Showing posts with label disorder. Show all posts
Showing posts with label disorder. Show all posts

Splendor In The Grass

 A Coming of Age






Alcohol addiction has been around for centuries, and its early days were marked by a lack of understanding about the nature of addiction. Alcohol was often seen as a social lubricant and a way to relax and unwind. It was not until the 20th century that alcohol addiction began to be recognized as a serious problem.

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Video gaming addiction is a more recent phenomenon, and its early days were marked by a similar lack of understanding. Video games were often seen as harmless entertainment, and there was little concern about the potential for addiction. However, in recent years, there has been growing awareness of the dangers of video gaming addiction.

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Video gaming addiction is becoming a serious problem. To validate its seriousness, I want to compare the coming-of-age of alcohol addiction to where video gaming addiction is at now.


  1. Availability: Alcohol has always been readily available, but video games have become increasingly accessible in recent years. With the advent of handheld consoles, smartphones, and tablets, people can now play video games anywhere, at any time.
  2. Social acceptance: Alcohol use has always been socially acceptable, but video gaming addiction is still stigmatized. Many people still view video games as a waste of time, and they may not take the addiction seriously.
  3. Symptoms: The symptoms of alcohol addiction and video gaming addiction are similar, but there are some key differences. For example, people with alcohol addiction may experience withdrawal symptoms such as sweating, tremors, and nausea. People with video gaming addiction may experience withdrawal symptoms such as anxiety, irritability, and difficulty sleeping.
  4. Treatment: There are a variety of treatment options available for alcohol addiction, including counseling, medication, and 12-step programs. There are also a growing number of treatment options available for video gaming addiction, but they are not as well-established as those for alcohol addiction.

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  1. Both alcohol addiction and video gaming addiction are serious problems that can have a devastating impact on individuals and families. It is important to be aware of the risks of addiction and to seek help if you or someone you know is struggling.



Causal Factors for Eating Disorders

Causal Factors for Eating Disorders



 There is no single cause of eating disorders. They are likely caused by a complex interaction of genetic and environmental factors. Genetic factors: Eating disorders may be partly caused by genes. People who have a family history of eating disorders are more likely to develop them themselves.

Environmental factors

 Eating disorders may also be partly caused by environmental factors. These include cultural pressures to be thin, exposure to dieting and weight loss programs, and traumatic life events.

 

Specific environmental factors (Hooley et al., 2019):

  1. Cultural pressure to be thin
  2. Exposure to dieting and weight loss programs
  3. Traumatic life events
  4. Family history of eating disorders
  5. History of other mental health conditions, such as anxiety or depression


 The diathesis–stress model helps explain how genetic and environmental factors interact to cause eating disorders.

.

The diathesis-stress model (Hooley et al, 2019):

  •  Genes make some people more susceptible to environmental pressures, which can then lead to the development of problematic eating attitudes and behaviors.
  • the diathesis -  people who are genetically predisposed to a certain condition 
  • When the above meets the right stressor, an eating disorder can develop
  • This model is only a theory.


Genetics

  • Family studies: Family studies have shown that people with eating disorders are more likely to have relatives with eating disorders or other mental health conditions.
  • Twin studies: Twin studies have shown that eating disorders are more likely to be shared by identical twins than fraternal twins. This suggests that genes play a role in the development of eating disorders.

Genome-wide association studies:

  •   Genome-wide association studies have identified several genes that are associated with eating disorders. These genes are involved in a variety of biological processes, including
    •  metabolism
    •  mood regulation
    •  development.
  • These genes alone do not guarantee an eating disorder will develop.

Brain abnormalities 

 

Hypothalamus:

     The hypothalamus is a part of the brain that plays an important role in regulating eating behavior. Animal studies have shown that lesions to the hypothalamus can lead to overeating or undereating.

 Frontal and temporal cortex:

 The frontal and temporal cortex are also involved in eating behavior. Damage to these areas has been linked to the development of anorexia nervosa and bulimia nervosa.

Network of brain areas:

 Animal research suggests that a network of brain areas, including the hypothalamus, the frontal cortex, and the amygdala, may be involved in the development of eating disorders.

Set point

  • Set point theory is a theory that suggests that our bodies have a natural weight range that they try to maintain.
  • Hunger is one way that our bodies try to maintain our set point. When we lose weight, our hunger increases in an attempt to get us back to our set point.
  • Influenced by a variety of factors, including genetics, metabolism, and environment.

Serotonin


  •  Serotonin is a neurotransmitter that has been implicated in obsessionality, mood disorders, and impulsivity. It also modulates appetite and feeding behavior.
  • Many patients with eating disorders respond well to treatment with antidepressants (which target serotonin), leading some researchers to conclude that eating disorders involve a disruption in the serotonergic system.
  • Serotonin is made from an essential amino acid called tryptophan, which can only be obtained from food.

5-HIAA

Product of serotonin metabolism(5 HIAA, n.d.). 
  • People with anorexia nervosa have low levels
  • People with bulimia nervosa have normal levels.


Serotonin overactivity

It has been suggested that people with may use dieting as a way to regulate this by decreasing the amount of tryptophan available to make serotonin (Hooley et al, 2019).

  •  Neurotransmitters like serotonin do not work in isolation and changes in the serotonin system will have implications for other neurotransmitter systems too

 

Reward Sensitivity

  • A new direction in eating disorders research centers on the brain pathways and neurotransmitters (such as dopamine) that are involved in reward processing.
  • Patients with anorexia nervosa show more activity in brain reward areas when they view pictures of thin rather than healthy models, while controls show the opposite pattern
  • Reward and punishment systems get contaminated; normally rewarding stimuli such as food become aversive, and stimuli associated with self-starvation become valued.


References


 5 HIAA. (n.d.). TheFreeDictionary.com. Retrieved August 27, 2023, from https://medical-dictionary.thefreedictionary.com/5+HIAA


Anorexia Nervosa

 Anorexia Nervosa

With anorexia, the patient thrives on being thin at any cost and this causes the patient's abnormal behaviors that result in a low body weight regardless of the consequences. Amenorrhea is no longer required for someone to be diagnosed with anorexia nervosa. Significantly low weight is defined as a weight that is less than minimally normal for children and adolescents and less than that is minimally expected. The patient has an intense fear of gaining weight or becoming and persistent behavior that interferes with gaining weight, even though they are significantly underweight

    The patient experiences disturbance in the way that they view their body shape and also a persistent lack of recognition of the seriousness of the current low body weight.

There are two types of Anorexia Nervosa

  1. The restricting type
    1. Patients restrict food intake to maintain their low weight
    2. They do not like to eat in front of other people 
  2.  Binge-eating/purging type
    1. The restrict calories
    2. They binge eat and purge

Some example of how patients suffering from anorexia suffer from distorted thinking (Hooley, et al, 2019).

  • “I have a rule when I weigh myself. If I’ve gained then I starve the rest of the day. But if I’ve lost, then I starve too.”
  • “Bones define who we really are, let them show.”
  • “An imperfect body reflects an imperfect person.”
  • “Anorexia is not a self-inflicted disease, it’s a self-controlled lifestyle.”
  • “It’s not deprivation, it’s liberation.”

Here are some ways someone suffering from anorexia nervosa might try to conceal their weight loss especially if they know that they are about to be weighed.

  •  wearing baggy clothes 
  •  carrying hidden bulky objects so that they will weigh more when measured by others
  • drinking large amounts of water to increase their weight temporarily.

DSM-5 Criteria for. . .

Anorexia Nervosa


  1. Restriction of energy intake relative to requirements, leading to a significantly low body weight in the context of age, sex, developmental trajectory, and physical health. Significantly low weight is defined as a weight that is less than minimally normal or, for children and adolescents, less than that minimally expected.
  2. Intense fear of gaining weight or of becoming fat, or persistent behavior that interferes with weight gain, even though at a significantly low weight.
  3. Disturbance in the way in which one’s body weight or shape is experienced, undue influence of body weight or shape on self-evaluation, or persistent lack of recognition of the seriousness of the current low body weight (Hooley et al, 2019).
  • Anorexia is centuries old.
    • Religious literature tells of cases of extreme cases of fasting (Hooley, et al., 2019).
    • 1689
      • Richard Morton - wrote about the first documented cases of anorexia nervosa. An 18-year-old girl and a 16-year-old boy both suffered from what they called at the time "nervous consumption" ( Hooley, et al., 2019).
      • The girl died eventually because she refused the treatment.
    • 1873
      • Charles LasΓ¨gue in Paris and Sir William Gull in London
        • Both wrote about two different cases and described the same symptoms. 
        • One case was a 14-year-old girl who was starving herself. They treated her by getting her to eat light food every few hours.


References

Hooley, J. M., Nock, M. K., & Butcher, J. N. (2019). Abnormal Psychology (18th ed.).
Pearson Education (US). https://bookshelf.vitalsource.com/books/9780135191033

What are Personality Disorders?

 What are Personality Disorders?

Personality disorders are a group of mental health conditions that involve long-lasting, inflexible patterns of thinking, feeling, and behaving. These patterns cause significant distress or problems in a person's life, and they can make it difficult to function at work, school, or in relationships.

Personality disorders are not caused by a single event, but rather by a combination of factors, including genetics, environment, and early childhood experiences. They are often diagnosed in adolescence or early adulthood, but they can develop at any age.

Three clusters of personality disorders



The symptoms of personality disorders can vary widely, but some common signs include:

  • Problems with self-image or self-esteem
  • Difficulty forming and maintaining relationships
  • Extreme emotional reactions
  • Unrealistic or inflexible expectations of others
  • Impaired impulse control
  • Difficulty coping with stress

If you think you or someone you know may have a personality disorder, it is important to seek professional help. There are effective treatments available, such as psychotherapy and medication.

How are Personality Disorders Treated?


The treatment for personality disorders typically involves a combination of psychotherapy and medication. Psychotherapy can help people with personality disorders to understand their thoughts, feelings, and behaviors, and to develop healthier coping mechanisms. Medication can help to manage some of the symptoms of personality disorders, such as anxiety or depression.

The specific type of psychotherapy that is most effective for personality disorders varies depending on the individual. Some common types of psychotherapy include:


  • Cognitive-behavioral therapy (CBT): CBT helps people to identify and change their negative thoughts and behaviors.
  • Dialectical behavior therapy (DBT): DBT teaches people skills to manage their emotions and relationships.
  • Schema therapy: Schema therapy helps people to identify and change their core beliefs and schemas, which are negative patterns of thinking and feeling that contribute to personality disorders.
  • Medication is not always necessary for the treatment of personality disorders, but it can be helpful in some cases. The specific type of medication that is prescribed will depend on the individual's symptoms.

 Some common medications used to treat personality disorders include:

  • Antidepressants: Antidepressants can help to manage symptoms of anxiety and depression.
  • Antipsychotics: Antipsychotics can help to manage symptoms of delusions and hallucinations.
  • Mood stabilizers: Mood stabilizers can help to manage symptoms of mood swings.

Living with a Personality Disorder

Living with a personality disorder can be challenging, but it is important to remember that you are not alone. There are many people who are living with personality disorders and who are able to lead fulfilling lives.

If you have a personality disorder, it is important to seek professional help. With treatment, you can learn to manage your symptoms and live a full and productive life.

Here are some tips for living with a personality disorder:

  • Educate yourself about your disorder. The more you know about your disorder, the better equipped you will be to manage it.
  • Find a therapist who specializes in personality disorders. A therapist can help you to understand your disorder and develop coping mechanisms.
  • Join a support group. Talking to others who have personality disorders can be helpful and supportive.
  • Take care of yourself. Make sure to get enough sleep, eat healthy foods, and exercise regularly.
  • Don't give up. Living with a personality disorder can be challenging, but it is important to remember that you are not alone and that there is help available.

References

Hooley, Jill, M. et al. Abnormal Psychology. Available from: VitalSource Bookshelf, (18th Edition). Pearson Education (US), 2019.


What is Cyclothymic Disorder?

 What is Cyclothymic Disorder?

Cyclothymic disorder is a type of mood disorder that is characterized by periods of hypomania (elevated mood) and depression. The mood swings in cyclothymic disorder are not as severe as those seen in bipolar disorder, but they can still have a significant impact on a person's life.

The symptoms of hypomania in cyclothymic disorder include:

  • Increased energy and activity
  • Increased talkativeness
  • Racing thoughts
  • Decreased need for sleep
  • Increased self-esteem
  • Increased distractibility
  • Impulsive or risky behavior


The symptoms of depression in cyclothymic disorder include:

  1. Sadness
  2. Loss of interest or pleasure in activities
  3. Fatigue
  4. Difficulty concentrating
  5. Changes in appetite or weight
  6. Sleep problems
  7. Thoughts of death or suicide

To be diagnosed with cyclothymic disorder, a person must experience at least two years of mood swings that meet the criteria for hypomania and depression. The mood swings must also cause significant distress or impairment in a person's life.

Cyclothymic disorder is often treated with medication and/or therapy. Medications that are used to treat cyclothymic disorder include mood stabilizers, such as lithium and lamotrigine. Therapy can help people with cyclothymic disorder learn how to manage their mood swings and improve their coping skills.

People with cyclothymic disorder are at an increased risk of developing full-blown bipolar disorder. If you are experiencing symptoms of cyclothymic disorder, it is important to see a doctor or mental health professional for diagnosis and treatment.



References


 Hooley, Jill, M. et al. Abnormal Psychology. Available from: VitalSource Bookshelf, (18th      Edition). Pearson Education (US), 2019.

Delayed Ejaculation Disorder

 

 Delayed Ejaculation Disorder:

Delayed ejaculation disorder is a condition in which a man experiences persistent difficulty in ejaculating during intercourse. This condition is relatively rare, occurring in only about 3 to 10 percent of men. Men who are completely unable to ejaculate are even rarer. About 85 percent of men who have difficulty ejaculating during intercourse can nevertheless achieve orgasm by other means of stimulation, such as through solitary masturbation.


In some cases, delayed ejaculation can be related to specific physical problems such as multiple sclerosis or to the use of certain medications. For example, antidepressants that block serotonin reuptake can be an effective treatment for early ejaculation. However, in other men, these same medications—especially SSRIs—can sometimes delay or prevent orgasm to an unpleasant extent. These side effects are common but can sometimes be treated pharmacologically with medications like Viagra.

Psychological treatments for delayed ejaculation include couples therapy in which a man tries to get used to having orgasms through intercourse with a partner rather than via masturbation. Treatment may also emphasize the reduction of performance anxiety about the importance of having an orgasm versus sexual pleasure and intimacy. Increasing genital stimulation may also be helpful.

In conclusion, delayed ejaculation disorder is a relatively rare condition that can have significant consequences for a man's sexual satisfaction and relationship. There are several treatment options available, including pharmacological interventions and psychological therapy. If you or someone you know is experiencing this problem, it may be helpful to seek help from a qualified healthcare professional.


References

 Hooley, Jill, M. et al. Abnormal Psychology. Available from: VitalSource Bookshelf, (18th Edition).

             Pearson Education (US), 2019.

The Dream Work: Condensation

 The Dream Work: Condensation















One of the most important processes of the dream work is condensation. Condensation is the process by which multiple dream thoughts are represented by a single dream image or element. This can happen in a number of ways, such as:

  1. Symbolism: A single dream image can represent multiple dream thoughts. For example, a dream about a snake might represent multiple fears or anxieties, such as fear of sex, fear of death, or fear of the unknown.
  2. Fusion: Two or more dream thoughts can be fused together into a single dream image. For example, a dream about a person who is both your father and your boss might represent the conflict between your need for love and support from your father and your need for respect and authority from your boss.
  3. Omission: A single dream image can represent multiple dream thoughts by omitting some of the details. For example, a dream about a person who is only vaguely familiar to you might represent multiple people in your life who you feel a connection to, but who you don't know very well.
Condensation is a way for the dream work to represent a lot of information in a compact form. This is important because dreams are limited by the amount of information that can be processed in the sleeping brain. Condensation allows the dream work to pack a lot of meaning into a single dream image, which makes it easier for the dreamer to remember and process the dream.

However, condensation can also make it difficult to interpret dreams. When multiple dream thoughts are represented by a single dream image, it can be hard to figure out what the dream is really about. This is why dream interpretation is often a challenging process.

Despite the challenges, condensation is an essential part of the dream work. It is a way for the dream to communicate complex and sometimes contradictory information to the dreamer. By understanding how condensation works, we can better understand the meaning of our dreams.

In addition to the examples mentioned above, here are some other examples of condensation in dreams:

A dream about a crowded room might represent multiple social interactions that the dreamer is struggling to keep track of.
A dream about a long journey might represent multiple challenges or obstacles that the dreamer is facing in their life.
A dream about a fire might represent multiple emotions, such as anger, passion, or destruction.
If you are interested in learning more about dream condensation, I recommend reading Sigmund Freud's book The Interpretation of Dreams. Freud was the first to describe condensation as a process of
dream work, and he provides many examples of condensation in dreams.


References

Freud, S. (1911). The Interpretation of Dreams (3rd ed.). Hayes Barton Press. 
                                    https://bookshelf.vitalsource.com/books/L-999-74204

Social Anxiety Disorder


 









DSM-5 Criteria for Borderline Personality

 Borderline Personality Disorder


A pervasive pattern of instability of interpersonal relationships, self-image, and affects, and marked impulsivity, beginning by early adulthood and present in a variety of contexts, as indicated by five or more of the following:

  1. Frantic efforts to avoid real or imagined abandonment. (Note: Do not include suicidal or self-mutilating behavior covered in Criterion 5)
  2. A pattern of unstable and intense interpersonal relationships characterized by alternating between extremes of idealization and devaluation.
  3. Identity disturbance: markedly and persistently unstable self-image or sense of self.
  4. Impulsivity in at least two areas that are potentially self-damaging(eg. spending, sex, substance abuse, reckless driving, binge eating). (Note: Do not include suicidal or self-mutilating behavior covered in Criterion 5.)
  5. Recurrent suicidal behavior, gestures,
    threats, or self-mutilating behavior.
  6. Affective instability due to a marked reactivity of mood (eg. intense episodic dysphoria, irritability, or anxiety usually lasting a few hours and only rarely more than a few days.)
  7. Chronic feelings of emptiness.
  8. Inappropriate, intense anger or difficulty controlling anger (e.g. frequent displays of temper, constant anger, recurrent physical fights).
  9. Transient, stress-related paranoid ideation or severe dissociative symptoms.

Anxiety, Fear, and Stress

 The autonomic nervous system is a part of the peripheral nervous system that controls physiological processes such as pulse, blood pressure, respiration, digestion, and sexual arousal. Sympathetic, parasympathetic, and enteric nervous systems are all part of the autonomic nervous system. The sympathetic nervous system “controls ‘fight-or-fight' responses” (McCorry, 2007). "The parasympathetic system regulates rest and digest functions” (McCorry, 2007). A balance between these two systems is essential for our mental and physical health. Since the parasympathetic system slows down and relaxes everything and the sympathetic system speeds everything up, when one is active, the other is less engaged. An example of these systems being out of balance would be if the sympathetic system were constantly active at an excessive level. There would be a constant feeling of the fight or flight response even though there is no immediate danger. One way a therapist might help a patient activate the parasympathetic nervous system is by having the patient rub their fingers over their lips. “Parasympathetic fibers are spread throughout your lips so touching them stimulates the parasympathetic nervous system” (Bernhard, 2011). Toni Bernhard J.D. of Psychology Today states that is Toni’s go-to practice calming the mind and body and that it immediately calms someone down. Since both systems are correlated with someone's level of fear, when there is no balance, someone can develop an anxiety disorder. 


“In recent years many prominent researchers have proposed a fundamental distinction between the fear and anxiety response pattern” (Hooley et al., 2019). Fear involves the fight or flight response originating from the sympathetic nervous system and it is an instant reaction to threat. For instance, someone taking a shower and suddenly they see a stranger in a mask standing by the shower holding a knife. The person in the shower will suddenly experience a fight or flight response thanks to the sympathetic nervous system. This is a normal fearful reaction to what is happening, and one that may help the person in the shower survive. Now if the showering person survives this incident, then they will have anxiety about taking another shower. The cognitive, which is subjective, the physiological, and the behavioral components of anxiety and fear are different. The person in the shower is thinking I am in immediate danger, and they are experiencing physical symptoms such as tachypnea, tachycardia, and diaphoresis. Their behavior will indicate a desire to run or escape.  Now the subjective, physical, and behavioral symptoms of anxiety would be chronic worrying about what might happen, chronic muscle tension and wanting to avoid the situation or stressor, respectively. The DSM-5 recognizes anxiety as a disorder. 


“Anxiety disorders are characterized by unrealistic or irrational fears or anxiety that cause significant distress and impairments in functioning” (Hooley et al., 2019). Generalized anxiety disorder and specific phobia anxiety disorder are two anxiety disorders mentioned in the DSM-5. With generalized anxiety disorder, the patient suffers from chronic worry about things that can go wrong with anything. These patients have some panic attacks, but they are not the focus of their anxiety. With a specific phobia, the patient experiences a major fight or flight response when introduced to the feared object or situation. Even the possibility of encountering the feared object or situation causes anxiety for these patients. Anxiety affects society. “During 2019, about one in six (15.6%) adults aged 18 and over experienced symptoms of anxiety in the past 2 weeks that were either mild (9.5%), moderate (3.4%), or severe (2.7%)” (Terlizzi & Villarroel, 2020). With these statistics in mind, anxiety has a close relationship with programmatic themes. 

     Emotional intelligence and self-care are essential when dealing with anxiety disorders. Emotional intelligence increases with the knowledge of the relationship between the sympathetic and parasympathetic nervous systems, and how they affect anxiety. Increased emotional intelligence allows people to approach anxiety disorders scientifically. Increases in emotional intelligence also contribute to everyone's awareness of self-care. Self-care is also essential in maintaining physical and mental health. 


 


References 

‌ Bernhard, T. (2011, September 13). 4 Tips for Slowing Down to Reduce Stress. Psychology Today. https://www.psychologytoday.com/us/blog/turning-straw-gold/201109/4-tips-slowing-down-reduce-stress 

Hooley, J. M., Nock, M. K., & Butcher, J. N. (2019). Abnormal Psychology (18th ed.). Pearson Education (US). https://bookshelf.vitalsource.com/books/9780135191033 

McCorry, L. K. (2007). Physiology of the Autonomic Nervous System. American Journal of Pharmaceutical Education, 71(4). https://www.ncbi.nlm.nih.gov/pmc/articles/PMC1959222/#:~:text=The%20sympathetic%20system%20controls%20%E2%80%9Cfight 

Terlizzi, E., & Villarroel, M. (2020, September 21). Symptoms of Generalized Anxiety Disorder Among Adults: United States, 2019. Www.cdc.gov. https://www.cdc.gov/nchs/products/databriefs/db378.htm 

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