Psychological Disorders Examination

1. Patient Symptoms
The main symptom is the almost constant presence of worry or tension, even when there is little or no cause. Worries seem to float from one problem to another, such as family or relationship problems, work issues, money, health, and other problems. Even when aware that their worries or fears are stronger than needed, a person with this disorder still has difficulty controlling them. Other symptoms include: Difficulty concentrating Fatigue Irritability Problems falling or staying asleep, and sleep that is often restless and unsatisfying Restlessness, and often becoming startled very easily

Along with the worries and anxieties, a number of physical symptoms may also be present, including muscle tension (shakiness, headaches) and stomach problems, such as nausea or diarrhea.

Signs and tests

The health care provider will perform a physical and mental health exam. Tests will be done to rule out other conditions and behaviors that cause similar symptoms.

Disorder: _________________ 2. Patient Symptoms

This is a disorder that is considered to be present when places or situations are being avoided. People with this disorder generally do not feel safe in public places. Their fear is worse when the place is crowded. Symptoms of this disorder include: Becoming housebound for prolonged periods of time Dependence on others Fear of being alone Fear of being in places where escape might be difficult Fear of losing control in a public place Feelings of detachment or estrangement from others Feelings of helplessness Feeling that the body is unreal Feeling that the environment is unreal Unusual temper or agitation

Disorder: _________________ 3. Patient Symptoms

People who have this disorder usually see everything with a more negative attitude, unable to imagine that any problem or situation can be solved in a positive way. Symptoms of this disorder can include: Agitation, restlessness, and irritability Dramatic change in appetite, often with weight gain or loss Very difficult to concentrate Fatigue and lack of energy Feelings of hopelessness and helplessness Feelings of worthlessness, self-hate, and guilt Becoming withdrawn or isolated Loss of interest or pleasure in activities that were once enjoyed Thoughts of death or suicide Trouble sleeping or excessive sleeping

This disorder can appear as anger and discouragement, rather than feelings of sadness. If this disorder is very severe, there may also be psychotic symptoms, such as hallucinations and delusions.

Disorder: _________________ 4. Patient Symptoms

The manic phase may last from days to months. It can include the following symptoms: Easily distracted Little need for sleep Poor judgment Poor temper control Reckless behavior and lack of self control Binge eating, drinking, and/or drug use Poor judgment Sex with many partners (promiscuity) Spending sprees

Very elevated mood Excess activity (hyperactivity) Increased energy Racing thoughts Talking a lot Very high self-esteem (false beliefs about self or abilities)

Very involved in activities Very upset (agitated or irritated)

These symptoms of mania occur with bipolar disorder I. In people with bipolar disorder II, the symptoms of mania are similar but less intense. The depressed phase of both types of bipolar disorder includes the following symptoms: Daily low mood or sadness Difficulty concentrating, remembering, or making decisions Eating problems Loss of appetite and weight loss Overeating and weight gain

Fatigue or lack of energy Feeling worthless, hopeless, or guilty Loss of pleasure in activities once enjoyed Loss of self-esteem Thoughts of death and suicide Trouble getting to sleep or sleeping too much Pulling away from friends or activities that were once enjoyed

There is a high risk of suicide with bipolar disorder. Patients may abuse alcohol or other substances, which can make the symptoms and suicide risk worse. Sometimes the two phases overlap. Manic and depressive symptoms may occur together or quickly one after the other in what is called a mixed state.

Disorder: _________________ 5. Patient Symptoms

A person with this disorder may: React to criticism with rage, shame, or humiliation Take advantage of other people to achieve his or her own goals

Have excessive feelings of self-importance Exaggerate achievements and talents Be preoccupied with fantasies of success, power, beauty, intelligence, or ideal love Have unreasonable expectations of favorable treatment Need constant attention and admiration Disregard the feelings of others, and have little ability to feel empathy Have obsessive self-interest Pursue mainly selfish goals

Disorder: _________________ 6. Patient Symptoms

People with this disorder are often uncertain about their identity. As a result, their interests and values may change rapidly. People with this disorder also tend to see things in terms of extremes, such as either all good or all bad. Their views of other people may change quickly. A person who is looked up to one day may be looked down on the next day. These suddenly shifting feelings often lead to intense and unstable relationships. Other symptoms of this disorder include: Fear of being abandoned Feelings of emptiness and boredom Frequent displays of inappropriate anger Impulsiveness with money, substance abuse, sexual relationships, binge eating, or shoplifting Intolerance of being alone Repeated crises and acts of self-injury, such as wrist cutting or overdosing

Disorder: _________________ 7. Patient Symptoms

Symptoms usually develop slowly over months or years. Sometimes you may have many symptoms, and at other times you may only have a few. People with any type of this disorder may have difficulty keeping friends and working. They may also have problems with anxiety, depression, and suicidal thoughts or behaviors. At first, you may have the following symptoms: Irritable or tense feeling Difficulty sleeping

Difficulty concentrating

As the illness continues, problems with thinking, emotions and behavior develop, including: Lack of emotion (flat affect) Strongly held beliefs that are not based in reality (delusions) Hearing or seeing things that are not there (hallucinations) Problems paying attention Thoughts "jump" between unrelated topics ( loose associations) Bizarre behaviors Social isolation

Disorder: _________________