1. Chapter 22 Lesson 2 Schizophrenia gender identity disorder
Conversion disorder Hypochondriasis
Psychological Dependence Physical Dependence
Tolerance
Journal Question:Andrea, an extremely thin 19-year-old woman, tells Dr. Versace that she has not been menstruating. Although Andrea appears healthy from her physical exam, Dr. Versace thinks that Andrea may be suffering from anorexia nervosa. However, she notices that Andrea has pitted teeth. Why should that observation cause Dr. Versace to further consider the diagnosis?

2. Chapter Goals (cont’d)
Identify terms that describe psychiatric symptoms.

3. Chapter Goals (cont’d)
Define combining forms, suffixes, prefixes, and abbreviations related to psychiatry.
Apply your new knowledge to understanding medical terms in their proper contexts, such as medical reports and records.

4. Pervasive Developmental Disorders
Autism
Asperger syndrome

5. Psychiatric Disorders
Schizophrenia
Sexual and gender identity disorders
Somatoform disorders
Substance-related disorders

6. Schizophrenia Delusions Hallucinations Disorganized thinking
Withdrawal from reality into a world of disorganized thinking and conflict
Delusions
Hallucinations
Disorganized thinking
Flat affect
Social withdrawal
Catatonic and paranoid types
Go over definitions. Make distinction between positive affect (paranoid psychosis) and negative affect (catatonia) types of symptoms, both constituting the same disease.
What is flat affect? (Marked by monotonous voice, immobile face, and no signs of expression.)
What are different types of schizophrenia? (catatonic type, disorganized type, and paranoid type)

7. Sexual and Gender Identity Disorders
Sexual masochism
Sexual sadism
Transvestic fetishism
Voyeurism
Exhibitionism
Fetishism
Pedophilia
A gender identity disorder is a strong and persistent cross-gender identification with the opposite sex (cross-dressing and cross-sex roles, fantasies of being the gender other than the person is).
What are two types of sexual disorders? (Paraphilias [recurrent intense sexual urges, fantasies or behaviors that involve unusual objects, activities, or situations] and sexual dysfunction [disturbances in sexual desire/psychosexual changes in sexual response, such as premature ejaculation and dyspareunia that are not the result of a general medical condition].)
The list includes examples of paraphilias.

8. Somatoform Disorders
Mental conflicts are expressed as physical symptoms
Conversion disorder: Repressed conflicts expressed as physical symptoms
Hypochondriasis: Preoccupation with bodily aches, pains, and discomforts in the absence of real illness
What is an example of conversion disorder? (A person with repressed anger and desire to physically harm a family member may suddenly develop a paralysis of the arm.)

9. Substance-Related Disorders
Psychological Dependence: Compulsion to take drug despite adverse consequences
Physical Dependence: Withdrawal when drug is abruptly discontinued
Tolerance: Declining effect of drug so dose must increase
What are examples of substances associated with drug abuse? (alcohol; amphetamines; cannabis, such as marijuana; cocaine; hallucinogens, such as LSD and PCP; opioids, such as heroin and morphine; and sedatives, hypnotics, or anxiolytics.)

10. Substances Associated with Abuse
Alcohol
Amphetamines
Cannabis (marijuana)
Cocaine
Hallucinogens
Opioids
Sedatives, hypnotics, anxiolytics
In which of these categories do we place barbiturates?
What are some examples of barbiturates and benzodiazepines? (Sleeping pills include barbiturates such as phenobarbital and secobarbital. Other drugs that produce a barbiturate-like effect are benzodiazepines, including temazepam (Restoril), alprazolam (Xanax), and diazepam (Valium).)