Trichotillomania                                Pyromania
● Hair pulling disorder                        ● An impulse-control disorder that
    ● The urge to pull out one’s own hair            involves having an irresistible urge
       anywhere on the body including the            to set fires.
       scalps, eyebrows and arms.                  ● The pattern parallels that of
    ● More common in women than in                   kleptomania, where the person feels
       men.                                          a tension or arousal before setting a
                                                     fire and a sense of gratification or
Kleptomania                                          relief while the fire burns.
   ● The patterns described by those with          ● Treatment is generally
      this disorder are strikingly                   cognitive-behavioral.
      similar—the person begins to feel a
      sense of tension just before stealing,    Withdrawal delirium
      which is followed by feelings of             ● Is a severe and potentially
      pleasure or relief while the theft is           life-threatening condition that occurs
      committed (Nock et al., in press)               during withdrawal from alcohol or
   ● Patients with kleptomania often                  other substances after prolonged
      report having no memory (amnesia)               heavy use. It is characterized by
      about the act of shoplifting                    confusion, disorientation,
      (Hollander, Berlin, & Stein, 2009)              hallucinations, severe agitation, and
   ● Some refer to kleptomania as an                  tremors. Physical symptoms may
      “antidepressant” behavior, or a                 include high blood pressure, rapid
      reaction on the part of some to                 heart rate, fever, and sweating.
      relieve unpleasant feelings through
      stealing (Fishbain, 1987).                Delusions
                                                   ● A belief that would be seen by most
Pathological Gambling                                 members of a society as a
                                                      misrepresentation of reality is called
   ●   Thinking about gambling constantly,            a disorder of thought content.
       planning the next gambling                  ● “the basic characteristic of madness”
       opportunity, or reliving past gambling
       experiences.                             Agonist Substitution
                                                  ● A treatment method where a safer
Eugen Bleuler                                         substance with effects similar to the
   ● A Swiss psychiatrist who introduced              addictive drug is used to reduce
      the term schizophrenia, meaning                 cravings and withdrawal symptoms.
      “splitting of the mind.”                        For example, methadone is used for
                                                      opioid addiction, and nicotine
Substance use                                         patches for smoking.
   ● Substance use refers to the
      consumption of psychoactive               Schizophrenia
      substances, including alcohol,               ● A serious mental condition of a type
      tobacco, prescription medications,              involving a breakdown in the relation
      and illicit drugs.                              between thought, emotion, and
       behavior, leading to faulty             Cognitive-Behavioral Intervention
       perception, inappropriate actions         ● A structured, goal-oriented approach
       and feelings, withdrawal from reality         that helps individuals identify and
       and personal relationships into               change negative thought patterns
       fantasy and delusion, and a sense of          and behaviors contributing to their
       mental fragmentation.                         problems. It combines cognitive
   ●   It is a disorder characterized by a           therapy, which focuses on modifying
       broad spectrum of cognitive and               distorted thinking, with behavioral
       emotional dysfunctions including              strategies aimed at altering harmful
       delusions and hallucinations,                 behaviors.
       disorganized speech and behavior,
       and inappropriate emotions.             Opponent-Process Theory
                                                 ● Explains that after the initial pleasure
Disorganized Speech                                 of drug use, a negative feeling (like a
   ● Refer to thoughts and speech that              crash) follows.
      are jumbled or do not make sense
      For example, the person may switch       Avolition
      from one topic to another or respond        ● Is the inability to initiate and persist
      with an unrelated topic in                      in activities. People with this
      conversation.                                   symptom (also referred to as apathy)
                                                      show little interest in performing
Cravings                                              even the most basic day-to-day
   ● Are intense and persistent urges or              functions, including those associated
      desires to consume a substance,                 with personal hygiene.
      often experienced by individuals with       ● Which derives from the combination
      substance use disorders.                        of a, meaning (“without”) and
                                                      volition,
Moral Weakness Model                                  which means (“an act of willing,
  ● The moral weakness model sees                     choosing, or deciding”)
      drug use as a failure of self-control,
      where individuals are blamed for         Hallucinations
      their inability to resist temptation.       ● It is the experience of sensory
                                                      events without any input from the
Affective Flattening                                  surrounding environment
   ● A significant reduction in the range
       and intensity of emotional              Emil Kraepelin
       expression. Individuals with this         ● A German psychiatrist who unified
       condition may display diminished              the distinct categories of
       facial expressions, lack of emotional         schizophrenia (hebephrenic,
       responsiveness, and a monotone                catatonic, and paranoid) under the
       voice.                                        name dementia praecox.
Anhedonia                                         ●   Physical characteristics of fetal
  ● The inability to experience pleasure              alcohol syndrome include skin folds
     or interest in activities that were              at the corners of the eyes, low nasal
     previously enjoyable or rewarding.               bridge, short nose, groove between
                                                      nose and upper lip, small head
A. Clinical Description of the following:             circumference, small eye opening,
                                                      small midface, and thin upper lip.
1. Alcohol Use Disorder
    ● Although alcohol is a depressant, its    3. Sedative, Hypnotic,or Anxiolytic
       initial effect is an apparent           Substance Use Disorder
       stimulation, where the person               ● Sedative, hypnotic, and anxiolytic
       experience a feeling of well-being             drugs, including barbiturates and
       and become more outgoing                       benzodiazepines, are used to induce
    ● With increasing alcohol intake, it              sleep, reduce anxiety, or relax
       results in more depressed areas in             muscles. However, they pose
       the brain, impeding the ability to             significant risks, especially when
       function properly. The motor                   misused.
       coordination is impaired, reaction          ● Barbiturates were popular in the
       time is slowed, the person becomes             1930s and 1940s for sleep aid but
       confused, and hearing and vision               are highly addictive. Low doses relax
       are negatively affected.                       muscles and create mild euphoria,
    ● Withdrawal from chronic alcohol use             but high doses mimic heavy drinking
       typically include tremors and, within          effects and may cause death by
       several hours, nausea or vomiting,             respiratory failure. They are often
       anxiety, insomnia, and at its                  involved in overdose-related
       extreme, withdrawal                            suicides.
       delirium/delirium tremens, a                ● Benzodiazepines, initially seen as a
       condition the produces frightening             solution to modern stress, are used
       hallucinations and body tremors, but           as muscle relaxants and
       this can be reduced with adequate              anticonvulsants. They induce
       medical treatment.                             feelings of euphoria and reduced
    ● Consequences of long-term                       inhibitions, similar to alcohol.
       excessive drinking include liver               Continued use leads to tolerance,
       disease, pancreatitis, cardiovascular          dependence, and withdrawal
       disorders, and brain damage.                   symptoms resembling those of
                                                      alcohol.
2. Fetal Alcohol Syndrome                          ● Both alcohol and these drugs can
    ● Recognized as a combination of                  lead to maladaptive behaviors like
       problems that can occur in a child             aggression, mood swings, impaired
       whose mother drank while she was               judgment, and motor coordination
       pregnant. These problems include               problems. Combining alcohol with
       fetal growth retardation, cognitive            these drugs amplifies their effects to
       deficits, behavior problems, and               dangerous levels, increasing the risk
       learning difficulties .
       of severe impairment or fatal               ●   Aversion Treatment: Seeks to
       overdose.                                       discourage substance use by pairing
                                                       it with unpleasant experiences,
B. Condition, Cause, Treatment and                     creating negative associations.
Prevention of Cognitive Disorders.
                                                Psychosocial Treatments:
Biological Factors in dementia include
brain trauma, diseases, and drug abuse,            ●   Inpatient Facilities: Provide support
which can contribute to cognitive decline.             during the withdrawal phase and
Psychosocial Factors such as stress and                therapy to help individuals
social support play a role in how individuals          reintegrate into society.
cope and the progression of symptoms.              ●   Alcoholics Anonymous (AA): A
                                                       12-step program focused on
Dementia Treatment Approaches:                         recognizing addiction and
                                                       empowering individuals to manage
   ●   Biological: Treatment focuses on                its impact.
       slowing disease progression, with           ●   Controlled Drinking: Encourages
       promising research on neurotrophic              moderation or abstinence, though its
       factors and stem cell transplants.              effectiveness is debated due to
   ●   Psychosocial: Support for                       potential misuse of "slips" as
       caregivers and coping strategies for            excuses.
       patients are key components of              ●   Component Treatment: Combines
       treatment.                                      multiple strategies, such as
                                                       Cognitive Behavioral Therapy (CBT)
Dementia Prevention Strategies:                        or Motivational Enhancement
                                                       Therapy (MET), to enhance the
   ●   Control blood pressure.
                                                       success of biological interventions.
   ●   Stay physically and socially active.
   ●   Avoid substance abuse.                   D. Psychotic Disorders
                                                    ● Are a group of mental health
C. Treatment strategies in treating
                                                      conditions characterized by
Substance-Related Disorders
                                                      disruptions in thinking, perception,
Biological Treatments:                                and reality. Individuals with psychotic
                                                      disorders may experience
   ●   Agonist Substitution: A method                 hallucinations (sensory experiences
       where a substance with a similar               that aren't real, like hearing voices)
       chemical composition to the                    and delusions (false beliefs, such as
       addictive drug is used as a                    believing they are being persecuted
       substitute, helping to reduce                  or have special powers). The most
       withdrawal symptoms and cravings.              well-known psychotic disorder is
   ●   Antagonist Treatment: Involves                 schizophrenia.
       medications that block or counteract
       the effects of addictive substances,
       such as drugs that neutralize opiate
       effects.