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The following are brief diagnostic descriptions of common emotional and behavioral disorders digested from the Diagnostic and Statistical Manual of Mental Disorders, 4th Edition, Text Revision, of the American Psychiatric Association. These descriptions and accompanying brief screening instruments may be helpful to visitors to my website in better understanding the emotional and behavioral challenges faced by them and their families. DIAGNOSTIC DESCRIPTIONS OF Alcohol Abuse - A maladaptive pattern of drinking marked by: drinking at times and places where it would be dangerous, continued drinking despite adverse consequences (DUI, loss of job, educational difficulties, health problems, loss of a relationship, family difficulties). Screening Instrument
Screening Instrument Anxiety - Non-specific feelings of fear or phobic avoidance. A certain amount of anxiety is normal, but persistent, abiding anxiety that interferes with normal functioning may indicate an anxiety disorder. Abnormal anxiety is characterized by heart palpitations, sweating, trembling/shaking and/or nausea. Screening Instrument
Screening Instrument Bipolar Disorder - A mood disorder marked by instability of mood. There are two types of Bipolar Disorder: Type 1 characterized by mood swings where a depressed or normal mood is indispersed by manic episodes. A manic episode is characterized by inflated self-esteem or grandiosity, a decreased need for sleep, flights of ideas, impulsivity, irritability and psychomotor agitation. Bipolar Disorder Type 2 is marked by depressed or normal mood indispersed by hypomanic episodes. Hypomania is a more mild form of mania with many of the same signs and symptoms of mania but with less energy and severity. Screening Instrument Chronic Pain - Physical pain lasting more than six months. Chronic pain can lead to depression, irritability, anxiety, social isolation and a physical dependence of pain-relieving drugs. Screening Instrument Co-Dependency - Co-Dependency describes a situation where an individual is excessively dependent on another for their emotional well-being. In couples where one is alcoholic, the other often goes to great lengths to "clean up" after the drinker - making excuses for drinking-related bad behavior, being careful not to upset the alcoholic, or going to unusual lengths to prevent the alcoholic from drinking. Though co-dependency is often seen in the context of alcoholism, co-dependent relationships can spring-up around: mental illness, a narcissistic or over-controlling spouse, drug abuse or addiction or chronic illness. Screening Instrument Compulsive Use of Pornography - Actually an impulse-control disorder marked by an inability to resist the impulse, drive or temptation of view pornography (either in print, on video or on the Internet). The affected person usually experiences an increasing sense of tension and arousal that leads to viewing pornography and some feeling of relief and gratification while or after viewing pornography. Screening Instrument Depression - A mood disorder characterized by an abiding depressed mood that results in a marked impairment in social, occupational or educational functioning. Persons suffering from depression often show flat or blunted affect, sleep disturbances (sleeping more or difficulty sleeping), and change in eating habits. Depressed people can also be irritable and withdrawn. Screening Instruments Drug Abuse - A maladaptive pattern in the use of one or more mood-altering drugs marked by: using at times or places where it would be dangerous to use, continued use despite adverse consequences (drug-related arrest, loss of job, educational difficulties, health problems, loss of relationship, family difficulties). Screening Instrument Drug Addiction - A chronic and progressive disorder marked by a loss of control over the use of one or more mood-altering drugs. Evidence of loss of control can be: using in amounts greater than intended, using on occasion when the person planned not to, continued use after acknowledging that drug use is a problem, unsuccessful effort(s) to quit using or cut down amount used, withdrawal symptoms when not using, of an impairment of functioning in an important sphere of life (work, education, family, etc.). Screening Instrument Trauma - Trauma can occur following an event that involves the threat of death or serious injury or a threat to one's personal integrity; or witnessing the death, injury or threat of violation of personal integrity of another person. The traumatized person's response to the event typically involves intense fear, helplessness or horror. Symptoms of emotional trauma include a re-experiencing of the event, avoidance of objects, places and situations reminiscent of the trauma, hyper-arousal, nightmares, and daytime intrusive thoughts of the trauma. Screening Instrument
Screening Instrument Family of Origin Issues - Family of Origin Issues refer to emotional and psychological problems related to spending one's childhood and adolescence in a family marked by physical and emotional violence, poverty, chronic illness, the repeated violation of personal boundaries or rigidity of rules and standards. People with Family of Origin Issues often suffer anxiety, avoidance and have difficulty forming intimate relationships. Screening Instrument Grief and Loss - Grief and Loss Issues describe impairment of social and occupational functioning by the symptoms of grief. Symptoms of grief include prolonged emotional distress related to the loss, significant level of impairment of social or emotional functioning, and may precipitate substance abuse or the worsening of another, preexisting mood disorder. Screening Instrument Impulse Control Issues - Described in psychological literature as "a failure to resist an impulse, drive or temptation to act in a way that is harmful to others." People suffering from Impulse Control Issues often feel an increasing sense of tension and arousal leading up to committing an impulsive act, and feel pleasure and relief after acting-out impulsivity. The major Impulse Control Disorders are: Intermittent Explosive Disorder - a failure to resist impulses that result in a serious assaultive act; Kleptomania - failure to resist impulses to steal unnecessary items; Pyromania - failure to resist impulses to set fires; Pathological Gambling (described under Problem Gambling); and Trichotillomania - a failure to resist impulses to pull out one's hair. Screening Instrument Internet Gaming Addiction - This is a behavioral problem marked by the affected person spending an inordinate amount of time playing computer or Internet games. Players of these games, especially Massively Multiplayer Online Role-Playing Games (MMORPG) often prefer the security of an on-line fantasy world of the MMORPG to the emotional risks of a real-life social environment, and the large amount of time spent playing online can result in a deterioration of real-life social skills. Screening Instrument Obsessive-Compulsive Disorder - An anxiety disorder marked by recurrent obsessions or compulsions that are excessively time consuming or cause significant distress. Those affected continue compulsive behaviors even after recognizing they are excessive and unreasonable. Obsessive-compulsive behaviors include counting and checking, hand washing, an insistence on symmetry and other behaviors. Screening Instrument Oppositional Defiance - A behavioral disorder characterized by a recurrent pattern of negativistic, defiant, disobedient and hostile behavior towards authority figures - typically parents and other adults. Those suffering from this disorder often lose their temper, arguing, and refusing to comply with requests and rules of adults. They are often touchy, easily annoyed by others, spiteful and vindictive. Screening Instrument Insomnia/Sleep Disturbance - Difficulty initiating or maintaining sleep or a history of non-restorative sleep that causes difficulty in social, occupational, or other important life areas. Screening Instrument Self-Harming Behavior - Self-Harming Behavior is marked by the intentional injuring of body tissue, most often done without suicidal intention. Self-harm is most common in adolescence and young adulthood, usually first appearing between the ages of 12 and 24. The most common form of self-harm involves cutting of the skin with a sharp object. Self-harmers often feel guilty about the behavior and tend to be quite self-conscious about their scars. Self-harmers often go to great lengths to conceal their harming behavior. It is widely thought that self-harming is a way of coping with emotional pain or communicating distress. Screening Instrument Sex/Relationship Addiction - Sex Addiction describes a pervasive pattern of sexual acting-out. Those affected often engage in sexual activity with relative strangers or with people they are not attracted to, act-out sexually in situations where it is risky, and often feel guilty and ashamed about their sexual activity. Relationship Addiction, a related disorder, refers to a repeated pattern of impulsively engaging in unfulfilling romantic relationships and a dependence on romantic partners. Screening Instrument Spending Addiction - Spending Addiction describes a pervasive pattern of impulsive spending marked by spending amounts greater than intended, spending more than one can afford, buying items that are unnecessary, continued spending after it has become a problem, and unsuccessful attempts to cut-down the amount of money spent. Screening Instrument Stimulant-Induced Psychosis - Users of large amounts of psychostimulant drugs, like amphetamines, cocaine or "bath salts" sometimes suffer from stimulant-induced psychosis. Psychosis describes a state where a person loses touch with reality and suffers from delusions and/or hallucinations. In this state, the person can pose a danger to themselves or others. Stimulant-induced psychosis usually clears in 2-3 days once the user's system is free of stimulant drugs. Screening Instrument © Copyright 2015, Peter Biava, All Rights Reserved |