Psych 380 1nd Edition Lecture 3 Outline of Current Lecture I Case study Derrick brief psychotic disorder II Criteria for mental disorder Current Lecture I II III Mental disorder a Clinically significant disturbance in cognition emotion regulation or behavior b Significant distress disability c Not expectable or cultural d Not a society or individual conflict e g political religious sexual etc Diagnostic and statistical manual of mental disorders DSM 5 fifth edition a The second edition was very vague and had many things that are not considered mental disorders today i Ex caffeine withdrawal ii Specific learning disorder dyslexia etc iii Premature ejactulation iv Excessive drinking v Homosexuality Case study 2 Derrick a It was during the time in between Christmas and New Years b Dr Halgin s receptionist calls him and says that there is a young man sitting in the office i The young man is very disheveled ii He isn t wearing a jacket iii His hair is wet iv He hasn t shaved v He is shaking c Dr Halgin begins to ask himself certain questions i Does he have problems regulating his temperature ii What was the precipitant to this occurance 1 Precipitant events leading up to Derrick s current symptoms being displayed 2 What led this person to come in 3 Is this his first time having these symptoms 4 Is he in danger d Dr Halgin comes into office i Asks himself how involved do I want to get with this man These notes represent a detailed interpretation of the professor s lecture GradeBuddy is best used as a supplement to your own notes not as a substitute IV V VI VII VIII ii Worst case need to send Derrick to psychiatric unit call an ambulance and have the paramedics take care of him e Dr Halgin lets Derrick come into the office i Derrick is crying and shaking ii Derrick says My brain is going to explode I haven t slept in days I ve been going crazy since December 10th 15 days approximately There is a stalker outside who s been trying to kill me and the police are in on it I can t stop washing I ve been taking 5 6 showers per day for the past few weeks Dr Halgin s potential questions a Is he paranoid b Is there really a man stalking him i Is this possible c Is he psychotic d Is it a hallucination e What happened on December 10th This may have been the precipitant f Is he on medications or drugs g Why is he having these compulsions to shower Dr Halgin asks Derrick what s been going on with you a Derrick seems out of control b When dealing with someone who is out of control sometimes all they want is for someone to control them Derrick s life story a He was accepted to an Ivy League but decided to go to UMass instead b Derrick was stressed out by the competition at the Ivy League c Everything got crazy at Thanksgiving d Holidays are often a big day for therapists Christmas New Years Mother s Father s day e He got in a big fight with his father on Thanksgiving i His father said that Derrick was a huge disappointment ii There were a lot of mean words exchanged iii Derrick s father had a heart attack and was sent to the hospital iv Derrick didn t want to visit him because of the fight they got in After this event Derrick began to really freak out a He moved out of home and was couch surfing b He wasn t taking good care of himself c On December 10th Derrick went to the home of one of his openly gay high school teachers and told him that he wanted to have sex with him d His teacher said no and was very confused about what was going on with Derrick e Derrick ran away screaming f From there Derrick went into a brief psychotic disorder At this point Dr Halgin needs to decide what to do with Derrick a He caters to his immediate needs i Food ii Warmth iii Water iv Sleep b He calls his mother and has her come and get him and take care of him c Derrick comes in the next day and begins to talk to Dr Halgin now that he has significantly calmed down d Dr Halgin continues to see him for several more months