Psychology Chapter: Mental Illness Frameworks

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Questions and Answers

Which of the following best describes the biopsychosocial model of mental disorders?

  • A framework integrating biological, psychological, and social factors (correct)
  • A purely biological approach to mental illness
  • A model that only considers childhood experiences
  • A system used solely for diagnosing anxiety disorders

What is the primary purpose of the DSM-5-TR?

  • To provide treatment guidelines for all mental disorders
  • To explain the causes of all mental illnesses
  • To eliminate cultural bias in psychiatric diagnosis
  • To classify and diagnose mental disorders using specific criteria (correct)

Which neurotransmitter is most strongly linked to schizophrenia?

  • Dopamine (correct)
  • Norepinephrine
  • Serotonin
  • GABA

Which type of research study tracks the same group of individuals over a long period?

<p>Longitudinal study (A)</p> Signup and view all the answers

Which of the following is an example of a categorical approach to diagnosis?

<p>Classifying disorders into discrete types (A)</p> Signup and view all the answers

A 35-year-old woman reports persistent worry about finances, work, and personal relationships for over six months. She experiences restlessness, fatigue, difficulty concentrating, and muscle tension. What is the most likely diagnosis?

<p>Generalized anxiety disorder (GAD) (D)</p> Signup and view all the answers

A 24-year-old man exhibits extreme fluctuations in mood. He has weeks of excessive energy, little sleep, impulsive spending, and increased social activity, followed by weeks of extreme sadness and lack of motivation. What is the most likely diagnosis?

<p>Bipolar disorder (A)</p> Signup and view all the answers

Which of the following research methods would best determine if Adverse Childhood Experiences (ACEs) contribute to depression in adulthood?

<p>Longitudinal study (D)</p> Signup and view all the answers

Which intervention would be most appropriate for a client with PTSD who avoids trauma reminders and has flashbacks?

<p>Cognitive-Behavioral Therapy (CBT) with exposure therapy (D)</p> Signup and view all the answers

A school psychologist is assessing a child with hyperactivity, impulsivity, and difficulty sustaining attention across multiple settings. What is the most likely diagnosis?

<p>Attention-Deficit/Hyperactivity Disorder (ADHD) (C)</p> Signup and view all the answers

Psychopathology refers only to severe mental disorders.

<p>False (B)</p> Signup and view all the answers

A longitudinal study is best suited for understanding the long-term effects of childhood trauma.

<p>True (A)</p> Signup and view all the answers

Schizophrenia is caused exclusively by environmental factors.

<p>False (B)</p> Signup and view all the answers

Protective Childhood Experiences (PCEs) can buffer against the effects of Adverse Childhood Experiences (ACEs).

<p>True (A)</p> Signup and view all the answers

The DSM-5-TR requires a biological test for diagnosing all mental disorders.

<p>False (B)</p> Signup and view all the answers

A 22-year-old college student reports hearing voices that tell him to avoid his friends. He also believes that his professors are sending him secret messages through lecture slides. His hygiene has declined, and he has withdrawn from social activities. What is the most likely diagnosis?

<p>Schizophrenia</p> Signup and view all the answers

A combat veteran frequently experiences nightmares, avoids crowded places, and has exaggerated startle responses. He also reports constant worrying about finances and relationships. How would you differentiate PTSD from Generalized Anxiety Disorder in this case?

<p>The key difference is that PTSD symptoms (nightmares, avoidance, hyperarousal) are directly related to the trauma experienced, whereas GAD symptoms (excessive worry about finances and relationships) are more generalized and not specifically linked to a traumatic event.</p> Signup and view all the answers

A 30-year-old woman grew up in a home where she witnessed domestic violence, suffered emotional neglect, and had parents with substance use issues. Now, she struggles with trust in relationships, experiences chronic anxiety, and has difficulty regulating emotions. Which framework best explains the long-term effects of her early life experiences?

<p>The Biopsychosocial Model</p> Signup and view all the answers

A 40-year-old man with major depressive disorder has not responded well to SSRIs and psychotherapy. His depression is severe, and he has suicidal thoughts. Which treatment option would be considered next?

<p>Electroconvulsive Therapy (ECT) (A)</p> Signup and view all the answers

A clinician is treating a Latinx client with anxiety, who believes their symptoms stem from "nervios" (a culturally recognized concept of distress). The clinician dismisses this and insists on a Western model of anxiety. What is the clinician failing to practice?

<p>Cultural competence</p> Signup and view all the answers

Flashcards

Biopsychosocial Model

A framework integrating biological, psychological, and social factors in understanding mental disorders.

DSM-5-TR Purpose

To classify and diagnose mental disorders using specific criteria.

Schizophrenia Neurotransmitter

Dopamine is most strongly linked to schizophrenia.

Longitudinal Study

A research study that tracks the same group of individuals over a long period.

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Categorical Diagnosis

A method classifying disorders into discrete types without overlap.

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Generalized Anxiety Disorder (GAD)

Characterized by persistent worry about various aspects of life lasting over six months.

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Bipolar Disorder Symptoms

Includes extreme mood fluctuations between mania and depression.

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Research Methods for ACEs

A longitudinal study is best to assess long-term effects of Adverse Childhood Experiences (ACEs).

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PTSD Treatment

Cognitive-Behavioral Therapy (CBT) with exposure therapy is the best intervention for PTSD.

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ADHD Diagnosis

Involves hyperactivity, impulsivity, and difficulty sustaining attention across settings.

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Comorbidity

Occurs when two or more disorders exist in the same person.

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Bereavement Exclusion

Removed from DSM-5-TR to recognize grief-related depression as clinically significant.

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Trauma-Informed Care (TIC)

A framework that minimizes re-traumatization and prioritizes safety in treatment.

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Protective Childhood Experiences (PCE)

Positive experiences that buffer against the effects of negative childhood events.

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Cognitive-Behavioral Therapy (CBT)

Helps by challenging negative thought patterns and changing behaviors.

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Psychopathology

Refers to all mental disorders, not just severe ones.

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True about Longitudinal Studies

Best suited for understanding the long-term effects of childhood trauma.

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Schizophrenia Causes

Caused by both genetic and environmental factors, not exclusively one.

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Impact of PCEs

Protective Childhood Experiences can reduce the effects of Adverse Childhood Experiences.

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No Biological Test Requirement

Many mental disorders can be diagnosed without a biological test according to DSM-5-TR.

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Schizophrenia Positive Symptoms

Hallucinations and delusions experienced by individuals with schizophrenia.

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Distinguishing PTSD from GAD

PTSD is trauma-related; GAD involves generalized worry.

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Biopsychosocial Impact of ACEs

ACEs affect mental health through biological, psychological, and social factors.

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ECT Use

Electroconvulsive Therapy (ECT) is for severe depression not responding to other treatments.

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Cultural Competence

The ability to understand and integrate clients’ cultural concepts into treatment.

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Frequent Nightmares and Avoidance

Symptoms that suggest PTSD, such as nightmares and avoidance of situations.

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Neglect in Childhood

Chronic neglect is a negative factor affecting future relationships and emotional well-being.

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Psychoeducation

Educating clients about their disorders and treatment options to enhance understanding.

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Study Notes

Biopsychosocial Model

  • A framework integrating biological, psychological, and social factors to understand mental illnesses.

DSM-5-TR

  • The primary purpose is to classify and diagnose mental disorders using specific criteria.
  • It eliminates cultural bias in psychiatric diagnosis.

Schizophrenia and Neurotransmitters

  • Dopamine is strongly linked to schizophrenia.

Research Study Types

  • Longitudinal study: tracks the same group of individuals over a longer period.
  • Case study: in-depth analysis of a single individual.
  • Cross-sectional study: examines a group of people at one point in time.
  • Experimental study: involves manipulating a variable to examine its effect.

Categorical vs. Dimensional Approach

  • Categorical approach classifies disorders into discrete types.
  • Dimensional approach measures symptoms on a severity scale.

Generalized Anxiety Disorder (GAD)

  • Persistent worry about multiple aspects of life for over six months
  • Symptoms include restlessness, fatigue, difficulty concentrating, and muscle tension

Major Depressive Disorder

  • Characterized by extreme mood fluctuations.
  • The symptoms include weeks of energy, little sleep, impulsive spending, and increased social activity, followed by weeks of extreme sadness, and lack of motivation.

Protective Childhood Experiences (PCEs)

  • Enhance resilience against negative effects of adverse childhood experiences (ACEs).
  • Examples include having a stable and supportive caregiver.

Exposure Therapy

  • This is a treatment for symptoms stemming from trauma.
  • Clinicians help patients confront and gradually overcome memories of trauma.

Cultural Competence

  • Clinicians must acknowledge and appreciate cultural differences and influences.
  • A culturally competent clinician should recognize and incorporate "nervios" (a culturally recognized concept of distress) when treating Latinx patients with anxiety.

Adverse Childhood Experiences (ACEs)

  • Experiencing ACEs contributes to depression in adulthood.
  • Longitudinal studies help understand the long-term effects of childhood trauma.

Comorbidity

  • Two or more disorders existing simultaneously in a person.
  • Simplifies treatment planning and has an impact on symptom severity.

Trauma-Informed Care (TIC)

  • A framework that minimizes re-traumatization and prioritizes safety.

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