The ability to engage in productive activities, maintain healthy relationships, and adapt
to change and adversity.
Mental Illness
Significant changes in thinking, emotion, or behavior that cause distress or impair
functioning in social, work, or family activities.
DSM Criteria for Mental Illness
According to the Diagnostic and Statistical Manual (DSM) significant dysfunction in one
or more areas of life such as work, interpersonal relations or self-care defines .
Continuum Model
A fluid continuum from mental wellness to mental illness.
Excelling
No symptoms of mental illness, functioning at an optimal level
Thriving
Some stress, but manageable, no interference in daily functioning
Surviving
Some problems, but manageable without distress
Struggling
Mental health distress interferes with daily functioning
Crisis
Severe mental illness with marked impairment in functioning
Physiologic Responses to Stress
The body's response to perceived threats initially had to do with physical survival; now it
has the same response from emotional and psychological stressors.
,Selye's Definition of Stress
A non-specific bodily response to any demand placed on it; includes fight-or-flight.
Cerebrum
Divided into four lobes each having different functions.
Frontal Lobes
Responsible for voluntary movement and emotions.
Parietal Lobes
Governing sensory input.
Temporal Lobes
Auditory functions, smell, and emotions.
Occipital Lobes
Visual processing.
Diencephalon
,Includes the thalamus and hypothalamus, part of the limbic system, which is involved in
emotional regulation.
Neurotransmitters
Chemicals released by neurons that transmit signals across synapses. They play a key
role in regulating mood and are often targeted by medications prescribed for
psychiatric disorders.
Anxiety
A feeling of discomfort and apprehension, usually related to fear of impending danger.
Anxiety can be adaptive but becomes problematic when it interferes with daily life.
Peplau's Four Levels of Anxiety- Mild Anxiety
Increased focus and alertness.
Peplau's Four Levels of Anxiety- Moderate Anxiety
Perceptual field narrows, physical symptoms include increase in heart rate.
Peplau's Four Levels of Anxiety- Severe Anxiety
Very little perception, confusion, physical symptoms.
Peplau's Four Levels of Anxiety- Panic Anxiety
Totally disoriented, hallucinations and delusions possible.
, Genotype
Genetic composition of any individual
Phenotype
Physical appearance of those genes.
Epigenetics
How the environment influences the genes to change without altering DNA.
Genetic Concordance
Twin Studies: Research comparing identical and fraternal twins in order to tease out
genetic from environmental contributions to mental health disorders.
Lifetime Risk of Schizophrenia
The genetically determined chances, or risk, of a first-degree relative and twin
developing schizophrenia.
Outpatient Services
Primary care, mental health clinics, telehealth, and home-based services for patients
with nonacute mental health needs.
Inpatient Services
Care for patients who need extended treatment and monitoring; crisis stabilization,
state hospitals, and long-term care facilities.
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