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Mental Health

Behavioral and Emotional Disorders

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Types of Mental Illnesses

Anxiety Disorders

Childhood Disorders

Eating Disorders

Mood Disorders

Cognitive Disorders

Personality Disorders

Schizophrenia & Other Psychotic disorders

Substance-Related Disorders

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Famous People w/ Mental Disorder

  • Drew Carey- Depression
  • Winston Churchill- Bipolar
  • Charles Dickens- Clinical Depression
  • Ernest Hemmingway- Suicidal Depression
  • Abraham Lincoln- Severe Depression
  • John Forbes Nash- Schizophrenia
  • Theodore Roosevelt- Bipolar
  • Ted Turner- Bipolar
  • Van Gogh and Beethoven- Bipolar

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Mental Illness: Facts and Numbers

  • One in four adults – approximately 57.7 million Americans – experience a mental health disorder in a given year.
  • About 6 percent, or 1 in 17 Americans suffer from a serious mental illness.
  • About 1 and 5 families are impacted by mental illness in America.
  • Half of all lifetime cases of mental illness begin by age 14, three-quarters by age 24.

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Causes of Mental Disorders

  • Heredity
  • Childhood/Recent Events
  • Physical Health Problems- infection/disease
  • Injury
  • Environmental Conditions
  • Stress
  • Drugs

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Behavioral and Emotional Disorders

  • Types of Treatment Available:
    • Psychotherapy:
      • Designed to help you recall unconscious conflicts; helps you to release their hold on you.

    • Cognitive Therapy:
      • Based on the idea that erroneous thoughts cause unhappy feelings.

    • Behavioral Therapy:
      • Based on the idea you learn to behave in certain ways because you have been rewarded in the past for doing so.

    • Group/Family Therapy:
      • Entire group has the same problem; group shows that other people share the same problems.

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Behavioral and Emotional Disorders:

  • Types of Treatment Available (continued):
    • Drug Therapy:
      • Mood regulating drugs are effective in treating a wide range of symptoms.

    • Biofeedback:
      • A term used to describe methods that measure specific body responses.

    • Relaxation Treatment:
      • A form of stress management.

    • Electroconvulsive Therapy:
      • Used to treat severe depression.
      • Two electrodes are placed on the scalp and a small current is passed through the electrodes; a seizure usually results.

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Anxiety and Mood Disorders

  • Depression
  • Bipolar Disorder
  • Generalized Anxiety Disorder
  • Performance Disorder
  • Obsessive-Compulsive Disorder
  • Panic Disorder
  • Phobias
  • Posttraumatic Stress Disorder
  • Seasonal Affective Disorder
  • Self Injury - cutters

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Anxiety Disorders

Anxiety Disorders – a condition in which real or imagined fears are difficult to control.

Possible Causes:

  • heredity
  • brain chemistry
  • personality
  • life experiences

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Mood Disorders

  • Mood disorders are mental disorders characterized by periods of depression, sometimes alternating with periods of elevated mood.
  • Causes
    • complex imbalances in the brain's chemical activity
    • environmental factors can play a part

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Mood Disorders

  • Depression:
    • Many people experience depressed moods, or a period of normal sadness, after a loss.
    • One in five adults experience severe depression.

  • Depression is caused by:
    • After a death of a loved one.
    • For no apparent reason.
    • Major transitions in life (divorce, advancing from adolescence to adulthood).

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Depression

  • People who suffer from depression include:
    • People under severe stress.
    • People w/ depressed family members (genetic link).
    • People w/ psychological disorders.
    • People w/ severe physical disorders.
    • People taking medicines.
  • Gender gap:
    • women are twice as likely as men to suffer from both mild and major depression.
      • Postpartum Depression
      • Menstrual period sometimes causes depression.
      • Men are less likely to seek treatment.

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Depression (continued)

  • Symptoms:
    • Feelings of despair, guilt, self worthlessness, no hope for the future, contemplate suicide
    • Withdraw from people and society
    • Unable to concentrate

  • Physical symptoms include:
    • loss of appetite
    • insomnia/fatigue
    • backache/headache/upset stomach/constipation

  • Treatments:
    • Psychotherapy
    • Drugs (antidepressants: SSRIs/MAOIs/HCAs).

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Bipolar Disorder

  • Periods of depression alternate w/ periods of hyperactivity and uncontrolled elation (mania).

  • 5.7 million Americans or 2.6% of population age 18 and older

  • One in four people attempt suicide; one in ten are successful w/ their attempt.

  • Heredity/environment play a role in bipolar disorder.

  • Symptoms:
    • Manic phase includes:
      • cheerful, full of energy.
      • person gets out of control--spending money wildly; takes on huge projects that are never completed; believes they’re powerful people.

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Bipolar Disorder

  • Symptoms:
    • Mania turns to irritability, rage, and paranoia.
    • Alcohol/drug abuse, loss of job, possible divorce may result.
    • About 10-20% of sufferers develop “rapid cycling” (four or more episodes per year).

  • Treatment Options:
    • Seek treatment immediately.
    • Psychotherapy
    • Lithium is the drug of choice.
      • prevents the mania and lessens the depression.

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Bipolar Disorder

  • Treatment (continued)
    • Lithium has side effects.
      • weight gain, drowsiness, frequent urination, thirsty.
      • can injure the kidneys, thyroid gland
    • Lithium is not a cure.
    • In the early stages of mania the victim may be prescribed antipsychotic drugs.
    • Anticonvulsant (divalproex) may be prescribed if the mood cycle is very rapid.
    • In rare cases, electroconvulsive therapy may be used

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Generalized Anxiety Disorder (GAD)

  • Feelings of apprehension that occur for no specific reason (last at least one month).

  • Symptoms:
    • heart beats faster, breathing becomes faster (hyperventilation), hands tremble, perspire more.

  • Physical symptoms include:
    • upset stomach, headache, and general aches and pain.

  • Treatments:
    • Benzodiazepine drugs (short term).
    • Antidepressants/Antianxiety drugs (buspirone).
    • Psychotherapy.

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Performance Anxiety

  • Occurs when a person has to make speech, take an examination, or make a public appearance.

  • Symptoms:
    • rapid heartbeat, excessive perspiration, trembling (hands or voice), difficulty in concentrating.

  • Treatment:
    • Cognitive/Behavioral therapy (learn to relax and to cope w/ the situation.
    • Beta-blocking medicines are used to control the physical symptoms.

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Obsessive-Compulsive Disorder

  • Compulsive rituals or actions that are repeated over and over (take over a person’s life).

  • Symptoms:
    • Counting every step while walking.
    • Constantly cleaning one’s hands or one’s living space.

  • Treatment:
    • Psychotherapy.
    • Heterocyclic Antidepressants.
    • SSRIs.

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Panic Disorder

  • Sudden attacks of intense fear or anxiety for no apparent reason.
    • Attacks can occur several times a day.
    • Runs in the family.
    • Usually involves personal loss, major change, or illness.

  • Symptoms:
    • At least four of the following symptoms occur in a person:
      • Pounding heartbeat, sweating, trembling, difficulty breathing, choking sensations, chest pain, nausea, dizziness, fear of dying or going crazy, chills, hot flashes, feelings of unreality, numbness or tingling in the extremities.

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Panic Disorder (continued)

  • Symptoms (continued):
    • Constant anxiety about having another panic attack.
    • Significant behavior change (avoiding certain situations or relying on alcohol or other drugs).

  • Treatments:
    • Psychotherapy/Medications
      • Antianxiety Drugs.
      • Antidepressant Drugs.

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Phobias

  • Irrational sense of fear when a person is confronted by a common object, activity, or situation, leading the person to avoid the thing that is feared.

  • Most common form of anxiety (5-13% of all Americans are affected).

  • Symptoms:
    • sudden, persistent, and irrational panic; dread, horror, or terror when confronted w/ the object or situation.
    • Agoraphobia, Acrophobia, Claustrophobia.

  • Treatment= Desensitization/Exposure Therapy

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Posttraumatic Stress Disorder (PTSD)

  • Involves people who have survived traumatic events such as natural disaster, war, physical or sexual assault, and severe illness.

  • Prisoners of War and concentration camp survivors are most affected (47-50%).

  • Symptoms:
    • People may relive the distressing event repeatedly in thoughts, dreams, or flashbacks.

  • Treatment:
    • Psychotherapy
    • Antidepressants

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Seasonal Affective Disorder (SAD)

  • People experience sadness, depression, and fatigue that comes on in late fall and subsides in the spring.

  • Caused by lack of sunlight.

  • Over 10 million Americans are affected (women outnumber men by a 4 to 1 ratio.

  • Symptoms include:
    • headaches, increased appetite, loss of interest in activities, excessive sleep, irritability, unable to concentrate.

  • Treatment= Antidepressant Drugs (SSRI)

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Self-Injury

  • An unhealthy way to cope with emotions, stress, or traumatic events
  • Self-injury can be a symptom of a mood disorder, anxiety disorder, or eating disorder
  • Most people aren’t attempting suicide, but it is done to feel better in a situation
    • Some people may attempt suicide, but this is due to emotional problems and not the cutting itself
  • Occurs most often in young women, but can occur in young men
  • Methods
    • Cutting or making scratches on the body using sharp objects to bleed (razor, scissor, pin, glass)
    • Burning body with a lighter, matches, or cigarettes

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Types of Personality Disorders

  • Paranoid
  • Schizoid
  • Antisocial
  • Borderline
  • Narcissistic
  • Avoidant
  • Dependent
  • Obsessive-Compulsive

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Schizophrenia & other Psychotic Disorders

Common Symptoms:

  • Psychosis
  • Delusions
  • Hallucinations

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Types

  • Schizophrenia
  • Delusional Disorder
  • Brief Psychotic Disorder
  • Schizoaffective Disorder

About 2.4 million Americans, or 1.1% of the adult population lives with schizophrenia.

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Psychoses Diseases

  • Known as thought disorders; characterized by gross distortions of reality.

  • A psychotic person will often have:
    • Delusions:
      • Fixed beliefs that are false; he or she believes they’re the President or some important figure.
    • Hallucinations:
      • Hearing or seeing things that are not real.

  • Schizophrenia is a psychoses disease.

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Schizophrenia--Psychoses Disease

  • Severe mental illness characterized by delusions and hallucinations.

  • Usually starts during teen years or young adult years (affects only 1% of the entire world population).

  • Three Classifications of Schizophrenia:

1. Paranoid Schizophrenia:

      • person is being persecuted; delusions of grandiose.

2. Catatonic Schizophrenia:

      • stops moving and talking and then becomes excitable.

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Schizophrenia (continued)

3. Disorganized Schizophrenia:

      • Person is incoherent; person shows inappropriate emotions or expressionless.
  • Cause of schizophrenia is not known.
    • A child born of two schizophrenia parents has a 40% chance of becoming schizophrenic (avg... risk is 1%).

    • Brain produces too much of the neurotransmitter dopamine.

  • Symptoms:
    • Social w/drawal; deterioration of performance at work or school; delusions of grandeur; hear voices commanding them to do something.

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Schizophrenia (continued)

  • Treatment Options:
    • Antipsychotic Drugs
      • Haloperidol
      • Chlorpromazine

    • Remains an illness that cannot always be treated successfully.

    • Sometimes a person w/ schizophrenia has to be stabilized in a hospital against his or her own will.

    • Side Effects of the Antipsychotic Drugs:
      • Short Term= Dry mouth, blurred vision, difficulty in urinating.
      • Long Term= Tardive Dyskinesia (movement disorder).

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Behavioral and Emotional Disorders

  • Substance Addiction and Abuse:
    • People who engage in substance abuse initially have control of their lifestyle.
    • Once they have become addicted, they are unable to control their use of addicting substances (nicotine, alcohol, heroin, etc,).
    • Addiction is a physical dependence on a chemical substance.
    • This dependence leads to unpleasant symptoms, called withdrawal (when a person stops using the substance).
    • Alcohol/Tobacco are the most abused drugs.

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Behavioral and Emotional Disorders (continued)

  • Compulsive Gambling:
    • Brain releases a neurotransmitter (much like working out) when gambling on a person or event.
    • The number of compulsive gamblers has risen dramatically in the United States in the past 20 years.
    • Compulsive gambler shirks daily responsibilities and loved ones; sells personal property to finance their bets; lie to hide their losses; and engage in illegal activity to support their habit.
    • Compulsive gamblers often have other psychiatric problems (must convince person to seek treatment).
    • Treatment= Psychotherapy/Gamblers Anonymous

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Eating Disorders

  • Anorexia
    • Constant dieting: to little eating: to no eating
    • Affects CNS-Depression-Death
  • Bulimia
    • Binges on food, then purging
    • Teeth, Heart Muscle, Glands

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  • Recognize the problem first, can be the hardest first step
  • Psychiatrist
  • Medical doctor, can prescribe medicine
  • Psychologist, usually a Ph.D. in field
  • Social Worker, usually a master’s degree
  • Group therapy

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  • Mentally Healthy People:
  • Feel okay about themselves
  • Feel okay about others
  • Are able to meet the demands of life

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  • Mental image you have of yourself
  • An anorexic person may see themselves as fat, but really weighs only 80 pounds
  • A person who scores 29 on the ACT thinks they are stupid
  • It can be changed!!!!

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  • Is your pride and acceptance of yourself
  • It is your sense of personal worth
  • Your self-esteem development begins at birth and is constantly affected by parents, culture, media and friends

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  • Learn to accept yourself, weaknesses and strengths
  • Use positive self-talk
  • Use I statements
  • Get involved either in school or in your community
  • Act with integrity with your belief system, not someone else’s

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  • Individual’s unique pattern of characteristics
  • Heredity
  • Environment
  • Culture
  • Self-Concept

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  • Feelings inside you
  • Born with them
  • Universal
  • Sometimes you may feel as though you can’t control your emotions, but can you?
  • Develop under the influence of our parents, friends and environment

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  • It’s a protective safeguard to protect us from danger
  • Unfortuntaly we sometime ignore our fear or rationalize it
  • We don’t always trust it either

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  • Compulsive and exaggerated fears of a particular type of object or situation
  • Out of proportion
  • Usually comes from past experiences

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