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Canada (161,803)
Psychology (935)
PSYC 357 (50)
Chapter 11


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PSYC 357
Wendy Thornton

PSYC 357: ADULTHOOD AND AGING CHAPTER 11: MENTAL HEALTH ISSUES AND TREATMENT PSYCHOLOGICAL DISORDERS IN ADULTHOOD - Criteria used to judge behavior as “abnormal” include feeling personal or subjective distress, being impaired in everyday life, causing a risk to the self or other people, and engaging in behavior that is social or culturally unacceptable - Category of psychological disorders includes the range of behaviors and experiences that fall outside of social norms, create adaptation difficulty for the individual on a daily basis and put the individual/others at risk for harm - Specific sets of behaviors that meet the conditions of abnormality are given a diagnosis according to the criteria in the Diagnostic and Statistical Manual (DSM) o Most recent version is the DSM-IV-TR o Organized into fie axes or dimensions that are intended to characterize completely an individual seeking psychological help  Axis I – includes all major clinical syndromes: collections of symptoms that together form a recognizable pattern or disturbance comparable to an illness in medical terms  Axis II – includes disturbances that are of a more chronic or long standing nature, personality disorders  Axis III – ratings used to characterize medical conditions that, although not the primary focus of treatment, have a bearing on the clients psychological condition  Axis IV- used to rate psychological stressors and environmental problems  Axis V – used to characterize the individuals overall level of functioning, ranging from suicidal (ratings of 1-20) to superior (91-100) MAJOR AXIS I DISORDERS IN ADULTHOOD Category Description Specific Disorder Important considerations for older adults Mood disorders Disturbance in mood Major depressive disorder (depression Depression may appear as for 2+ weeks) cognitive impairment or Bipolar disorder – experience manic physical symptoms episode in which they feel unusually “high” elated and grandiose Anxiety Intense anxiety, worry or Generalized anxiety disorder Symptoms of anxiety disorders apprehension Panic disorder disorders may present or Specific phobia coexist with medical Social phobia symptoms Obsessive-compulsive disorder Post-traumatic stress disorder Schizophrenia Psychotic symptoms such as Schizophrenia Likelihood of complete distortion of reality and serious Schizoaffective disorder remission is 20-25%; the impairment in thinking, behavior, Delusional disorder 10% who continue to have affect and motivation experience symptoms have higher suicide rates than other older adults. Delirium
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