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What is the DSM-IV
a diagnostic manual. the only book from which diagnosis comes from
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name the 6 mood disorders
- Major depressive
- Dystaymic
- Adjustment
- Mood disorder due to a general medical condition
- Bipolar
- Cyclo
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symptoms of major depressive disorder
- depressed mood most of the day, every day
- little interest in activities once joyed
- 5 or more of these within 2 week period
- -weight loss or gain
- -increase/decrease of sleep
- -psychomotor agitation(slowness/numbness,not feel like self)
- -loss of energy
- -feelings of worthlessness or guilt
- -lack of concentration or indeciseveness
- -suicidal thoughts
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7 facts and causes about suicide
- leading cause of death ages 15-24
- common with suicidal histories
- increases with lack of family support and poor communication with parents
- 30,000 deaths per year in u.s.
- 75+ white mail 3x more likely to commit
- substance abuse increase likelyhood
- error on the side of caution when evaluating
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define dysthymic disorder
- chronically depressed mood that occurs for most of the day, more days than not for at least 2 yr/1 yr if child
- 2 symptoms of major depression
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define adjustment disorder
- clinically significant emotional or behavioral symptoms in response to a stressor
- normal is 6 months to adjust
- almost everone has it
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define mood disorder due to a general medical condition
- depressive symptoms as a result of a medical condition
- depressive like features to major depression
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define bipolar disorder
- major depressive symptoms mixed with a cycle of the following manic features
- inflated self-esteem or grandiosity
- decreased need for sleep(3 hrs)
- more talkative than usual
- racing thoughts
- distractibility
- increase in goal directed activity
- excessive involvement in pleasurable activites w/painful cosequences
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define cyclothymic disorder
- mild symptom of bipolar
- history of bipolar
- symptoms continue for 2 years(cYclothYmic)
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define generalized anxiety disorder
- excessive worry-more days than not for 6 months and 3 of the following 6 symptoms
- feeling keyed up or on the edge
- easily fatigued
- difficulty concentrating
- irritability
- muscle tension
- sleep disturbance
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what is phobic disorder
persistent, irrational fear of an object or situation that may not be dangerous.
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define Panic disorder
- period of intense fear(10 min)with 4+ of following symptoms
- heart pounding
- sweating
- trembling/shaking
- shortness of breath
- feelings of choking
- chest pain
- nausea
- dizziness
- derealization(dont feel like myself)
- fear of going crazy
- fear of dying
- numbness/tingling
- chills or hot flashes
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define Obsessive-compulsive disorder
- obsessions(persistent, uncontrollable intrusions of unwanted thoughts)
- cumpulsions(urges to engage in senseless rituals or actions)
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define Posttraumatic stress disorder
- enduring psychological disturbance attributed to the experience of a major traumatic event with the following symptoms
- repeated memories
- nightmares
- numbing
- alienation
- problems in social relations
- elevated arousal
- anxiety
- guilt
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define schizophrenia
- delusions-false belief
- hallucinations-hearing voices that are not real (auditory) and /or seeing things that are not real(visual)
- disturbed emotion-no emotion(flat affect)/distorted reactions of emotion(blunted affect)
- deterioration of adaptive behavior(poor hygeine)
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define the 4 types of schizophrenia
- Paranoid-fear of persecution and delusions of grandeur
- Catatonic-striking motor disturbances, remaining in fixed positions, engaaging in excessive activity, remaining rigid oppositionally
- Disorganized-disorganized speech and behaviour
- Undifferentiated-"none of the above" or "all of the above"
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cause of schizophrenia
- genetic vulnerability
- high dopamine lvls
- drug use
- high stress increases vulnerability
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define the 3 types of dissociative disorder
- Amnesia-sudden loss of memory of personal information, usually traumatic or stressful
- Fugue-unexpected travel away from home or work with inability to recall past, partial or complete change of personal identity
- Identity disorder- coexistence of 2 or more largely complete and very different personalities(multiple personality)
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what are the 4 somatoform disorders(fake illness)
- Somatization disorder-excessive complains about being sick before the age of 30, can feel pain.(seek attention for being sick)
- Conversion disorder-convert aanother persons's illness onto self unconsciously(father dies of heart attack, now i have heart attack)
- Hypochondria-fear or preoccuptation that one has a serious disease"they know more than doctors"(frequent self diagnosis)
- Malingering-intentionally fake illness for a specific purpose(pretend to get beat to sleep at womens shelter)
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cause of somatoform disorders
- seek attention ot self
- have shallow emotions
- seductive or provacative
- easily influenced by others
- very dramatic
- considers relationships more intimate than they are
- focus on body sensations
- like being sick ot gain sympathy and avoid stress
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what are the 3 eating disorders
- anorexia nervosa
- bulimia nervosa
- eating disorder NSA
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define anorexia
- intense fear of gaining weight
- disturbed body image
- refusal to mainain normal weight
- dangerous measures to lose weight
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7 facts of anorexia
- mostly occurs in western culture
- recent decades/onset 14-18 years old
- rarely seek treatment on their own
- leads to death in 2-10%
- 50% of college women have one incedent of throwing up
- 90-95% female
- more common in upper socioeconomic class
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problems with anorexia
- loss of menstrual cycle(amenorrhea)
- low blood pressure
- gastrointestinal problems
- osteoporosis(loss of bone density)
- metabolic disturbances(cardiac arrest)
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what makes bulimia differ from anorexia
- guilt
- less life threateniung
- more likely to be recognized by self as problem
- more prone to cooperate with treatment
- dntal and gastronintestinal problems
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Cause of eating disorders
- biological tendency
- personality-anorexia-obsessive,rigid,perfection,emotionally restrained. -bulimia-impulsive,overly sensitive, low selfesteem
- culture
- family-overinvolved parents
- cognitive distortions
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