people with mental health needs and developmental disability GLOSSARY

Advocating for people with mental health needs and developmental disability GLOSSARY Advocating for people with mental health needs and developmental disability GLOSSARY Accrued deficits: The delays or lack of development in emotional, social, academic, or behavioral skills that a child

More information

Mental Health Disorder Prevalence among Active Duty Service Members in the Military Health System, Fiscal Years

Mental Health Disorder Prevalence among Active Duty Service Members in the Military Health System, Fiscal Years Mental Health Disorder Prevalence among Active Duty Service Members in the Military Health System, Fiscal Years 2005 2016 Prepared by the Deployment Health Clinical Center Released January 2017 by Deployment

More information

Neurobiology of Sexual Assault Trauma: Supportive Conversations with Victims

Neurobiology of Sexual Assault Trauma: Supportive Conversations with Victims Neurobiology of Sexual Assault Trauma: Supportive Conversations with Victims Jim Hopper, Ph.D. November 2017 Handout 1: Using Neurobiology of Trauma Concepts to Validate, Reassure, and Support Note: In

More information

Trauma FIRST RESPONDERS JADA B. HUDSON M.S., LCPC, CADC

Trauma FIRST RESPONDERS JADA B. HUDSON M.S., LCPC, CADC JADA B. HUDSON M.S., LCPC, CADC Trauma FIRST RESPONDERS Jada B. Hudson, M.S. Licensed Clinical Professional Counselor Certified Alcohol and Drug Abuse Counselor Operation Shattered Stars Clinical Consultant

More information

Personality Disorders. Personality Disorders. Definition of personality. Trait theory of Personality. Trait theory of Personality

Personality Disorders. Personality Disorders. Definition of personality. Trait theory of Personality. Trait theory of Personality Personality Disorders Personality Disorders Using DSM system Longstanding difficulties coded on Axis II Idea is to capture developmental concerns No real utility to this Axis I vs Axis II distinction 1

More information

Mental Illness and Disorders Notes

Mental Illness and Disorders Notes Mental Illness and Disorders Notes Stigma - is a negative and often unfair about mental illness and disorders can cause people with these to not seek help. Deny problem, feel shame and -feel as if they

More information

Introduction to personality. disorders. University of Liverpool. James McGuire PRISON MENTAL HEALTH TRAINING WORKSHOP JUNE 2007

Introduction to personality. disorders. University of Liverpool. James McGuire PRISON MENTAL HEALTH TRAINING WORKSHOP JUNE 2007 PENAL REFORM INTERNATIONAL PRISON MENTAL HEALTH TRAINING WORKSHOP JUNE 2007 Introduction to personality disorders James McGuire University of Liverpool Session objectives To provide an overview of concepts

More information

How to Handle a Problem

How to Handle a Problem How to Handle a Problem Determine if it is temporary or persistent. Identify your problem. Determine whether it is temporary or persistent. If temporary If persistent How serious is it? Can you handle

More information

Depressive and Bipolar Disorders

Depressive and Bipolar Disorders Depressive and Bipolar Disorders Symptoms Associated with Depressive and Bipolar Disorders Characteristics of mood symptoms Affects a person s well being, school, work, or social functioning Continues

More information

ACBHCS Outpatient Included List DHCS ICD-10

ACBHCS Outpatient Included List DHCS ICD-10 12-19-17 ACBHCS Mental Health Outpatient (includes PES/CSU) Crosswalk Medi-Cal Included Dx List Numeric by Code (Crossed out diagnoses are not allowed. Always use the code) Instructions: Crossed out diagnoses

More information

AP Psychology: Abnormal Quiz 1

AP Psychology: Abnormal Quiz 1 AP Psychology: Abnormal Quiz 1 1. Applying a medical model to identify and treat psychological disorders should be used: A) in every case. B) only in cases of suspected trauma. C) only in cases of suspected

More information

Depression Fact Sheet

Depression Fact Sheet Depression Fact Sheet Please feel free to alter and use this fact sheet to spread awareness of depression, its causes and symptoms, and what can be done. What is Depression? Depression is an illness that

More information

ACBHCS Outpatient Included List DHCS ICD-10

ACBHCS Outpatient Included List DHCS ICD-10 12-19-17 ACBHCS Mental Health Outpatient (includes PES/CSU) Crosswalk Medi-Cal Included Dx List-Alpha by Name (Crossed out diagnoses are not allowed. Always use the code) Instructions: Crossed out diagnoses

More information

Psychology Session 11 Psychological Disorders

Psychology Session 11 Psychological Disorders Psychology Session 11 Psychological Disorders Date: November 18th, 2016 Course instructor: Cherry Chan Mothercraft College Agenda 1. Normal vs. Abnormal 2. Communication disorders 3. Anxiety disorders

More information

Physical complaints without organic basis Occur when a person manifests a psychological problem through a physiological (physical) symptom.

Physical complaints without organic basis Occur when a person manifests a psychological problem through a physiological (physical) symptom. Forms: Somatic Symptom Disorders Physical complaints without organic basis Occur when a person manifests a psychological problem through a physiological (physical) symptom. Conversion Disorder: Report

More information

Introduction to the DSM-5 for APRNs. Presenters. Disclosures. Continuing Education Subcommittee APNA Education Council. Co-Chairs of CE subcommittee:

Introduction to the DSM-5 for APRNs. Presenters. Disclosures. Continuing Education Subcommittee APNA Education Council. Co-Chairs of CE subcommittee: Introduction to the DSM-5 for APRNs Continuing Education Subcommittee APNA Education Council Presenters Co-Chairs of CE subcommittee: Barbara J. Limandri, PhD, PMHCNS-BC Joyce M. Shea, DNSc, APRN, BC Presenters:

More information

Client s Name: Today s Date: Partner s Name (if being seen as a couple): Address, City, State, Zip: Home phone: Work phone: Cell phone:

Client s Name: Today s Date: Partner s Name (if being seen as a couple): Address, City, State, Zip: Home phone: Work phone: Cell phone: Client s Name: Today s Date: Partner s Name (if being seen as a couple): Address, City, State, Zip: Home phone: Work phone: Cell phone: Private email address: Student? If yes, where and major? May we leave

More information

Tuesday, February 17, Case Planning and Intervening for Permanence: Introduction to Mental Health. Slide 1 - Welcome

Tuesday, February 17, Case Planning and Intervening for Permanence: Introduction to Mental Health. Slide 1 - Welcome Slide 1 - Welcome Welcome to the training on Case Planning and Intervening for Permanence. : Developed and presented by the Indiana Child Welfare Education and Training Partnership. Page 1 of 65 Slide

More information

Managing Mental Health (at Work)

Managing Mental Health (at Work) Managing Mental Health (at Work) So what do you hope to get from this session? Can you name some types of Mental Health Conditions? Depression Eating problems Phobias Anxiety Schizophrenia Stress Post-traumatic

More information

Loud noises, loss of support, heights, strangers, separation (in the present) Animals, the dark, storms, imaginary creatures, anticipatory anxiety

Loud noises, loss of support, heights, strangers, separation (in the present) Animals, the dark, storms, imaginary creatures, anticipatory anxiety Anxiety is normal, adaptive, and protective Anxiety varies in intensity from person to person High levels of anxiety are problematic Lowering the volume, not changing the station Developmental Stage Infancy

More information

ACBHCS Mental Health Outpatient (includes PES/CSU) Medi-Cal Included Diagnosis List by ICD-10 Code

ACBHCS Mental Health Outpatient (includes PES/CSU) Medi-Cal Included Diagnosis List by ICD-10 Code Instructions: DHCS publishes the list of diagnoses covered by Medi-Cal in format. The DSM is used because does not provide specific diagnostic criteria. Providers must always use DSM-5 first and whenever

More information

Psychological First Aid

Psychological First Aid Psychological Symptoms and Psychological Preschool through Second Grade 2) Generalized fear 1) Helplessness and passivity 3) Cognitive confusion (e.g. do not understand that the danger is over) 4) Difficulty

More information

did you feel sad or depressed? did you feel sad or depressed for most of the day, nearly every day?

did you feel sad or depressed? did you feel sad or depressed for most of the day, nearly every day? Name: Age: Date: PDSQ This form asks you about emotions, moods, thoughts, and behaviors. For each question, circle YES in the column next to that question, if it describes how you have been acting, feeling,

More information

Teen Stress and Anxiety Wayne Hills Counseling Dept. June, 2017

Teen Stress and Anxiety Wayne Hills Counseling Dept. June, 2017 Teen Stress and Anxiety Wayne Hills Counseling Dept. June, 2017 True or False? 1. Even something positive, such as being selected for an award, can be stressful 2. The amount of stress you feel depends

More information

Average? Anyone at the extremes is? Violating social norms? Cultural Norms? Experiencing subjective discomfort? Maladaptive Behavior?

Average? Anyone at the extremes is? Violating social norms? Cultural Norms? Experiencing subjective discomfort? Maladaptive Behavior? Psychopathology: scientific study of abnormal behavior Historically, things haven t always gone well Trepanning in ancient times (frees demons) Hippocrates: humors out of balance Middle Ages: demonic possession

More information

MATCP When the Severity of Symptoms Interferes with Progress

MATCP When the Severity of Symptoms Interferes with Progress MATCP 2017 When the Severity of Symptoms Interferes with Progress 1 Overview Stages of Change, or Readiness for Change Changing Behavior Medication Adherence Disruptive Behaviors Level of Care Tools including

More information

AN OVERVIEW OF ANXIETY

AN OVERVIEW OF ANXIETY AN OVERVIEW OF ANXIETY Fear and anxiety are a normal part of life. Normal anxiety keeps us alert. Intervention is required when fear and anxiety becomes overwhelming intruding on a persons quality of life.

More information

Advocacy in Difficult Situations. AFSCME Local 88 Steward Training October 19, 2011

Advocacy in Difficult Situations. AFSCME Local 88 Steward Training October 19, 2011 Advocacy in Difficult Situations AFSCME Local 88 Steward Training October 19, 2011 Types of Challenges Dealing with victims of sexual harassment or bullying Dealing with ineffective or arrogant people

More information