1. History of Mental Disorders, Institutions, & Diagnosis

2. Middle Ages to 19 th C. Originally called “lunatics”, it was believed to be related to a full moon. Possession Removal and Institutionalization Ice baths, vomiting and bleeding

3. Moral Management- 1800s belief that environment is important part of treatment Dorothea Dix- pioneer to aid the mentally ill

4. The Early 20 th Century Lobotomy introduced Quick and very popular “The” treatment until the 1950s “Euthanasia of the mind”

5. Dr. Freeman’s “Ice Pick” Lobotomy Howard Dully’s Lobotomy

6. Present Day Deinstitutionalization- move patients from in patient institutions to community-based facilities with emphasis on out patient care Drug therapies Increase in homelessness (20-25% of homeless pop.) Denial of services

7. Deinstituationalization

8. Mental Disorder v. Insanity Mental Disorder- Interfere with a person’s well-being and ability to function for more than 6 months (medical) Insanity- Not knowing the difference between right and wrong (legal)

9. Methods to Diagnose Mental Disorders Clinical Interviews Neurological Tests Personality Tests Projective Tests (Rorschach Inkblot Test)

12. DSM- Manual to Diagnose Disorders DSM-I was introduced in 1952 and only had 106 disorders DSM-IV has 297 disorders DSM-V introduced in 2014 In the early 70’s homosexuality removed from the DSM Pros & Cons of Diagnostic Labeling- Rosenhan’s Study “On Being Sane in Insane Places”

13. Major Clinical Syndromes 1. Neurodevelopmental Disorders (intellectual disability, autism, ADHD, learning disorder) 2. Somatoform disorders 3. Substance abuse disorders 4. Anxiety disorders (panic disorder, phobias, GAD) 5. Obsessive-Compulsive Disorders (hoarding, body dysmorphic) 6. Trauma-Stress Related Disorders (PTSD) 7. Schizophrenia 8. Depressive disorders 9. Dissociative disorders 10. Sexual disorders 11. Feeding and Eating disorders

14. Percentage of Mental Disorders Substance Abuse27% (mostly men) Anxiety25% Depressive20% (mostly women) Schizophrenia.7%