Answers
Mental health
is a state of wellbeing in which the individual realises his or her own abilities, can cope with the
normal stresses of life and is able to make a contribution to his or her community.
Structural stigma
- stigma that manifests at the societal level
- is maintained through institutions, through policy, law and ideologies that restrict opportunities for
particular groups.
Public stigma
-Stigma exhibited by the public towards those with a mental health disorder
How does public stigma manifest?
1. attitudes and beliefs - stereotypes.
2. emotional response - fear
3. behaviours - avoidance of interaction or social exclusion.
self stigma
- societal and interpersonal stigmatised attitudes affect individuals.
Attribution questionnaire - designed to measure public stigma towards people with mental illness
- fear / dangerousness
- help / interact
- responsibility
- forcing treatment
- empathy
- negative emotion
what is a mental disorder?
a clinically significant disturbance in an individuals cognition, emotion regulation or behaviour...
usually associated with significant distress or disability in social, occupational or other important
activities.
Wakefield's Harmful Dysfunction
failure of internal mechanisms to perform their natural function.
Categorical system
presence of absence of a disorder
,- DSM 5 is categorical
Dimensional system
rank on a continuous quantitative dimension
diagnostic approach DSM 5
- clinical interview
- text descriptions
- diagnostic criteria
- clinician judgement
What are mood disorders
- mood is a persons subjective emotional state
- mood disorders involve a depression or elevation of mood as the primary disturbance.
Major depressive episode DSM-5
Need 5 or more symptoms present for two or more weeks.
- depressed mood (must have)
- anhedonia (must have)
- decrease/ increase in appetite or significant weight loss/gain
- increased or decreased sleep
- agitation or retardation
- fatigue or low energy
- feelings of worthlessness or inappropriate guilt
- decreased concentration or indecisiveness
- suicidal thoughts
What are the anxiety disorders?
- panic disorder
- specific phobia
- social anxiety disorder
- generalised anxiety disorder
-PTSD
- OCD
What is a panic disorder?
recurrent unexpected panic attacks for a one month period of more of;
- persistent worry about having attacks
- worry about the implications of attack s
- significant change in behaviour because of attacks.
Symptoms of a panic disorder
- palpitations or rapid hear rate
, - sweating
- trembling or shaking
- shortness of breath
- feeling of choking
- chest pain
- chills of hot flushes
- nausea
- Dizzy/faint
- fear of dying
What is a generalised anxiety disorder?
- excessive worry more days than not for at least 6 months about a number of events. Find it difficult
to control worry.
Symptoms of generalised anxiety disorder?
Need 3 or more.
- restlessness
- easily fatigues
- difficulty concentrating
- irritable
- muscle tension
- sleep disturbance
What is obsessive compulsive disorder?
- recurrent persistent thought, impulses or images that are intrusive inappropriate and cause marked
anxiety.
- impulses or images are not simply excessive worries about real life problems.
what are compulsions?
- repetitive behaviour or mental acts that the person feels driven to perform in response to an
obsession or according to rigidly applied rules.
- The behaviours or acts are aimed at reducing distress or preventing some dreaded situations.
What is post traumatic stress disorder?
The person was exposed to a traumatic event and both of the following were present:
1. the event involved actual or threatened death or serious injury to self or others.
2. the persons response involved intense fear, helplessness or horror.
Symptoms PTSD
- duration of symptoms is greater than a month and cause significant distress or impairment in
functioning
- the traumatic event is re experienced
- nightmares, flashbacks, intense distress
- persistent symptoms of increased arousal marked by two or more of the following;
- sleep difficulty