Causes and Symptoms of All
Causes and Symptoms of All
DEVELOPMENTAL DISORDERS:
(CAUSES AND SYMPTOMS OF ALL).
■ ANXIETY - GENERALISED, PHOBIC, OBSESSIVE- COMPULSIVE; MOOD
- BI-POLAR, DEPRESSION
■ WHAT IS MEANT BY ANXIETY - DIFFERENT FORMS OF ANXIETY
DISORDERS: Generalised, PHOBIAS, OBSESSIVE - COMPULSIVE
DISORDERS;
■ MOOD DISORDERS- CHARACTERISTICS OF SEVERE DEPRESSION,
MANIC- DEPRESSIVE OR BIPOLAR DISORDER.
BEHAVIOURAL AND DEVELOPMENTAL DISORDERS- (Definition and
symptoms only)
■ ATTENTION DEFICIT HYPERACTIVE DISORDER (ADHD), AUTISM.
Have you ever felt anxious?
Has anxiety ever helped you?
Do you think everyone has
anxiety?
Anxiety Disorder
GENERALISED OBSESSIVE
ANXIETY PHOBIC DISORDER COMPULSIVE
DISORDERS DISORDER
1. Amy, age 38, is a worrier. She is restless, irritable and has difficulty concentrating. She
worries that she worries so much and isn’t always sure what it is that she is worried about.
She can’t let her husband or children leave the house without making them call her
regularly to reassure her that they are ok. Her husband is growing weary of her fretting.
Her children can’t understand what all the fuss is about. Their impatience with her only
makes her worry more.
1. A 27-year-old, athletic young man has an intense fear of needles. He tries to
rationalize his fear by explaining that he is just being cautious and protecting
himself from acquired immunodeficiency disease syndrome (AIDS). He realizes
that his fear is irrational but is unable to control it. The patient has fainted twice
in the past when his blood was drawn during a physical examination. He
becomes extremely anxious at the sight of a needle and worries for days before
an appointment with his physician or dentist.
■ Obsessive compulsive disorder-
■ A person with Obsessive-Compulsive Disorder experiences obsessions,
compulsions, or both.
■ Obsessions are repeated unwanted and intrusive thoughts or images.
Compulsions are repetitive behaviors that help to prevent or relieve anxiety.
■ Obsessions are characterized as persistent, unintentional, and unwanted
thoughts and urges that are highly intrusive, unpleasant, and distressing
■ Compulsions are repetitive and ritualistic acts that are typically carried out
primarily as a means to minimize the distress (temporary relief) that
obsessions trigger or to reduce the likelihood of a feared event
■ Compulsive behaviours- handwashing, checking, ordering or mental
activities- counting, praying, repeating certain words.
Clinical Features (Symptoms):
[1] Recurrent and persistent obsessive thoughts, impulses or images which are intrusive and
inappropriate, causing marked anxiety.
[2] Person tries to suppress or neutralise such thoughts or impulses by some other thoughts
or actions.
[3] Person realizes that these thoughts are inappropriate and originate from his or her own
mind.
[4] Repetitive behaviour or a mental activity that the person feels driven to perform in
response to a recurrent thought.
[5] These behaviours are performed to remove distress or uneasiness or neutralise the effect
of some dreaded obsessive thoughts or images.
[6] The obsession or compulsion causes significant distress, and great waste of time. This
happens to the extent that this disorder may interfere with a person's daily activities and
functioning.
Causes:
1. Neurochemical factors: Increased level of activity in brain areas like the caudate nucleus and
orbital frontal cortex. Dysfunction in these regions results in peculiar obsessive thoughts and
compulsions. Serotonin, a neurotransmitter has been highly implicated in OCD. Increased level of
serotonin activity results OCD.
4. Cognitive perspective: Thought-action fusion. OCD is caused due to faulty belief, where a person
believes that having a thought about doing something (killing a person) is equivalent to doing something
actually (having killed the person).
5. Psychodynamic perspective: Unconscious conflict arising when primitive id impulses are at odds
with socially acceptable behaviour. The persons try hard to suppress, resolve or cope with the conflict.
They may resort to something more manageable like an intrusive thought and an associated compulsive
behaviour. It helps to cope with the anxiety related with the unconscious conflict.
MOOD
DISORDERS
MAJOR
BIPOLAR
DEPRESSIVE
DISORDER
DISORDER
Mood Disorders- gross deviations in mood
■ Disruption of mood for longer periods of time that causes clinically significant impairment
and distress. The two basic symptoms patterns in mood disorders are depression and
mania, however, mixed states are also possible.
■ Unipolar or bipolar. People with unipolar disorders experience moods that are at the
depressive end of the continuum. People with bipolar disorders experience moods that are
at both ends of the continuum.
■ Depressed mood: sadness of mood or loss of interest and/or pleasure (Anhedonia) in
almost all activities (i.e. pervasive sadness), which is present throughout the day.
■ Manic mood is a distinct period of an abnormally and persistently elevated, expansive, or
irritable mood lasting for at least 1 week.
1. MAJOR DEPRESSIVE DISORDER/ SEVERE
DEPRESSION/UNIPOLAR DEPRESSION:
● In younger children, sadness, irritability, clinginess, worry, aches and pains, refusing to go to school, or
being underweight.
● In teens, sadness, irritability, feeling negative and worthless, anger, poor performance or poor attendance
at school, feeling misunderstood and extremely sensitive, using recreational drugs or alcohol, eating or
sleeping too much, self-harm, loss of interest in normal activities, and avoidance of social interaction.
1. Neurochemical factor: Low level of thyroid hormone, low level of serotonin affects the
level of other neurotransmitters dopamine, norepinephrine
2. Cognitive factor:
■ Learned helplessness (Seligman) - Belief where individuals feel that they have no control
over their destinies.
■ People with Negative thinking patterns, low self-esteem- likely to develop severe
depression.
■ Beck- COGNITIVE TRIAD Automatic, repetitive, negative thoughts about the world,
oneself and the future.
1. Humanistic factor:
■ Depression results from heightened self awareness.
■ Tend to direct their attention inward towards themselves. (RELATED TO LOC and share
your opinion)
■ Incongruence between ideal self and real self.
■ Self-criticism and self-blaming. Inferiority, worthlessness.
H.W
Write briefly on Learned helplessness.
4. Genetic Factor: Family History
5. Stressful life events:
(i)Independent life events (ii)Dependent life events
6. Psychodynamic factor:
a) How a child deals with grief, loss during childhood sets the pattern for adult life.
Example: Child faces death of a parent, loss of a favourite toy induces feelings of rejection,
and desertion.
As a child ego is self centred- misinterprets the loss,rejection as something wrong
he/she has done Hence he is being unloved, abandoned and uncared.
Evokes anger (unable to express) Feelings of anger and hostility turn inward
Self blame, criticism Depressive symptoms.
As an adult, they faces a loss - they regress to childhood & adopt the same behaviour pattern.
a) Feelings of inadequacy- Failure to meet the expectations of parents in EC. If the child has
parents (Authoritarian and critical) they can never please the parent. So the person set for
themselves high expectations that they may not achieve.
Failure Depression.
2) Bipolar Disorder (Manic-depressive)
■ Is expressed through serious shifts in mood, energy, thinking and behaviour.
Bi-polar- two extreme poles of mood.
Mania (elation or euphoria) Depression (melancholy or sadness)
■ One episode of each comes one after the other, (cyclic order).
Symptoms:
■ Persistently elevated or irritable mood at least for 1 week
■ Irrationally optimistic and highly talkative than usual.
■ Unrealistic belief about one's own power or ability (inflated self esteem).
■ Decreased need of sleep, extremely active, high level of energy.
■ Superfast thinking jumping from one idea to other (racing thoughts or flight
of ideas) and easily distracted.
■ Impaired judgment and impulsiveness resulting in excessive involvement in
pleasurable but risky activities (such as risky business investments,
unrestrained shopping sprees).
CAUSES
1. Genetic factor: Greater genetic influence in case of bipolar disorder than unipolar
depression.
2. Neurochemical factor:
■ Increased norepinephrine activity is associated with manic episodes while its decreased
activity is found during depressive episodes
■ Serotonin activity appears to be low
■ Increased activity of dopamine in several brain areas trigger manic symptoms
■ Drugs like cocaine stimulate dopaminergic activity thereby causing manic symptoms.
■ Brain scans Blood Supply
MANIA - Blood supply is lowered in right frontal and temporal regions during
DEPRESSION -lowered in the left prefrontal cortex.
Manic phases are assumed to be a defense mechanism based on denial used by ego.
Ego tries to camouflage (cover up) the feelings of worthlessness and inadequacy,
depressed mood with some totally opposite feelings of inflated self-esteem, elevated
mood and optimism.
Ego often fails to sustain this defense mechanism for a long time. So, the person again
collapses to his/her depressive phase.
(CYCLIC ORDER)
Case - Diego is always active, from the time he wakes up in the morning until the time he
goes to bed at night. His mother reports that he came out the womb kicking and
screaming, and he has not stopped moving since. He has a sweet disposition, but always
seems to be in trouble with his teachers, parents, and after-school program counselors.
He seems to accidentally break things; he lost his jacket three times last winter, and he
never seems to sit still. His teachers believe he is a smart child, but he never finishes
anything he starts and is so impulsive that he does not seem to learn much in school.
Behavioural and Developmental
Disorders
Attention Deficit
Hyperactive
Disorder
(ADHD) Autism
Behavioural and Developmental Disorders-
definition and symptoms only.
■ Neurodevelopmental disorders are a group of disorders that are typically diagnosed during
childhood and are characterized by developmental deficits in personal, social, academic, and
intellectual realms.
■ Fidget with or tap his or her hands or feet, or squirm in the seat
■ Have difficulty staying seated in the classroom or in other situations
■ Be on the go, in constant motion
■ Run around or climb in situations when it's not appropriate
■ Have trouble playing or doing an activity quietly
■ Talk too much
■ Blurt out answers, interrupting the questioner
■ Have difficulty waiting for his or her turn
■ Interrupt or intrude on others' conversations, games or activities
Autism
People on the autism spectrum also may have many strengths, including:
● Being able to learn things in detail and remember information for long periods of time
● Being strong visual and auditory learners
● Excelling in math, science, music, or art
Personality Disorders
Personality Disorder
Symptoms Definition