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chapter 11 Definition: Mental disorder Any behavior or emotional state that causes a person to suffer, is self-destructive; seriously impairs the person’s ability to work or get along with others; or endangers others or the community chapter 11 Diagnostic and Statistical Manual (The DSM-IV) • Major Diagnostic Categories – – – – – – – – – – – – Disorders diagnosed in infancy, childhood or adolescence Delirium, dementia, and other cognitive disorders Substance-related disorders Schizophrenia and other psychotic disorders Mood disorders Anxiety Disorders Eating Disorders Dissociative disorders Sexual and gender identity disorders Impulse control disorders Personality disorders Other conditions that may be the focus of clinical attention chapter 11 Generalized anxiety disorder Continuous state of anxiety marked by feelings of worry and dread, apprehension, difficulties in concentration, and signs of motor tension • Occurs on majority of days in 6-month period • Not due to physical causes chapter 11 Obsessive-compulsive disorder An anxiety disorder in which a person feels trapped in repetitive, persistent thoughts (obsessions) and repetitive, ritualized behaviors (compulsions) designed to reduce anxiety Person understands that the ritual behavior is senseless but guilt mounts if the behavior is not performed. chapter 11 OCD - video Why do rational people who know their behaviors are irrational persist in that behavior? Everyone has recurring thoughts and unusual behaviors. What is the difference between this somewhat “normal” behavior and an Obsessive Compulsive Disorder? A (n) ________ is an uncontrollable urge to do something; a(n) ________ is a persistent and unwanted, sometimes dangerous thought Using exposure therapy many people with OCD may significantly improve within: a. Two weeks b. One month c. Two months d. Three to six months chapter 11 Your turn If you have the persistent thought that gremlins are sabotaging any airplane you are on or will be on, then you have a _____. If you cannot stop asking for more water during flights, then you have a _____. 1. 2. 3. 4. Obsession; compulsion Compulsion; obsession Phobia; obsession Plane ticket; pet camel chapter 11 Panic disorder An anxiety disorder in which a person experiences recurring panic attacks Panic attack: a feeling of impending doom or death, accompanied by physiological symptoms such as rapid breathing and dizziness Panic Attack Video • What type of illnesses can emerge from panic disorder if left untreated? • How does brain imaging detect panic disorder? chapter 11 Schizophrenia A psychological disorders marked by: 1. Bizarre delusions 2. Hallucinations and heightened sensory awareness 3. Disorganized, incoherent speech 4. Grossly disorganized and inappropriate behavior 5. Impaired cognitive abilities chapter 11 Schizophrenia - video Paranoid schizophrenia is not: a. b. c. d. a brain disease “split personality” A neurotic disorder A minor mental illness Paranoid schizophrenia can be cured by: a. b. c. d. Nothing since a cure does not exist Behavioral therapy Biological therapy Cognitive therapy People with schizophrenia a. b. c. d. Will usually become violent May “grow out” of the illness as they age Will never get any better Will only get worse chapter 11 Origins of Schizophrenia video What evidence is there that schizophrenia is a biologically-based disorder? Can schizophrenia be cured or treated? chapter 11 Genetic Schizophrenia - video Why are genetically altered mice used in this study? What type of disease is schizophrenia? According to this video what are scientists looking at as a possible cause for schizophrenia a. b. c. d. Diet Environment Defective genes Use of illegal drugs chapter 11 Depression Major depression A mood disorder involving disturbances in emotion (excessive sadness), behavior (loss of interest in one’s usual activities), cognition (thoughts of hopelessness), and body function (fatigue and loss of appetite) chapter 11 Symptoms of depression Depressed mood Reduced interest in almost all activities Significant weight gain or loss Sleeping too much or too little Fatigue Feelings of worthlessness or guilt Reduced ability to think, concentrate Recurrent thoughts of death DSM IV requires 5 of these within the past 2 weeks Depression – video • Major depression can begin: a. b. c. d. • Which of the following would rule out a diagnosis of Major Depression a. b. c. d. • During childhood During adolescence During adulthood All of the above Psychotic features (hallucinations, delusions) Catatonia Mania Insomnia Which of the following is NOT a diagnostic symptom of Major Depression a. b. c. d. Diminished interest in activities Weight loss Weight gain Irritability chapter 11 Bipolar disorder A mood disorder in which episodes of depression and mania (excessive euphoria) occur. Bipolar Syndrome – video • How do episodes of mania and depression alternate in a person with bipolar syndrome?