ABNORMAL PSYCHOLOGY BORDERLINE PERSONALITY DISORDER. A pervasive pattern of instability of interpersonal relationships, self-image, and affects, and marked impulsivity. DISRUPTIVE MOOD DYSREGULATION DISORDER. Chronic, severe persistent irritability (frequent temper outbursts and chronic, persistently irritable or angry mood that is present between the severe temper outbursts). BODY DYSMORPHIC DISORDER. Preoccupation with one or more perceived defects or flaws in physical appearance that are not observable or appear only slight to others, and by repetitive behaviors or mental acts in response to the appearance concerns. INTERMITTENT EXPLOSIVE DISORDER. Recurrent behavioral outbursts representing a failure to control aggressive impulses as manifested by verbal or physical aggression, and behavioral outbursts involving damage or destruction of property. Source: DSM-5 (APA, 2013) SOMATIC SYMPTOM DISORDER. Multiple, current, somatic symptoms that are distressing or result in significant disruption of daily life. The symptoms sometimes represent normal bodily sensations or discomfort that does not generally signify serious disease. ILLNESS ANXIETY DISORDER. Entails a preoccupation with having or acquiring a serious, undiagnosed medical illness. Somatic symptoms are not present or, if present, are only mild in intensity. CONVERSION DISORDER (FUNCTIONAL NEUROLOGICAL SYMPTOM DISORDER). One or more symptoms of altered voluntary motor or sensory function. FACTITIOUS DISORDER. The falsification of medical or psychological signs and symptoms in oneself or others that are associated with the identified deception in the absence of obvious external rewards. Source: DSM-5 (APA, 2013) GRIEF MAJOR DEPRESSIVE EPISODE feelings of emptiness or loss persistent depressed mood and inability to anticipate happiness or pleasure decrease in intensity more pervasive sadness associated with thoughts or reminders of the deceased may be accompanied by positive emotions and humor not tied to specific thoughts of preoccupations pervasive unhappiness and misery preoccupation with thoughts and memories of the deceased self-esteem is generally preserved self-critical or pessimistic ruminations feelings of worthlessness and selfloathing are common thoughts of dying are focused on "joining" ending one's life because of feeling the deceased worthless, undeserving of life, or unable to cope with pain of depression Neurotransmitter Function GABA Inhibitory Glutamate Excitatory Noradrenaline Stress hormone; fight-orflight; alertness and arousal Serotonin Appetite, sleep, mood, memory and learning, etc. Dopamine Motor function, pleasure, reward system, emotional arousal Acetylcholine Movement, attention, arousal, and memory CONDUCT DISORDER VS. OPPOSITIONAL DEFIANT DISORDER The behaviors of oppositional defiant disorder are typically of a less severe nature than those of conduct disorder and do not include aggression toward people or animals, destruction of property, or a pattern of theft or deceit. Furthermore, oppositional defiant disorder includes problems of emotional dysregulation (i.e., angry and irritable mood) that are not included in the definition of conduct disorder. Source: DSM-5 (APA, 2013) AXIS Axis I Axis II Axis III Axis IV Axis V DESCRIPTION Refers to PRINCIPAL DISORDER THAT NEEDS IMMEDIATE ATTENTION. PERSONALITY DISORDER that may be currently shaping the current response to the Axis I disorder; also for DEVELOPMENTAL DISORDERS. Lists any MEDICAL OR NEUROLOGICAL PROBLEMS that may be relevant to the individual’s current or past psychiatric problems. PSYCHOSOCIAL STRESSORS that the individual has faced recently. Codes for the LEVEL OF FUNCTIONING the individual has attained at the time of assessment. DEPERSONALIZATION and DEREALIZATION Depersonalization - experiences of unreality or detachment from one's mind, self, or body Derealization - experiences of unreality or detachment from one's surroundings Source: DSM-5 (APA, 2013) COURSE, ONSET; INCIDENCE, PREVALENCE Course – Pattern of development and change of a disorder over time. Onset – First appearance of signs and symptoms of a disorder Incidence – Number of new cases of a disorder appearing during a specific period. Prevalence – Number of people displaying a disorder in the total population at any given time OBSESSIVE-COMPULSIVE DISORDER VS. OBSESSIVE-COMPULSIVE PERSONALITY DISORDER Obsessive-compulsive personality disorder is not characterized by intrusive thoughts, images, or urges or by repetitive behaviors that are performed in response to these intrusions; instead, it involves an enduring and pervasive maladaptive pattern of excessive perfectionism and rigid control. Source: DSM-5 (APA, 2013) SCHIZO...WHAT? “skhizein” (to split) + “phren” (mind) SCHIZOID – Personality disorder featuring a pervasive pattern of detachment from social relationships and a restricted range of expression of emotions. SCHIZOTYPAL – Personality disorder involving a pervasive pattern of interpersonal deficits featuring acute discomfort with, and reduced capacity for, close relationships, as well as cognitive or perceptual distortions and eccentricities of behavior. SCHIZOAFFECTIVE – Psychotic disorder featuring symptoms of both schizophrenia and major mood disorder. SCHIZOPHRENIFORM – Psychotic disorder involving the symptoms of schizophrenia but lasting less than 6 months. CATEGORY Somatic Symptom Disorders Anxiety Disorders Obsessive-compulsive Disorders INCLUSIVE DISORDERS Somatic Symptom Disorder Illness Anxiety Disorder Conversion Disorder Factitious Disorder Separation Anxiety Disorder Selective Mutism Generalized Anxiety Disorder Panic Disorder Agoraphobia Specific Phobia Social Anxiety Disorder Obsessive-compulsive Disorder Body Dysmorphic Disorder Hoarding Disorder Trichotillomania Excoriation Disorder DRUGS USE EXAMPLES Depressants Result in behavior sedation and induce relaxation Alcohol, sedative and hypnotic barbiturates, and benzodiazepines Stimulants Cause users to be more active and alert, and can elevate mood Amphetamines, nicotine, cocaine, and caffeine Opiates Temporarily produce analgesia (reduce pain) and euphoria Alter sensory perceptions and can produce delusions, paranoia, and hallucinations Do not fit into one of the categories Heroin, opium, codeine, and morphine Hallucinogens Other drugs of abuse Cannabis and LSD Inhalants, anabolic steroids, and over-the-counterprescription medications Down syndrome (Trisomy 21). Most common chromosomal form of ID and is caused by an extra 21st chromosome; have characteristic facial features and tend to have congenital heart malformations. Fragile X syndrome. Caused by an abnormality in the X chromosome that gives it the appearance of fragility. Women who carry the genes display mild learning disabilities; males with the disorder display moderate to severe levels of ID and have higher rates of hyperactivity, short attention spans, gaze avoidance, and perseverative speech. Lesch-Nyhan syndrome. Affects only males; includes signs of cerebral palsy, self-injurious behavior including finger and lip biting. Phenylketonuria. Most babies with the condition appear healthy at birth. Complications arise when condition is not treated. Damage to the brain and nervous system can lead to: 1. Learning disabilities 2. Behavioral difficulties 3. Epilepsy Amniocentesis. A procedure that involves removing and testing a sample of the fluid that surrounds the fetus in the amniotic sac Chorionic villus sampling (CVS). A genetic test conducted during early pregnancy that samples cells found in the placenta (chorionic villi) and assesses possible genetic or chromosomal problems in the fetus. INSOMNIA. Difficulty falling or maintaining sleep; nonrestorative sleep HYPERSOMNOLENCE DISORDER. Involves sleeping too much. SLEEP APNEA. A breathing-related sleep disorder wherein people have difficulty breathing at night, snore loudly, pause between breaths, and wake in the morning with a dry mouth and headache. NARCOLEPSY. Recurrent periods of irrepressible need to sleep, lapsing into sleep, or napping occurring within the same day; some people experience cataplexy or a sudden loss of muscle tone. CIRCADIAN RHYTHM SLEEP DISORDER. The disorder characterized by disturbed sleep (either insomnia or excessive sleepiness during the day) brought on by the brain’s inability to synchronize its sleep patterns with the current patterns of day and night. REINFORCEMENT (to increase behavior) PUNISHMENT (to decrease behavior) POSITIVE (adding) Adding something to Adding something to increase frequency of decrease frequency of desired behavior problem behavior NEGATIVE (removing) Removing something to Removing something to increase frequency of decrease frequency of desired behavior problem behavior BROCA’S AREA WERNICKE’S AREA KORO. A culturally related disorder that usually occurs in epidemics in Southeastern Asia, consists of a fear that the penis (labia, nipples, or breasts in females) is shrinking or retracting and will disappear into the abdomen, often accompanied by a belief that death will result. HARA KIRI. An individual who brought dishonor to himself or his family was expected to impale himself on a sword. AMOK. Individuals enter a trancelike state and may commit violent acts. Later, they will have amnesia about the episode. AVOIDANT/RESTRICTIVE FOOD INTAKE DISORDER. An eating or feeding disturbance (e.g., apparent lack of interest in eating or food; avoidance based on the sensory characteristics of food; concern about aversive consequences of eating) as manifested by persistent failure to meet appropriate nutritional and/or energy needs. RUMINATION DISORDER. The repeated regurgitation of food occurring after feeding or eating. PICA. The eating of one or more nonnutritive, nonfood substances that might include paper, soap, cloth, hair, string, wool, soil, chalk, talcum powder, paint, gum, metal, pebbles, charcoal or coal, ash, clay, starch, or ice on a persistent basis. SOURCE: DSM-5 (APA, 2013) EXHIBITIONISTIC DISORDER. Recurrent and intense sexual arousal from the exposure of one’s genitals to an unsuspecting person, as manifested by fantasies, urges, or behaviors. VOYEURISTIC DISORDER. Recurrent and intense sexual arousal from observing an unsuspecting person who is naked, in the process of disrobing, or engaging in sexual activity, as manifested by fantasies, urges, or behaviors. FROTTEURISTIC DISORDER. Recurrent and intense sexual arousal from touching or rubbing against a nonconsenting person, as manifested by fantasies, urges, or behaviors. FETISHISTIC DISORDER. Recurrent and intense sexual arousal from either the use of nonliving objects or a highly specific focus on nongenital body part(s), as manifested by fantasies, urges, or behaviors. Source: DSM-5 (APA, 2013) APHASIA – “a” (not) + “phanai” (speak); loss of ability to speak AGNOSIA – agnosia (ignorance); loss of ability to recognize familiar objects or stimuli APRAXIA – apraxia (inaction); loss of ability to perform purposeful movements ANHEDONIA – “an” (without) + “hedone” (pleasure); inability to feel or experience pleasure DISRUPTIVE MOOD DYSREGULATION DISORDER VS. BIPOLAR DISORDER • Bipolar disorders are episodic; disruptive mood dysregulation disorder is not. • DMDD cannot be assigned to a child who has ever experienced a full duration hypomanic or manic episode (lasting more than 1 day). • Elevated or expansive mood and grandiosity (features of mania) are present in mania but not in DMDD. Source: DSM-5 (APA, 20130 UNDERAROUSAL HYPOTHESIS. Psychopaths engage in dangerous or illicit behavior to stimulate the underaroused cerebral cortex in their brains. FEARLESSNESS HYPOTHESIS. Psychopaths are less prone to fear and thus less inhibited from dangerous or illicit activities. TRIPLE VULNERABILITY THEORY. A theory of the development of anxiety disorders; purports that three vulnerabilities contribute to the development of anxiety disorders (biological, generalized and specific psychological vulnerability).