How do we classify disorders?
Types of disorders
Labeling
What are:
Anxiety disorders?
Mood disorders?
Dissociation disorders?
Schizophrenic disorders
Personality disorders?
DSM-IV-TR
Diagnostic and Statistical Manual of
Mental Disorders
(4th. Ed. Text revision(TR)
Used to identify psychological disorders
Does not explain causes
What is the effect of labeling psychological disorders?
It biases your perception of the patient’s behavior
After you know the diagnosis (label) even normal behavior is seen as a symptom of that diagnosis.
What are anxiety disorders?
Generalized Anxiety Disorder
Vague expectation that something bad will happen.
Unfocused, out-of-control negative feelings.
Panic Disorder
Panic attack
Agoraphobia - fear of situations you can not escape if a panic attack occurs.
Phobias
An irrational fear of something
E.g. Arachnophobia - fear of spiders
Social phobia - fear of social situations
(Shyness taken to an extreme)
Obsessive - compulsive disorders
Obsessive = thoughts
Thoughts that won’t go away
Compulsive = behavior
Checking a locked door
Straightening books or fringe on a carpet
Hand washing
Flashing
Post-traumatic stress disorder
(PTSD)
Causes:
Trauma
War
Rape
Effects (symptoms)
Nightmares
Flashbacks
Social withdrawal
Anxiety
Insomnia (trouble sleeping)
Dissociative disorders
Conscious awareness becomes separated
(dissociated) from previous memories, thoughts and feelings.
Dissociative identity disorder
(Multiple personalities)
Two or more distinct identities that control their behavior.
Each person has its own voice and mannerisms.
One personality is usually unaware of the others.
What are mood disorders?
Depression
The “common cold” of psychological disorders
Main reason people seek mental health services
Symptoms
Low energy
Low self-esteem
Never happy
Bipolar Disorder
Depression to manic episodes
Alternating between hopelessness and unrestrained optimism.
Schizophrenia
“Split mind”
Disorganized speech and thought
Word salad
Flight of ideas
Inappropriate emotions & actions
Delusions (“I am God”)
Hallucinations (see or hear things)
False beliefs (Someone is poisoning me)
Types of Schizophrenia
Paranoid
Delusions or hallucinations
Themes of persecution
“The Russians are after me.”
Types of schizophrenia (cont.)
Catatonic
Motionless - for long periods of time
Parrot like repeating of another’s speech
Undifferentiated
Many different symptoms as discussed before.
What are Personality
Disorders?
Antisocial personality disorder
Formally called sociopath or psychopath
No conscience or guilt feelings - (e.g. serial killer)