Math 34 week 1 notes
Math 34 week 1 notes 121B
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Popular in Math
This 15 page One Day of Notes was uploaded by Sieva Kozinsky on Friday September 19, 2014. The One Day of Notes belongs to 121B at University of California Santa Barbara taught by Jim simmon in Fall2014. Since its upload, it has received 106 views. For similar materials see Math in Math at University of California Santa Barbara.
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Date Created: 09/19/14
New category of behavioral addictions eg shopping porn and internet More stringent definitions based on absolute severity of signs and symptoms are used to diagnose disorders There is greater recognition of crosscutting symptoms that span multiple disorders anxiety depression Certain risk syndromes are defined as predictive of later disorders such as dementia and psychosis Suicide scales for adults and adolescents Clinical Interview Types of Information and Goals 9Assessment leads to diagnosis Lasts about 1 hour most valuable single source of information to a diagnosis Personal and family history re medical mental health social occupational financial problems Treatments that have workednot worked in past Symptomatology Signs from patient s presentation Goals Suitability and readiness for psychotherapy self or another therapist Determine need for referral to Psychiatrist or PCP for medication Neurologist for neurological testing andor neuroimaging Social worker vocational counselor physical therapist etc Social worker vocational counselor physical therapist etc Signs Noted in Clinical Interview Attire and grooming Posture Physical characteristics Skin tonecomplexion Weightstature Symmetryatrophybodily anomalies Mannerisms spasms or tics Speech Articulation Prosody Consciousness Level of alertness fogginess hypervigilance Emotional state General attitude Defiant compliant guarded defensive sincere plaintive resistant apathetic etc Thought content Soicited by free inquiry Thought processes Thought broadcasting removal insertion General knowledge General facts pop culture Abstract thinking Social thinking Insight Cognitive functioning Usually current mental status via MMSE Neuropsychological screen likes clock drawing Mini Mental Status Exam MMSE Folstein et al 1975 Orientation up to x3 Time year season date day month Place state country city facility Person name age Registration Slowly say the names of 3 common objects appe tabe penny and ask patient to repeat them Attention and calculation Serial 7 s or WO R LD backwards Recall Ask for names of 3 objects above Language Name a pencil and a watch when pointed to Repeat No ifs ands or buts Follow a 3stage command Take a paper in your right hand fold it in half and put it on the floor Read and obey the following CLOSE YOUR EYES Write a sentence Copy the following design Helpful Ancillary Diagnostic Information Info from family members Info from physicians employers Medical chart Obtaining this kind of information usually require signed releases and informed consents obtained at the beginning of the first session Topic 3 Depression and Mania Lecture 5 4152014 Affective Disorders 0 Refers to emotion and mood and motivation Clinical Features of Major Depression Cognitive Pervasive sadness guilt or feelings of worthlessness Recurrent thoughts of death or suicide Motivational Pervasive anhedonia inability to experience pleasure Neurovegetative goes back to Aristotle disturbances of basic functions Significant change in weight Sleep disturbance early morning awakenings are most common Psychomotor agitation or retardation feeling like everything is slower and everything takes too much effort Pervasive fatigue or loss of energy Difficulty concentrating studying working etc Prevalence of Depression Prevalence how much of a disorder is there in a population t s a snapshot of a population in a particular interval of time 0 Point prevalence At any particular point in time the percentage a population that has it About 5 of US population are diagnosably depressed OneYear prevalence How many people will have had that in a year about 10 Lifetime prevalence 1520 26 of women 12 of men 1520 of US population at any time may suffer from subsyndromal depression with nearly equal disability Women are twice as likely to be diagnosed with depression than men in their lives 0 Depressions in nonWestern countries differ from those in Western countries Risk Factors for Depression All of these are known to be contributors Genetic predisposition evidence from adoption and twin studies animal models Personal loss or gain no silver lining wo a cloud Prolonged psychological stress Depression possible physiological coHapse History of early abuse or neglect 0 Being in an industrialized nation Overall not race or social class they do not relate to the prevalence of depression Age of first onset in latter 20 s Physical illnesschronic pain need to exclude undiagnosed other iHnesses 0 Giving birth freq baby blues can lead to postpartum depression Female male ratio is 21 after puberty in childhood ratio is 11 Previous depression kindles later depressions chances of another episode is 4050 Harry Harlow s Monkey Depression Research Was abused as a child Interested in studying child abuse 0 He built a chamber to keep monkeys babies in away from their moms An analog to infant neglect to compare to child neglect which often was believed to lead to depression anaclytic The baby monkeys after depressed would cling on to each other 0 Eventually the depressed monkeys would eventually interact with the normal monkeys but they showed depression signs when frightened crawling into a ball becoming very shy etc Kindling Each Depression Increases the Risk of Later Depression Regardless of Life Stress The risk of you having another depression is proportional to the number of depressions you have had in the past already 0 The later depressions are more likely to be self kindled In the majority of cases most people will tell you everything was going fine and they just started to feel worse and worse There is often no big trauma that accounts for people s depression it s a combination of things Why are women diagnosed with depression twice as much as men Some possibilities include Xlinked depression genes Premenstrual symptoms Quality of female vs male life 0 Female masochism Freud Cognitive style 0 Females dwell on problems Males ignore or escape them 0 Male depression masked by alcoholdrug abuse Amish study 1st Cogni Line Depression Treatments Psychotherapy esp interpersonal or cognitive therapy been proven over the years that in most cases they don t do much damage are effects to most patients Roughly equal in effectiveness Antidepressant medication Phototherapy for seasonal depression For people that have depressions that come on when winter comes on ECT for treatmentrefractory depression tive Therapy Positive thinking underlies a lot of this therapy Uncovering automatic selfdefeating thinking patterns Developing new ways to interpret setbacks normalization analyzing logically decatastrophizing Replacing old automatic thoughts with new ones Prime areas of concern The self Life events The future
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