Disorder Definition Symptoms Demographics Outcomes

Discuss plan and goals,

analyze coping resources,
describe stressors and ways
Mood disorders to manage stress.
Euthymia Normal psychological state
anhedonia, irritability, weight
loss or gain, fatigue, lack of
concentration, preoccupation
with death, low self-esteem,
delusional, feeling numb,
underactivity of neurotransmission - psychomotor retardation or mid 20's onset
norepinephrine, gaba, seratonin. agitation, insomnia or 2 x more common in women
Kindling - neurotransmission altered by stress. hypersomnia, withdrawal, more common in white,
need 5 symptoms most of the day, nearly disheveled appearance, hispanic and low
Depression every day for more than 2 weeks to diagnose problems at work socioeconomic groups
chronic-low level depression, no manic phases chronic fatigue, same
Dysthymia need 3 symptoms for 2 years to diagnose symptoms as depression
SAD
Seasonal Affective Disorder chronobiology - depression related to light
inflated self-esteem,
grandiosity, racing thoughts,
flight of ideas, impaired
judgement, chatty, increased
goal-directed behavior,
agitation, excessive
Persistently elevated, expansive mood or involvement in activities,
irritable mood. Mood swings between decreased need for sleep, too
euphoria and anger. busy to eat, sociable, intrusive,
Need all/most symptoms for al least a week to interrupts, disruptive, loud,
Mania diagnose. distractible, hallucinations
elevated mood without interference with Happy, congenial, easy
socialor occupational functioning. See this conversation, humorous,
Hypomania when go off meds. productive

Bipolar Suuden swings between mania and depression

chronic mood disturbance - cycles between
hypomania and depression. 2 years to
Cyclothymia diagnose.
Problematic responses to life events
Acute: <= 6 months, Chronic > 6 months.
Adjustment Disorder If lasts 1 year, then major depressive disorder
Disorder Definition Symptoms Demographics Outcomes

mild - normal
moderate - elevated VS, client
is uncomfortable Demonstrate effective coping
Vague, subjective feeling of uneasiness with severe- difficulty coping, fight skills, Identify increasing
no identifiable object. State of tension, dread or flight response anxiety, Identify when to call
or impending doom coming from external panic - pale, hypotension, rigid 18-mid 30's, more females therapist, Take meds as
Anxiety influences. muscles than males prescribed.

Clinical manifestations of anxiety
Signal anxiety
Trait anxiety
State Anxiety
General adaptation syndrome
Panic attack
Panic Disorder
Panic disorder with Agorphobia
Specific phobia
Social Anxiety Disorder
(Social Phobia)
Post Traumatic Stress Disorder
Acute Stress Disorder
Generalized Anxiety Disorder
Obsessive Compulsive Disorder
Disorder
Somatoform Disorders
Somatization Disorder
Pain Disorder
Conversion Disorder
Cardiovascular system -
palpitations, racing heart,
↑or↓BP, fainting
Respiratory system -
hyperventilating, use paper
bag
learned response, phobic
predisposed to stress, "Worry wort"
feels out of control, butterflies in stomach
1. Alarm- Autonomic nervous
system, adrenal gland kicks in,
Increase blood oxygen and
glucose. Fight or Flight.
2. Resistance - protective state
3a Exhaustion - death can
result
3 stages when feel an impending threat 3b. Recovery
sudden onset, overwhelming doom, fear of racing heart, palpitations,
illness or death dizziness, shortness of breath
recent unexpected panic attacks, concern (1
month) about additional attacks, 2 symptoms
reoccrring for 1 month to diagnose
Anxiety about being where escape is difficult,
not due to effects of a medical
condition/substance
cued by the presence/anticipation of specific
object/situation
Marked, persistent fear of one or more social
or performance situations
flashbacks, smells are common
Traumatic event preceeding the symptoms. cues, avoid stimuli, numb, out
Can result from combat, childhood abuse. 2 of body experience, restricted
symptoms must be present for 1-2 months affect - can't show joy/sorrow,
after trauma to diagnose. Delayed onset PTSD irritable, sleep disturbed, poor
occurs > 6 months. concentration.
dissociation, numbing,
detachment, dazed,
Differerent from PTSD - shorter duration of derealization,
symptoms (2-30 days), shorter time frame of depersonalization, dissociative
development amnesia
Excessive anxiety occurring more days than restlessness, edginess, fatigue,
not, interfere with normal social and poor concentration, irritablilty,
occupational functioning. 3 symptoms present muscle tension, sleep
for 6 months to diagnose. disturbance
The presence of obsessions (thoughts) or Trauma to basal
compulsions (repetitive actions). ganglia/cortical connections
Definition Symptoms Demographics Outcomes
Converts anxiety into physical symptoms
without organic disease
involvement of multiple organ
Frequently seeking and obtaining medical systems, no clinical lab
treatment for multiple, clinically significant abnormalities associated with
somatic complaints. Often seen in the ER. medical conditions
Pain in one of more anatomic sites with
impairment in one or more areas of
functioning.
One or more symptoms that affect voluntary Sensory focused - Go blind,
motor or sensory function. Can last 2 weeks LaBelle Indiference - lack of paralysis, deaf, seizures for
or longer. concern no medical reason.

Hypochondriasis
Body Dysmorphic Disorder
Factitious Disorder
Dissociative amnesia
Dissociative fugue
Dissociative Identity Disorder (DID)
Depersonalization Disorder
Fears having a serious medical problem,
preoccupation with illness, misinterpretation
of symptoms for at least 6 months.
wear lots of makeup, have
Preoccupation with an imagined defect in cosmetic surgery - Michael Starts in adolescence, high
appearance (weight, face, hair, breast, butt) Jackson risk of suicide
Done economic gain,
avoiding responsibilty, often
Intentionally produce physical or psychologic knowledgable in medical
signs to assume the sick role terminology
One or more episodes of inability to recall
importatnt personal information, usually of a
traumatic or stressful nature (e.g. rape)
Sudden, unexpected travel away from home of
one's customary placve of work, with an
inability to recall one's past (from
trauma/stress or multiple sexual abuse)
more commonn in women.
Changes in penmanship,
Demonstrates two or more disinct identities or style of dress, wearing
personality states Done to protect the host glasses
Feelings of detachment from one's self when
event is happening (e.g. rape). "Looking in"
Interventions
ECT - electroconvulsive
therapy, transcranial
magnetic stimulation, vagal
nerve stimulation,
phototherapy, St. John's
Wort, meds, teach about
disorder, assess risk of
suicide
Interventions
Give printed info, determine
family support, structure
calm environment
Treatment Notes
See Lithium toxicity
chart - should be 0.6
- 1.2, MAOI with
SSRI's, TCA's, SNRI's, tyramine causes
MAOI's, Antipsychotics, hypertensive crisis,
Anxiolytics, Sedative- see Serotonin
hypnotics, mood Syndrome
stabilizers, Lithium symptoms
SSRI's
Treatment Notes
deep breathing, therapy,
dark chocolate, mindful
meditation, lavender
scent, dim lights, soft
music, most common -
cognitive behavioral
therapy (client gets
homework)
 SSRI's

SSRI's

SSRI's, paint by numbers,

counted cross-stitch

Interventions Treatment Notes