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DSM Diagnoses Schizophrenia (with a number of subtypes) Schizoaffective disorder Bipolar disorder (with subtypes) Mood disorders with psychotic features.

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Presentation on theme: "DSM Diagnoses Schizophrenia (with a number of subtypes) Schizoaffective disorder Bipolar disorder (with subtypes) Mood disorders with psychotic features."— Presentation transcript:

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3 DSM Diagnoses Schizophrenia (with a number of subtypes) Schizoaffective disorder Bipolar disorder (with subtypes) Mood disorders with psychotic features Delusional Disorders

4 Psychotic Experiences and Behaviors Delusions Hallucinations Mania (or other apparently “bizarre” affect) Delusions of Grandeur Paranoia Catatonia (bizarre movement or lack of movement)

5 Genetic disorder Biochemical Imbalance Faulty brain structure Virus A disease of the brain likely to be caused by a...

6  Encourage the person to let go of serious aspirations and generally “lay low”  Encourage “insight” that they have a “mental illness” (i.e., lifelong brain disease)  Encourage a lifelong regimen of antipsychotic drug use, resorting to coercion if necessary

7 Unfortunately, no. This is a lifelong degenerative brain disease. But if one diligently remains on their meds, they can manage their symptoms and reduce the risk of full relapse.

8 WHO study covering 13 countries Using their strictest criteria for recovery Global DAS (Excellent/Good)

9 WHO study covering 11 countries U.S. and N.Z have the 2 highest rates and are the only Western nations allowing direct-to-consumer drug advertising

10 Graph as printed in “Anatomy of an Epidemic” by Robert Whitaker

11 U.S. NIMH 15-year Outcome Study Better long-term outcomes for those discontinuing drug treatment for all mental health conditions assessed

12 *Rates of disability due to mental health conditions have increased radically, in direct correlation with the increase in psychiatric drug treatment (*For adults age 18-64)

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14 Organismic Wisdom: All living organisms have the innate desire and capacity to survive and thrive

15 Needs Assessment Emotion / Motivation To meet one’s needs Response / Action in an attempt to meet one’s needs Organismic Process:

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18  Resources are simply unavailable

19  Resources available but unable to be utilized  Lack of self connection (to one’s needs)  Limiting beliefs preventing nourishment (i.e., Nourishment Barriers )

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22 Needs Assessment Emotion / Motivation To meet one’s needs Response / Action in an attempt to meet one’s needs Misinformation (fixation on “disease” rather than needs)

23 Needs Assessment Emotion / Motivation To meet one’s needs Response / Action in an attempt to meet one’s needs Suppression of Emotion / Motivation

24 Needs Assessment Emotion / Motivation To meet one’s needs Response / Action in an attempt to meet one’s needs “Killing the Messenger” (fixation on suppressing experience rather than listening to its message and targeting the needs)

25 Needs Assessment Emotion / Motivation To meet one’s needs Response / Action in an attempt to meet one’s needs Support person in identifying the unmet need(s)

26 Needs Assessment Emotion / Motivation To meet one’s needs Response / Action in an attempt to meet one’s needs Foster healthy relationship with one’s inner world experiences and emotions

27 Needs Assessment Emotion / Motivation To meet one’s needs Response / Action in an attempt to meet one’s needs Support person in developing effective, sustainable strategies for meeting their needs

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30 Unresolved Peace/Existence Dialectic

31 Unable to maintain the experience of a secure and stable sense of self living in relatively secure and predictable world. “I don’t have a right to exist” “The world is not safe enough” “I don’t know who I am and what my needs and values are” “There is something fundamentally wrong with me” Unresolved Peace/Existence Dialectic

32 Unresolved Autonomy/Connection Dialectic

33 Unable to feel secure with both one’s autonomy and one’s belonging & connection with others. “I don’t belong here” “I am ashamed of who I am” “Others don’t love and accept me for who I am” “My needs are not as important as those of others” “I don’t matter” Unresolved Autonomy/Connection Dialectic

34 “I have a right to exist” “The world is safe enough” “I know who I am and what my needs and values are” “I am intrinsically a whole person” To arrive at the experience of myself as a relatively secure and stable self living in a relatively secure and predictable world… Resolved Peace/Existence Dialectic

35 “I belong here” “I love and accept myself for who I am” “I am loved and accepted by others for who I am” “My needs are just as important as those of others” “I matter!” To arrive at a way of being in which I am loved and accepted for who I am: Resolved Autonomy/Connection Dialectic

36 Recovery Factors Finding hope Connecting with one’s aliveness Finding meaning in life Arriving at a more hopeful understanding of their psychosis Developing healthy relationships; Healing or distancing from unhealthy relationships Harm from the psychiatric system hindering recovery Factors supporting recovery Factor hindering recovery

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38 Prioritise Health over Profit: Remove corporate and private interests from health care system—a true common-owned nonprofit health care system. Redefine Our Priorities

39 From the Mind/Brain Debate to a Holistic Systems Perspective  An organism consists of many systems working synergistically:  Social  Physiological  Psychological  Overwhelming distress on any one system can affect the whole, leading to various psychological disturbances and potentially even psychosis…  Spiritual  Ecological

40 Ensure that everyone’s basic needs are met:  Healthy food  Clean water  Adequate shelter  Education (without industry sponsorship)  Meaningful work/activity  General health and relationship support Prevention & Maintenance

41  Noncoercive  Holistic needs-based  Honoring expertise via “lived experience”  Individual and relationship-based support  Empathy-based noncoercive residential facilities  Freely available in every community Empathy-based Crisis Support

42 A healthier use of drugs:  Accurate information about the short and long- term harms and benefits  Only as a last resort & for minimum duration  Never without consent  Support with tapering Drugs take the back seat…

43 A Continuum of Care Ordinary Psychosocial Support Ordinary Human Distress Full Psychotic Process Intensive Outpatient Support Peer support Traditional therapy (individual, family, group) Making peace with the experiences (CBT, ACT, Trauma- focused, Somatic/ Mindfulness) Intensive Residential or Family support Soteria homes Peer Respite Open Dialogue etc.

44 Full Dissertation: gradworks.umi.com/34/54/ html Website: RethinkingMadness.com


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