Dr James Schaller
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SAVING LIVES

TEN SERIOUS AND SUBTLE PSYCHIATRIC DISORDERS OFTEN INCOMPLETELY TREATED COMMONLY SEEN IN MEDICAL, RELIGIOUS, BUSINESS & FAMILY SETTINGS

Social phobia
Hypomania
Biological Major Depression
Generalized Anxiety Disorder
Dysthymia
Panic Attacks
Agoraphobia
Cigarette Addiction
Disruptive Youth & Co-morbidities of ADD

Missing these disorders increases Death, Divorce, Addiction, Abuses, Unemployment, Misery and Injuries.

SOCIAL PHOBIA

3-13% Lifetime Prevalence

  1. A persistent fear of social or performance situations in which the person is exposed to new people, or to possible scrutiny by others. One fears acting in a way (or showing anxiety symptoms) that may be humiliating or embarrassing. Exposure to the feared social situation provokes anxiety.
  2. In children, the anxiety may be expressed by crying, tantrums, freezing, or shrinking from social situations with unfamiliar people.

HYPOMANIA (Functional People)

Suicide Rate 15-20%

  1. A distinct period of persistently elevated, expansive, or irritable mood, lasting at least four days (often in the past and not in your doctor's office!).
  2. When hypomanic you need to see at least three:
    1. Inflated self-esteem or grandiosity
    2. Decreased need for sleep (e.g., rested after only three hours of sleep)
    3. More talkative than usual or pressure to keep talking
    4. Flight of ideas or subjective experience that thoughts are racing
    5. Distractibility (i.e., attention too easily drawn to unimportant or irrelevant external stimuli)
    6. Increase in goal-directed activity (either socially, at work or school, or sexually) or physical agitation
    7. Excessive involvement in pleasurable activities that have a high potential for painful consequences (e.g., the person engages in unrestrained buying sprees, sexual indiscretions, or foolish business investments).
  1. Uncharacteristic of the person
  2. The episode is not severe enough to cause marked impairment in social or occupational functioning.

BIOLOGICAL MAJOR DEPRESSION

Suicide Rate of 15% 1/5 Women and 1/10 Men (World Health Organization)

  1. For over two weeks a person has either (1) depressed mood or (2) lessened interest or pleasure and five of the following:
    1. Sad or empty most of the day, nearly every day, by self-report or observation (tearful). Note: In children and adolescents, can be irritable mood.
    2. Less interested or pleasure in almost all activities of the day, nearly every day.
    3. Unexplained weight loss or weight gain.
    4. Insomnia or Excess sleep most days.
    5. Excess restlessness or physically slowed most days.
    6. Feelings of worthlessness or excessive or inappropriate guilt.
    7. Diminished ability to think or concentrate, or indecisiveness.
    8. Thoughts of death or of the benefits of not living.

Depression shows its biological foundation in brain scans, brain fluid, adoption studies, suicide research, brain tissue research and hormone research. It is more serious than some cancers. It has 25 distinct biological evidences of a physiological cause (offered free on this site).

Many "treated" people actually improve only 70% because of insufficient treatment.

GENERALIZED ANXIETY DISORDER

Lifetime Prevalence is 5%

  1. Excessive anxiety and worry over 1/2 the week and greater than 1/2 a year, e.g., about work, finances, or school performance.
  2. The person finds it difficult to control the worry.
  3. The anxiety and worry are associated with at least 3:
    1. restlessness or feeling keyed up or on edge
    2. being easily fatigued
    3. difficulty concentrating or mind going blank
    4. irritability
    5. muscle tension
    6. sleep disturbance (difficulty falling or staying asleep, or restless unsatisfying sleep)
  1. Only one of these is required in children.

DYSTHYMIA

Lifetime Prevalence is 6%

  1. Depressed or irritable mood for most of the day, most days, by self-report or observation for at least two years--one year if a youth.
  2. Presence, while depressed, of two (or more) of the following:
    1. poor appetite or overeating
    2. insomnia or excess sleep
    3. low energy or fatigue
    4. low self-esteem
    5. poor concentration or difficulty making decisions
    6. feelings of hopelessness
  1. If the symptoms leave they return in under 2 months.

PANIC ATTACK

Lifetime Prevalence is 1-3%

A period of intense fear or discomfort, in which four+ develop abruptly and peak under 10 minutes:

  1. palpitations, pounding heart, or accelerated heart rate
  2. sweating
  3. trembling or shaking
  4. sensations of shortness of breath or smothering
  5. feeling of choking
  6. chest pain or discomfort
  7. nausea or abdominal distress
  8. feeling dizzy, unsteady, lightheaded, or faint derealization (feelings of unreality) or depersonalization (being detached from oneself)
  9. paresthesias (numbness or tingling sensations)
  10. chills or hot flushes

AGORAPHOBIA

Lifetime Prevalence of 1%

Anxiety about being in places or situations from which escape might be difficult (or embarrassing) or in which help may not be available.

Avoidance of situations that may include being along outside the home or being home alone; being in a crowd, of people; traveling in an automobile, bus, or airplane; or being on a bridge or in an elevator. Some individuals are able to expose themselves to the feared situations but endure these experiences with considerable dread.

CIGARETTE NICOTENE ADDICTION

See the free article on the site: Why Attempts to Quit Smoking Fail

YOUTH BEHAVIORAL PROBLEMS

Over 50 solutions are offered free on this site. (See What to Do With a Youth That Is Out of Control.)

ADHD/ADD

Untreated ADHD or ADD leads to accidents, fractures, car accidents, increased divorce, unemployment and interpersonal trouble.

For Further Reading

DSM-IV Text Revision (APA press). Get the full expanded version.



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