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Title: By colomba sanchez


1
By colomba sanchez
  • Assessment
  • Anxiety Disorders

2
Factors in Mental Disorders
  • Causes of Abnormal Behavior include genetic or
    inherited factors and various neurological
    factors that influence how the brain functions.
  • A dental Disorder is a prolonged or recurring
    problem that seriously interferes with the
    ability of an individual to live a satisfying
    personal life and function in a society.
  • Such as Genetic Factors- that contribute
    to the development of mental disorders are
    unlearned or inherited tendencies that influence
    how a person thinks, behaves, and feels.
  • Cognitive-emotional-behavioral and
    environmental factors-such as having unusual
    thoughts and beliefs.
  • Definitions of Abnormal behavior include
  • Statistical Frequency Approach- Says that a
    behavior may be considered abnormal if it
    occurs rarely or infrequently in relation to the
    behavior s of the general population.
  • Social Norms Approach-Says that a behavior is
    considered abnormal if it deviates greatly from
    accepted social standards, values, or norms.
  • Maladaptive Behavior Approach-Defines a
    behavior as psychologically damaging or abnormal
    if it interferes with the individuals ability to
    function in one's personal life or in society.

3
Assessing Mental Disorders
  • Definition of Assessment
  • A clinical assessment involves a systematic
    evaluation of an individuals various
    psychological, biological, and social factors, as
    well as identifying past and present problems,
    stressors, and other cognitive or behavioral
    symptoms.
  • Three Methods of Assessment
  • Neurological Tests- Check for possible brain
    damage or malfunction.
  • Clinical Interview- Gathering information about a
    persons past and current problems. Some
    interviews can be structured (which follow a
    standard format of asking a similar set of
    questions) or unstructured (which means they have
    no set of questions).
  • Personality Tests- Include two different kinds of
    tests objective tests (such as the MMPI, which
    consists of specific statements or questions
    which the person responds with specific answers)
    or Projective tests (such as the Rorschach
    inkblot test, which have no set of answers but
    consist of ambiguous stimuli that a person
    interprets or makes up a story about).

4
Diagnosing Mental Disorders
  • A Clinical Diagnosis is a process of matching an
    individuals specific symptoms to those that
    define a particular mental disorder.
  • The Diagnostic and Statistical Manual of Mental
    Disorders-IV-Text Revision or DSM-IV-TR describes
    a uniform system for assessing specific symptoms
    and matching them to almost 300 different mental
    disorders.
  • There are 5 major dimensions of DSM-IV-TR, called
    axes, which serve as guidelines for making
    decisions about symptoms.
  • Axis I Nine Major Clinical Syndromes which
    are
  • 1. Disorders usually diagnosed in infancy,
    Childhood, or Adolescence.
  • 2.Organic mental disorders
  • 3.Substance-related disorders
  • 4.Schizophrenia and other psychotic disorders
  • 5.Mood disorders
  • 6.Anxiety disorders
  • 7.Somatoform disorders
  • 8.Dissociative disorders
  • 9.Sexual and gender identity disorders.
  • Axis II Personality disorders (Refers to
    disorders that involve patterns of personality
    traits that are long standing and involve
    impaired functioning or subjective distress.)
  • Axis III General Medical Conditions (Refers to
    psychical disorders or conditions.)
  • Axis IV Psychosocial and Environmental
    Problems (Refers to psychosocial and
    environmental problems that may affect the
    diagnoses of mental disorders in Axes I and II.)
  • Axis V Global Assessment of Functioning Scale
    (This axis is used to rate the overall
    psychological functioning of the individual on a
    scale from 1 to 100.)

5
Anxiety Disorders
  • Generalized Anxiety Disorder- GAD is
    characterized by excessive or unrealistic worry
    about almost everything or feeling that something
    bad is about to happen.
  • Panic Disorder is characterized by recurrent and
    unexpected panic attacks. The person becomes so
    worried about having another panic attack that
    this intense worrying interferes with normal
    psychological functioning. A panic attack is a
    period if intense fear or discomfort in which
    four or more of the following symptoms are
    present Pounding heart, shortness of breath,
    feelings of choking, nausea, chest pain, feeling
    dizzy and fear of losing control or dying.
  • Phobia is an anxiety disorder characterized by an
    intense or irrational fear that is out of all
    proportion to the possible danger of the object
    or situation. Because of this fear, people go to
    great lengths to avoid the feared event. If it is
    unavoidable, the person feels intense anxiety.
  • Three types of Phobias
  • -Social Phobias are characterized by
    irrational, marked, and continuous fear of
    performing in social situations. The individuals
    fear that they will humiliate or embarrass
    themselves.
  • -Specific Phobias, formerly called simple
    phobias, are characterized by marked and
    persistent fears that are unreasonable and
    triggered by anticipation of, or exposure to, a
    specific object or situation. (Flying, heights,
    spiders, seeing blood, etc)
  • -Agoraphobia is characterized by anxiety about
    being in places or situations from which escape
    might be difficult or embarrassing if a panic
    attack were to occur.
  • Obsessive-Compulsive Disorders Consists of
    obsessions, which are persistent, recurring
    irrational thoughts, impulses, or images that a
    person is unable to control and that interfere
    with normal functioning, and compulsions, which
    are irresistible impulses to perform over and
    over some senseless behavior or ritual Hand
    washing,, checking things, counting, putting
    things in order
  • Treatment for OCD is called exposure therapy.
    Which involves gradually exposing the person to
    the actual anxiety-producing situations or
    objects that he or she is attempting to avoid and
    continuing the exposure treatments until anxiety
    decreases.
  • Antidepressants drugs are also prescribed for
    OCD victims, but exposure therapy is more common.

6
Somatoform Disorders
  • The intense focus on imagined, painful, or
    uncomfortable physical symptoms is
    characteristics of individuals with somatoform
    disorders.
  • Somatoform disorders are marked by a pattern of
    recurring, multiple and significant bodily
    symptoms that extend over several years. The
    bodily symptoms are not under voluntary control,
    have no known physical causes and are believed to
    be caused by psychological factors.
  • Somatization disorder hysteria begins before
    age 30, last several years and is characterized
    by multiple symptomsIncluding pain,
    gastrointestinal, sexual, and neurological
    symptoms--that have no physical causes but are
    triggered by psychological problems or distress.
  • A conversion disorder refers to changing anxiety
    or emotional distress into real physical. Motor,
    sensory, or neurological symptoms (headaches,
    nausea, dizziness, loss of sensation, paralysis)
    for which no physical or organic cause can be
    indentified.
  • Mass Hysteria is a condition experienced by a
    group of people who, through suggestion,
    observation, or other psychological processes,
    develop similar fears, delusions, abnormal
    behaviors, or physical symptoms.

7
Cultural Diversity
  • An Asian Culture Disorder
  • United States Culture Disorder
  • If you were to have a social phobia in several
    Asian cultures, especially in Japan or Korea, it
    might mean that you had a very different kind of
    fear or embarrassment than the ones in the United
    States.
  • This is called Taijin Kyofusho.
  • Taijin Kyofusho is a kind of social phobia
    characterized by a terrible fear of offending
    others through awkward social or physical
    behavior, such as staring, blushing, giving off
    an offensive odor, having an unpleasant facial
    expression, or having trembling hands.
  • TKS is different in that it is an intense,
    irrational, morbid fear-in other words, a true
    phobia.
  • In desperate attempts to avoid TKS, Asians may
    try to avoid social interactions all together.
  • TKS begins around adolescence, when interpersonal
    interactions play a big role in ones life.
  • Everyone wonders what turn adolescence into
    killers. In most cases, this is known as Conduct
    Disorder.
  • Conduct Disorder refers to a repetitive and
    persistent pattern of behaving that has been
    going on for at least a year and that violates
    the established social rules or the rights of
    others. Problems may include aggressive
    behaviors such as threatening to harm people,
    abusing or killing animals, destroying property,
    being deceitful, or stealing.
  • To answer why these adolescence to these things,
    a case study is the primarily approach.
  • A Case Study is an in-depth analysis of the
    thoughts, feelings, beliefs, experiences,
    behaviors, and problems of a sing individual.

8
Treating Phobias
  • Cognitive-Behavioral Therapy involves using a
    combination of two methods Changing negative,
    unhealthy, or distorted thoughts and beliefs by
    substituting positive, healthy, realistic ones
    changing limiting or disruptive behaviors b
    learning and practicing new skills to improve
    functioning.
  • Exposure Therapy consists of gradually exposing
    the person to the real anxiety-producing
    situations or objects that he or she is
    attempting to avoid and continuing exposure
    treatment until the anxiety decreases.
  • If either Cognitive-behavioral therapy or
    Exposure therapy seem to fail, Virtual reality
    therapy would be used.
  • Social and specific phobias have been
    successfully treated with tranquilizers called
    benzodiazepines. Although these drugs are
    effective, they have two problems when
    individuals stop taking these drugs, the original
    fearful symptoms may return, which is called
    relapse and if individuals are maintained on
    drugs for some length of time, they may develop
    tolerance, which means they will have to take
    larger doses, which in turn may cause side
    effects such as loss of memory.
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