Week Two
Topic: Emotional Health

Reading

 


Class Lessons Page
 
Syllabus

On-Line Orientation

Class Discussion

Learning Links

NSCC Distance Learning

E-mail Instructor

E-mail Distance Learning Office

Printer-Friendly Version

A PowerPoint presentation (no narration) containing much of this information is available at the below web page. Viewers who have PowerPoint software installed on their computers can view the actual PowerPoint presentation (look for the "emotion_health.ppt" file), or those without PowerPoint can view the information as a webpage, but only with MS Explorer 4.0 or above (look for "emotion_health.mht" file).

http://facweb.northseattle.edu/troot/HEA150/slides/

Emotional Health

To determine the extent of a person's psychological disorders, professionals in the past relied upon the classification of the two terms "neurosis" and "psychosis." Although actual mental/emotional disorders are not diagnosed as "neurotic" or "psychotic," it can be helpful to understand the difference between the two terms.

Neurosis

Neuroses are emotional disorders caused by unresolved conflicts that lead to anxiety. A person who is neurotic does not distort reality, but may have irrational thoughts and also may behave in ways that do not make sense. Furthermore, because a neurotic individual recognizes reality, he/she is aware of irrational thoughts and behaviors, but may have problems fixing them. A stereotypical "neurotic" person may be characterized as anxious, worried, or frustrated. There have been many successful television shows with story plots structured around neurotic TV characters. (O)

Psychosis

Psychoses are a number of severe mental disorders caused by physical or emotional disturbances, or both. A psychotic person generally fails at functioning in all areas of life. He or she is often unable to recognize reality, experiencing hallucinations (hearing or seeing things that are not real) and delusions (irrational beliefs that do not reflect reality). Characteristics of the psychotic also include disorganized thinking and personality changes.

Although the above two terms are used quite frequently to describe an individual's thought patterns or behaviors, true mental disorders are diagnosed using specific criteria from the Diagnostic and Statistical Manual of Mental Disorders IV-TR (DSM IV, fourth edition, text revision). Some of these mental disorders are included in the following categories:

Anxiety Disorders


Anxiety disorders are characterized by feelings of apprehension, worry, fear, alarm, or even terror. The emotional and physical symptoms, as well as the situations in which these symptoms are experienced, depend upon the disorder. As a general rule, the anxiety disorder sufferer feels extreme discomfort and experiences an interruption of day-to-day functioning, a feature not typically experienced by an individual in the general population. Several examples include generalized anxiety disorder, phobia, panic disorder with and without agoraphobia, obsessive-compulsive disorder and post-traumatic stress disorder.

Generalized Anxiety Disorder

Generalized Anxiety Disorder (GAD) is characterized by feelings of worry and dread, experienced across a number of environmental situations. The person with GAD may sense something unidentifiable is wrong, and subsequently feel distressed. The feelings of dread or worry can also be accompanied by irritability, sleeplessness, concentration difficulties, muscle tension and fatigue. For more general information on GAD, travel to the National Institute for Mental Health (O). In order to be diagnosed with GAD, the affected individual is to have experienced symptoms for at least six month.

It is important to note that in some cases anxiety may not be the primary issue but instead be a symptom of another health condition. Hyperthyroidism (O--Medicine.net), for example, can cause many symptoms, including anxiety. (O)

Travel to Youtube.com to view a clip, "What is Generalized Anxiety Disorder?" (R)

Phobia

A phobia is an intense fear of an object or particular situation. Examples include the fear of flying, a fear of snakes, a fear of heights, a fear of being in public places, etc. Although a phobic person may recognize that his fear is irrational, his difficulties in overcoming the fear may disrupt daily living. To be diagnosed with a phobia, the phobic symptoms must be in place for at least six months.

Videojug.com houses a short video identifying the top ten phobias (O).

Panic Disorder With Agoraphobia

The diagnosis of "Panic Disorder With Agoraphobia" includes both panic attacks and agoraphobia. In a panic attack, the affected person experiences repeated occurrences of severe, disabling anxiety, most often without warning. Symptoms include our or more of the following:

bulletIncreased heart rate/palpitations
bulletIncreased breathing frequency/irregular breathing
bulletTrembling
bulletChest pain or discomfort
bulletNausea or other gastric distress
bulletDizziness
bulletFear of dying or losing control, feelings of detachment

Furthermore, chemical substances must be ruled out as the cause of the panic attacks. 

In agoraphobia, the affected person has anxiety over situations or places where escape is difficult or embarrassing. Those situations or places are usually outside the home, and they are avoided or endured with extreme discomfort. Agoraphobia may not occur with panic disorder upon onset, but may develop over time. For example, a person who experiences a panic attack while crossing a bridge may avoid bridges. Bridge avoidance may develop into car travel avoidance and perhaps eventually develop into avoidance of all situations outside the home.

For more information, visit the National Institutes of Health's consensus statement regarding Panic Disorder (O).

Panic Disorder Without Agoraphobia

In "Panic Disorder Without Agoraphobia," panic attacks occur, but agoraphobia is absent.

Similar to generalized anxiety, panic disorder may be a symptom of another health condition rather than the primary problem. 

Videojug.com provides a video regarding panic attacks and panic disorder (O).

Obsessive-Compulsive Disorder (OCD)

A person with OCD suffers from irrational thoughts or perceptions that recur, are all-consuming, cause anxiety, and that affect productivity. These thoughts or perceptions are called obsessions. A person diagnosed with OCD may also exhibit behavior--a compulsion--reflecting the obsession. A stereotypical example is the person who is obsessed about cleanliness so much that she washes her hands many times throughout the day, avoids public restrooms, wears a protective mask etc. 

Common obsessions include extreme concern with germs, dirt, cleanliness; fears of saying something obscene or profane, persistent thoughts of numbers, order, senseless sounds or words; and fears of harming one’s self or of hurting others. Common compulsions include repeated or ritualized hand washing, bathing or cleaning; repeated checking for damage or harm to an object or person; persistent counting of objects, words, movements; and other repeating behaviors.

The OCD patient recognizes his thoughts, impulses or images are irrational and attempts to ignore or suppress them.  A checklist of OCD symptoms is available at brainphysics.com, adapted from Jeffrey Schwartz's work, Brain Lock (O). To read examples i.e. personal OCD stories, you can find several at healthyplace.com (O).

Tony Shalhoub plays a detective on the USA Network. The detective, known as "Monk," suffers from obsessive-compulsive disorder.  If you have Real Player and are interested in watching a clip from the show illustrating an example of OCD, travel to P.B. Poorman's website on the Learning Technology Center's Faculty Showcase (O). There is also a link on the site connecting you to a free download of Real Player.

Post Traumatic Stress Disorder

Post-traumatic Stress Disorder is characterized by the reliving or re-experiencing of a threatening, disturbing event through nightmares, frightful recollections, cues or symbols relating to he event, or through other unpleasant means. Post-Traumatic Stress Disorder (PTSD) is common among victims of violent crime, natural disasters, combat, and automobile accidents. The person suffering from PTSD is irritable, experiences concentration and sleep disturbances, and has an exaggerated startle response. PTSD is diagnosed after the affected individual has experienced its symptoms for longer than a month. For more information on PTSD symptoms (R), visit the Mental Health Net.

horizontal rule

Educational Enrichment

American Psychiatric Association

American Psychological Association

horizontal rule

Last Revised: 4-13-10