[CAS PS 371] - Midterm Exam Guide - Comprehensive Notes for the exam (172 pages long!)

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CAS PS 371
MIDTERM EXAM
STUDY GUIDE
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THEN KIM MUESER:
Why study psychiatric disorders?
You are likely to encounter people with psychiatric disorders in your personal and professional
lives (and may end up with a diagnosis yourself.
WHO calculates that of all the years of living with a disability for all of the people in the
world, mental illnesses account for 30%. Of the top ten causes of disability in the world,
4 are mental illnesses.
Mental disorders are the leading cause of disability in the U.S. and Canada for ages 18-
44.
The US has the highest rate of psychiatric disorder, according to an international study
collecting data in 14 countries. The US rate is 26% of the population in a given year, and
the US consistently has among the highest rates for all disorders (ECA study).
“Serious” disorders are those that interfere with a person’s ability to carry out normal
social roles, like “worker” or “student.” Estimates of severe disorders run between one-
half of 1% and nearly 8%. Current numbers: 1 in 17 (6%) in US severe mental illness
The most severe 1% use 20% of mental health resources, and over half of social services
and corrections resources targeted for people with mental illnesses.
Treatment rates remain low, however, with the best case being that only about 2/3 (65%)
of people with severe mental disorders receiving treatment, and only about 1/3 of people
with mild mental disorders receiving treatment.
Direct costs for MI about 15% of total personal health care spending for all
illnesses…more than all the cancers combined (NIMH 2010)
Prevalence figures (from DSM IV-TR and from Ingersoll & Burns) suggest that in this
class of approx. 100 people, most of whom are women, we can expect that
5 could be considered alcoholics, although probably another 8 or 9 have some problems
with alcohol use (about 5%)
7 have eating disorders(about 7%): probably 1 or 2 have had problems with bulimia
(2%), and another 4 have problems with binge-eating (4%), and maybe every other year,
at least 1 has had problems with anorexia (0.5%)
at least 10 of you have been sexually or physically abused (10%), and at least 3 of you
remain affected by that experience on a daily basis (about 3%)
Every 2 or 3 years, 1-3 person in this class will have or will develop schizophrenia (about
1%)
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as many as 18 have had or will have an anxiety disorder. Anxiety disorders are the most
common mental illness in the United States. About 40 million Americans over the age of
18 are affected by anxiety, including panic disorders and stress related disorders like
PTSD.
as many as 25 have had or will have a major depressive disorder (lifetime prevalence rate
is up to 25% for women), and several of these individuals also will have a substance
abuse problem (about 25%)
as many as 65 of you have considered suicide (65%), and every 3 or 4 years, this class
will include 1 person who will eventually die by suicide (<1/100).
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