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Monday, June 1 Monday, June 1 Discuss Schizophrenia Discuss Schizophrenia Do Case Studies Do Case Studies Homework: Read “What We’re Learning Homework: Read “What We’re Learning About Schizophrenia” (MANDATORY) About Schizophrenia” (MANDATORY) Answer questions: OPTIONAL Answer questions: OPTIONAL Ch. 18 Test: Wednesday, June 3 Ch. 18 Test: Wednesday, June 3 Learning Target: Learning Target: Discuss major Discuss major categories of abnormal behavior categories of abnormal behavior

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Page 1: Monday, June 1 Discuss Schizophrenia Discuss Schizophrenia Do Case Studies Do Case Studies Homework: Read “What We’re Learning About Schizophrenia” (MANDATORY)

Monday, June 1Monday, June 1 Discuss SchizophreniaDiscuss Schizophrenia Do Case StudiesDo Case Studies Homework: Read “What We’re Learning Homework: Read “What We’re Learning

About Schizophrenia” (MANDATORY)About Schizophrenia” (MANDATORY)

Answer questions: OPTIONALAnswer questions: OPTIONAL Ch. 18 Test: Wednesday, June 3Ch. 18 Test: Wednesday, June 3Learning Target: Learning Target: Discuss major Discuss major

categories of abnormal behaviorcategories of abnormal behavior

Page 2: Monday, June 1 Discuss Schizophrenia Discuss Schizophrenia Do Case Studies Do Case Studies Homework: Read “What We’re Learning About Schizophrenia” (MANDATORY)

Friday, May 29Friday, May 29

Discuss Mood DisordersDiscuss Mood Disorders Discuss SchizophreniaDiscuss Schizophrenia Fill in Graphic Organizer and hand it inFill in Graphic Organizer and hand it in Homework: Read Depression ArticleHomework: Read Depression Article (Reading the article is MANDATORY (Reading the article is MANDATORY

Answering the questions is OPTIONAL,)Answering the questions is OPTIONAL,) Learning Target: Learning Target: Discuss major Discuss major

categories of abnormal behaviorcategories of abnormal behavior

Page 3: Monday, June 1 Discuss Schizophrenia Discuss Schizophrenia Do Case Studies Do Case Studies Homework: Read “What We’re Learning About Schizophrenia” (MANDATORY)

Thursday, May 28Thursday, May 28

Return Chapter 18 Vocabulary GridReturn Chapter 18 Vocabulary Grid Discuss Dissociative DisordersDiscuss Dissociative Disorders Discuss Somatoform DisordersDiscuss Somatoform Disorders Discuss Mood DisordersDiscuss Mood Disorders Homework: Read Depression ArticleHomework: Read Depression Article (Reading the article is MANDATORY (Reading the article is MANDATORY

Answering the questions is OPTIONAL,)Answering the questions is OPTIONAL,)

Learning Target: Learning Target: Discuss major Discuss major categories of abnormal behaviorcategories of abnormal behavior

Page 4: Monday, June 1 Discuss Schizophrenia Discuss Schizophrenia Do Case Studies Do Case Studies Homework: Read “What We’re Learning About Schizophrenia” (MANDATORY)

Tuesday, May 26Tuesday, May 26 Collect Ch. 18 Vocabulary Collect Ch. 18 Vocabulary Discuss Anxiety DisordersDiscuss Anxiety Disorders Dissociative DisordersDissociative Disorders Discuss Somatoform DisordersDiscuss Somatoform Disorders Discuss Mood DisordersDiscuss Mood Disorders Fill in Graphic OrganizerFill in Graphic Organizer Homework: Read Depression ArticleHomework: Read Depression Article

(answers due on 5/29)(answers due on 5/29)

Learning Target: Learning Target: Discuss major categories Discuss major categories of abnormal behaviorof abnormal behavior

Page 5: Monday, June 1 Discuss Schizophrenia Discuss Schizophrenia Do Case Studies Do Case Studies Homework: Read “What We’re Learning About Schizophrenia” (MANDATORY)

Friday, May 22Friday, May 22 Complete Discussion of Definitions Complete Discussion of Definitions

of Abnormalityof Abnormality Formative Assessment: Ticket to Formative Assessment: Ticket to

move onmove on Begin Discussion of Anxiety Begin Discussion of Anxiety

DisordersDisorders Homework: Ch. 18 Vocabulary Homework: Ch. 18 Vocabulary

Assignment (due Tuesday, May 26)Assignment (due Tuesday, May 26)Learning Target:Learning Target: Distinguish the Distinguish the

common characteristics of abnormal common characteristics of abnormal behaviorbehavior

Page 6: Monday, June 1 Discuss Schizophrenia Discuss Schizophrenia Do Case Studies Do Case Studies Homework: Read “What We’re Learning About Schizophrenia” (MANDATORY)

Thursday, May 21Thursday, May 21 Hand back Ch. 14 Re-take TestsHand back Ch. 14 Re-take Tests How normal is this?How normal is this? Discuss Definitions of AbnormalityDiscuss Definitions of Abnormality Homework: Homework: Ch. 18 Vocabulary Ch. 18 Vocabulary

AssignmentAssignment (Due: Tuesday, May 26)(Due: Tuesday, May 26)

Learning Target:Learning Target: Distinguish the Distinguish the common characteristics of abnormal common characteristics of abnormal behaviorbehavior

Page 7: Monday, June 1 Discuss Schizophrenia Discuss Schizophrenia Do Case Studies Do Case Studies Homework: Read “What We’re Learning About Schizophrenia” (MANDATORY)

Friday, January 9Friday, January 9

Discuss SchizophreniaDiscuss SchizophreniaFill in Graphic OrganizerFill in Graphic OrganizerDiscuss TestDiscuss TestLearning Target: Learning Target:

Discuss major categories Discuss major categories of abnormal behaviorof abnormal behavior

Page 8: Monday, June 1 Discuss Schizophrenia Discuss Schizophrenia Do Case Studies Do Case Studies Homework: Read “What We’re Learning About Schizophrenia” (MANDATORY)

Wednesday, May 4Wednesday, May 4 Return Depression QuestionsReturn Depression Questions Complete Discussion of SchizophreniaComplete Discussion of Schizophrenia Do Case StudiesDo Case Studies Homework: Read “What We’re Homework: Read “What We’re

Learning About Schizophrenia” Learning About Schizophrenia” (MANDATORY)(MANDATORY)

Answer questions: OPTIONALAnswer questions: OPTIONAL Ch. 18 Test: Thursday, May 5Ch. 18 Test: Thursday, May 5

Learning Target:Learning Target: Discuss major Discuss major categories of abnormal behaviorcategories of abnormal behavior

Page 9: Monday, June 1 Discuss Schizophrenia Discuss Schizophrenia Do Case Studies Do Case Studies Homework: Read “What We’re Learning About Schizophrenia” (MANDATORY)

Monday, June 2Monday, June 2

Review for Final ExamReview for Final Exam

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Thursday, January 10Thursday, January 10Collect Schizophrenia Collect Schizophrenia

ArticlesArticlesCh. 18 TestCh. 18 Test

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Chapter 18Chapter 18

Psychological Psychological DisordersDisorders

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1) What are Psychological 1) What are Psychological DisordersDisorders Symptoms of Psychological Symptoms of Psychological

DisordersDisorders– Deviation from a normDeviation from a norm

– MaladaptiveMaladaptive

– Emotional DiscomfortEmotional Discomfort

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Why do you think the U.S. has such a high prevalence of mental disorders?

Page 14: Monday, June 1 Discuss Schizophrenia Discuss Schizophrenia Do Case Studies Do Case Studies Homework: Read “What We’re Learning About Schizophrenia” (MANDATORY)

1) What are Psychological 1) What are Psychological DisordersDisorders

Deviation from a statistically Deviation from a statistically calculated norm:calculated norm:

If a person behaves in a way that a If a person behaves in a way that a majority of people do (approximately majority of people do (approximately 68%) then the behavior is normal. If 68%) then the behavior is normal. If not, the behavior is abnormalnot, the behavior is abnormal

normal abnormalabnormal

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1) What are Psychological 1) What are Psychological DisordersDisorders

Shortcomings of this definitionShortcomings of this definition– It doesn’t discriminate between It doesn’t discriminate between

desirable and undesirable desirable and undesirable abnormalityabnormality

– Just because a statistical Just because a statistical majority of people engage in a majority of people engage in a particular behavior does not particular behavior does not mean that society would like to mean that society would like to encourage it as being normalencourage it as being normal

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1) What are Psychological 1) What are Psychological DisordersDisorders

Deviation from a Deviation from a social/cultural normsocial/cultural norm– A cultural norm is what society A cultural norm is what society

deems as being acceptable. There deems as being acceptable. There are norms that cover all types of are norms that cover all types of behaviors.behaviors.

When do we notice norms?When do we notice norms?

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1) What are Psychological 1) What are Psychological DisordersDisorders

Shortcomings of this definitionShortcomings of this definition– There are different norms for There are different norms for

different cultures, and different different cultures, and different age groups. Additionally, age groups. Additionally, norms change over time.norms change over time.

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1) What are Psychological 1) What are Psychological DisordersDisorders

MaladaptivityMaladaptivity

If a behavior interferes with a If a behavior interferes with a person’s ability to function it is person’s ability to function it is considered to be abnormal. If a considered to be abnormal. If a person is still able to function person is still able to function adequately in everyday life, then adequately in everyday life, then it is not abnormal.it is not abnormal.

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1) What are Psychological 1) What are Psychological DisordersDisorders

Emotional DiscomfortEmotional Discomfort

If a person’s behavior causes If a person’s behavior causes him/her distress then the him/her distress then the behavior is considered to be behavior is considered to be abnormalabnormal

Page 20: Monday, June 1 Discuss Schizophrenia Discuss Schizophrenia Do Case Studies Do Case Studies Homework: Read “What We’re Learning About Schizophrenia” (MANDATORY)

1) What are Psychological 1) What are Psychological DisordersDisorders

Shortcomings of this definitionShortcomings of this definition– Some behavior are so abhorrent Some behavior are so abhorrent

that despite someone’s comfort that despite someone’s comfort level if it is not normal behaviorlevel if it is not normal behavior

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NeurosisNeurosis

Mild personality disorder, usually Mild personality disorder, usually does not impair one’s ability to does not impair one’s ability to function in society.function in society.

Symptoms:Symptoms:– DepressionDepression– AnxietyAnxiety– Self-defeating patterns of behaviorSelf-defeating patterns of behavior

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PsychosisPsychosis

Serious personality disorder, usually Serious personality disorder, usually incapacitating preventing one from incapacitating preventing one from functioning in society.functioning in society.

SymptomsSymptoms– Loss of contact with realityLoss of contact with reality– HallucinationsHallucinations– DelusionsDelusions

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2) Anxiety Disorders2) Anxiety Disorders

Anxiety:Anxiety: Freud called anxiety a Freud called anxiety a “free floating fear” meaning that it is “free floating fear” meaning that it is not attached to any particular object not attached to any particular object or event. Anxiety is a general feeling or event. Anxiety is a general feeling of doom and dreadof doom and dread

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2) Anxiety Disorders2) Anxiety Disorders

Phobic Disorder: Phobic Disorder: Phobic disorders Phobic disorders are marked by a persistent, irrational are marked by a persistent, irrational fear of a specific object or situation.fear of a specific object or situation.– What’s the difference between a What’s the difference between a

phobia and a fear?phobia and a fear?

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2) Anxiety Disorders2) Anxiety DisordersCommon Phobias and the Feared Common Phobias and the Feared

ObjectsObjects Acrophobia:Acrophobia:High PlacesHigh Places

Agoraphobia:Agoraphobia:Open PlacesOpen PlacesAstraphobia:Astraphobia:ThunderstormsThunderstormsClaustrophobia:Claustrophobia:Enclosed PlacesEnclosed Places

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2) Anxiety Disorders2) Anxiety DisordersCommon Phobias and the Feared Common Phobias and the Feared

ObjectsObjectsHematophobia:Hematophobia:BloodBloodMysophobia:Mysophobia:ContaminationContaminationPyrophobia:Pyrophobia:FireFireXenophobia:Xenophobia:Foreigners/StrangersForeigners/StrangersHippophobia:Horses

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2) Anxiety Disorders2) Anxiety Disorders

Generalized Anxiety Disorder:Generalized Anxiety Disorder:

A person with General Anxiety A person with General Anxiety Disorder (GAD) is continually Disorder (GAD) is continually tense, apprehensive, and in a tense, apprehensive, and in a state of autonomic nervous state of autonomic nervous system (ANS) arousal. This system (ANS) arousal. This anxiety is persistent and many anxiety is persistent and many escalate into a panic attackescalate into a panic attack

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Taylor Manifest Anxiety Taylor Manifest Anxiety ScaleScale

1. F1. F 11. T11. T 21. T21. T 31. T31. T 41. T41. T

2. T 2. T 12. F12. F 22. T22. T 32. F32. F 42. T42. T

3. F3. F 13. T13. T 23. T23. T 33. T33. T 43. T43. T

4. F4. F 14. T14. T 24. T24. T 34. T34. T 44. T44. T

5. T5. T 15. F15. F 25. T25. T 35. T35. T 45. T45. T

6. T6. T 16. T16. T 26. T26. T 36. T36. T 46. T46. T

7. T7. T 17. T17. T 27. T27. T 37. T37. T 47. T47. T

8. T8. T 18. F18. F 28. T28. T 38. F38. F 48. T48. T

9. F9. F 19. T19. T 29. F29. F 39. T39. T 49. T49. T

10.T10.T 20. F20. F 30. T30. T 40. T40. T 50. F50. F

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I wish I could tell you exactly what’s the matter. Sometimes I feel like something terrible has just happened when actually nothing has happened. Other times, I expect the sky to fall down any minute. Most of the time I can’t point my finger at something specific. Still, I feel tense and jumpy. The fact is that I am tense and jumpy almost all the time. Sometimes my heart beats so fast, I’m sure it’s a heart attack.

Little things can set it off. The other day I thought a supermarket clerk had overcharged me a few cents on an item. She showed me that I was wrong, but that didn’t end it. I worried the rest of the day. I kept going over the incident in my mind feeling terribly embarrassed at having raised the possibility that the clerk had committed an error. The tension was so great, I wasn’t sure I’d be able to go to work in the afternoon. That sort of thing is painful to live with.

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2) Anxiety Disorders2) Anxiety Disorders

Obsessive-Compulsive Obsessive-Compulsive Disorder (OCD)Disorder (OCD)– Obsessions: Obsessions:

are unwanted thoughts, ideas or are unwanted thoughts, ideas or mental images that occur over and mental images that occur over and over againover again

– Compulsions: Compulsions:

are repetitive, ritual behaviors, are repetitive, ritual behaviors, often involving cleaning or often involving cleaning or checking.checking.

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2) Anxiety Disorders2) Anxiety Disorders

Obsession-Compulsive DisorderObsession-Compulsive Disorder

OCD is more common with people OCD is more common with people with above average intelligence. with above average intelligence. The onset for males (mode) is The onset for males (mode) is younger (between 6 & 15) than for younger (between 6 & 15) than for females (between 20 & 29)females (between 20 & 29)

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The patient was a 49 -year -old -man whose main symptom was an obsession with the number 13. If he heard the word he felt a “shock” and experienced a subsequent period of acute anxiety. His everyday life was a continuous effort to avoid any reference to 13, so much that his activities were seriously handicapped. In some way or another, it seems as if everyone was always saying 13 to him. If they met him in the morning they would say, “Oh good morning,” or later in the day it would be “Good afternoon” (13 letters in each). He stayed in bed on the thirteenth day of each month, skipped the thirteenth tread in a stairway, and found it necessary to count letters and phrases, his steps, and streets, to avoid the number 13.

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3) Dissociative 3) Dissociative DisordersDisorders Dissociation:Dissociation:

The process of separating a portion The process of separating a portion of the personality that is causing of the personality that is causing undue emotional stress from the undue emotional stress from the rest of the normally functioning rest of the normally functioning personality. (The individual may personality. (The individual may view parts of their activity as view parts of their activity as separate from him/herself)separate from him/herself)

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3) Dissociative 3) Dissociative DisordersDisorders Types of Dissociative Types of Dissociative

DisordersDisorders– Dissociative AmnesiaDissociative Amnesia

– Dissociative FugueDissociative Fugue

– Dissociative Identity DisorderDissociative Identity Disorder

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3) Dissociative 3) Dissociative DisordersDisorders Dissociative AmnesiaDissociative Amnesia

The failure to recall events or The failure to recall events or personal informationpersonal informationI

forgot

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3) Dissociative 3) Dissociative DisordersDisordersPsychogenic Amnesia vs. Organic AmnesiaPsychogenic Amnesia vs. Organic Amnesia1. Loss of memory for both recent1. Loss of memory for both recent 1. Loss of memory for the 1. Loss of memory for the

and distant pastand distant past recent past but memory recent past but memory for distant past is for distant past is

essentially intactessentially intact

2. Lose identity but general2. Lose identity but general 2. Lose both personal identity2. Lose both personal identity

knowledge remains intactknowledge remains intact as well as general knowledge as well as general knowledge

3. Have no anterograde amnesia3. Have no anterograde amnesia 3. Primary symptom is 3. Primary symptom is

(memory loss for events after anterograde(memory loss for events after anterograde

amnesia starts)amnesia starts)

4. Amnesia often reverses itself very4. Amnesia often reverses itself very 4. Memory returns gradually for4. Memory returns gradually for

abruptlyabruptly retrograde amnesia, retrograde amnesia,

anterograde hardly ever anterograde hardly ever

returnsreturns

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3) Dissociative 3) Dissociative DisordersDisorders Dissociative Fugue:Dissociative Fugue:

Dissociative Fugue = Dissociative Fugue =

Amnesia + flight from the Amnesia + flight from the geographic locationgeographic location

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3) Dissociative 3) Dissociative DisordersDisorders

Dissociative Identity DisorderDissociative Identity Disorder

This is This is rarerare disorder that is disorder that is characterizedcharacterized

by the development of two or more by the development of two or more separate separate and independent personalities and independent personalities

within the same personwithin the same person

http://www.youtube.com/watch?v=0aBPk46ZmV0&feature=related

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4). Somatoform 4). Somatoform DisorderDisorder Somatization: Somatization: Refers to the Refers to the

expression of psychological expression of psychological distress through physical distress through physical symptomssymptoms

Types of Somatoform DisordersTypes of Somatoform Disorders– Conversion DisorderConversion Disorder– HypochondriasisHypochondriasis

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4). Somatoform 4). Somatoform DisorderDisorder Conversion Disorder:Conversion Disorder:

A person with conversion A person with conversion disorder experiences a change or disorder experiences a change or a loss of physical functioning in a a loss of physical functioning in a major part of the body for which major part of the body for which there is no medical explanationthere is no medical explanation

People with this disorder are People with this disorder are strangely indifferent to their strangely indifferent to their problemsproblems

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4). Somatoform 4). Somatoform DisorderDisorder

Hypochondriasis:Hypochondriasis:

A person misinterprets normal A person misinterprets normal physical sensations as symptoms of physical sensations as symptoms of a disease. a disease.

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5) Mood Disorders5) Mood Disorders

Types of Mood DisordersTypes of Mood Disorders

– Major DepressionMajor Depression– Bipolar Disorder Bipolar Disorder

(Formerly known as Manic (Formerly known as Manic Depression)Depression)

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5) Mood Disorders5) Mood Disorders

Major Depression:Major Depression: This is often referred to as the This is often referred to as the

common cold of psychological common cold of psychological disorders.disorders.

Why do you think that is?Why do you think that is?

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5) Mood Disorders5) Mood Disorders

Major DepressionMajor DepressionThis is a mood disorder in which a This is a mood disorder in which a person, for no apparent reason, person, for no apparent reason, experiences two or more weeks of experiences two or more weeks of depressed moods, feeling of depressed moods, feeling of worthlessness and diminished interest or worthlessness and diminished interest or pleasure in most activities. The person pleasure in most activities. The person may become deeply discouraged about may become deeply discouraged about everything. Depressed people often feel everything. Depressed people often feel that they are helpless. They feel there is that they are helpless. They feel there is nothing they can do to change thingsnothing they can do to change things

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5) Mood Disorders5) Mood Disorders

Symptoms of Depression:Symptoms of Depression:– Persistent depressed mood for most of the Persistent depressed mood for most of the

dayday– Loss of interest or pleasure in all, or almost Loss of interest or pleasure in all, or almost

all, activitiesall, activities– Significant weight loss or gain Significant weight loss or gain – Sleep changesSleep changes– Fatigue or loss of energy, boredomFatigue or loss of energy, boredom– Feelings of worthlessness or unfounded guiltFeelings of worthlessness or unfounded guilt

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5) Mood Disorders5) Mood Disorders

Symptoms of Depression: Symptoms of Depression: (continued)(continued)– Reduced ability to concentrateReduced ability to concentrate– Recurrent thoughts of death or suicideRecurrent thoughts of death or suicide– Physical complaintsPhysical complaints– Loss of friendsLoss of friends– TearfulnessTearfulness– Poor grade, truancy, disciplinary problemsPoor grade, truancy, disciplinary problems– Social behavior changesSocial behavior changes

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5) Mood Disorders5) Mood Disorders

Bipolar Disorder Bipolar Disorder (formerly known as manic depressive disorder)(formerly known as manic depressive disorder)

The person alternate between the The person alternate between the hopelessness and lethargy of hopelessness and lethargy of depression and the hyperactive, wildly depression and the hyperactive, wildly optimistic, impulsive phase of mania optimistic, impulsive phase of mania (excited and overly active periods)(excited and overly active periods)

Bipolar Disorder is less common than Bipolar Disorder is less common than major depressionmajor depression

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5) Mood Disorders5) Mood Disorders

ManiaMania

During the manicDuring the manic phase the person phase the person maymay

sing, shout, talksing, shout, talk

continuously, move continuously, move

around rapidly.around rapidly.

He has little need forHe has little need for

sleep. sleep.

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5) Mood Disorders5) Mood Disorders

ManiaMania He is easily irritated if crossed. The He is easily irritated if crossed. The

person may show few sexual person may show few sexual inhibitions. His speech may be inhibitions. His speech may be flighty. It is difficult to interrupt him. flighty. It is difficult to interrupt him. He has grandiose optimism.He has grandiose optimism.

Bipolar disorder may lead to reckless Bipolar disorder may lead to reckless spending and investment sprees.spending and investment sprees.

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5) Mood Disorders5) Mood Disorders

Then they go through a normal phaseThen they go through a normal phase

Then they go through a depressive phase.

(The depressive phase usually lasts longer than the manic phase)

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6). Schizophrenia6). Schizophrenia The term schizophrenia means The term schizophrenia means

literally “split mind”literally “split mind”

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6). Schizophrenia6). Schizophrenia Symptoms of SchizophreniaSymptoms of Schizophrenia

– Break of contact with realityBreak of contact with reality

– Hallucinations: inappropriate Hallucinations: inappropriate feelings that come to us from feelings that come to us from

one of our sensesone of our senses

What’s the difference between aWhat’s the difference between a hallucination and an optical hallucination and an optical illusion?illusion?

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6). Schizophrenia6). Schizophrenia Types of Hallucinations:Types of Hallucinations:

– Auditory HallucinationsAuditory Hallucinations::

hearing things that are not therehearing things that are not there

– Visual Hallucinations:Visual Hallucinations: seeing things that aren’t thereseeing things that aren’t there

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6). Schizophrenia6). Schizophrenia Types of Hallucinations:Types of Hallucinations:

– Tactile Hallucinations:Tactile Hallucinations: feeling things that aren’t therefeeling things that aren’t there

– Olfactory Hallucinations:Olfactory Hallucinations: smelling things that aren’t theresmelling things that aren’t there

– Gustatory Hallucinations:Gustatory Hallucinations: tasting things that aren’t theretasting things that aren’t there

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6). Schizophrenia 6). Schizophrenia Symptoms of SchizophreniaSymptoms of Schizophrenia

– Delusions: Delusions: false but persistent false but persistent beliefs despite evidence to the beliefs despite evidence to the contrarycontrary

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6). Schizophrenia6). Schizophrenia Types of Delusions:Types of Delusions:

– Delusions of Grandeur:Delusions of Grandeur:

thinking you are someone thinking you are someone

of great importanceof great importance

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6). Schizophrenia6). Schizophrenia Types of Delusions:Types of Delusions:

– Delusions of Reference:Delusions of Reference:thinking that you are the center of thinking that you are the center of attention, that people are looking attention, that people are looking at, or talking about youat, or talking about you

– Delusions of Depersonalization:Delusions of Depersonalization:thinking you are turning into an thinking you are turning into an inanimate or vegetative objectinanimate or vegetative object

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6). Schizophrenia6). Schizophrenia Types of Delusions:Types of Delusions:

– Delusions of Persecution: Delusions of Persecution: thinking that people are out to get thinking that people are out to get

you or harm youyou or harm you

– Delusions of Guilt:Delusions of Guilt: thinking that you have just thinking that you have just

committed a terrible wrongcommitted a terrible wrong

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6). Schizophrenia6). Schizophrenia Symptoms of SchizophreniaSymptoms of Schizophrenia

– Disturbances in thoughts Disturbances in thoughts and speechand speechEcholalia:Echolalia:

Repeating words said in their Repeating words said in their presence over and over and over presence over and over and over againagain

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6). Schizophrenia6). Schizophrenia Symptoms of SchizophreniaSymptoms of Schizophrenia

– Disturbances in thoughts and speechDisturbances in thoughts and speech Neologisms:Neologisms: (literally “new words”). At times, a (literally “new words”). At times, a

schizophrenic’s speech includes the rare schizophrenic’s speech includes the rare appearance of words and phrases not appearance of words and phrases not found in even the most comprehensive found in even the most comprehensive dictionary. Neologisms (new words) are dictionary. Neologisms (new words) are sometimes formed by combining parts of sometimes formed by combining parts of two or more regular words. Neologisms two or more regular words. Neologisms may also involve the use of common may also involve the use of common words in a new waywords in a new way

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6). Schizophrenia6). Schizophrenia Symptoms of SchizophreniaSymptoms of Schizophrenia

– Disturbances in thoughts and Disturbances in thoughts and speechspeechWord Salad:Word Salad: Combining words and phrases in what Combining words and phrases in what

appears to be a completely disorganized appears to be a completely disorganized fashion. Unlike neologisms, word salad fashion. Unlike neologisms, word salad suggests no effort to communicate. In suggests no effort to communicate. In word salad, nothing is related to word salad, nothing is related to anything else.anything else.

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6). Schizophrenia6). Schizophrenia Example of word saladExample of word salad

It’s all over for q squab true tray and there ain’t It’s all over for q squab true tray and there ain’t no music, there ain’t no nothing besides my no music, there ain’t no nothing besides my mother and my father who stand alone upon mother and my father who stand alone upon the Island of Capri where there is no ice, there the Island of Capri where there is no ice, there is no nothing but changers, changers, is no nothing but changers, changers, changers. That comes like in first and last changers. That comes like in first and last names, so that thing does. Well, it’s my names, so that thing does. Well, it’s my suitcase, sir. I’ve got to travel all the time to suitcase, sir. I’ve got to travel all the time to keep my energy alive.keep my energy alive.

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6). Schizophrenia6). Schizophrenia Symptoms of SchizophreniaSymptoms of Schizophrenia

– Disturbances in thoughts Disturbances in thoughts and speechand speechMutism:Mutism:

Total SilenceTotal Silence

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6). Schizophrenia6). Schizophrenia Symptoms of SchizophreniaSymptoms of Schizophrenia

– Disturbances in thoughts Disturbances in thoughts and speechand speechDerailment Derailment (loose associations):(loose associations):

The tendency for one thought to be The tendency for one thought to be logically unconnected, or only logically unconnected, or only superficially related to the next. superficially related to the next. Sometimes the associations are Sometimes the associations are based on the double meanings or based on the double meanings or on the way words soundon the way words sound

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6). Schizophrenia6). Schizophrenia Example of Derailment:Example of Derailment:

He pushed back the blankets from He pushed back the blankets from the bed. He saw the river bed was the bed. He saw the river bed was covered with small stones washed covered with small stones washed down from the quarry. The hunter down from the quarry. The hunter came fast because he was following came fast because he was following his quarry over the hill.his quarry over the hill.

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6). Schizophrenia6). Schizophrenia Symptoms of SchizophreniaSymptoms of Schizophrenia

– Disturbances in thoughts Disturbances in thoughts and speechand speechClanging:Clanging:

The pairing of words that have no The pairing of words that have no relation to one another beyond relation to one another beyond the fact that they rhyme or the fact that they rhyme or sound alikesound alike

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6). Schizophrenia6). Schizophrenia Example of clanging:Example of clanging:

– Said, Dead, Red, Head, LedSaid, Dead, Red, Head, Led

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6). Schizophrenia6). Schizophrenia Symptoms of SchizophreniaSymptoms of Schizophrenia

– Disturbances in thoughts Disturbances in thoughts and speechand speech Irrelevant Replies:Irrelevant Replies: Giving answer to questions that are Giving answer to questions that are not relevantnot relevant

Example: How old are you? As old as the Example: How old are you? As old as the pyramids crumbling into dust. Where do pyramids crumbling into dust. Where do you live? I exist in the world, from it, of it, you live? I exist in the world, from it, of it, and by it.and by it.

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6). Schizophrenia6). Schizophrenia Types of SchizophreniaTypes of Schizophrenia

– Catatonic SchizophreniaCatatonic Schizophrenia AgitatedAgitated ImmobileImmobile

– Paranoid SchizophreniaParanoid Schizophrenia– Disorganized SchizophreniaDisorganized Schizophrenia– Undifferentiated SchizophreniaUndifferentiated Schizophrenia

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6). Schizophrenia6). Schizophrenia Types of SchizophreniaTypes of Schizophrenia

– Catatonic Schizophrenia:Catatonic Schizophrenia:Accounts for 8% of all schizophrenics. Accounts for 8% of all schizophrenics. The major symptoms is a The major symptoms is a disturbance in motor activity. The disturbance in motor activity. The person may remain stiffly immobile person may remain stiffly immobile and refuse to speak of be extremely and refuse to speak of be extremely agitated. Catatonic Schizophrenia is agitated. Catatonic Schizophrenia is rarely seen today. However, it was rarely seen today. However, it was common up to 30 to 40 years agocommon up to 30 to 40 years ago

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6). Schizophrenia6). Schizophrenia Types of SchizophreniaTypes of Schizophrenia

– Paranoid SchizophreniaParanoid Schizophrenia

Accounts for 40% of schizophrenics; Accounts for 40% of schizophrenics; appears late in life (25-30). appears late in life (25-30). Characterized by delusions of Characterized by delusions of persecutions & grandeur. These are persecutions & grandeur. These are often accompanied by hallucinations often accompanied by hallucinations supporting the delusion.supporting the delusion.

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6). Schizophrenia6). Schizophrenia Types of SchizophreniaTypes of Schizophrenia

– Paranoid Schizophrenia Paranoid Schizophrenia (continued)(continued)

Paranoid Schizophrenics are more Paranoid Schizophrenics are more likely than other schizophrenics to likely than other schizophrenics to have a good outcome because it have a good outcome because it tends to be acute. Under certain tends to be acute. Under certain circumstances, they may function circumstances, they may function relatively wellrelatively well

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6). Schizophrenia6). Schizophrenia Types of SchizophreniaTypes of Schizophrenia

– Disorganized SchizophreniaDisorganized Schizophrenia Accounts for 5% of all schizophrenics. Accounts for 5% of all schizophrenics. Incoherence in expressionIncoherence in expression Childish disregard for social Childish disregard for social

conventionsconventions Resists wearing clothingResists wearing clothing Urinate and defecate at inappropriate Urinate and defecate at inappropriate

timestimes

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6). Schizophrenia6). Schizophrenia Disorganized Schizophrenia Disorganized Schizophrenia

(continued)(continued)– May eat with their fingersMay eat with their fingers– Show emotional responses that Show emotional responses that

are inappropriate to the are inappropriate to the situationsituation

– GigglingGiggling– Silly mannerismsSilly mannerisms– Inexplicable gesturesInexplicable gestures

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6). Schizophrenia6). Schizophrenia Types of SchizophreniaTypes of Schizophrenia

– Undifferentiated SchizophreniaUndifferentiated Schizophrenia

This accounts for 40% of all This accounts for 40% of all schizophrenics. They have schizophrenics. They have symptoms of schizophrenics symptoms of schizophrenics (disordered thinking, etc) but the (disordered thinking, etc) but the symptoms don’t clearly fit one of symptoms don’t clearly fit one of the other specific typesthe other specific types