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Psychiatric Conditions

Overview
Mood Disorders
Anxiety Disorders
Psychosis

Overview

Psychiatric disorders are caused by a combination of genetic, biological, psychological and environmental factors. They often affect parts of the brain which control passion or despair. And these disorders are not preventable.

There are several broad categories of psychiatric conditions:

  • Mood disorders
    • Depression
    • Bipolar disease
  • Anxiety disorders
    • Generalized anxiety disorder
    • Obsessive compulsive disorder
    • Panic disorder
    • Social phobia
  • Psychosis
    • Schizophrenia

Mood disorders

Depression
Every year, more than 19 million Americans suffer from clinical depression. Symptoms of depression include:

  • Persistent sadness or despair
  • Insomnia, or excessive sleep
  • Decreased appetite
  • Inability to experience pleasure
  • Irritability, anger, worry, agitation and anxiety
  • Pessimism, indifference, poor motivation, social withdrawal
  • Loss of energy, persistent lethargy
  • Feelings of guilt, worthlessness
  • Inability to concentrate, indecisiveness

More than 80% of patients with depression can be successfully treated with medication, psychotherapy or a combination of both. Early treatment is often effective, increasing the likelihood of preventing serious recurrences.

Bipolar Disorder
Bipolar disease is also a mood disorder. Also known as manic depression, there are extreme changes in mood, thought, energy and behavior. These mood swings can last for hours, days, weeks or even months. The lows are as outlined for depression. Symptoms of the highs (or mania) are:

  • Increased physical and mental activity and energy
  • Heightened mood, exaggerated optimism and self-confidence
  • Excessive irritability, aggressive behavior
  • Decreased need for sleep without experiencing fatigue
  • Grandiose delusions; inflated sense of self-importance
  • Racing speech and thoughts
  • Impulsiveness, poor judgment, distractable

Treatment regimens include medication and psychotherapy. Promising new treatments are under investigation.

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Anxiety disorders

Everyone experiences anxiety in their lives. Whether it is a narrowly missed car accident or a presentation before a large audience, the symptoms are the same:

  • Feelings of dread or fear
  • Trembling, restlessness and muscle tension
  • Rapid heart rate
  • Lightheadedness or dizziness
  • Perspiration
  • Cold hands and feet
  • Shortness of breath

Anxiety is the essence of what is called the “flight or fight” phenomenon. It is the body’s physiological response to dangerous situations. In anxiety disorders, the mechanisms that regulate the process break down, resulting in excessive or inappropriate expressions.

According to the Anxiety Disorders Association of America, these disorders cost the United States more than $42 million per year. Anxiety disorders are highly treatable with psychosocial therapies, medication or a combination of the two.

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Psychosis

Psychosis is a severe mental disorder, and can occur with or without organic damage. Symptoms span a broad range of characteristics that encompass disturbances of perception and thought processes. One of the most common symptoms is hallucinations, where a person experiences a sensory impression that is not real. It can involve any of the senses, such as hearing a voice when there is none.

Delusions are another symptom. A false belief that a person maintains even in the face of evidence to the contrary is a delusion. Paranoia is a delusion in which a person is convinced he is going to be harmed. Other symptoms include:

  • Disorganized thoughts and behaviors
  • Loose or illogical thoughts
  • Agitation
  • Personality disturbances
  • Flat or blunted affect
  • Concrete thoughts
  • Inability to experience pleasure
  • Poor motivation, spontaneity or initiative

These symptoms are the result of disturbances in the flow, processing and interpretation of information in the central nervous system. Treatment includes medication, pychosocial therapy and electroconvulsive therapy.

Learn more about Psychiatric Care at Saint Mary’s

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