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Strengths And Weaknesses Of The Psychiatric Classification System
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Mental disorder, two simple words that can stir up a storm of emotions. Habitually mistaken by general society as “deranged” or “unstable”, the words mental disorder, often, tend to have a negative cognition associated with them. This should not be the case. The misunderstanding that mental disorder is automatically equivalent of that to being psychotic and erratic leaves many individuals feeling isolated, and distressed to share their helplessness due to fear of social stigma. Further public education is required to eradicate this unfortunate social stigma. So what categorically is a mental disorder? Although it can range from minor to severe impairment, and include a vast variety of conditions, mental disorders can generally be defined as: a mental or behavioral pattern that causes distress or disability and which is not developmentally or socially normative (Raskin,2012). Standardly, to diagnose a mental disorder the International Classification of Mental and Behavioral Disorders (ICD), published by the World Health Organization, or the Diagnostic and Statistical Manual of Mental Disorders (DSM), published by the American Psychiatric Association, are used (Bolton,2008). This essay will focus on General Anxiety Disorder (GAD). First the essay will discuss what GAD is and how it is diagnosed. The essay will then explore the differences of GAD between the general male and female populations, subsequently, look into brain activity and hormones, as well as lightly touch on other causes of GAD. Finally, an explanation of the gender differences of GAD will be discussed form a biopsychological standpoint.
The DSM-IV-TR defines General Anxiety Disorder, also known as chronic anxiety neurosis, in shorter terms, as “chronic...
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...-anxiety food solution: how the foods you eat can help you calm your anxious mind, improve your mood, & end cravings. Oakland, CA: New Harbinger Publications.
Spiteri, T., Musatov, S., Ogawa, S., Ribeiro, A., Pfaff, D. W., & Ågmo, A. (2010). The Role Of The Estrogen Receptor α In The Medial Amygdala And Ventromedial Nucleus Of The Hypothalamus In Social Recognition, Anxiety And Aggression. Behavioural Brain Research, 210(2), 211-220.
Tromp, D. P., Grupe, D. W., Oathes, D. J., McFarlin, D. R., Hernandez, P. J., Kral, T. R., et al. (2012). Reduced Structural Connectivity of a Major Frontolimbic Pathway in Generalized Anxiety Disorder. NeuroImage, 69(9), 1.
Vesga-López, O., Schneier, F. R., Wang, S., Heimberg, R. G., Liu, S., Hasin, D. S., et al. (2008). Gender Differences In Generalized Anxiety Disorder. The Journal of Clinical Psychiatry, 69(10), 1606-1616.
Generalized Anxiety Disorder, also known as (GAD) is one of the several types of anxiety disorders. GAD according to our textbook (Lahey) is an uneasy sense of general tension and apprehension for no apparent reason that makes the individual highly uncomfortable because of its prolonged presence. GAD is much more than the normal anxiety people experience day to day. Without provoking, it is chronic and exaggerated worry and tension. This disorder can involve anticipating disaster, often worrying excessively about health, money, family or work. Sometimes, though, just the thought of getting through the day brings anxiety.
All around the globe, people have attempted to find an organic, genetic basis for aggressive behavior. Several hormones and neurotransmitters, such as testosterone and seretonin, have been implicated in the "aggression quest", as well as specific localities of the human brain. My paper will serve to suggest that although many findings have shown impressive results regarding possible biological causes of violent behavior, we still do not have sufficient means to understand the neuroanatomical or biochemical basis of aggression.
2. By looking through the case study, the most prominent problem Sara struggles with, is her persistent worry about different parts of her life including her job status, health and her relationship with her husband. For the past six months, she has been anxious and worried excessively, leading her to have difficulty sleeping. As she admitted, “ I cannot shut my brain off anymore, I am worrying all the time”, therefore her condition met the primary criteria of generalized anxiety disorder which is the excessive worry for at least 6 months more days than not, about diverse events and activities. Being restless, irritable, having sleep difficulty and being easily fatigued are four factors of GAD that are apparent in this case. “I have always had lots of energy but now at times I struggle to get out of bed and drag myself thorough the work day”; it indicates the fatigue she recently experienced. Fidgets with her jewellery when speaking and a nervous laugh she has, shows her persistent anxiety. Moreover, she was recently diagnosed with irritable bowel syndrome which has a high comorbidity with anxiety disorders. In conclusion, since she is persistently worried about different aspects of her life and she has the criteria for GAD, generalized anxiety disorder is the most likable disorder she has.
The focus of this literature review is on the patterns of amygdala activation and its role in attentional threat assessment, as well the effects of the neuropeptide oxytocin on the amygdala. The amygdala plays an important role in human threat assessment. In both humans and primates, the identification of facial expressions and their direction of gaze is a necessary aspect of social behavior, and the amygdala plays a large role in this function (Boll, Gamer, Kalisch, & Buchel, 2011, p. 299). From a medical standpoint, the study of the amygdala would help in understanding the neurological basis of many behavior disorders such as borderline personality disorder and post traumatic stress disorder. These studies make use of novel techniques with a combination of functional MRI and eye tracking based face perception tasks. More recent studies have involved more precise imaging in order to observe specific regions of the amygdala, rather than the amygdala as a whole structure. The amygdala is strongly influenced by fearful and angry faces, which stimulate feelings of threat. The amygdala also exhibits differential activation in different sexes, thus having extensive implications on tailoring drugs for mood disorders in the different sexes (Lischke et al., 2012, p. 1432).
Bearing in mind that an anxiety response is a result of various factors, there are different types of anxiety disorders. The most common type of anxiety disorders as described as specific phobias, social anxiety disorder (SAD), panic disorder (PD), generalized anxiety disorder (GAD), obsessive compulsive disorder (OCD) and post-traumatic stress disorder (PTSD). According to Anxiety and Depression Association of America (ADAA) (2016), specific phobias affect about 19 million adults in the U.S, while SAD affects 15 million, PD affects 6 million, GAD affects about 6.8 million, OCD affects about 2.2 million and PTSD affects 7.7 million adults respectively. Considering that anxiety disorders are the most common mental illness in the U.S, yet only about one-third of those suffering receive treatment (ADAA, 2016).
If the patient is showing any of these sign/ symptoms then they would be diagnosed with generalized anxiety disorder (Comer, 2013, pp.115).
known to be twice as likely to suffer from anxiety than males. On the other hand, an equal
Fear and Anxiety are essential functions that occur in the brain that allow people to respond to stimuli appropriately. These feelings as normal as they are can cause problems and in 3.1 percent of adult Americans approximately 6.8 million people it does cause problems (“Generalized anxiety disorder”, 2014). A problem can arise when people have too much fear and anxiety; a problem is evident when it interferes with their life and their ability to do things. This is known as general anxiety disorder (GAD). When someone is suffering from generalized anxiety disorder they normally experience excessive exaggerated anxiety and worry about normal life events that give no clear reason for worry (“Generalized anxiety disorder”, 2014). This disorder can be debilitating and rule over people’s lives if it is severe and a better understanding of the disorder can be gained by looking at historical views, current views, causes and symptoms, case studies, differential diagnosis considerations, and treatment.
Anxiety disorder is a type of abnormal behavior characterized by unrealistic, irrational fear. These types of disorders are diagnosed two as often in women as in men. Although these disorders can be very chronic and serious, they are easily treatable. Generalized anxiety disorder is when people experience fear and worry that is not focused on one specific aspect; nevertheless, they suffer greatly with headaches, dizziness, heart palpitations, and insomnia. Obsessive-compulsive disorder, better known as OCD, involves persistent, unwanted, obsessions and irresistible urges to perform compulsions in order to relieve anxiety. Unlike other anxiety disorders, OCD consists more of anxiety and worry rather than fear itself. Many people who experience OCD are aware that there is no motive behind their actions, however their anxiety is heightened when they try to ignore the compulsions. People with such anxiety disorders often experience sensitivity to other people’s views as well as worry over their surroundings.
Beck, A. T., & Steer, R. (1993). Beck Anxiety Inventory 1993 Edition. Retrieved from EBSCOhost.
The condition of Donald can be described as a long term, constant and at times disabling conditions; that can be described as Generalized Anxiety Disorder (GAD). Generalized Anxiety Disorder (GAD) is the anxiety disorder that has affected about 3.1 % of American adults that are age from 18 to older (2013, National Institute of Mental Health).
Muscle aches, trouble concentrating, and being tired all the time, these are some effects that anxiety disorders can have on a person. Jake has been diagnosed with an anxiety disorder. Just like there are many different causes and different types of disorders, there are also many ways to treat the disorders. Three different types will be explained within this essay. Number one, the humanistic approach, or being able to fulfill a personal potential. Number two, the behavioral view of the change in behaviors, and then the third, the cognitive side, or mental processes. By looking at these specific views, we will define them and see where they believe the causes are formed and the care they can give to help in combating the anxieties of life.
The difference between normal worrying and generalized anxiety disorder are the accompanying symptoms as well as the length of time the worrying persists. To occasionally torment oneself with or suffer from distressing thoughts is classified as normal worrying. The symptoms of worrying may vary, but most people experience disturbed feelings and the mental fatigue of being overly concerned with a circumstance. On the other hand, with generalized anxiety disorder (GAD) one experiences excessive anxiety under most circumstances, expecting the worst even when there is no obvious or visible reason for concern. The symptoms are being agitated, on edge, easily tired, having difficulty concentrating, muscle tension, and issues with sleep. GAD usually develops during childhood or the adolescent years and the symptoms last as long as six months as opposed to normal worrying which dissipates in a much shorter length of time. (Word count: 141)
National Institute of Mental Health. (2009). Studying anxiety disorders. NIH Medline plus, 5, 13-15. Retrieved from http://www.nimh.nih.gov/health/publications/anxiety-disorders/complete-index.shtml
Mental illness is the condition that significantly impede with an individual’s emotional, cognitive or social abilities (Savy and Sawyer, 2009). According to (Savy and Sawyer, 2009) neurological, metabolic, genetic and psychological causes are contributing factors for various types of mental illness like depression, schizophrenia, substance abuse and progression of condition. An elaborate system known as DSM-IV-TR gives a classification system that acts to separate mental illness into diagnostic categories based on the description of symptoms of illness (Savy and Sawyer, 2009). The exact primarily causes of mental illness are complicated, however, it seems to occur in a psychologically and biologically prone individual, in the trigger of environmental and social stress (Elder, Evans and Nizette, 2007).