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prevalence
the number percentage of people in a population that have a particular disorder
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Incidence
the number or percentage of newly diagnosed cases
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Prognosis
- the potential outcome of a disorder
- how severe, chronicity
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Comorbidity
- or the co-occurrence of disorders
- very high between these types of problems
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Diagnostic and Statistical Manual of Mental Disorders-IV-TR
DSM-IV-TR ,2000
- The handbook of mental disorders
- There have been 6 versions of the DSM
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Note : immense variability of experiences
personal characteristics
personal capabilities
- 1) between "expiramentation" and enduring behavior patterns
- 2) between problems that are transitory in nature (acute) and those that persist over time (chronic)
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internalizing disorders
externalizing disorders
common manner for clinicians to divide broad categories
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Criteria to be considered abnormal
(meet at least 2 or more)
- violates social norms/expectations
- causes the person significant distress or discomfort
- significantly impairs the person's functioning
- behavior is dangerous to the individuals or to others
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Depression
most common psychological disturbance among adolescents
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Males
more likely to suffer from depression in childhood
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Major Depressive Disorder
- clinical form of the popular term "depression"
- a mood disorder
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females after puberty
- depression is much more common among...?
- society differentially socializes how feelings should be expressed among genders
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diathesis-stress model
- suggests that depression is the result of interaction between environmental factors and individual predispositions
- nature/nurture debate
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Treatment of Depression
treatment efficacy
combination of medication and therapy most successful
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Risk Factors associated with suicide
- males
- gays lesbians bisexuals
- single divorced separated widowed
- teens and the elderly
- people who are living alone or are socially isolated
- whites native americans
- physicians psychiatrists psychologists dentists police officers attorneys
- the unemployed
- concurrent diagnosis of major depression
- chronic emotional or physical pain
- Terminal Illness
- Co-morbidity with other psychological disorders
- History of prior attempts
- Family history of suicide
- Family history of physical or sexual or drug abuse
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Assessing the level of risk
(of actual suicide danger)
- plan?
- means?
- protective factors?
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discloses suicidal idealtion
- take the person seriously
- talk about it up front
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Suicidal Gesturing
actions that are seen as a "cry for help" that are aimed at gaining attention to the pain the person is feeling
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Anxiety
an internalizing problem
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Anxiety Disorders
point of impairment
- functioning in multiple areas is significantly affected
- basically beyond a reasonable and normal level of worry, anxiety or fear
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Panic Disorder
common phrase "anxiety is clinically diagnosed as
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Phobias
irrational, persistent, consistent fear of an object, situation, or social activity.
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agoraphobia
fear of being in an open or social setting in which you feel you have no impeded escape.
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social phobia
fear of interacting with others or being in a social situation
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Acute Stress Disorder
a disorder developed in a response to a traumatic event in which the person experienced, witnessed, or was confronted with an event or events that involved actual or threatened death or serious injury
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Post-Traumatic Stress Disorder
- symtoms of ASD persist for more than a month
- significant impairment to functioning
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Note:
- treatment for anxiety disorders is very successful
- cognitive/behavioral interventions
- anxiolytic medications
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eating disorders
sever disturbances in eating behavior
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Anorexia Nervosa
a refusal to maintain a minimally normal body weight
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Anorexia
more prevalent in industrialized countries
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anorexia
rarely begins before puberty
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Bulimia Nervosa
- binge-eating
- inappropriate compensatory behaviors
- vomiting laxatives diuretics fasting excessive exercise
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Schizophrenia
a dissociative disorder in which a person suffers from bizarre thinking and behavior, disordered thinking, hallucinations and inability to distinguish between reality and "fantasy"
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Note:
Small number of teens account for a relatively high proportion of serious criminal activity
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Status offenses
- limited to minors
- ex: truancy running away from home etc.
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Earlier an adolescent begins their criminal career the more likely they are to :
- become a repeat offender
- commit increasingly serious and violent crimes
- continue committing crimes as an adult
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Antisocial tendencies
histories of aggressive and violent behavior are identifiable as early as a 8
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Note:
delinquents come from disorganized families with hostile, neglectful parents who often mistreat their children and failed to instill in them proper standards of behavior or psychological foundations of self-control
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life-course persistent antisocial behaviors
delinquent adolescents continue their behavior to adulthood
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adolescent-limited antisocial behavior
adolescents desist their antisocial tendencies
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abuse alcohol and drugs
- from hostile family environments
- have friends who abuse drugs
- have problems in school
- have problems in interpersonal relationships
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risk factors for substance abuse
- psychological
- interpersonal
- contextual
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protective factors that decrease likelihood
- positive mental health
- high academic achievement
- close family relations
- involvement in religious and/or extracurricular activities
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