Psychological Disorders and Clinical Assessment Essentials

Phobias and Anxiety Disorders

Types of Phobias (SSA)

  • Specific Phobia
  • Social Anxiety Disorder
  • Agoraphobia

Specific Phobia Types (ANBOS)

  • Animal
  • Natural Environment
  • Blood-Injection-Injury
  • Other
  • Situational

Causes of Phobias (BPBCE)

  • Biological
  • Psychoanalytic
  • Behavioural
  • Cognitive
  • Evolutionary

Treatment Options

  • Exposure Therapy
  • Systematic Desensitization
  • Modeling
  • Cognitive Behavioural Therapy (CBT)

Obsessive-Compulsive Disorder (OCD)

Formula: Obsession → Anxiety → Compulsion → Relief

Common Obsessions

  • Contamination
  • Harm
  • Doubt
  • Symmetry

Common Compulsions

  • Washing
  • Checking
  • Counting
  • Arranging

Causes

  • Biological
  • Behavioural (Negative Reinforcement)
  • Cognitive

Treatment

  • ERP (Exposure and Response Prevention – Most Important)
  • CBT
  • Medication

Eating Disorders

  • A = Anorexia Nervosa: Restricts food, fear of weight gain, underweight.
  • B = Bulimia Nervosa: Binge eating followed by purging.
  • B = Binge Eating Disorder: Binge eating with no purging.

Causes

  • Biological
  • Psychological
  • Sociocultural

Dissociative Disorders

Three Major Disorders

  • Dissociative Amnesia: Characterized by memory loss.
  • Dissociative Identity Disorder (DID): Characterized by multiple personalities.
  • Depersonalization/Derealization Disorder: Feels detached from self or surroundings.

Causes and Treatment

Causes: Trauma, stress, and abuse.

Treatment: Psychotherapy, CBT, and trauma-focused therapy.

Clinical Assessment Fundamentals

Clinical Assessment is the process of collecting and evaluating information to diagnose psychological disorders and plan treatment.

Assessment Types

1. Biological Assessment

  • Neuroimaging (MRI, CT, PET)
  • Neuropsychological assessment
  • Psychophysiological assessment
  • Biochemical assessment

2. Psychological Assessment

  • Clinical interview
  • Observation
  • Psychological tests
  • Projective tests (e.g., Rorschach, TAT)
  • Behavioural assessment

3. Socio-cultural Assessment

  • Family assessment
  • Community assessment
  • Cultural assessment

Objectives and Purpose

  • Diagnosis
  • Problem identification
  • Treatment planning
  • Prognosis

Historical Perspectives in Psychology

Evolutionary Flow

Supernatural → Biological → Psychological → Behavioural → Cognitive → Biopsychosocial

Key Figures

  • Hippocrates: Biological perspective
  • Freud: Psychological perspective
  • Pavlov: Behavioural perspective
  • Skinner: Behavioural perspective

Intellectual Disability

Definition and Severity

Characterized by deficits in Intellectual Functioning and Adaptive Functioning.

Severity Levels: Mild, Moderate, Severe, and Profound.

Causes and Treatment

Causes: Genetic, prenatal, perinatal, and postnatal factors.

Treatment: Special education, behavioural training, and family support.

Attachment Styles

  • Secure Attachment: Healthy relationship.
  • Insecure-Avoidant: Avoids caregiver.
  • Insecure-Resistant: Clingy and anxious.
  • Disorganized: Confused behaviour.

Memory Reference: Secure, Avoidant, Resistant, Disorganized.

Childhood Depression

  • Attachment: Poor attachment → Loneliness → Depression.
  • Behavioural: Observation + Lack of Reinforcement → Depression.
  • Cognitive: Learned Helplessness + Cognitive Triad.
  • Self-Control: Negative self-evaluation.
  • Interpersonal: Relationship problems → Depression.