165-534: Obsessive–compulsive disorder ( OCD ) is a mental and behavioral disorder in which an individual has intrusive thoughts (an obsession ) and feels the need to perform certain routines ( compulsions ) repeatedly to relieve the distress caused by the obsession, to the extent where it impairs general function. Obsessions are persistent unwanted thoughts, mental images, or urges that generate feelings of anxiety , disgust , or discomfort. Some common obsessions include fear of contamination , obsession with symmetry ,
330-519: A medical model and those based on a humanistic model . In the medical model, the client is seen as unwell and the therapist employs their skill to help the client back to health. The extensive use of the DSM-IV , the diagnostic and statistical manual of mental disorders in the United States is an example of a medically exclusive model. The humanistic or non-medical model in contrast strives to depathologise
495-561: A psychiatric disability , is a behavioral or mental pattern that causes significant distress or impairment of personal functioning. A mental disorder is also characterized by a clinically significant disturbance in an individual's cognition, emotional regulation, or behavior, often in a social context . Such disturbances may occur as single episodes, may be persistent, or may be relapsing–remitting . There are many different types of mental disorders, with signs and symptoms that vary widely between specific disorders. A mental disorder
660-513: A "fuzzy prototype " that can never be precisely defined, or conversely that the concept always involves a mixture of scientific facts and subjective value judgments. Although the diagnostic categories are referred to as 'disorders', they are presented as medical diseases, but are not validated in the same way as most medical diagnoses. Some neurologists argue that classification will only be reliable and valid when based on neurobiological features rather than clinical interview, while others suggest that
825-460: A category for enduring personality change after a catastrophic experience or psychiatric illness. If an inability to sufficiently adjust to life circumstances begins within three months of a particular event or situation, and ends within six months after the stressor stops or is eliminated, it may instead be classed as an adjustment disorder . There is an emerging consensus that personality disorders, similar to personality traits in general, incorporate
990-442: A category of relational disorder , where the diagnosis is of a relationship rather than on any one individual in that relationship. The relationship may be between children and their parents, between couples, or others. There already exists, under the category of psychosis, a diagnosis of shared psychotic disorder where two or more individuals share a particular delusion because of their close relationship with each other. There are
1155-480: A common comorbidity, with schizotypal and OCPD having poor treatment response. The condition is also associated with a general increase in suicidality . The phrase obsessive–compulsive is sometimes used in an informal manner unrelated to OCD to describe someone as excessively meticulous, perfectionistic , absorbed, or otherwise fixated. However, the actual disorder can vary in presentation, and individuals with OCD may not be concerned with cleanliness or symmetry. OCD
1320-501: A defining identity. In adolescent OCD patients, OVI is considered a severe symptom. Historically, OVI has been thought to be linked to poorer treatment outcome in patients with OCD, but it is currently considered a poor indicator of prognosis. The Overvalued Ideas Scale (OVIS) has been developed as a reliable quantitative method of measuring levels of OVI in patients with OCD, and research has suggested that overvalued ideas are more stable for those with more extreme OVIS scores. Though OCD
1485-545: A diagnosis. Services for mental disorders are usually based in psychiatric hospitals , outpatient clinics , or in the community , Treatments are provided by mental health professionals. Common treatment options are psychotherapy or psychiatric medication , while lifestyle changes, social interventions, peer support , and self-help are also options. In a minority of cases, there may be involuntary detention or treatment . Prevention programs have been shown to reduce depression. In 2019, common mental disorders around
1650-440: A dimension or spectrum of mood, is subject to some scientific debate. Patterns of belief, language use and perception of reality can become dysregulated (e.g., delusions , thought disorder , hallucinations ). Psychotic disorders in this domain include schizophrenia , and delusional disorder . Schizoaffective disorder is a category used for individuals showing aspects of both schizophrenia and affective disorders. Schizotypy
1815-476: A disorder, it generally needs to cause dysfunction. Most international clinical documents use the term mental "disorder", while "illness" is also common. It has been noted that using the term "mental" (i.e., of the mind ) is not necessarily meant to imply separateness from the brain or body . According to the fourth edition of the Diagnostic and Statistical Manual of Mental Disorders ( DSM-IV ), published in 1994,
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#17329284284261980-427: A disorder. Obsessive–compulsive disorder can sometimes involve an inability to resist certain acts but is classed separately as being primarily an anxiety disorder. Substance use disorder : This disorder refers to the use of drugs (legal or illegal, including alcohol ) that persists despite significant problems or harm related to its use. Substance dependence and substance abuse fall under this umbrella category in
2145-624: A dreaded event from occurring, or push the event from their thoughts. In any case, their reasoning is so idiosyncratic or distorted that it results in significant distress, either personally, or for those around the affected individual. Excessive skin picking , hair pulling , nail biting , and other body-focused repetitive behavior disorders are all on the obsessive–compulsive spectrum . Some individuals with OCD are aware that their behaviors are not rational, but they feel compelled to follow through with them to fend off feelings of panic or dread. Furthermore, compulsions often stem from memory distrust ,
2310-403: A dysfunction in the individual. DSM-IV predicates the definition with caveats, stating that, as in the case with many medical terms, mental disorder "lacks a consistent operational definition that covers all situations", noting that different levels of abstraction can be used for medical definitions, including pathology, symptomology, deviance from a normal range, or etiology, and that the same
2475-399: A few anxiety disorders tend to appear in childhood. Some other anxiety disorders, substance disorders, and mood disorders emerge later in the mid-teens. Symptoms of schizophrenia typically manifest from late adolescence to early twenties. The likely course and outcome of mental disorders vary and are dependent on numerous factors related to the disorder itself, the individual as a whole, and
2640-417: A few years later, psychiatrist Aaron T. Beck developed a form of psychotherapy known as cognitive therapy . Both of these included relatively short, structured and present-focused techniques aimed at identifying and changing a person's beliefs, appraisals and reaction-patterns, by contrast with the more long-lasting insight-based approach of psychodynamic or humanistic therapies. Beck's approach used primarily
2805-577: A four-factor grouping structure to be most reliable: symmetry factor, forbidden thoughts factor, cleaning factor, and hoarding factor. The symmetry factor correlates highly with obsessions related to ordering, counting, and symmetry, as well as repeating compulsions. The forbidden thoughts factor correlates highly with intrusive thoughts of a violent, religious, or sexual nature. The cleaning factor correlates highly with obsessions about contamination and compulsions related to cleaning. The hoarding factor only involves hoarding-related obsessions and compulsions, and
2970-405: A general sense of disarray or tension, accompanied by a belief that life cannot proceed as normal while the imbalance remains. A more intense obsession could be a preoccupation with the thought or image of a close family member or friend dying, or intrusive thoughts related to relationship rightness . Other obsessions concern the possibility that someone or something other than oneself—such as God ,
3135-495: A genetic correlation between anorexia nervosa and OCD, suggesting a strong etiology. First and second hand relatives of probands with OCD have a greater risk of developing anorexia nervosa as genetic relatedness increases. A mutation has been found in the human serotonin transporter gene hSERT in unrelated families with OCD. A systematic review found that while neither allele was associated with OCD overall, in Caucasians ,
3300-408: A less medical or "professional" focus. Somatotherapy refers to the use of physical changes as injuries and illnesses, and sociotherapy to the use of a person's social environment to effect therapeutic change. Psychotherapy may address spirituality as a significant part of someone's mental / psychological life, and some forms are derived from spiritual philosophies, but practices based on treating
3465-663: A major depressive episode in their lifetime. Comorbidity rates have been reported at between 19 and 90%, as a result of methodological differences. Between 9–35% of those with bipolar disorder also have OCD, compared to 1–2% in the general population. About 50% of those with OCD experience cyclothymic traits or hypomanic episodes. OCD is also associated with anxiety disorders. Lifetime comorbidity for OCD has been reported at 22% for specific phobia , 18% for social anxiety disorder , 12% for panic disorder , and 30% for generalized anxiety disorder . The comorbidity rate for OCD and ADHD has been reported to be as high as 51%. The cause of OCD
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#17329284284263630-466: A mean age of onset of less than 25. Some OCD subtypes have been associated with improvement in performance on certain tasks, such as pattern recognition (washing subtype) and spatial working memory (obsessive thought subtype). Subgroups have also been distinguished by neuroimaging findings and treatment response, though neuroimaging studies have not been comprehensive enough to draw conclusions. Subtype-dependent treatment response has been studied, and
3795-449: A mental disorder is a psychological syndrome or pattern that is associated with distress (e.g., via a painful symptom ), disability (impairment in one or more important areas of functioning), increased risk of death, or causes a significant loss of autonomy; however, it excludes normal responses such as the grief from loss of a loved one and also excludes deviant behavior for political, religious, or societal reasons not arising from
3960-416: A mixture of acute dysfunctional behaviors that may resolve in short periods, and maladaptive temperamental traits that are more enduring. Furthermore, there are also non-categorical schemes that rate all individuals via a profile of different dimensions of personality without a symptom-based cutoff from normal personality variation, for example through schemes based on dimensional models. An eating disorder
4125-593: A number of other conditions, including obsessive–compulsive personality disorder (OCPD), autism spectrum disorder (ASD), or disorders in which perseveration is a possible feature (ADHD, PTSD , bodily disorders, or stereotyped behaviors ). Some cases of OCD present symptoms typically associated with Tourette syndrome, such as compulsions that may appear to resemble motor tics ; this has been termed tic-related OCD or Tourettic OCD . OCD frequently occurs comorbidly with both bipolar disorder and major depressive disorder . Between 60 and 80% of those with OCD experience
4290-500: A number of uncommon psychiatric syndromes , which are often named after the person who first described them, such as Capgras syndrome , De Clerambault syndrome , Othello syndrome , Ganser syndrome , Cotard delusion , and Ekbom syndrome , and additional disorders such as the Couvade syndrome and Geschwind syndrome . The onset of psychiatric disorders usually occurs from childhood to early adulthood. Impulse-control disorders and
4455-486: A period of internship which is only open to physicians or titulars of a master's degree in psychology or psychoanalysis. Austria and Switzerland (2011) have laws that recognize multi-disciplinary functional approaches. In the United Kingdom, the government and Health and Care Professions Council considered mandatory legal registration but decided that it was best left to professional bodies to regulate themselves, so
4620-759: A person change behavior, increase happiness, and overcome problems. Psychotherapy aims to improve an individual's well-being and mental health , to resolve or mitigate troublesome behaviors, beliefs, compulsions, thoughts, or emotions, and to improve relationships and social skills . Numerous types of psychotherapy have been designed either for individual adults, families, or children and adolescents. Certain types of psychotherapy are considered evidence-based for treating some diagnosed mental disorders ; other types have been criticized as pseudoscience . There are hundreds of psychotherapy techniques, some being minor variations; others are based on very different conceptions of psychology. Most involve one-to-one sessions, between
4785-684: A primary treatment for numerous disorders. A "third wave" of cognitive and behavioral therapies developed, including acceptance and commitment therapy and dialectical behavior therapy , which expanded the concepts to other disorders and/or added novel components and mindfulness exercises. However the "third wave" concept has been criticized as not essentially different from other therapies and having roots in earlier ones as well. Counseling methods developed include solution-focused therapy and systemic coaching . Postmodern psychotherapies such as narrative therapy and coherence therapy do not impose definitions of mental health and illness, but rather see
4950-621: A psychotherapy permit by completing certain educational and practice requirements; their professional oversight is provided by their own professional orders. Some other professionals who were practising psychotherapy before the current system came into force continue to hold psychotherapy permits alone. On 1 July 2019, Ontario's Missing Persons Act came into effect, with the purpose of giving police more power to investigate missing persons. It allows police to require (as opposed to permit) health professionals, including psychotherapists, to share otherwise confidential documents about their client, if there
5115-662: A recent meta-analysis showed that women are 1.6 times more likely to experience OCD. Based on data from 34 studies, the worldwide prevalence rate is 1.5% in women and 1% in men. OCD can present with a wide variety of symptoms. Certain groups of symptoms usually occur together as dimensions or clusters, which may reflect an underlying process. The standard assessment tool for OCD, the Yale–Brown Obsessive Compulsive Scale (Y-BOCS), has 13 predefined categories of symptoms. These symptoms fit into three to five groupings. A meta-analytic review of symptom structures found
Obsessive–compulsive disorder - Misplaced Pages Continue
5280-693: A separate axis II in the case of the DSM-IV. A number of different personality disorders are listed, including those sometimes classed as eccentric , such as paranoid , schizoid and schizotypal personality disorders; types that have described as dramatic or emotional, such as antisocial , borderline , histrionic or narcissistic personality disorders; and those sometimes classed as fear-related, such as anxious-avoidant , dependent , or obsessive–compulsive personality disorders. Personality disorders, in general, are defined as emerging in childhood, or at least by adolescence or early adulthood. The ICD also has
5445-414: A severe psychiatric disability. Disability in this context may or may not involve such things as: In terms of total disability-adjusted life years (DALYs), which is an estimate of how many years of life are lost due to premature death or to being in a state of poor health and disability, psychiatric disabilities rank amongst the most disabling conditions. Unipolar (also known as Major) depressive disorder
5610-604: A similar restriction on the title "psychotherapist", which may only be used by professionals who have gone through a post-graduate training in psychotherapy and then applied for a licence, issued by the National Board of Health and Welfare . Legislation in France restricts the use of the title "psychotherapist" to professionals on the National Register of Psychotherapists, which requires a training in clinical psychopathology and
5775-543: A sleep center for analysis, during which doctors ask for a detailed sleep history and sleep records. Doctors also use actigraphs and polysomnography . Doctors will do a multiple sleep latency test, which measures how long it takes a person to fall asleep. Sleep apnea, when breathing repeatedly stops and starts during sleep, can be a serious sleep disorder. Three types of sleep apnea include obstructive sleep apnea , central sleep apnea , and complex sleep apnea . Sleep apnea can be diagnosed at home or with polysomnography at
5940-644: A sleep center. An ear, nose, and throat doctor may further help with the sleeping habits. Sexual disorders include dyspareunia and various kinds of paraphilia (sexual arousal to objects, situations, or individuals that are considered abnormal or harmful to the person or others). Impulse control disorder : People who are abnormally unable to resist certain urges or impulses that could be harmful to themselves or others, may be classified as having an impulse control disorder, and disorders such as kleptomania (stealing) or pyromania (fire-setting). Various behavioral addictions, such as gambling addiction, may be classed as
6105-478: A small but significant association between a polymorphism in SLC1A1 and OCD. The relationship between OCD and Catechol-O-methyltransferase (COMT) has been inconsistent, with one meta-analysis reporting a significant association, albeit only in men, and another meta analysis reporting no association. Mental disorder A mental disorder , also referred to as a mental illness , a mental health condition , or
6270-453: A small number of sessions over a few weeks or months may be classified as brief therapy (or short-term therapy), others, where regular sessions take place for years, may be classified as long-term. Some practitioners distinguish between more "uncovering" (or " depth ") approaches and more "supportive" psychotherapy. Uncovering psychotherapy emphasizes facilitating the client's insight into the roots of their difficulties. The best-known example
6435-469: A specific psychotherapy; or (in some cases) academic or scientifically trained professionals. In addition to the training, many countries require psychotherapist to register with a professional body in order to be permitted to offer services. Psychiatrists are trained first as physicians, and as such they may prescribe prescription medication ; and specialist psychiatric training begins after medical school in psychiatric residencies: however, their specialty
6600-441: A study found the average ages of onset to be 21 and 24 for males and females respectively. While some studies have shown that OCD with earlier onset is associated with greater severity, other studies have not been able to validate this finding. Looking at women specifically, a different study suggested that 62% of participants found that their symptoms worsened at a premenstrual age. Across the board, all demographics and studies showed
6765-443: A substantially higher rate than the general public. Moreover, severe OCD symptoms are consistently associated with greater sleep disturbance . Reduced total sleep time and sleep efficiency have been observed in people with OCD, with delayed sleep onset and offset. Some research has demonstrated a link between drug addiction and OCD. For example, there is a higher risk of drug addiction among those with any anxiety disorder, likely as
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6930-669: A symptom of OCD characterized by insecurity in one's skills in perception , attention , and memory , even in cases where there is no clear evidence of a deficit. Common compulsions may include hand washing, cleaning, checking things (such as locks on doors), repeating actions (such as repeatedly turning on and off switches), ordering items in a certain way, and requesting reassurance. Although some individuals perform actions repeatedly, they do not necessarily perform these actions compulsively; for example, morning or nighttime routines and religious practices are not usually compulsions. Whether behaviors qualify as compulsions or mere habit depends on
7095-456: A technique of " evenly-suspended attention " to avoid becoming overly focused on specific details during sessions, as he believed extensive note-taking could interfere with the therapeutic process. This tension between accurate documentation and the therapeutic relationship continued to shape early discussions on clinical documentation. As the field of psychotherapy grew, standardized note-taking practices emerged to promote consistency and improve
7260-451: A very similar definition. The terms "mental breakdown" or "nervous breakdown" may be used by the general population to mean a mental disorder. The terms "nervous breakdown" and "mental breakdown" have not been formally defined through a medical diagnostic system such as the DSM-5 or ICD-10 and are nearly absent from scientific literature regarding mental illness. Although "nervous breakdown"
7425-534: A way of coping with the heightened levels of anxiety. However, drug addiction among people with OCD may be a compulsive behavior. Depression is also extremely prevalent among people with OCD. One explanation for the high depression rate among OCD populations was posited by Mineka, Watson, and Clark (1998), who explained that people with OCD, or any other anxiety disorder, may feel "out of control". Someone exhibiting OCD signs does not necessarily have OCD. Behaviors that present as obsessive–compulsive can also be found in
7590-547: A year-long internship at an accredited psychiatric institution, six months of clinical work at an outpatient facility, 600 hours of supervised psychotherapy in an outpatient setting, and at least 600 hours of theoretical seminars. Social workers may complete the specialist training for child and teenage clients. Similarly in Italy, the practice of psychotherapy is restricted to graduates in psychology or medicine who have completed four years of recognised specialist training. Sweden has
7755-486: Is anxiety or fear that interferes with normal functioning may be classified as an anxiety disorder. Commonly recognized categories include specific phobias , generalized anxiety disorder , social anxiety disorder , panic disorder , agoraphobia , obsessive–compulsive disorder and post-traumatic stress disorder . Other affective (emotion/mood) processes can also become disordered. Mood disorder involving unusually intense and sustained sadness, melancholia, or despair
7920-462: Is insomnia , which is described as difficulty falling and/or staying asleep. Other sleep disorders include narcolepsy , sleep apnea , REM sleep behavior disorder , chronic sleep deprivation , and restless leg syndrome . Narcolepsy is a condition of extreme tendencies to fall asleep whenever and wherever. People with narcolepsy feel refreshed after their random sleep, but eventually get sleepy again. Narcolepsy diagnosis requires an overnight stay at
8085-463: Is a category used for individuals showing some of the characteristics associated with schizophrenia, but without meeting cutoff criteria. Personality —the fundamental characteristics of a person that influence thoughts and behaviors across situations and time—may be considered disordered if judged to be abnormally rigid and maladaptive . Although treated separately by some, the commonly used categorical schemes include them as mental disorders, albeit on
8250-544: Is a lot of similarity between the clinical presentation of OCD in children and adults, and it is considered a highly familial disorder, with a phenotypic heritability of around 50%. Obsessive–compulsive disorder symptoms tend to develop more frequently in children 10–14 years of age, with males displaying symptoms at an earlier age, and at a more severe level than females. In children, symptoms can be grouped into at least four types, including sporadic and tic-related OCD. The Children's Yale–Brown Obsessive–Compulsive Scale (CY-BOCS)
8415-422: Is a nervous breakdown. But that term has vanished from medicine, although not from the way we speak.... The nervous patients of yesteryear are the depressives of today. That is the bad news.... There is a deeper illness that drives depression and the symptoms of mood. We can call this deeper illness something else, or invent a neologism, but we need to get the discussion off depression and onto this deeper disorder in
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#17329284284268580-532: Is a regulated activity which is restricted to psychologists, medical doctors, and holders of a psychotherapy permit issued by the Ordre des psychologues du Québec, the Quebec order of psychologists. Members of certain specified professions, including social workers , couple and family therapists, occupational therapists , guidance counsellors , criminologists , sexologists , psychoeducators , and registered nurses may obtain
8745-477: Is a serious mental health condition that involves an unhealthy relationship with food and body image. They can cause severe physical and psychological problems. Eating disorders involve disproportionate concern in matters of food and weight. Categories of disorder in this area include anorexia nervosa , bulimia nervosa , exercise bulimia or binge eating disorder . Sleep disorders are associated with disruption to normal sleep patterns. A common sleep disorder
8910-1226: Is an important monitoring tool as it is responsive to pharmacotherapy and psychotherapy. Positive treatment response is characterized by 25% reduction in CY-BOCS total score, and diagnostic remission is associated with a 45%-50% reduction in Total Severity score (or a score <15). CBT is the first line treatment for mild to moderate cases of OCD in children, while medication plus CBT is recommended for moderate to severe cases. Serotonin reuptake inhibitors ( SRIs ) are first-line medications for OCD in children with established AACAP guidelines for dosing. People with OCD may be diagnosed with other conditions as well, such as obsessive–compulsive personality disorder, major depressive disorder , bipolar disorder , generalized anxiety disorder , anorexia nervosa , social anxiety disorder , bulimia nervosa , Tourette syndrome , transformation obsession , ASD, ADHD, dermatillomania , body dysmorphic disorder , and trichotillomania . More than 50% of people with OCD experience suicidal tendencies, and 15% have attempted suicide . Depression, anxiety, and prior suicide attempts increase
9075-523: Is an old diagnosis involving somatic complaints as well as fatigue and low spirits/depression, which is officially recognized by the ICD-10 but no longer by the DSM-IV. Factitious disorders are diagnosed where symptoms are thought to be reported for personal gain. Symptoms are often deliberately produced or feigned, and may relate to either symptoms in the individual or in someone close to them, particularly people they care for. There are attempts to introduce
9240-544: Is characterized by the acknowledgment that obsessive–compulsive beliefs are not or may not be true, while poor insight, in the middle of the continuum, is characterized by the belief that obsessive–compulsive beliefs are probably true. The absence of insight altogether, in which the individual is completely convinced that their beliefs are true, is also identified as a delusional thought pattern, and occurs in about 4% of people with OCD. When cases of OCD with no insight become severe, affected individuals have an unshakable belief in
9405-726: Is chronic and long-lasting with periods of severe symptoms followed by periods of improvement. Treatment can improve ability to function and quality of life, and is usually reflected by improved Y-BOCS scores. Treatment for OCD may involve psychotherapy , pharmacotherapy such as antidepressants , or surgical procedures such as deep brain stimulation or, in extreme cases, psychosurgery . Psychotherapies derived from cognitive behavioral therapy (CBT) models, such as exposure and response prevention , acceptance and commitment therapy , and inference based-therapy , are more effective than non-CBT interventions. Selective serotonin reuptake inhibitors (SSRIs) are more effective when used in excess of
9570-511: Is classical psychoanalysis. Supportive psychotherapy by contrast stresses strengthening the client's coping mechanisms and often providing encouragement and advice, as well as reality-testing and limit-setting where necessary. Depending on the client's issues and situation, a more supportive or more uncovering approach may be optimal. These psychotherapies, also known as " experiential ", are based on humanistic psychology and emerged in reaction to both behaviorism and psychoanalysis, being dubbed
9735-425: Is completed at a postgraduate level, often at a master's degree (or doctoral) level, over four years, with significant supervised practice and clinical placements. Mental health professionals that choose to specialize in psychotherapeutic work also require a program of continuing professional education after basic professional training. A listing of the extensive professional competencies of a European psychotherapist
9900-641: Is growing evidence to support the use of deep brain stimulation and repetitive transcranial magnetic stimulation for treatment-resistant OCD. Obsessive–compulsive disorder affects about 2.3% of people at some point in their lives, while rates during any given year are about 1.2%. More than three million Americans suffer from OCD. According to Mercy , approximately 1 in 40 U.S. adults and 1 in 100 U.S. children have OCD. Although possible at times with triggers such as pregnancy , onset rarely occurs after age 35, and about 50% of patients experience detrimental effects to daily life before age 20. While OCD occurs worldwide,
10065-566: Is identified on a continuum, obsessive-compulsive beliefs are characterized on a spectrum, ranging from obsessive doubt to delusional conviction. In the United States , overvalued ideation (OVI) is considered most akin to poor insight—especially when considering belief strength as one of an idea's key identifiers. Furthermore, severe and frequent overvalued ideas are considered similar to idealized values , which are so rigidly held by, and so important to affected individuals, that they end up becoming
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#173292842842610230-500: Is in mental disorders or forms of mental illness. Clinical psychologists have specialist doctoral degrees in psychology with some clinical and research components. Other clinical practitioners, social workers , mental health counselors, pastoral counselors, and nurses with a specialization in mental health, also often conduct psychotherapy. Many of the wide variety of psychotherapy training programs and institutional settings are multi-professional. In most countries, psychotherapy training
10395-456: Is known as major depression (also known as unipolar or clinical depression). Milder, but still prolonged depression, can be diagnosed as dysthymia . Bipolar disorder (also known as manic depression) involves abnormally "high" or pressured mood states, known as mania or hypomania , alternating with normal or depressed moods. The extent to which unipolar and bipolar mood phenomena represent distinct categories of disorder, or mix and merge along
10560-399: Is not rigorously defined, surveys of laypersons suggest that the term refers to a specific acute time-limited reactive disorder involving symptoms such as anxiety or depression, usually precipitated by external stressors . Many health experts today refer to a nervous breakdown as a mental health crisis . In addition to the concept of mental disorder, some people have argued for a return to
10725-405: Is often dubbed as a "talking therapy" or "talk therapy", particularly for a general audience, though not all forms of psychotherapy rely on verbal communication . Children or adults who do not engage in verbal communication (or not in the usual way) are not excluded from psychotherapy; indeed some types are designed for such cases. The American Psychological Association adopted a resolution on
10890-550: Is often regarded as crucial to psychotherapy. Common factors theory addresses this and other core aspects thought to be responsible for effective psychotherapy. Sigmund Freud (1856–1939), a Viennese neurologist who studied with Jean-Martin Charcot in 1885, is often considered the father of modern psychotherapy. His methods included analyzing his patient's dreams in search of important hidden insights into their unconscious minds. Other major elements of his methods, which changed throughout
11055-603: Is one aspect of mental health . The causes of mental disorders are often unclear. Theories incorporate findings from a range of fields. Disorders may be associated with particular regions or functions of the brain. Disorders are usually diagnosed or assessed by a mental health professional , such as a clinical psychologist , psychiatrist , psychiatric nurse, or clinical social worker , using various methods such as psychometric tests , but often relying on observation and questioning. Cultural and religious beliefs, as well as social norms , should be taken into account when making
11220-457: Is probably the first journal to use the term. Thus psychotherapy initially meant "the treatment of disease by psychic or hypnotic influence, or by suggestion". Sigmund Freud visited the Nancy School and his early neurological practice involved the use of hypnotism. However following the work of his mentor Josef Breuer —in particular a case where symptoms appeared partially resolved by what
11385-469: Is reason to believe their client is missing. Some have expressed concern that this legislation undermines psychotherapy confidentiality and could be abused maliciously by police, while others have praised the act for how it respects privacy and includes checks and balances. Psychotherapy can be said to have been practiced through the ages, as medics, philosophers, spiritual practitioners and people in general used psychological methods to heal others. In
11550-419: Is sometimes referred to as primarily obsessional obsessive–compulsive disorder (Pure O), it is also considered a misnomer due to associated mental compulsions and reassurance seeking behaviors that are consistent with OCD. Compulsions occur often and typically take up at least one hour per day, impairing one's quality of life. Compulsions cause relief in the moment, but cause obsessions to grow over time due to
11715-449: Is still plausible. The World Health Organization (WHO) concluded that the long-term studies' findings converged with others in "relieving patients, carers and clinicians of the chronicity paradigm which dominated thinking throughout much of the 20th century." A follow-up study by Tohen and coworkers revealed that around half of people initially diagnosed with bipolar disorder achieve symptomatic recovery (no longer meeting criteria for
11880-440: Is supported by the pattern of memory distrust; the more often compulsions are repeated, the more weakened memory trust becomes, and this cycle continues as memory distrust increases compulsion frequency. For body-focused repetitive behaviors (BFRB) such as trichotillomania (hair pulling), skin picking , and onychophagia (nail biting), behavioral interventions such as habit reversal training and decoupling are recommended for
12045-458: Is that genetic, psychological, and environmental factors all contribute to the development or progression of mental disorders. Different risk factors may be present at different ages, with risk occurring as early as during prenatal period. Psychotherapy Psychotherapy (also psychological therapy , talk therapy , or talking therapy ) is the use of psychological methods, particularly when based on regular personal interaction , to help
12210-478: Is the human givens approach, introduced in 1998–99. It is a solution-focused intervention based on identifying emotional needs—such as for security, autonomy and social connection—and using various educational and psychological methods to help people meet those needs more fully or appropriately. Insight-oriented psychotherapies focus on revealing or interpreting unconscious processes. Most commonly referring to psychodynamic therapy , of which psychoanalysis
12375-442: Is the goal of existential therapy . Existential therapy is in turn philosophically associated with phenomenology . Person-centered therapy , also known as client-centered, focuses on the therapist showing openness, empathy and "unconditional positive regard", to help clients express and develop their own self . Humanistic Psychodrama (HPD) is based on the human image of humanistic psychology. So all rules and methods follow
12540-589: Is the gold standard measure for assessment of pediatric OCD. It follows the Y-BOCS format, but with a Symptom Checklist that is adapted for developmental appropriateness. Insight, avoidance, indecisiveness, responsibility, pervasive slowness, and doubting, are not included in a rating of overall severity. The CY-BOCS has demonstrated good convergent validity with clinician-rated OCD severity, and good to fair discriminant validity from measures of closely related anxiety, depression, and tic severity. The CY-BOCS Total Severity score
12705-747: Is the third leading cause of disability worldwide, of any condition mental or physical, accounting for 65.5 million years lost. The first systematic description of global disability arising in youth, in 2011, found that among 10- to 24-year-olds nearly half of all disability (current and as estimated to continue) was due to psychiatric disabilities, including substance use disorders and conditions involving self-harm . Second to this were accidental injuries (mainly traffic collisions) accounting for 12 percent of disability, followed by communicable diseases at 10 percent. The psychiatric disabilities associated with most disabilities in high-income countries were unipolar major depression (20%) and alcohol use disorder (11%). In
12870-644: Is true for mental disorders, so that sometimes one type of definition is appropriate and sometimes another, depending on the situation. In 2013, the American Psychiatric Association (APA) redefined mental disorders in the DSM-5 as "a syndrome characterized by clinically significant disturbance in an individual's cognition, emotion regulation, or behavior that reflects a dysfunction in the psychological, biological, or developmental processes underlying mental functioning." The final draft of ICD-11 contains
13035-649: Is unknown. Both environmental and genetic factors are believed to play a role. Risk factors include a history of adverse childhood experiences or other stress -inducing events. Some medications, toxin exposures, and drugs, such as methamphetamine or cocaine , can induce obsessive–compulsive symptoms in people without a history of OCD. Atypical antipsychotics such as olanzapine and clozapine can induce OCD in some people, particularly individuals with schizophrenia . The diagnostic criteria include: 1) General OCD symptoms (obsessions, compulsions, skin picking, hair pulling, etc.) that developed soon after exposure to
13200-711: The Professional Standards Authority for Health and Social Care (PSA) launched an Accredited Voluntary Registers scheme. Counseling and psychotherapy are not protected titles in the United Kingdom. Counsellors and psychotherapists who have trained and qualify to a certain standard (usually a level 4 Diploma) can apply to be members of the professional bodies who are listed on the PSA Accredited Registers. In some states, counselors or therapists must be licensed to use certain words and titles on self-identification or advertising. In some other states,
13365-454: The Western tradition , by the 19th century, a moral treatment movement (then meaning morale or mental) developed based on non-invasive non-restraint therapeutic methods. Another influential movement was started by Franz Mesmer (1734–1815) and his student Armand-Marie-Jacques de Chastenet, Marquis of Puységur (1751–1825). Called Mesmerism or animal magnetism, it would have a strong influence on
13530-439: The devil , or disease —will harm either the patient or the people or things the patient cares about. Others with OCD may experience the sensation of invisible protrusions emanating from their bodies, or feel that inanimate objects are ensouled . Another common obsession is scrupulosity , the pathological guilt/anxiety about moral or religious issues. In scrupulosity, a person's obsessions focus on moral or religious fears, such as
13695-923: The human givens approach. A survey of over 2,500 US therapists in 2006 revealed the most utilized models of therapy and the ten most influential therapists of the previous quarter-century. The practice of documenting psychotherapy sessions originated in the late 19th century with early pioneers in psychoanalysis . Sigmund Freud , often referred to as the father of psychoanalysis, was known for his meticulous record-keeping, which he used to study patient progress and deepen his understanding of human psychology. In his correspondence with Wilhelm Fleiss , Freud described his habit of taking daily notes to track his patients' progress, and he sometimes shared his observations with colleagues to discuss emerging theories and techniques. While Freud valued thorough documentation, he also recognized its potential drawbacks. In his Recommendations to Physicians Practicing Psycho-Analysis , he suggested
13860-531: The psyche 's conscious / unconscious influence on external relationships and the self. Sessions tended to number into the hundreds over several years. Behaviorism developed in the 1920s, and behavior modification as a therapy became popularized in the 1950s and 1960s. Notable contributors were Joseph Wolpe in South Africa, M.B. Shapiro and Hans Eysenck in Britain, and John B. Watson and B.F. Skinner in
14025-563: The socratic method , and links have been drawn between ancient stoic philosophy and these cognitive therapies. Cognitive and behavioral therapy approaches were increasingly combined and grouped under the umbrella term cognitive behavioral therapy (CBT) in the 1970s. Many approaches within CBT are oriented towards active/directive yet collaborative empiricism (a form of reality-testing), and assessing and modifying core beliefs and dysfunctional schemas. These approaches gained widespread acceptance as
14190-564: The "third force". They are primarily concerned with the human development and needs of the individual, with an emphasis on subjective meaning, a rejection of determinism , and a concern for positive growth rather than pathology . Some posit an inherent human capacity to maximize potential, "the self-actualizing tendency"; the task of therapy is to create a relational environment where this tendency might flourish. Humanistic psychology can, in turn, be rooted in existentialism —the belief that human beings can only find meaning by creating it. This
14355-670: The 1990 Strasbourg Declaration on Psychotherapy, which is dedicated to establishing an independent profession of psychotherapy in Europe, with pan-European standards. The EAP has already made significant contacts with the European Union & European Commission towards this end. Given that the European Union has a primary policy about the free movement of labor within Europe, European legislation can overrule national regulations that are, in essence, forms of restrictive practices. In Germany,
14520-477: The 21st century there were over a thousand different named psychotherapies—some being minor variations while others are based on very different conceptions of psychology, ethics (how to live) or technique. In practice therapy is often not of one pure type but draws from a number of perspectives and schools—known as an integrative or eclectic approach. The importance of the therapeutic relationship , also known as therapeutic alliance, between client and therapist
14685-529: The American Psychological Association requires its members to adhere to its published Ethical Principles of Psychologists and Code of Conduct . The American Board of Professional Psychology examines and certifies "psychologists who demonstrate competence in approved specialty areas in professional psychology". Regulation of psychotherapy is in the jurisdiction of, and varies among, the provinces and territories. In Quebec , psychotherapy
14850-466: The DSM and ICD, some approaches are not based on identifying distinct categories of disorder using dichotomous symptom profiles intended to separate the abnormal from the normal. There is significant scientific debate about the relative merits of categorical versus such non-categorical (or hybrid) schemes, also known as continuum or dimensional models. A spectrum approach may incorporate elements of both. In
15015-495: The DSM. Substance use disorder may be due to a pattern of compulsive and repetitive use of a drug that results in tolerance to its effects and withdrawal symptoms when use is reduced or stopped. Dissociative disorder : People with severe disturbances of their self-identity, memory, and general awareness of themselves and their surroundings may be classified as having these types of disorders, including depersonalization derealization disorder or dissociative identity disorder (which
15180-520: The ICD). Popular labels such as psychopath (or sociopath) do not appear in the DSM or ICD but are linked by some to these diagnoses. Somatoform disorders may be diagnosed when there are problems that appear to originate in the body that are thought to be manifestations of a mental disorder. This includes somatization disorder and conversion disorder . There are also disorders of how a person perceives their body, such as body dysmorphic disorder . Neurasthenia
15345-621: The Influence of the Mind upon the Body in Health and Disease , in which he also proposed making a science of animal magnetism . Hippolyte Bernheim and colleagues in the " Nancy School" developed the concept of "psychotherapy" in the sense of using the mind to heal the body through hypnotism , yet further. Charles Lloyd Tuckey's 1889 work, Psycho-therapeutics, or Treatment by Hypnotism and Suggestion popularized
15510-553: The L allele was associated with OCD. Another meta-analysis observed an increased risk in those with the homozygous S allele, but found the LS genotype to be inversely associated with OCD. A genome -wide association study found OCD to be linked with single-nucleotide polymorphisms (SNPs) near BTBD3 , and two SNPs in DLGAP1 in a trio-based analysis, but no SNP reached significance when analyzed with case-control data. One meta-analysis found
15675-457: The United States. Behavioral therapy approaches relied on principles of operant conditioning , classical conditioning and social learning theory to bring about therapeutic change in observable symptoms. The approach became commonly used for phobias , as well as other disorders. Some therapeutic approaches developed out of the European school of existential philosophy . Concerned mainly with
15840-546: The affected individual, and even to those around them, as a crisis of sexual identity . Furthermore, the doubt that accompanies OCD leads to uncertainty regarding whether one might act on the troubling thoughts, resulting in self-criticism or self-loathing. Most people with OCD understand that their thoughts do not correspond with reality; however, they feel that they must act as though these ideas are correct or realistic. For example, someone who engages in compulsive hoarding might be inclined to treat inorganic matter as if it had
16005-457: The approach, like Fritz and Laura Perls in the creation of Gestalt therapy , as well as Marshall Rosenberg, founder of Nonviolent Communication , and Eric Berne , founder of transactional analysis . Later these fields of psychotherapy would become what is known as humanistic psychotherapy today. Self-help groups and books became widespread. During the 1950s, Albert Ellis originated rational emotive behavior therapy (REBT). Independently
16170-408: The axioms of humanistic psychology. The HPD sees itself as development-oriented psychotherapy and has completely moved away from the psychoanalytic catharsis theory. Self-awareness and self-realization are essential aspects in the therapeutic process. Subjective experiences, feelings and thoughts and one's own experiences are the starting point for a change or reorientation in experience and behavior in
16335-674: The behavioral pattern, but to each individual occurrence. For example, someone compulsively checking the front door may argue that the time and stress associated with one check is less than the time and stress associated with being robbed, and checking is consequently the better option. This reasoning often occurs in a cyclical manner, and can continue for as long as the affected person needs it to in order to feel safe. In cognitive behavioral therapy (CBT), OCD patients are asked to overcome intrusive thoughts by not indulging in any compulsions. They are taught that rituals keep OCD strong, while not performing them causes OCD to become weaker. This position
16500-683: The brain and body. That is the point. In eliminating the nervous breakdown, psychiatry has come close to having its own nervous breakdown. Nerves stand at the core of common mental illness, no matter how much we try to forget them. "Nervous breakdown" is a pseudo-medical term to describe a wealth of stress-related feelings and they are often made worse by the belief that there is a real phenomenon called "nervous breakdown". There are currently two widely established systems that classify mental disorders: Both of these list categories of disorder and provide standardized criteria for diagnosis. They have deliberately converged their codes in recent revisions so that
16665-721: The cause of onset, researchers asked participants in one study what they felt was responsible for triggering the initial onset of their illness. 29% of patients answered that there was an environmental factor in their life that did so. Specifically, the majority of participants who answered with that noted their environmental factor to be related to an increased responsibility. Obsessions are stress-inducing thoughts that recur and persist, despite efforts to ignore or confront them. People with OCD frequently perform tasks, or compulsions , to seek relief from obsession-related anxiety. Within and among individuals, initial obsessions vary in clarity and vividness. A relatively vague obsession could involve
16830-459: The client and therapist, but some are conducted with groups , including families . Psychotherapists may be mental health professionals such as psychiatrists, psychologists, mental health nurses, clinical social workers, marriage and family therapists, or professional counselors. Psychotherapists may also come from a variety of other backgrounds, and depending on the jurisdiction may be legally regulated, voluntarily regulated or unregulated (and
16995-574: The complex writings of existential philosophers (e.g., Søren Kierkegaard , Jean-Paul Sartre , Gabriel Marcel , Martin Heidegger , Friedrich Nietzsche ). The uniqueness of the patient-therapist relationship thus also forms a vehicle for therapeutic inquiry. A related body of thought in psychotherapy started in the 1950s with Carl Rogers . Based also on the works of Abraham Maslow and his hierarchy of human needs , Rogers brought person-centered psychotherapy into mainstream focus. The primary requirement
17160-407: The confidentiality and narrative depth that are essential to psychotherapy. Mental health professionals continue to explore best practices for balancing structured documentation with the more nuanced narrative elements that are critical in psychotherapy. There are hundreds of psychotherapy approaches or schools of thought. By 1980 there were more than 250; by 1996 more than 450; and at the start of
17325-607: The context in which they are performed. For instance, arranging and ordering books for eight hours a day would be expected of someone who works in a library, but this routine would seem abnormal in other situations. In other words, habits tend to bring efficiency to one's life, while compulsions tend to disrupt it. Furthermore, compulsions are different from tics (such as touching, tapping, rubbing, or blinking) and stereotyped movements (such as head banging, body rocking, or self-biting), which are usually not as complex and not precipitated by obsessions. It can sometimes be difficult to tell
17490-427: The developmental period. Stigma and discrimination can add to the suffering and disability associated with mental disorders, leading to various social movements attempting to increase understanding and challenge social exclusion . The definition and classification of mental disorders are key issues for researchers as well as service providers and those who may be diagnosed. For a mental state to be classified as
17655-424: The diagnosis) within six weeks, and nearly all achieve it within two years, with nearly half regaining their prior occupational and residential status in that period. Less than half go on to experience a new episode of mania or major depression within the next two years. Some disorders may be very limited in their functional effects, while others may involve substantial disability and support needs. In this context,
17820-439: The difference between compulsions and complex tics, and about 10–40% of people with OCD also have a lifetime tic disorder. People with OCD rely on compulsions as an escape from their obsessive thoughts; however, they are aware that relief is only temporary, and that intrusive thoughts will return. Some affected individuals use compulsions to avoid situations that may trigger obsessions. Compulsions may be actions directly related to
17985-556: The differing ideological and practical perspectives need to be better integrated. The DSM and ICD approach remains under attack both because of the implied causality model and because some researchers believe it better to aim at underlying brain differences which can precede symptoms by many years. The high degree of comorbidity between disorders in categorical models such as the DSM and ICD have led some to propose dimensional models. Studying comorbidity between disorders have demonstrated two latent (unobserved) factors or dimensions in
18150-702: The direction of more self-acceptance and satisfaction. Dealing with the biography of the individual is closely related to the sociometry of the group. Gestalt therapy , originally called "concentration therapy", is an existential/experiential form that facilitates awareness in the various contexts of life, by moving from talking about relatively remote situations to action and direct current experience. Derived from various influences, including an overhaul of psychoanalysis, it stands on top of essentially four load-bearing theoretical walls: phenomenological method , dialogical relationship, field-theoretical strategies, and experimental freedom. A briefer form of humanistic therapy
18315-480: The documentation process in psychotherapy. Electronic health records (EHRs) introduced significant benefits, such as enhanced accessibility and organization of patient records. Despite initial concerns about privacy and data security, studies have found that EHRs can increase documentation completeness, which improves information sharing and, ultimately, the quality of patient care. Digital note-taking also introduced new challenges, particularly in terms of maintaining
18480-496: The eastern Mediterranean region, it was unipolar major depression (12%) and schizophrenia (7%), and in Africa it was unipolar major depression (7%) and bipolar disorder (5%). Suicide, which is often attributed to some underlying mental disorder, is a leading cause of death among teenagers and adults under 35. There are an estimated 10 to 20 million non-fatal attempted suicides every year worldwide. The predominant view as of 2018
18645-420: The effectiveness of psychotherapy in 2012 based on a definition developed by American psychologist John C. Norcross : "Psychotherapy is the informed and intentional application of clinical methods and interpersonal stances derived from established psychological principles for the purpose of assisting people to modify their behaviors, cognitions, emotions, and/or other personal characteristics in directions that
18810-542: The fear of acting blasphemously , the sufferer's sexual orientation , and the fear of possibly harming others or themselves. Compulsions are repeated actions or routines that occur in response to obsessions to achieve a relief from anxiety. Common compulsions include excessive hand washing , cleaning , counting , ordering, repeating, avoiding triggers, hoarding , neutralizing, seeking assurance, praying, and checking things. People with OCD may only perform mental compulsions such as needing to know or remember things. While this
18975-816: The fear of being an evil person or the fear of divine retribution for sin. Mysophobia , a pathological fear of contamination and germs , is another common obsession theme. Some people with OCD experience sexual obsessions that may involve intrusive thoughts or images of "kissing, touching, fondling, oral sex , anal sex , intercourse , incest , and rape " with "strangers, acquaintances, parents, children, family members, friends, coworkers, animals, and religious figures", and can include heterosexual or homosexual contact with people of any age. Similar to other intrusive thoughts or images, some disquieting sexual thoughts are normal at times, but people with OCD may attach extraordinary significance to such thoughts. For example, obsessive fears about sexual orientation can appear to
19140-456: The globe include: depression , which affects about 264 million people; dementia , which affects about 50 million; bipolar disorder , which affects about 45 million; and schizophrenia and other psychoses , which affect about 20 million people. Neurodevelopmental disorders include attention deficit hyperactivity disorder (ADHD) , autism spectrum disorder (ASD) , and intellectual disability , of which onset occurs early in
19305-439: The goal of therapy as something constructed by the client and therapist in a social context. Systemic therapy also developed, which focuses on family and group dynamics—and transpersonal psychology , which focuses on the spiritual facet of human experience. Other orientations developed in the last three decades include feminist therapy , brief therapy , somatic psychology , expressive therapy , applied positive psychology and
19470-418: The hoarding subtype has consistently been least responsive to treatment. While OCD is considered a homogeneous disorder from a neuropsychological perspective, many of the symptoms may be the result of comorbid disorders. For example, adults with OCD have exhibited more symptoms of attention deficit hyperactivity disorder (ADHD) and autism spectrum disorder (ASD) than adults without OCD. In regards to
19635-507: The human condition. The therapist attempts to create a relational environment conducive to experiential learning and help build the client's confidence in their own natural process resulting in a deeper understanding of themselves. The therapist may see themselves as a facilitator/helper. Another distinction is between individual one-to-one therapy sessions, and group psychotherapy , including couples therapy and family therapy . Therapies are sometimes classified according to their duration;
19800-472: The individual's ability to develop and preserve a sense of meaning and purpose throughout life, major contributors to the field (e.g., Irvin Yalom , Rollo May ) and Europe ( Viktor Frankl , Ludwig Binswanger , Medard Boss , R.D.Laing , Emmy van Deurzen ) attempted to create therapies sensitive to common "life crises" springing from the essential bleakness of human self-awareness, previously accessible only through
19965-679: The internalizing-externalizing distinction, but also supports the formation of a third dimension of thought disorders such as schizophrenia. Biological evidence also supports the validity of the internalizing-externalizing structure of mental disorders, with twin and adoption studies supporting heritable factors for externalizing and internalizing disorders. A leading dimensional model is the Hierarchical Taxonomy of Psychopathology . There are many different categories of mental disorder, and many different facets of human behavior and personality that can become disordered. An anxiety disorder
20130-625: The manuals are often broadly comparable, although significant differences remain. Other classification schemes may be used in non-western cultures, for example, the Chinese Classification of Mental Disorders , and other manuals may be used by those of alternative theoretical persuasions, such as the Psychodynamic Diagnostic Manual . In general, mental disorders are classified separately from neurological disorders , learning disabilities or intellectual disability . Unlike
20295-401: The needs of different therapeutic approaches, formats like DAP (Data, Assessment, Plan) and BIRP (Behavior, Intervention, Response, Plan) were introduced. These standardized approaches enabled better communication between providers, facilitated treatment planning, and ensured accountability and continuity of care. The advent of digital tools in the late 20th and early 21st centuries transformed
20460-717: The obsession, such as someone obsessed with contamination compulsively washing their hands, but they can be unrelated as well. In addition to experiencing the anxiety and fear that typically accompanies OCD, affected individuals may spend hours performing compulsions every day. In such situations, it can become difficult for the person to fulfill their work, familial, or social roles. These behaviors can also cause adverse physical symptoms; for example, people who obsessively wash their hands with antibacterial soap and hot water can make their skin red and raw with dermatitis . Individuals with OCD often use rationalizations to explain their behavior; however, these rationalizations do not apply to
20625-558: The old-fashioned concept of nervous illness. In How Everyone Became Depressed: The Rise and Fall of the Nervous Breakdown (2013), Edward Shorter, a professor of psychiatry and the history of medicine, says: About half of them are depressed. Or at least that is the diagnosis that they got when they were put on antidepressants. ... They go to work but they are unhappy and uncomfortable; they are somewhat anxious; they are tired; they have various physical pains—and they tend to obsess about
20790-756: The participants deem desirable". Influential editions of a work by psychiatrist Jerome Frank defined psychotherapy as a healing relationship using socially authorized methods in a series of contacts primarily involving words, acts and rituals—which Frank regarded as forms of persuasion and rhetoric . Historically, psychotherapy has sometimes meant "interpretative" (i.e. Freudian ) methods, namely psychoanalysis , in contrast with other methods to treat psychiatric disorders such as behavior modification. Some definitions of counseling overlap with psychotherapy (particularly in non-directive client-centered approaches), or counseling may refer to guidance for everyday problems in specific areas, typically for shorter durations with
20955-400: The patient, Bertha Pappenheim , dubbed a " talking cure "—Freud began focusing on conditions that appeared to have psychological causes originating in childhood experiences and the unconscious mind . He went on to develop techniques such as free association , dream interpretation , transference and analysis of the id, ego and superego . His popular reputation as the father of psychotherapy
21120-590: The postpartum period or after streptococcal infections . Diagnosis is based on clinical presentation and requires ruling out other drug-related or medical causes; rating scales such as the Yale–Brown Obsessive–Compulsive Scale (Y-BOCS) assess severity. Other disorders with similar symptoms include generalized anxiety disorder , major depressive disorder , eating disorders , tic disorders , body-focused repetitive behavior , and obsessive–compulsive personality disorder . Personality disorders are
21285-578: The practice of psychotherapy for adults is restricted to qualified psychologists and physicians (including psychiatrists) who have completed several years of specialist practical training and certification in psychotherapy. As psychoanalysis, psychodynamic therapy, and cognitive behavioral therapy meet the requirements of German health insurance companies, mental health professionals regularly opt for one of these three specializations in their postgraduate training. For psychologists, this includes three years of full-time practical training (4,200 hours), encompassing
21450-452: The public perception of the level of disability associated with mental disorders can change. Nevertheless, internationally, people report equal or greater disability from commonly occurring mental conditions than from commonly occurring physical conditions, particularly in their social roles and personal relationships. The proportion with access to professional help for mental disorders is far lower, however, even among those assessed as having
21615-564: The quality of patient care. One major advancement was the introduction of SOAP notes in the 1960s, developed by Dr. Lawrence Weed to structure clinical notes in four categories: Subjective, Objective, Assessment, and Plan. This framework became widely used in both medical and mental health settings, offering a structured yet flexible approach to documentation that supported clinical reasoning and treatment planning. Progress notes also gained prominence in mental health, tracking clients’ clinical status and treatment progress across sessions. To meet
21780-614: The reality of their delusions, which can make their cases difficult to differentiate from psychotic disorders . Some people with OCD exhibit what is known as overvalued ideas , ideas that are abnormal compared to affected individuals' respective cultures, and more treatment-resistant than most negative thoughts and obsessions. After some discussion, it is possible to convince the individual that their fears are unfounded. It may be more difficult to practice exposure and response prevention therapy (ERP) on such people, as they may be unwilling to cooperate, at least initially. Similar to how insight
21945-659: The recommended depression dosage; however, higher doses can increase side effect intensity. Commonly used SSRIs include sertraline , fluoxetine , fluvoxamine , paroxetine , citalopram , and escitalopram . Some patients fail to improve after taking the maximum tolerated dose of multiple SSRIs for at least two months; these cases qualify as treatment-resistant and can require second-line treatment such as clomipramine or atypical antipsychotic augmentation. While SSRIs continue to be first-line, recent data for treatment-resistant OCD supports adjunctive use of neuroleptic medications, deep brain stimulation, and neurosurgical ablation. There
22110-495: The regulation and delivery of psychotherapy. Several countries have no regulation of the practice or no protection of the title. Some have a system of voluntary registration, with independent professional organizations, while other countries attempt to restrict the practice of psychotherapy to 'mental health professionals' (psychologists and psychiatrists) with state-certified training. The titles that are protected also vary. The European Association for Psychotherapy (EAP) established
22275-438: The regulatory psychotherapeutic organizations' codes of ethical practice. Examples of when it is typically accepted to break confidentiality include when the therapist has knowledge that a child or elder is being physically abused; when there is a direct, clear and imminent threat of serious physical harm to self or to a specific individual. As of 2015, there are still a lot of variations between different European countries about
22440-509: The repeated reward-seeking behavior of completing the ritual for relief. Many adults with OCD are aware that their compulsions do not make sense, but they still perform them to relieve the distress caused by obsessions. For this reason, thoughts and behaviors in OCD are usually considered egodystonic . In contrast, thoughts and behaviors in obsessive–compulsive personality disorder (OCPD) are usually considered egosyntonic , helping differentiate between
22605-525: The restrictions on practice are more closely associated with the charging of fees. Licensing and regulation are performed by various states. Presentation of practice as licensed, but without such a license, is generally illegal. Without a license, for example, a practitioner cannot bill insurance companies. Information about state licensure of psychologists is provided by the American Psychological Association . In addition to state laws,
22770-442: The rise of dynamic psychology and psychiatry as well as theories about hypnosis . In 1853, Walter Cooper Dendy introduced the term "psycho-therapeia" regarding how physicians might influence the mental states of patients and thus their bodily ailments, for example by creating opposing emotions to promote mental balance. Daniel Hack Tuke cited the term and wrote about "psycho-therapeutics" in 1872 in his book Illustrations of
22935-425: The risk of future suicide attempts. It has been found that between 18 and 34% of females currently experiencing OCD scored positively on an inventory measuring disordered eating. Another study found that 7% are likely to have an eating disorder, while another found that fewer than 5% of males have OCD and an eating disorder. Individuals with OCD have also been found to be affected by delayed sleep phase disorder at
23100-445: The same disorders than matched controls . In cases in which OCD develops during childhood, there is a much stronger familial link in the disorder than with cases in which OCD develops later in adulthood. In general, genetic factors account for 45–65% of the variability in OCD symptoms in children diagnosed with the disorder. A 2007 study found evidence supporting the possibility of a heritable risk for OCD. Research has found there to be
23265-414: The scientific and academic literature on the definition or classification of mental disorder, one extreme argues that it is entirely a matter of value judgements (including of what is normal ) while another proposes that it is or could be entirely objective and scientific (including by reference to statistical norms). Common hybrid views argue that the concept of mental disorder is objective even if only
23430-480: The second congress of experimental psychology, van Eeden attempted to take the credit for the term psychotherapy and to distance the term from hypnosis. In 1896, the German journal Zeitschrift für Hypnotismus, Suggestionstherapie, Suggestionslehre und verwandte psychologische Forschungen changed its name to Zeitschrift für Hypnotismus, Psychotherapie sowie andere psychophysiologische und psychopathologische Forschungen, which
23595-482: The sentience or rights of living organisms, despite accepting that such behavior is irrational on an intellectual level. There is debate as to whether hoarding should be considered an independent syndrome from OCD. Some people with OCD perform compulsive rituals because they inexplicably feel that they must do so, while others act compulsively to mitigate the anxiety that stems from obsessive thoughts. The affected individual might feel that these actions will either prevent
23760-466: The social environment. Some disorders may last a brief period of time, while others may be long-term in nature. All disorders can have a varied course. Long-term international studies of schizophrenia have found that over a half of individuals recover in terms of symptoms, and around a fifth to a third in terms of symptoms and functioning, with many requiring no medication. While some have serious difficulties and support needs for many years, "late" recovery
23925-712: The spiritual as a separate dimension are not necessarily considered as traditional or 'legitimate' forms of psychotherapy. Psychotherapy may be delivered in person (one on one, or with couples, or in groups) or via telephone counseling or online counseling (see also § Telepsychotherapy ). There have also been developments in computer-assisted therapy, such as virtual reality therapy for behavioral exposure, multimedia programs to teach cognitive techniques, and handheld devices for improved monitoring or putting ideas into practice (see also § Computer-supported ). Most forms of psychotherapy use spoken conversation . Some also use various other forms of communication such as
24090-470: The stress of having to hide a condition in work or school, etc., by adverse effects of medications or other substances, or by mismatches between illness-related variations and demands for regularity. It is also the case that, while often being characterized in purely negative terms, some mental traits or states labeled as psychiatric disabilities can also involve above-average creativity, non- conformity , goal-striving, meticulousness, or empathy. In addition,
24255-428: The structure of mental disorders that are thought to possibly reflect etiological processes. These two dimensions reflect a distinction between internalizing disorders, such as mood or anxiety symptoms, and externalizing disorders such as behavioral or substance use symptoms. A single general factor of psychopathology, similar to the g factor for intelligence, has been empirically supported. The p factor model supports
24420-674: The substance or medication which can produce such symptoms. 2) The onset of symptoms cannot be explained by an obsessive–compulsive and related disorder that is not substance/medication-induced and should last for a substantial period of time (about 1 month) 3) This disturbance does not only occur during delirium . 4) Clinically induces distress or impairment in social, occupational, or other important areas of functioning. There appear to be some genetic components of OCD causation, with identical twins more often affected than fraternal twins. Furthermore, individuals with OCD are more likely to have first-degree family members exhibiting
24585-667: The systems of family treatment hold esteem. A portion of the thoughts emerging from therapy are presently pervasive and some are a piece of the tool set of ordinary clinical practice. They are not just medications, they additionally help to understand complex conduct. Therapy may address specific forms of diagnosable mental illness , or everyday problems in managing or maintaining interpersonal relationships or meeting personal goals. A course of therapy may happen before, during or after pharmacotherapy (e.g. taking psychiatric medication ). Psychotherapies are categorized in several different ways. A distinction can be made between those based on
24750-449: The term itself may be protected or not). The term psychotherapy is derived from Ancient Greek psyche ( ψυχή meaning "breath; spirit; soul") and therapeia ( θεραπεία "healing; medical treatment"). The Oxford English Dictionary defines it as "The treatment of disorders of the mind or personality by psychological means...", however, in earlier use, it denoted the treatment of disease through hypnotic suggestion. Psychotherapy
24915-420: The terms psychiatric disability and psychological disability are sometimes used instead of mental disorder . The degree of ability or disability may vary over time and across different life domains. Furthermore, psychiatric disability has been linked to institutionalization , discrimination and social exclusion as well as to the inherent effects of disorders. Alternatively, functioning may be affected by
25080-465: The treatment of compulsive behaviors. OCD sometimes manifests without overt compulsions, which may be termed "primarily obsessional OCD." OCD without overt compulsions could, by one estimate, characterize as many as 50–60% of OCD cases. The Diagnostic and Statistical Manual of Mental Disorders (DSM-5), identifies a continuum for the level of insight in OCD, ranging from good insight (the least severe) to no insight (the most severe). Good or fair insight
25245-471: The two. Although the exact cause of OCD is unknown, several regions of the brain have been implicated in its neuroanatomical model including the anterior cingulate cortex , orbitofrontal cortex , amygdala , and BNST . The presence of a genetic component is evidenced by the increased likelihood for both identical twins to be affected than both fraternal twins . Risk factors include a history of child abuse or other stress -inducing events such as during
25410-449: The whole business. There is a term for what they have, and it is a good old-fashioned term that has gone out of use. They have nerves or a nervous illness. It is an illness not just of mind or brain, but a disorder of the entire body. ... We have a package here of five symptoms—mild depression, some anxiety, fatigue, somatic pains, and obsessive thinking. ... We have had nervous illness for centuries. When you are too nervous to function ... it
25575-548: The work of the Nancy School in English. Also in 1889 a clinic used the word in its title for the first time, when Frederik van Eeden and Albert Willem van Renterghem in Amsterdam renamed theirs "Clinique de Psycho-thérapeutique Suggestive" after visiting Nancy. During this time, travelling stage hypnosis became popular, and such activities added to the scientific controversies around the use of hypnosis in medicine. Also in 1892, at
25740-485: The written word, artwork , drama , narrative story or music. Psychotherapy with children and their parents often involves play , dramatization (i.e. role-play), and drawing, with a co-constructed narrative from these non-verbal and displaced modes of interacting. Psychotherapists traditionally may be mental health professionals like psychologists and psychiatrists; professionals from other backgrounds (family therapists, social workers, nurses, etc.) who have trained in
25905-411: The years, included identification of childhood sexuality, the role of anxiety as a manifestation of inner conflict, the differentiation of parts of the psyche (id, ego, superego), transference and countertransference (the patient's projections onto the therapist, and the therapist's emotional responses to that). Some of his concepts were too broad to be amenable to empirical testing and invalidation, and he
26070-654: Was critiqued for this by Jaspers. Numerous major figures elaborated and refined Freud's therapeutic techniques including Melanie Klein, Donald Winnicott, and others. Since the 1960s, however, the use of Freudian-based analysis for the treatment of mental disorders has declined substantially. Different types of psychotherapy have been created along with the advent of clinical trials to test them scientifically. These incorporate subjective treatments (after Beck), behavioral treatments (after Skinner and Wolpe) and additional time-constrained and centered structures, for example, interpersonal psychotherapy. In youth issue and in schizophrenia,
26235-491: Was developed by the European Association of Psychotherapy (EAP) in 2013. As sensitive and deeply personal topics are often discussed during psychotherapy, therapists are expected, and usually legally bound, to respect client or patient confidentiality. The critical importance of client confidentiality —and the limited circumstances in which it may need to be broken for the protection of clients or others—is enshrined in
26400-516: Was established by his use of the distinct term " psychoanalysis ", tied to an overarching system of theories and methods, and by the effective work of his followers in rewriting history. Many theorists, including Alfred Adler , Carl Jung , Karen Horney , Anna Freud , Otto Rank , Erik Erikson , Melanie Klein and Heinz Kohut , built upon Freud's fundamental ideas and often developed their own systems of psychotherapy. These were all later categorized as psychodynamic , meaning anything that involved
26565-573: Was identified as being distinct from other symptom groupings. When looking into the onset of OCD, one study suggests that there are differences in the age of onset between males and females, with the average age of onset of OCD being 9.6 for male children and 11.0 for female children. Children with OCD often have other mental disorders, such as ADHD, depression, anxiety, and disruptive behavior disorder. Continually, children are more likely to struggle in school and experience difficulties in social situations (Lack 2012). When looking at both adults and children
26730-647: Was not significantly affected. People with OCD show impairment in formulating an organizational strategy for coding information, set-shifting , and motor and cognitive inhibition . Specific subtypes of symptom dimensions in OCD have been associated with specific cognitive deficits. For example, the results of one meta-analysis comparing washing and checking symptoms reported that washers outperformed checkers on eight out of ten cognitive tests. The symptom dimension of contamination and cleaning may be associated with higher scores on tests of inhibition and verbal memory. Approximately 1–2% of children are affected by OCD. There
26895-402: Was once believed to be associated with above-average intelligence, this does not appear to necessarily be the case. A 2013 review reported that people with OCD may sometimes have mild but wide-ranging cognitive deficits , most significantly those affecting spatial memory and to a lesser extent with verbal memory , fluency , executive function , and processing speed , while auditory attention
27060-687: Was previously referred to as multiple personality disorder or "split personality"). Cognitive disorder : These affect cognitive abilities, including learning and memory. This category includes delirium and mild and major neurocognitive disorder (previously termed dementia ). Developmental disorder : These disorders initially occur in childhood. Some examples include autism spectrum disorder, oppositional defiant disorder and conduct disorder , and attention deficit hyperactivity disorder (ADHD), which may continue into adulthood. Conduct disorder, if continuing into adulthood, may be diagnosed as antisocial personality disorder (dissocial personality disorder in
27225-424: Was that the client receive three core "conditions" from his counselor or therapist: unconditional positive regard, sometimes described as "prizing" the client's humanity; congruence [authenticity/genuineness/transparency]; and empathic understanding . This type of interaction was thought to enable clients to fully experience and express themselves, and thus develop according to their innate potential. Others developed
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