POSITIVE STRESSOR

THE "STRESS" IS STILL NEGATIVE

LENGTH OF TIME

IMPORTANCE OF THE SITUATION

CUMULATING STRESSORS

WHEN EXPERIENCES ARE MORE THAN WE HAVE TO ABILITY TO COPE WITH

OVERWHELMING

GOOD REST

GOOD DIET

GOOD EXERCISE

THE DEMANDS TO ADJUST PLACED ON A PERSON

A PERSON'S INTERNAL BIOLOGICAL AND PSYCHOLOGICAL RESPONSEES TO DEMANDS

STRESS IS A BY-PRODUCT OF POOR OR INADEQUATE COPING

ABILITY TO DEAL WITH STRESS WITHOUT NEGATIVE SERIOUS CONSEQUENCES

-SELF-CONFIDENCE

-SELF-ESTEEM

DECREASE IMMUNE SYSTEM

CAN DAMAGE BRAIN CELLS

HELP BODY SUSTAIN ACTION

ALLOSTASIS

RESULTS IN WEAR AND TEAR ON THE BODY

RELATED TO ILLNESS

VIRUSES AND BACTERIA

FOREIGN BODY OR INTERNAL THREAT

STRESSED

NEEDS EVERYTHING PERFECT

EXCESSIVE COMPETITIVE DRIVE

EXTREME COMMITMENT TO WORK

HOSTILITY

IMPATIENCE OR TIME URGENCY

PLAY TO WIN!

TYPE B PERSONALITY

LAID BACK

PATIENT

RELAXED

EASY-GOING

NEUROTIC

INSECURE

ANXIOUS

DISTRESSED (WHAT THE D STANDS FOR)

TENDENCY TO EXPERIENCE NEGATIVE EMOTIONS

WORRY

IRITABILITY

GLOOM

TASK ORIENTED PEOPLE

MAKES CHANGES IN ONE'S SELF, ONE'S SURROUNDINGS OR BOTH, DEPENDING ON THE SITUATION.

THE ACTION MAY BE OVERT, AS IN SHOWING ONE'S SPOUSE MORE AFFECTION

 THE ACTION MAY BE COVERT, AS IN LOWERING ONE'S LEVEL OF ASPIRATION 

THE ACTION MAY INVOLVE RETREATING FROM THE PROBLEM, ATTACKING IT DIRECTLY OR TRYING TO FIND A WORKABLE COMPROMISE

ESPECIALLY COMMON IN SOLDIERS INVOLVED IN ABUSIVE VIOLENCE AND PRISONERS OF WAR

ATTEMPTS TO PREPARE A PERSON IN ADVANCE OF A STRESSOR

PREPARES PEOPLE TO TOLERATE AN ANTICIPATED THREAT BY CHANGING THE THINGS THEY SAY TO THEMSELVES BEFORE THE CRISIS.

1)INFORMATION IS PROVIDED ABOUT THE STRESSFUL SITUATION AND ABOUT WAYS PEOPLE CAN DEAL WITH SUCH DANGERS

2)SELF-STATEMENTS THAT PROMOTE EFFECTIVE ADAPTATION ARE REHEARSED

3)THE PERSON PRACTICES MAKING SUCH SELF-STATEMENTS WHILE BEING EXPOSED TO A VARIETY OF EGO-THREATENING OR PAIN-THREATENING STRESSORS

SPECIFIC PHOBIA 

PRESENTS DIFFERENTLY THAN OTHERS

DISGUST MORE THAN A FEAR

WEAKNESS

FAINTING

INVOLVE ONE OR MORE SOCIAL SITUATIONS LIKE PUBLIC SPEAKING, USING THE PUBLIC RESTROOM, OR EATING IN PUBLIC

FEAR OF BEING EXPOSED TO THE SCRUTINY AND POTENTIAL NEGATIVE EVALUATION BY OTHERS.

FEAR THAT HE OR SHE MAY ACT IN AN EMBARRASSING MANNER.

EITHER AVOID THESE SITUATIONS OR ENDURE THEM WITH HIGH DISTRESS

SHOWS STRONG AND PERSISTENT FEAR THAT IS EXCESSIVE OR UNREASONABLE AND IS TRIGGERED BY THE PRESENCE OF A SPECIFIC OBJECT OF SITUATION. 

WHEN ENCOUNTERED WITH THE PHOBIC SITUATION THEY OFTEN SHOW IMMEDIATE FEAR RESPONSE THAT OFTEN RESEMBLES A PANIC ATTACK

THERE IS A CLEAR EXTERNAL TRIGGER

A TYPE OF SOCIAL PHOBIA WHERE PEOPLE HAVE SIGNIFICANT FEARS OF MOST SOCIAL SITUATIONS RATHER THAN JUST A FEW

OFTEN ALSO HAVE A DIAGNOSIS OF AVOIDANT PERSONALITY DISORDER.

LOSS OF SENSE OF PERSONAL IDENTITY

OFTEN WITH A FEELING OF BEING SOMETHING OR SOMEONE ELSE

MILD MANIA

DEPRESSION

DYSTHMIA

MODERATE SEVERE MOOD DISORDER CHARACTERIZED BY A PERSISTANTLY DEPRESSED MOOD MOST OF THE DAY FOR MORE DAYS THAN NOT FOR AT LEAST 2 YEARS. 

POOR APPETITE

SLEEP DISTURBANCES

NO ENERGY

LOW SELF-ESTEEM

DIFFICULTY CONCENTRATING

FEELING HOPELESS

IN ADDITION TO HAVING MAJOR DEPRESSION DISORDER A PATIENT EITHER HAS LOST INTEREST OR PLEASEURE IN ALMOST ALL ACTIVITIES OR DOES NOT REACT TO USUALLY PLEASURABLE STIMULI OR DESIRED EVENTS.

MUST EXPERIENCE AT LEAST 3 OF THE FOLLOWING:

1)EARLY MORNING AWAKENINGS

2)DEPRESSION BEING WORSE IN THE MORNING

3)MARKED PSYCHOMOTOR RETARDATION OR AGITATION

4)SIGNIFICANT LOSS OF APPETITE AND WEIGHT

5)INAPPROPRIATE OR EXCESSIVE GUILT

6)DEPRESSED MOOD THAT IS QUILATATIVELY DIFFERENT FROM THE SADNESS EXPEREIENCED DURING A NONMELANCHOLIC DEPRESSION

INCLUDES A PATTERN OF SYMPTOMS CHARACTERIZED BY MOOD REACTIVITY

PERSON'S MOOD BRIGHTENS IN RESPONSE TO POTENTIAL POSITIVE EVENTS.

PERSON MUST SHOW 2 ORMORE OF THE FOLLOWING:

1)SIGNIFICANT WEIGHT GAIN OR INCREASE IN APPETITE

2)HYPERSOMNIA (SLEEPING TOO MUCH)

3)LEADEN PARALYSIS (HEAVY FEELINGS IN ARMS AND LEGS)

4)A LONG-STANDING PATTERN OF BEING ACUTELY SENSITIVE TO INTERPERSONAL REJECTIONS.

INVOLVES A TENDENCY TO FOCUS ON ONE NEGATIVE DETAIL OF A SITUATION WHILE IGNORING OTHER ELEMENTS OF THE SITUATION.

ONLY REMEMBER THE NEGATIVE THINGS THAT HAPPENED

BECK'S THEORY ON DEPRESSION

 THE COGNITIVE SYMPTOMS OF DEPRESSION OFTEN PRECEDE AND CAUSE THE AFFECTIVE OR MOOD SYMPTOMS, RATHER THAN VICE VERSA.

FOR EXAMPLE, IF YOU THINKT HT YOU'RE A FAILURE OR THAT YOU'RE UGLY, IT WOULD NOT BE SURPRISING IF THOSE THOUGHTS LED TO A DEPRESSED MOOD.

NEGATIVE COGNITIONS ARE CENTRAL

A TRIAD OF TYPES OF NEGATIVE THOUGHTS 

1)NEGATIVE THOUGHTS ABOUT THE SELF (I'M UGLY, I'M WORTHLESS, I'M A FAILURE)

2)NEGATIVE THOUGHTS ABOUT ONE'S EXPERIENCES AND THE SURROUNDING WORLD (NO ONE LOVES ME, PEOPLE TREAT ME BAD)

3)NEGATIVE THOUGHTS ABOUT ONE'S FUTURE (IT'S HOPELESS BECAUSE THINGS WILL ALWAYS BE THIS WAY)

THE THREE PHASES OF STRESS

1)ALARM REACTION: BODY HAS LOWER RESISTANCE TO STRESS, ATTEMPTS TO DEFEND SELF

2)RESISTANCE: ALL RESOURCES ARE FIGHTING THE EFFECTS OF STRESS

3)EXHAUSTION: RESOURCES ARE USED UP, BODY NO LONGER ABLE TO RESIST. LEADS TO ILLNESS AND/OR DEATH

PARENTS NEED TO CLEARLY HELP CHILDREN UNDERSTAND WHAT IS CAUSING THEIR STRESS. 

IDENTIFY WHAT THE ISSUE IS IS EMPOWERING FOR THE CHILD TO BE ABLE TO UNDERSTAND IT AND FIND A SOLUTION.

HOLD THEM, TOUCH THEM, WALK WITH THEM.

HEAD AND HEART CONNECTION.

IDENTIFY FOR YOUR CHILD THAT THEY MAY BE UNDER STRESS.

HELP THEM FEEL THAT THERE IS A WAY TO ADDRESS IT AND A WAY TO GET THEIR ARMS AROUND IT SO THEY CAN GET CONTOL OF THE STRESS AND MOVE PAST IT.

OFTEN TIMES THERE IS A NEED FOR MEDICAL TREATMENT IF THE STRESS HAS MANIFESTED ITSELF IN A PHYSICAL SYMPTOM (FAST HEART RATE, INABILITY TO FALL ASLEEP AT NIGHT)

PTSD VIDEO

DIFFERENCE BETWEEN RICHARD AND EMILLE'S SYMPTOMS?

RICHARD DID NOT HAVE NIGHTMARES

HE NEVER RELIVED BATTLES

HIS BEST FRIEND DIED

HEAVY DRINKING

CRYING/OUTBURSTS

DENIAL

DIAGNOSIS AND TREATMENT IS AVAILABLE VERY EARLY AFTER RETURNING HOME FROM WAR.

PROBLEMS IN PEOPLE ACCESING TREATMENT BECAUSE THERE IS A LACK OF RECOGNITION AND A STIGMA/SENSE OF SHAME.

CAN HAPPEN TO ANYONE, PRIVATE TO GENERAL.

CERTAIN AMOUNT OF PREPARATION (HARDENING) THAT CAN PREVENT SOLDIERS FROM DEVELOPING PTSD.

IMMEDIATE HELP

DEBRIEFING (TALKING ABOUT EXPERIENCES)

NEEDS VARY

MEDICATION

-PHOBIC DISORDERS OF THE "SPECIFIC" TYPE

-PHOBIC DISORDERS OF THE "SOCIAL" TYPE

-PANIC DISORDER WITH AGORAPHOBIA

-PANIC DISORDER WITHOUT AGORAPHOBIA

-GENERALIZED ANXIETY DISORDER

-OBSESSIVE COMPULSIVE DISORDER

-POST TRAUMATIC STRESS DISORDER

-SOCIAL

-SPECIFIC

-AGORAPHOBIA

FEAR BEING TRANSFERRED BY OBSERVATION.

"A FRIEND GETS BIT BY A DOG SO NOW YOU ARE SCARED OF DOGS"

"YOU'RE GRANDFATHER VOMITS BEFORE DYING SO NOW YOU HAVE DEVELOPED A VOMITING PHOBIA"

SWEATING

BLUSHING

FAST HEARTBEAT

ON VERGE OF QUITTING JOB

TAUGHT SWIMMING TO YOUNG CHILDREN AND THIS HELPED HIM DEAL WITH HIS SOCIAL PHOBIA.

PARENTS WATCHED HIM TEACH THE LESSONS.

THIS WAS GIVING HIM EXPOSURE THERAPY

-BEHAVIOR THERAPY

-COGNITIVE-BEHAVIORAL THERAPY (CHANGE THOUGHTS, POSITIVE AND HELPFUL)

-MEDICATION

TRAPPED IN OWN HOUSE

LIKE A HAVEN AND PRISON

SICK

HEART RACING

LACK OF BREATHS

CAN'T GET OUT

HELP BY PAINTING GREY TO COLOR

CHARACTERIZED BY CHRONIC OR EXCESSIVE WORRY ABOUT A NUBER OF EVENTS AND ACTIVITIES.

TWICE AS COMMON IN WOMEN AS IN MEN.

EACH YEAR 3% OF THE POPULATION EXPERIENCE IT

DRUGS SUCH AS VALIUM ARE OFTEN MISUSED.

BUSPIRONE SEEMS EFFECTIVE AND NON-ADDICTIVE

COGNITIVE-BEHAVIORAL THERAPY HAS BECOME EFFECTIVE

AN INTERDISCIPLINARY FIELD THAT FOCUSES ON THE ROLE THAT PSYCHOLOGICAL FACTORS PLAY IN THE OCCURRENCE, MAINTENANCE , AND PREVENTION OF MEDICAL PROBLEMS.

TAKES INTO ACCOUNT BIOLOGICAL, PSYCHOLOGICAL, AND SOCIOCULTURAL INFLUENCES WHEN CONSIDERING A PERSON'S HEALTH AND WELLNESS.

A PSYCHOLOGICAL SUB-SPECIALTY WITHIN BEHAVIORAL MEDICINE.

DEALS WITH PSYCHOLOGY'S CONTRIBUTIONS TO THE DIAGNOSIS, TREATMENT, AND PREVENTION OF PSYCHOLOGICAL COMPONENTS OF MEDICAL PROBLEMS.

FORMS AN ASSOCIATION BETWEEN A BEHAVIOR (PECKING) AND A CONSEQUENCE (FOOD POPPING OUT)

(BIRD PECKING TO GET FOOD EXAMPLE)

PAVLOV'S DOG

-RE-EXPERIENCING THE TRAUMATIC EVENT

-AVOIDING STIMULI ASSOCIATED WITH THE TRAUMA

-CHRONIC TENSION

-IRRITABILITY

-INSOMNIA

-IMPAIRED CONCENTRATION AND MEMORY

-FEELINGS OF DEPRESSION

HALF OF THE POPULATION WILL EXPERIENCE A TRAUMATIC EVENT BUT ONLY 7.8% WILL DEVELOP PTSD

TWICE AS PREVALENT IN WOMEN

CAN OCCUR WITH OTHER DISORDERS

-SOLDIERS

-FIREFIGHTERS

-POLICEMEN/FIRST RESPONDERS

-VICTIMS OF ANY ABUSE

-DOCTORS/TRAUMA/BURN

-VICTIMS OF NATURAL DISASTERS

-VICTIMS OF TERRORIST ATTACKS

-COUNSELORS

STRESS-INOCULATION TRAINING USED MOST

-IN THE MILITARY

-BEFORE SURGERY

SHORT-TERM CRISIS THERAPY

-GIVES ADVICE, GUIDANCE, REASSUREANCE IMMEDIATELY AFTER THE EVENT

DIRECT EXPOSURE THERAPY

-REINTRODUCES THE STIMULI THAT ARE FEARED (EXPOSURE THERAPY)

-TELEPHONE HOTLINES

-PSYCHOTROPIC MEDICATIONS

(ANTIDEPRESSENTS)

OBSESSIVE-COMPULSIVE DISORDER

DIFINITION

ANXIETY DISORDER CHARACTERIZED BY THE PERSISTENT INTRUSION OF UNWANTED AND INTRUSIVE THOUGHTS OR DISTRESSING IMAGES.

ACCOMPANIED BY COMPULSIVE BEHAVIORS TO NEUTRALIZE THE OBSESSIVE THOUGHTS OR IMAGES AND TO PREVENT SOME DREADED EVENT OR SITUATION

-CLEANING

-CHECKING

-REPEATING

-ORDERING/ARRANGING

-COUNTING

EMOTION THAT INVOLVES ACITVATION OF THE FIGHT OF FLIGHT RESPONSE

OVERWHELMING SENSE OF FEAR

-EXPOSURE THERAPY

-PARTICIPANT MODELING (THERAPIST HOLDS SPIDER AND YOU SEE THAT IT IS SAFE)

-VIRTUAL REALITY THERAPIES (GO THROUGH EXPERIENCE WITHOUT ACTUALLY DOING IT...PLANES)

-BEHAVIOR THERAPY

-COGNITIVE-BEHAVIORAL THERAPY (CHANGE THOUGHTS, POSITIVE AND HELPFUL)

-MEDICATION

PANIC CLIENTS ARE HYPERSENSITIVE TO THEIR BODILY SENSATIONS AND ARE VERY PRONE TO GIVING THEM THE DIREST POSSIBLE INTERPRETATION.

EXAMPLE..PERSON WHOS HEART IS RACING MIGHT THINK THEY ARE HAVING A HEART ATTACK OR PERSON WHO IS DIZZY MIGHT THINK THEY HAVE A BRAIN TUMOR

*THE AUTONOMIC (UNCONTROLLABLE) THOUGHTS ARE THE TRIGGERS OF PANIC

MORE COMMON THAN POSTPARTUM DEPRESSION

EMOTIONAL LABILITY

CRYING EASILY

IRRITABLITY

INTERMIXED WITH HAPPY FEELINGS

NOT AS SERIOUS AS POSTPARTUM DEPRESSION

SYMPTOMS ARE SEVERE AND PERSISTENT

NO EPISODES OF MANIA

CAUSE CLINICAL DISTRESS OF IMPAIRMENT

DEPRESSED MOST OF THE DAY ALMOST EVERY DAY

LACK OF INTEREST OR PLEASURE IN ALMOST ALL ACTIVITIES

WEIGHT CHANGE

SLEEP CHANGE

PSYCHOMOTOR AGITATION

LACK OF ENERGY, FATIGUE

FEELING OF WORTHLESSNESS

LACK OF CONCENTRATION, ABILITY TO THINK

THOUGHTS OF DEATH, SUICIDE

LOOSES TOUCH WITH REALITY

HAS DELUSIONS AND HALLUCINATIONS

SAD

PEOPLE WHO EXPERIENCE RECURRENT DEPRESSIVE EPISODES IN A PATTERN

USUALLY WHEN THERE IS MINIMAL SUN LIGHT

-BRIGHT LIGHT THERAPY IN THE MORNING

-DAWN SIMULATION THERAPY

-NEGATIVE AIR IONIZAION THERAPY

-ANTIDEPRESSANT MEDS

-PSYCHOTHERAPY

BEST KNOWN FOR UNIPOLAR DEPRESSION.

FOCUSES ON THE HERE AND NOW PROBLEMS RATHER THAN ON THE MORE REMOTE CAUSAL ISSUES THAT PSYCHODYNAMIC PSYCHOTHERAPY OFTEN ADDRESES.

CONSISTS OF HIGHLY STRUCTURED, SYSTEMATIC ATTEMPTS TO TEACH PEOPLE WITH UNIPOLAR DEPRESSION TO EVALUATE THEIR BELIEFS AND NEGATIVE AUTOMATIC THOUGHTS SYSTEMATICALLY.

A PERSON WHOSE RESPONSE TO A COMMON STRESSOR SUCH AS GOING TO COLLEGE OF LOSING A JOB IS MALADAPTIVE AND OCCURS WITHIN 3 MONTHS OF THE STRESSOR.

CANNOT LAST MORE THAN 6 MONTHS OR THE DIAGNOSIS MUST CHANGE

MOST COMMON ANXIETY DISORDER

BIPOLAR ONE

MOST SEVER TYPE OF BIPOLAR

DIFFFERS FROM DEPRESSION BECUASE AT LEAST ONE MANIC EPISODE

INTERNAL

GLOBAL

STABLE

PESSIMISTIC ATTRIBUTIONAL STYLE

(YOU WANT TO BE THE OPPOSITE: EXTERNAL, SITUATIONAL, UNSTABLE)

MOSTLY BECAUSE OF HOW THEY GO ABOUT COMMITING THE SUICIDE (GUN VS. SLITTING WRIST)