1Listen to the audio lecture while viewing these slidesPsychology 311Abnormal Psychology1Internalizing Disorders2Psyc 311 – Abnormal PsychologyBackground• Are often overlooked• Disorders are usually mood or emotional• Are unique to children only in the DSM• Separation Anxiety Disorder• Generalized Anxiety Disorder• Obsessive-Compulsive Disorder•Depression3Psyc 311 – Abnormal PsychologySeparation Anxiety Disorder• Show excessive anxiety or panic when not with a major attachment figure• May not stay in a room alone• May not go to school• Greatly exaggerated fears of•Animals, Monsters, Kidnappers• May complain of nausea, headaches, tummy aches, rapid heart rate• Older children have reaction when just thinking of future separation4Psyc 311 – Abnormal PsychologyMore Characteristics• Is the lasting quality that distinguishes this disorder• Decreases sharply with age5Psyc 311 – Abnormal PsychologySocial Phobia• Is a related disorder• Found in childhood and adulthood• Excessive shrinking from contact with unfamiliar people• Avoid being around anyone except family• Anticipate embarrassment and humiliation• Becomes stronger in adolescents• Highest in African Americans, lowest in Hispanic Americans6Psyc 311 – Abnormal PsychologyGeneralized Anxiety Disorder• Need to be affected by symptoms for 6 months• Is related to situations that• Involve pressure for performance• Carry risk of loss of self esteem• Seek out dependent relationships and are very eager to please others27Psyc 311 – Abnormal PsychologySchool• Is a huge stressor•Example• Child in 4th grade• Very emotionally sensitive to what is going on around here• Cannot read the teacher• Is on nails•Result - High Anxiety•Begs not to go to school8Psyc 311 – Abnormal PsychologyObsessive-Compulsive Disorder• Persistent unwanted thoughts and ritualistic behaviors• Usually have multiple obsessions• The younger they begin, the more likely they continue into adulthood• Usually see most diagnoses between 10 –21• Boys seen with it two times more than girls•Adults about the same9Psyc 311 – Abnormal PsychologySymptoms• Children may experience tics with the disorder• Adults may have mood or anxiety disorders• Some rituals are common• Getting ready for bed• Some games are not maladaptive and normal for children• E.g., avoiding sidewalk cracks• Children with this disorder may have severely impaired functioning• Most common is dirt contamination10Psyc 311 – Abnormal PsychologyTreatment• Antidepressants• But only are mildly effective• Cognitive behavioral treatment• With the family and Individual is the most effective treatment11Psyc 311 – Abnormal PsychologyDepression• DSM does not have a special section for depression in children• Instead uses the adult category with minor modifications12Psyc 311 – Abnormal PsychologyTesting and Treatment• Ways to determine depression in children • Children’s Depression Inventory•Treatment• Antidepressants are not effective• Cognitive behavior is most effective•Give them skills and awareness to see they have choices and control313Psyc 311 – Abnormal PsychologyConclusion• Several internalizing disorders• Many respond well to