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substance disorders

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PSYC 202
Christopher Bowie

Substance related disorders  A substance related disorder is diagnosed when the ingestion of some substance- alcohol, opiates, cocaine, amphetamines and so on has changed beh enough to impair social or occupational functioning  These substances may also contribute to the development of other Axis I disorders such as mood or anxiety disorders Schizophrenia  For indiv with shitzo contact with reality is faulty. Their language and communication are distorted and they may shift from one subject to another in ways that make them difficult to understand. They commonly experience delusions such as believing that thought are not their own have been placed in their heads. They are sometimes plagued by hallucinations commonly hearing voices that come from outside themselves. Their emotions are blunted, flattened or inappropriate and their social relationships and ability to work show marked deterioration Mood disorders  Ppl whose moods are extremely high or low  Major depressive disorder- person is deeply sad and discouraged and is also likely to lose weight and energy to have suicidal thoughts and feelings of self reproach  The person with mania may be described as exceedingly euphoric, irritable, more active than usual, distractible, and possessed of unrealistically high self esteem  Bipolar disorder- diagnosed if the person experiences episodes of mania or of both mania and depression Anxiety disorders  Some form of irrational or overblown fear as the central disturbance.  Indiv with phobia fear an object or situation so intensely that they must avoid it even though they know that their fear is unwarranted and unreasonable and disrupts their lives  Panic disorder the person is subject to student but brief attacks of intense apprehension so upsetting that they tremble and shake, feel dizzy, and have trouble breathing. May be accompanied by agoraphobia when the person is also fearful of leaving unfamiliar surroundings  In ppl with generalized anxiety disorder fear and apprehension are pervasive, persistent and uncontrollable. They worry constantly, feel generally on edge and are easily tired  A person with OCD is subject to persistent obsessions or compulsions. An obsession is a recurrent thought, idea or image that uncontrollably dominates a persons consciousness. A compulsion is an urge to perform a stereotyped act with the usually impossible purpose of warding off an impending feared situation. Attempts to resist a compulsion create so much tension that the indiv usually yields to it  Experiencing anxiety and emotional numbness in the aftermath of a very traumatic event is called post traumatic stress disorder. Patients have painful intrusive recollections by day and bad dreams at night. They find it difficult to concentrate and feel detached from others and from ongoing affairs  Acute stress disorder- similar to PTSS but the symptoms don’t last as long Somatoform disorders  The physical symptoms of somatoform have no known physiological cause but seem to serve a psychological purpose  Dementia, a deterioration of mental capacities esp memory, is associated with Alzheimer’s disease, stroke and several other medical conditions as well as wit
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