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Mental Disorders
Mental Disorders
However, they usually maintain their connection with They may experience auditory or visual
reality and have a sense of self-awareness. hallucinations, such as hearing voices or seeing things
that are not there.
Psychotic individuals may have difficulty functioning
in daily life and may need significant support and
treatment.
Examples of neurotic disorders include obsessive- Examples of psychotic disorders include schizophrenia,
compulsive disorder, anxiety disorders, and somatic bipolar disorder, and severe depression with psychotic
disorders. features.
Neurosis may be treated with therapy and lifestyle Psychosis tends to be more longer than Neurosis
changes
Neurosis is a relatively mild mental disorder Psychosis usually requires a combination of medication and
characterized by a sense of anxiety, emotional distress, therapy to manage symptoms.
and excessive worrying.
Neurotic individuals may have difficulty coping with Examples of psychotic disorders include schizophrenia,
daily life and may feel overwhelmed by stress. bipolar disorder, and severe depression with psychotic
features.
However, they usually maintain their connection with Psychosis tends to be more longer than Neurosis
reality and have a sense of self-awareness.
Examples of neurotic disorders include obsessive- Psychosis usually requires a combination of medication and
compulsive disorder, anxiety disorders, and somatic therapy to manage symptoms.
disorders.
Neurosis may be treated with therapy and lifestyle Examples of psychotic disorders include schizophrenia,
changes bipolar disorder, and severe depression with psychotic
features.
Neurosis is a relatively mild mental disorder Psychosis tends to be more longer than Neurosis
characterized by a sense of anxiety, emotional distress,
and excessive worrying.
Neurotic individuals may have difficulty coping with Psychosis usually requires a combination of medication and
daily life and may feel overwhelmed by stress. therapy to manage symptoms.
Symptoms of Neurosis
1. Anxiety: Excessive worry and fear about everyday situations, events, or activities.
2. Obsessive thoughts: Intrusive thoughts, images, or impulses that are distressing and difficult to control.
3. Compulsive behaviors: Repetitive behaviors or rituals that are performed to reduce anxiety or distress.
4. Phobias: Intense, irrational fears of specific objects, situations, or activities.
5. Somatic symptoms: Physical symptoms such as headaches, stomachaches, or fatigue that have no apparent
medical cause.
6. Emotional instability: Frequent mood swings, irritability, and emotional outbursts.
7. Low self-esteem: Negative self-talk, self-doubt, and feelings of inadequacy or inferiority.
8. Avoidance behaviors: Avoiding situations or activities that cause anxiety or distress.
9. Perfectionism: Setting high standards for oneself and feeling anxious or guilty when they are
Symptoms of Psychosis
1. Delusions: False beliefs that are not based in reality, such as believing that someone is out to get you or that
you have special powers.
2. Hallucinations: Sensory experiences that are not real, such as hearing voices or seeing things that are not there.
3. Disorganized thinking: Difficulty organizing thoughts and speaking in a coherent and logical manner.
4. Disordered behavior: Acting in a way that is not typical or appropriate, such as speaking to oneself or
repeating a single behavior.
5. Emotional instability: Frequent mood swings, irritability, and emotional outbursts.
6. Low self-esteem: Negative self-talk, self-doubt, and feelings of inadequacy or inferiority.
7. Avoidance behaviors: Avoiding situations or activities that cause anxiety or distress.
8. Perfectionism: Setting high standards for oneself and feeling anxious or guilty when they are
1. Anxiety Disorders
Anxiety
o Anxiety is a normal human emotion that we all experience from time to time.
o It's a feeling of unease, worry or fear that can be triggered by different situations such as speaking in public,
taking exams, or going through a difficult life event.
o However, when these feelings become excessive, overwhelming, and interfere with daily activities, it could
be a sign of an anxiety disorder.
Anxiety Disorder Signs and Symptoms
o Emotional instability: Frequent mood swings, irritability, and emotional outbursts.
o Low self-esteem: Negative self-talk, self-doubt, and feelings of inadequacy or inferiority.
4. Jealous Delusions- the belief that the individual's partner is unfaithful or has feelings for someone else.
5. Mixed type of delusions
Refer to a subtype of delusional disorder in which the individual experiences delusions of more than one
type or theme. In other words, the person with mixed type delusions may simultaneously believe in
multiple false and irrational beliefs that do not have a logical connection.
For example, a person with mixed type delusions may believe that they are being followed by the
government while also believing that they have special abilities or powers that allow them to communicate
with aliens.
Another example could be a person who believes they are being persecuted by a religious group while also
believing that they have a special mission to save the world from an impending disaster
6. Unspecified Delusions
Type of delusions is a subtype of delusional disorder in which the individual experiences delusions that do
not fit into any specific category or type.
These delusions may be bizarre, unusual, or difficult to describe, and may not have a clear theme or
content.
For example, a person with unspecified type delusions may believe that they have been cloned or that they
are living in a parallel universe.
They may also have delusions about their body, such as believing that their organs have been replaced or
that they have no internal organs at all.
Causes of Delusional Disorder
1. Genetics
There may be a genetic predisposition to delusional disorder, as it tends to run in families.
Studies have suggested that certain genes may be involved in the development of the condition.
2. Brain abnormalities:
Brain imaging studies have shown that individuals with delusional disorder may have structural and
functional abnormalities in certain regions of the brain.
These abnormalities may affect the processing of sensory information and lead to the development of
delusions.
3. Environmental factors:
Trauma, stress, and other environmental factors may contribute to the development of delusional
disorder.
For example, individuals who have experienced significant trauma or stress may be more prone to
developing delusions.
4. Substance use:
Certain drugs, such as cocaine and amphetamines, can cause delusions and other psychotic symptoms.
Long-term substance abuse can also increase the risk of developing delusional disorder.
5. Social factors:
Social factors, such as isolation, social withdrawal, and lack of social support, may contribute to the
development of delusional disorder.
Individuals who have experienced significant social stressors or have a history of interpersonal conflict may
be more prone.
Delusions and Criminality
Paranoid Delusions: People experiencing paranoid delusions may believe that others are out to harm them.
This can lead to defensive or aggressive actions, potentially resulting in criminal behavior such as assault or
retaliation.
Delusions of Grandeur: Individuals with delusions of grandeur may believe they possess extraordinary
abilities or status. These beliefs could lead them to engage in criminal acts as a means to fulfill their perceived
grandiose mission or goals.
Command Hallucinations: Sometimes, individuals experiencing delusions may also have auditory
hallucinations instructing them to commit certain acts, including criminal behavior. They may perceive these
commands as coming from a higher power or an external force.
Impaired Reality Testing: Delusions can impair a person's ability to distinguish between reality and fantasy.
This distortion of reality may lead them to engage in criminal acts without fully understanding the consequences
or impact of their actions.
3. Mood Disorder
Mood disorders are a group of mental health conditions characterized by significant changes in a person's
mood, energy, and behavior.
Mood disorders affect how an individual feels, thinks, and behaves, and they can have a significant impact
on their daily life.
1. Bipolar Disorder
Bipolar disorder is a mental health condition characterized by two distinct phases: manic or hypomanic
episodes and depressive episodes.
These episodes are characterized by different sets of symptoms and can significantly impact an
individual's daily life.
Phases of bipolar Disorder
1. Manic Episode
The first episode of bipolar disorder
These episodes are characterized by elevated or irritable mood, increased energy or agitation, reduced
need for sleep, racing thoughts, increased talkativeness, poor judgment, and risky behavior.
Individuals experiencing a manic episode may feel invincible, act impulsively, and engage in risky
behaviors such as spending sprees, reckless driving, or substance abuse.
They may also experience delusions, which are false beliefs or perceptions, and hallucinations, which
are seeing or hearing things that are not there.
Hypomanic Episode
Hypomanic episodes are similar to manic episodes, but the symptoms are less severe and do not cause
significant impairment.
Hypomanic episodes are often associated with an increase in creativity, productivity, and energy
levels.
2. Depressive Hypomania
The second phase of bipolar disorder is depressive episodes.
During depressive episodes, individuals may experience symptoms such as sadness or hopelessness,
loss of interest in activities, fatigue or lack of energy, difficulty sleeping or oversleeping, changes in
appetite or weight, feelings of worthlessness or guilt, and thoughts of suicide or self-harm.
Mood Disorders and Criminality
Impaired Judgment: During depressive episodes, individuals may experience impaired judgment, making
them more susceptible to engaging in risky or impulsive behaviors, including criminal acts.
Substance Abuse: Many individuals with mood disorders turn to drugs or alcohol as a way to self-medicate and
alleviate their symptoms. Substance abuse can increase the likelihood of engaging in criminal activities, such as
drug-related offenses or crimes committed while under the influence.
Aggression and Irritability: In some cases, mood disorders can manifest with symptoms of irritability or
agitation, especially in individuals with bipolar disorder. This heightened emotional state can lead to conflicts or
altercations that escalate into criminal behavior, such as assault or domestic violence.
Self-Harm and Suicide Attempts: Individuals with severe mood disorders, particularly depression, may
engage in self-harming behaviors or suicide attempts. In some instances, these actions may involve criminality,
such as property damage or endangerment, especially if others are involved.
Financial Stress: Mood disorders can interfere with a person's ability to maintain employment or manage
finances effectively. Financial strain may lead individuals to resort to criminal activities, such as theft or fraud,
to meet their basic needs or alleviate financial stress.
4. Personality Disorder
Personality disorders are a group of mental health conditions characterized by persistent patterns of
thoughts, feelings, and behaviors that deviate from the expectations of the individual's culture and cause
significant distress or impairment.
Personality disorders are diagnosed when these patterns are inflexible, pervasive, and longstanding, and
they affect the person's ability to function in daily life.
2. Cluster B: Dramatic, Emotional, or Erratic Behaviors are characterized by odd or eccentric behavior, and
they include the following:
b. Anti- Social Personality Disorder (APB): This disorder is characterized by a disregard for the rights
of others, a lack of empathy, and a tendency to engage in criminal or impulsive behavior. Anti-social
behavior in people less than 18 years old is called conduct disorder.
Manifestations of Antisocial Personality Disorder
Act in a way that disregards the feelings and rights of other people.
They often break the law.
Use or exploit other people for their own gain.
They may lie repeatedly, act impulsively, and get into physical fights.
They may mistreat their spouse, neglect or abuse their children and exploit their employees.
They may even kill other people.
People with this disorder are also sometimes called sociopaths or psychopaths.
b. Borderline Personality Disorder (BPD): This disorder is characterized by unstable relationships,
mood swings, impulsivity, self-harm, and a fear of abandonment. There are 5 types of borderline
personality disorder: Affective, Impulsive, Aggressive, Dependent, and Empty
Manifestations of Borderline Personality Disorder
They have intense emotional instability, particularly in relationship with other.
They make frantic efforts to avoid real or imagined abandonment by others.
They may experience minor problems as major crises.
They express their anger, frustration, and dismay through suicidal gestures, self-mutilation, and
other self-destructive acts.
They tend to have unstable self- mage or sense of self
5 Types of Borderline Personality Disorder
1. Affective
This type revolves around intense and fluctuating emotions.
People with affective BPD may experience rapid shifts in mood, such as going from
feeling very happy to extremely sad in a short amount of time.
For example, they might feel euphoric one moment and then suddenly become
overwhelmed with sadness or anger.
2. Impulsive
Individuals with impulsive BPD may struggle with controlling their impulses and
acting on urges without considering the consequences.
This could involve reckless behaviors like overspending, substance abuse, or engaging
in unsafe sexual activity without thinking about the risks involved.
For instance, they might impulsively quit their job without a plan or spend all their
money on something unnecessary.
3. Aggressive
This type is characterized by a tendency towards anger and hostility.
People with aggressive BPD may have difficulty managing their anger and may lash
out verbally or physically towards others, even in situations where it's not warranted.
For example, they might get into fights over small disagreements or become physically
aggressive during arguments.
4. Dependent
Individuals with dependent BPD often struggle with an intense fear of abandonment
and rely heavily on others for validation and support.
They may have difficulty making decisions on their own and may cling to relationships
even if they are unhealthy or harmful.
For instance, they might stay in an abusive relationship because they fear being alone
or not being able to cope on their own.
5. Empty
This type refers to a pervasive feeling of emptiness or a lack of identity.
People with empty BPD may struggle to understand who they are and may feel
disconnected from themselves and the world around them.
They may constantly seek external validation or distractions to fill the void they feel
inside.
For example, they might constantly change their appearance, hobbies, or goals in an
attempt to find something that brings them fulfillment.
c. Narcissistic Personality Disorder (NPD): is a mental health condition that is characterized by a pattern
of grandiosity, a lack of empathy for others, and a need for admiration.
Individuals with NPD often have an inflated sense of self-importance, believe that they are special or
unique, and require excessive admiration.
Manifestations of narcissistic Personality Disorder
They have a grandiose sense of self- importance.
They seek excessive admiration from others and fantasize about unlimited success or power.
They believe they are special, unique or superior to others. However, they often they have very
fragile self- esteem.
d. Histrionic Personality Disorder (HPD): is a mental health condition characterized by a pattern of
excessive attention-seeking behaviors, emotions, and dramatics in order to draw attention to oneself.
Individuals with HPD may be overly sensitive to criticism or rejection and may struggle to form close
relationships due to their tendency to be emotionally intense and unstable.
Manifestations of Histrionic Personality Disorder
They strive to be the center of attention
They act overly flirtatious or dress in ways that draw attention.
They may also talk in dramatic or theatrical style and display exaggerated emotional reactions.
3. Cluster C: Anxious, Fearful Behaviors- It is characterized by a pattern of anxious or fearful behaviors and
includes three personality disorders:
a. Avoidant Personality Disorder (APD): This disorder is characterized by feelings of inadequacy, social
inhibition, and a fear of criticism or rejection. Individuals with APD may avoid social situations or
interpersonal relationships due to their fear of negative evaluation or humiliation.
Manifestations of Avoidant Personality Disorder
They possess, intense, anxious shyness.
They are reluctant to interact with others unless they feel certain of being liked.
They fear being criticized and rejected.
They often view themselves as socially inept and inferior to others.
b. Dependent Personality Disorder (DPD): This disorder is characterized by a pattern of excessive
dependence on others for emotional and physical needs. Individuals with DPD may have difficulty
making decisions or taking responsibility for their own lives, and may fear abandonment or rejection.
Selective amnesia can also occur in response to trauma, such as abuse or assault, where the
person may block out certain details as a coping mechanism.
c. Generalized and Continuous Amnesia
Refers to a complete loss of memory of a person's entire life, including their identity, personal
history, and past experiences.
It can be sudden or gradual and may be accompanied by confusion, disorientation, and other
cognitive impairments.
In some cases, the person may retain basic skills, such as language or motor skills, but they have
no recollection of how they acquired those skills.
2. Psychogenic Fugue- also known as dissociative fugue, is a rare psychiatric disorder characterized by sudden
and unexpected travel away from home, accompanied by a loss of memory for past events and personal identity.
3. Multiple Personality Disorder- now known as dissociative identity disorder (DID), is a rare and complex
psychological disorder characterized by the presence of two or more distinct identities or personality states
within one individual. Individuals with DID often report gaps in their memory, as well as feeling as if they are
observing themselves from outside their body, or feeling as if they have no control over their actions or
thoughts.
4. Depersonalization / Derealization Disorders- This is the continued presence of feelings that the person is not
himself/ herself or that she/ he can’t control his/ her emotions. This is labelled as disorder when it is recurrent
and impairs social and occupational function.
Dissociative Disorders and Criminality
Memory Loss and Impaired Judgment: During dissociative episodes, they may act without awareness,
leading to actions with unintended consequences, including criminal acts.
Altered Identity or Perception: Changes in identity or reality perception can cause confusion, potentially
leading to behavior that goes against their usual character or legal norms.
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