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 الفرق بين المرض النفسى والعرض النفسى

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كاتب الموضوعرسالة
Doaa Elgana
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Doaa Elgana


الابراج : الثور

عدد المساهمات : 1159
تاريخ الميلاد : 30/04/1986
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نقاط : 1824
تاريخ التسجيل : 19/06/2009

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الفرق بين المرض النفسى والعرض النفسى Empty
مُساهمةموضوع: الفرق بين المرض النفسى والعرض النفسى   الفرق بين المرض النفسى والعرض النفسى I_icon_minitimeالثلاثاء أبريل 13, 2010 10:45 am

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الفرق بين المرض النفسي والعرض النفسي
يخلط الكثير من الاشخاص بين المرض النفسي والعرض النفسي وعندما يشاهدون شخصا مريضا نفسيا لديه اعرض واضحة لمرضه فيقومون بمقارنة بما لدى هذا المريض ما يشعرون به وربما هناك بعض الحالات تكون لديهم مشابه للحالات التي اصيب بها المريض النفسي او انهم يقومون بالقراءة في بعض الكتب النفسية والتي تهتم بتصنيف الامراض النفسية (والذي من المفترض عدم قراءتها لغير المتخصصين )وعندما يقرأ فيه عن مرض معين يشعر بانه مصاب بهذا المرض لقرب الاعراض منه ويسبب له ذلك احباط واحيانا يركز على الاعراض حتى يصبح مريضا بهذا المرض
رغم انه كان صحيحا معافا كما انني ارى البعض يقوم بطرح مواضيع عن تصنيف الامراض النفسية في كثير من المنتديات وكأن الموضوع موضوع ثقافي ولا يعلم انه قد يؤدي الى تدهور حياة بعض الاخرين بدون قصد ولخطورة الامر احببت ان اوضح الفرق بين المرض النفسي والعرض النفسي لوقاية الكثير من الاشخاص من الوقوع في شراك المرض النفسي .
المرض النفسي :
بمعنى بسيط وبعيد عن المصطلحات العلمية هي حالة يصاب بها الشخص وتستمر معه فترات طويلة اذا لم يقم بعلاجها كما انها تنغص عليه حياته ولا يستطيع معها العيش بسعادة مثل حالة الاكتئاب فهي حالة حزن متفاوتة ومستمر ة تنغص علي الشخص حياته وطبعا يختلف هذا الشعور باختلاف المرض ودرجته فمثلا مرض الهوس هو بمعنى بسيط هو نوبات من الضحك او الفرح او البكاء بدون سبب ومتناقض مع الموقف فالشخص الذي يضحك في عزاء او حادث أليم قد يكون مصاب بهذا المرض
العرض النفسي:
هي حالة عابرة يمر بها الشخص ولا تستمر معه وتكون وقتية ويعود السبب فيه اما لاختلال بسيط في احد مكونات الجهاز العصبي ويستقر بعد ذلك مثال: مررنا في بعض الاحيان بلحظات من الفرح لا ندري ما هو السبب لكنها فترة بسيطة وذهبت وكذلك مررنا بحالات من الحزن او الرغبة في البكاء بدون ما نعرف السبب فهذا لا يدل على اننا مصابين بمرض الهوس او الاكتئاب فالمسألة هنا مسألة وقتية وبعدها نمارس حياتنا بكل سعادة واتزان ونتفاعل مع المواقف بكل توافق واستقرار ولا يمكن لاي شخص ان يشخص نفسه تبعا لما يقرأه او يشاهده وانما يحتاج الى متخصص لذلك حتى الاخصائي النفسي والطبيب النفسي الصادق والمخلص في عمله لا يستطيع تشخيص كثير من الحالات المرضية في اول جلسة يجلسها مع المريض ولكن قد تستمر عدة جلسات للتشخيص فقط قبل العلاج ويستخدم فيها عدة طرق مثل المقاييس النفسية والفحوصات وغيرها مما يساعده في التشخيص الدقيق .
لذلك اتمنى من الجميع الشعور بالرضا عن حياتهم ولا يقارنون انفسهم بغيرهم من اخواننا المرضى او يطبقوا شيئا مما ذكرنا على انفسهم ليعشوا الصحة النفسية السليمة ان شاء الله
اتمنى ان يكون الموضوع واضح للجميع


عدل سابقا من قبل Doaa Elgana في الثلاثاء أبريل 13, 2010 10:04 pm عدل 1 مرات
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الفرق بين المرض النفسى والعرض النفسى Empty
مُساهمةموضوع: رد: الفرق بين المرض النفسى والعرض النفسى   الفرق بين المرض النفسى والعرض النفسى I_icon_minitimeالثلاثاء أبريل 13, 2010 11:27 am

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Psychological Disorders



  • Psychological behaviors
    run a continuum from very mild to extreme. Everyone has these
    behaviors to one degree or another. It is not until a behavior
    or feeling interferes with your quality of life that they become a disorder.


[b]Psychological Order[



  • Self-acceptance: understanding
    yourself and accepting the good and bad parts of yourself.



  • Positive relationships
    with others: ability to form good trusting interpersonal relationships.



  • Autonomy: self-controlled
    and able to resist peer pressure.


[b][b]Psychological Order
[/b]



  • Environmental masters:
    internal locus of control; master of your domain.



  • Purpose in life: goals
    and sense of direction; not diffused.



  • Personal Growth: see yourself
    growing and expanding; self knowledge; self actualization.


[b]Psychological Disorders are:[/b]



  • Atypical, disturbing, maladaptive,
    and unjustifiable behavior.





[b]Psychological Disorders: Causes[/b]



  • Are not usually caused
    by a single factor. The medical model is probably not correct where
    you can take a pill to rid yourself of a disorder.



  • The bio-psycho-social
    school most disorders are caused by a biological predisposition, physiological
    state, psychological dynamics, and social circumstances.


Defining Disorders



  • DSM IV-Diagnostic and
    statistical manual vol. 4.: attempts to describe psychological disorders,
    without explaining the causes, predicts the future course, and suggests
    treatments.



  • Categorizes 230 disorders,
    in 17 categories.


Dangers of labeling



  • Labeling someone with
    a disorder can create self-fulfilling prophesies, where the label creates
    the behavior. Also, if a professional hears a persons
    “has” a disorder, they may look back at that person’s history
    and see things that “caused” those behaviors, which might not be
    accurate.


Anxiety Disorders





  • General anxiety disorder:
    Persistent symptoms of an excited sympathetic, nervous system: sweating,
    heart racing, dizziness, shaky accompanied by persistent negative feelings
    and fear…not triggered by specific events.


Anxiety Disorders



  • Panic disorder: unpredictable,
    minutes long intense anxiety attack, as if you're going to be killed
    any second, but no specific, real threat is apparent.



  • Phobias: persistent,
    irrational fear of a specific object of situation. Very common.
    Spiders, snakes, heights, water, enclosed spaces are all very common
    phobias.


Anxiety Disorders



  • Obsessive-Compulsive disorder:


  • Obsessions: intrusive
    thoughts or fears.



  • Compulsions: repetitive
    behaviors that sooth the fears


Different perspectives would ascribe
different causes:




  • Psychoanalytic: repressed
    feelings during childhood symbolized by trigger.



  • Behavioral: learned
    fear, which has been reinforced, or social learning, imitating others
    who has fear like parents. May be generalized from other learned
    experiences: one dog to all dogs.



  • Biological: predisposed
    genetically to be afraid of things that can cause death: snakes, spiders,
    height, enclosed places, disease.


Post Traumatic Stress disorder



  • Caused by prolonged or
    intensely stressful situations, like war or rape. Symptoms: difficulty
    sleeping, nightmares; anxiety attacks or GAD; intrusive memories; Guilt
    associated with event;



  • Some psychologists dismiss
    this disorder pointing to those who do not get it after experiencing
    similar trauma. That probably has more to do with biological predisposition
    than to lack of evidence that PTSD existence.


Mood Disorders



  • Major, clinical depression;
    dysthimic depression; bipolar disorder. Mood disorders are the
    most common psychological disorders: called the common cold of disorders.
    Depression among the young is on the rise: more diagnosis or more cases?


Major depressive disorder



  • Major depressive disorder:
    two or more weeks of depressed mood, intense feelings of worthlessness
    and hopelessness; and diminished interest in things that were once considered
    pleasurable. People feel like they are in a deep black hole with
    no way to get out. The hopeless feeling often prevents them from
    seeing any reason to try to get out. Very dangerous illness.


Symptoms



  • Symptoms include: discouraging
    feelings about the future; life dissatisfaction; isolation from others;
    difficulty sleeping or sleeping a lot; inability to concentrate; lethargy;
    feelings of worthlessness; loss of interest in friends or family activities.


Dysthmic depression



  • Dysthmic depression: down
    in the dumps mood that lasts from months to years; the feelings aren't
    as intense, but they last longer. Difficult to detect because
    of the lack of intensity but takes a large toll on body and psychology
    systems.


Treatments for depression



  • Cognitive therapy is effective,
    with antidepressants: trying to change internal sentences. Because depressed
    people see the world through dark glasses, their thoughts intensify
    the feelings leading to a downward spiral.



  • Medical: now treated with
    classes of serotonin reuptake inhibitors. SSRIs. They keep serotonin
    in the synapse longer, elevating mood.


Treatment for Dythmic depression



  • College students with
    dysthmic or moderate depression responded far better to aerobics than
    other treatments.


Bipolar disorder (manic-depression):



  • Bipolar disorder (manic-depression):
    alternates between hopelessness and lethargy of depression and over-excited
    manic state.


Bipolar disorder (manic-depression):



  • Manic state: typically
    over-talkative; overactive; little or no sleep; highly impulsive, loud,
    flighty, hard to interrupt sexually less-inhibited. Grandiose
    optimism and self-esteem. May be very irritable.



  • People then fall back
    to either a normal state, or into a major depressed state


Treatment for Bipolar



  • Treatment: In manic state:
    high levels of neurotransmitter norepinephrine.



  • Treatment: usually with
    lithium for the manic state and antidepressants for the depression.



  • Treatment is very effective
    if patients continue using medication.


Depression Facts



  • Facts: Major Depression
    usually lasts less than three months; may or may not return; often triggered
    by stressful events, although not necessarily caused by it (biological
    predisposition);



  • Dysthimic depression lasts
    two years or longer.



  • Women are twice as likely
    to have it than men;



  • Depression is a whole
    body disorder with biochemical and psychological roots, therefore generally
    requires both therapy and antidepressant treatment.


Depression facts.



  • Those who depressed often
    become socially isolated as they withdraw from friends and friends withdraw
    from them as their “old self” changes. The depressed person
    is likely to blame themselves with negative
    “self speak” which exacerbates


Schizophrenia




  • A group of severe psychotic
    disorders characterized by disorganized thought and delusional thinking
    disturbed perceptions and inappropriate emotions and actions.
    Onset often occurs in late adolescence's.



  • Delusion-irrational, unjustifiable,
    usually paranoid, belief of persecution by an unseen entity.



  • Hallucinations: the perception
    of non-existent, external stimuli, usually auditory.


Types:



  • Paranoid: preoccupations
    with delusions and hallucinations.



  • Catatonic: immobility
    or excessive purposeless movements.



  • Disorganized: disorganized
    speech or behavior, inappropriate emotions. Word Salads: scrambled or
    nonsensical speech.



  • Undifferentiated;
    symptoms, but doesn't fit above models.


Types continued



  • Chronic: slowly develops
    over time, prognosis bad.



  • Acute: reaction to life
    stresses, quick onset, good prognosis.



  • Schizophrenia thinking
    may be seen as an uncontrolled rapid change of selective attention,
    where the mind rapidly shifts from one thought to another.


Causes




  • Psychology: triggering
    experiences, genes predispose but some react to traumatic triggers by
    developing schizophrenia. They vary.



  • Biochemical: 6 times the
    normal amount of dopamine receptors that increase brain activity to
    manic levels. Thus dopamine blockers reduce symptoms.


Causes



  • It is also thought to
    perhaps be triggered or caused by the introduction of a prenatal virus
    that affects brain development, possibly in the thalamus. People
    conceived in Winter months are more apt to develop schizophrenia in
    Northern hemisphere, while the reverse is true in the Southern.


Rule of Thirds



  • About 1/3 of people who
    develop schizophrenia only have one episode, 1/3 have reoccurring episodes,
    and 1/3 are chronic with unremitting symptoms.


Causes



  • Amphetamines and cocaine
    sometimes intensify symptoms. Dopamine is also associated with physical
    movement, disruption of is associated with schizophrenia.



  • Brain anatomy: they have
    abnormal brain tissue, low frontal lobe activity.



  • Thalamus react smaller
    than normal and is reactive that may cause brain over stimulization.



  • People exposed to certain
    flu viruses during prenatal development have higher incidences.


Genetic factors



  • Definite genetic link:
    the closer you are genetically to someone with Schizophrenia, the more
    likely you are to get it.



  • 1 in 100 people get it.


  • 1 in 10 of siblings


  • 1 in 2 identical twins,
    even if raised apart


Dissociate Disorders



  • Dissociation is the feeling
    that you are outside of yourself, looking at yourself. That you’re
    mind is separate from body. Person have separated parts of their personality
    or memory for consciousness.


Dissociative Identity disorder:
Multiple Personality Disorder




  • This is a disorder wherein
    your mind partitions itself into two or more distinct personalities
    that may or may not know about each other. One
    “personality” emerges to handle stressful situations that the whole
    psyche or other parts cannot handle.



  • Caused by traumatic event
    or events where the mind represses parts of itself that can’t handle
    the pain. Repressed from a psychoanalytical point of view.


Dissociative Personality Disorder



  • Skeptics believe that
    people or either lying, are fantasy-prone, or have had this disorder
    suggested to them by therapists.



  • It only seems to occur
    in places, like here, where people know about it through books like
    the Sybil and the Three Faces of Eve.


Dissociative Amnesia



  • Selective memory loss
    of a specific traumatic event. The amnesia vanishes are
    abruptly as it begins and rarely reoccurs.


Dissociative Fugue



  • This type of dissociation
    the person just leaves their home and starts on new life, with no memory
    of their past life. The memory my reoccur and the person may return
    home, only to leave again.


Personality Disorders



  • Personality consists of
    enduring traits or characteristics…so personality disorders are persistent
    traits or characteristics that are atypical, disturbing, maladaptive
    and unjustified.



  • Prognosis for treatment
    for many is not very good.


Personality Disorders



  • Antisocial: most common,
    person has no conscience. Lacks a sense of wrongdoing, even toward friends
    or family members.



  • Usually a man thing.


  • Usually emerges before
    15



  • Person may be aggressive
    and/or ruthless. Deceiving or conning others or be aggressive sexually
    with no remorse. Psycopaths, serial killers, sociopaths.


Personality Disorders



  • Histrionic: displays shallow,
    attention-getting behaviors, feeling uncomfortable when not the center
    of attention.



  • Acting in an aggressive,
    sexual way that makes others uncomfortable.



  • Rapid shifting of emotions.
    Dressing provocatively to gain attention, speaks in dramatic tones.


Personality Disorders



  • Narcissistic: Preoccupied
    with themselves and an exaggerated sense of their own importance.


Personality Disorders



  • Borderline: unstable sense
    of self; rapidly changing affect; will be clingy one minute and then
    hostile the next; try to pull people close and then do things to drive
    them away; very manipulative to gain attention; unstable relationships;
    Very poor prognosis for recovery, so therapists won’t even treat
    them.





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