Lesson One

1. Lesson One TSWBAT: CO 1. Explain how mental disorders are recognized CO 2. Identify four causes of mental disorders CO 3. Describe five types of anxiety disorders and four other types of mental disorders LO 1. Using an organizer list the name of the mental disorder, the cause, and symptoms of that mental disorder.

2. Critical Vocabulary Mental Disorder Anxiety Anxiety Disorder Phobia Obsession Compulsion Mood Disorder Depression Schizophrenia

3. Warm-up Quick Quiz: Which of the following statements are always true? Which are sometimes true? Which are always false? Writing: For each of your responses, explain why you gave the answer you did.

4. Mental Disorder Mental health experts see abnormal thought, feelings, or behaviors as symptoms of mental disorders. A mental disorder is an illness that affects the mind and reduces a person’s ability to function, to adjust to change, or to get along with others. Physical factors, heredity, early experiences, and recent experiences can cause mental disorders. Anxiety is fear caused by a source that you cannot identify or a source that is not as much of a threat as you think. It s normal to experience anxiety now and then. When the anxiety persists for a long time and interferes with daily living, this is a sign of an anxiety disorder

5. Continued Examples of these disorders are generalized anxiety disorder, phobias, panic attacks, obsessive-compulsive disorder, and post-traumatic stress disorder. The intense thoughts and emotions of a generalized anxiety disorder do not have a single source. Anxiety that is related to a specific situation or object is a phobia. Some symptoms a person might have during a panic attack are rapid breathing, dizziness, and fear of losing control. An unwanted thought or image that takes control of the mind is an obsession. An obsession may lead to a compulsion, an unreasonable need to behave in a certain way to prevent a feared out- come. People who survive or witness a life-threatening event may develop post-traumatic stress disorder.

6. Continued Some teens and young adults have mood disorders or schizophrenia. Others have impulse-control disorders or personality disorders. A person with mood disorder experiences extreme emotions that make it difficult to function well in daily life. With bipolar disorder, manic episodes alternate with periods of deep depression. Depression is an emotional state in which a person feels extremely sad and hopeless. Schizophrenia is one to the most serious mental disorders. A person with an impulse-control disorder cannot resist the impulse, or the drive to act in a way that is harmful to themselves or others. People with personality disorders display rigid patterns of behavior that make it difficult for them to get along with others.

7. What are Mental Disorders • List three general symptoms of a mental disorder. • A. _____ B. _______ C. ______ • 2. Complete the concept map about mental disorders. a. Heredity Causes of Mental Disorders d. __________ b. __________ f. __________ Such as Such as c. __________ Such as e. __________ g. __________

8. Anxiety Disorders

9. Other Mental Disorders 4. Complete the outline by adding details about other mental disorders. I. Other mental disorders A. Mood disorders Extreme emotions make it difficult to function B. Schizophrenia __________________________________ C. Impulse- control disorders_________________________ D. Personality Disorder______________________________ Group A _________________________________________ Group B__________________________________________ Group C__________________________________________

10. A Doctor in the House Patient 1: Patient currently under care of Dr. Stephen. Receiving Individual counseling twice a week and group therapy twice a week. Progress had been made in dealing with anxiety reaction. Type of health professional:____________________ Reasons for assumption:_______________________ Patient 2: Dr. Mesa’s patient. Suffers from extreme and sometimes Violent mood swings. Has been placed for time being on mild dose (viz. 50 mg b.i.d.) of chlorpromazine. Suitability of other antipsychotic Medications currently under evaluation. Type of health professional: _______________________ Reasons for assumption: __________________________

11. A Doctor in the House Patient 3: Case has been referred to Dr. Yapolitano due to suspicion of organic foundations; psychoneurosis. Prior care included anxiolytic sedative medications (e.g., diazepam) prescribed by Dr. Mesa. Type of health professional:________________________ Reason for assumption:____________________________ Patient 4: under care of Mr. Rash. Patient, who is depressive, has benefited from one-on-one sessions. Type of professional:___________________________ Reasons for assumption:________________________

12. Practice Mental disorders are illnesses that affect the mind and reduce an individual’s ability to function in everyday life. Understanding mental disorders can help you distinguish normal behavior from behavior that requires professional help.

13. Application Clues Across: 1. An unreasonable need to behave in a certain way 3. An emotional state in which a person feels extremely sad or hopeless 7. A mental disorder identified by severe disturbances in thinking, mood, awareness, and behavior Down: 2. Type of disorder in which a person displays rigid patterns of behavior 4. Fear caused by a source that cannot be identified 5. Fear that is related to a specific situation or object 6. A type of disorder in which people experience extreme emotion

14. Review • What is a mental disorder? How are mental disorders recognized? • List four possible causes of mental disorders. • What is anxiety disorder? What is the key difference between a phobia and generalized anxiety disorder? • What is a compulsion? How does a compulsion differ from an obsession? • What are some symptoms of mood disorder? Critical Thinking 6.Classifying: Eric spends about six hours a day playing video games. He resents being called away form the computer for supper. He has lost interest in most other activities and his grades are dropping. What type of mental disorder might Eric have Explain?

15. Lesson Quiz 1 • C • D • D • A • A • C • D • E • A • B

16. Lesson Two TSWBAT: CO 1. Identify health risks associated with anorexia CO 2. Explain the relationship between bulimia and dieting CO 3. List the main health risks of binge eating disorder LO 2. Using an organizer list the eating disorder, definition, symptoms, health risks, and treatment for each disorder.

17. Critical Vocabulary Eating Disorder Anorexia Nervosa Bulimia Binge Eating Disorder

18. Warm-up Myth: Fact: Writing: What factors other than gender might keep someone form seeking help for an eating disorder?

19. Eating Disorders An eating disorder is a mental disorder that reveals itself through abnormal behavior related to food. Eating disorders are about more than food. They are about emotions, thoughts, and attitudes. A person with anorexia nervosa doesn’t eat enough food to maintain a healthy body weight. The main symptoms is extreme weight loss. A person with anorexia nervosa can starve to death. In some cases, a lack of essential minerals causes the heart to stop suddenly, leasing to death. People with anorexia usually deny that there is a problem. They need to be encouraged to get help.

20. Continued People who have bulimia go on uncontrolled eating binges followed by purging, or removing, the food form their bodies. They purge the food by making themselves vomit or by using laxatives. Bulimia may begin in connection with a diet, but the person soon becomes unable to stop the cycle of bingeing and purging. People who have bulimia are often too ashamed of their behavior to seek help. People with binge eating disorder regularly have an uncontrollable need to eat large amounts of food. They usually do not purge after a binge. The main physical risk of binge eating disorder are excess weight gain and unhealthy dieting. Some people use binge eating to avoid dealing with difficult emotions or stressful situations.

21. Eating Disorders 1. Complete the table with details about eating disorders. a.does not eat enough to maintain A healthy weight

22. Practice What would you do if you suspected that a friend has bulimia? Imagine you friend is an athlete. Recently you’ve noticed that your friend seems very concerned about weight. Your friend often rushes to the bathroom right after meals.

23. Application Use the DECIDE process to consider how you would respond to your friend. In order to evaluate the result you will need to imagine your friend’s response to you action Define the problem ______________________________________ Explore the alternatives and Consider the consequences: Possible Consequences Negative positive Possible Alternatives Identify your values: __________________________________ Decide and act: ______________________________________ Evaluate the results: __________________________________

24. Review • What is an eating disorder? • What health risks are associated with anorexia? Why are people with anorexia unlikely to ask for help? • What is bulimia? Explain the connection between bulimia and dieting. • What health risks are possible for someone with binge eating disorder? Critical Thinking 5. Compare and Contrast: How are bulimia and anorexia alike? How are they different?

25. Lesson Quiz 2 • A • C • B • B • C • A • B • B • A • D

26. Lesson Three Depression and Suicide TSWBAT: CO 1. Explain why its important to identify and treat clinical Depression. CO 2. Explain why individuals might deliberately injure themselves. CO 3. Describe one major risk factor for suicide. LO3. List the risk factors for suicide and discuss what you should do and what you should not do if a friend is thinking about suicide.

27. Critical Vocabulary Clinical Depression Cutting Suicide Cluster Suicide

28. Warm-up Health Stats: what relationship is there between risk of depression and how connected teens feel to their school? Writing: What could make someone feel very connected to school? What could make someone feel disconnected?

29. Depression and Suicide People with Clinical Depression may feel sad and hopeless for months. They are unable to enjoy activities that the once thought were fun. Depression can cause problems at school, at home, and in one’s social life. If untreated, depression can also lead to substance abuse, serious behavior problems, and even suicide. Signs of clinical depression include a change in appetite, sleeping patterns, and activity level. Other signs are feeling of hopelessness and repeated thoughts of death or suicide. Medication is an effective treatment for clinical depression. Cutting is the use of a sharp object to intentionally cut or scratch one’s body deep enough to bleed. Cutting is one example of self-injury. Self- injury is an unhealthy way to deal with emotions, stress, or traumatic events. Self-injury can be a symptom of mod disorder, anxiety disorder or eating disorder.

30. Cutting Cutting is the use of a sharp object to intentionally cut or scratch one’s body deep enough to bleed. Cutting is one example of self-injury. Self-injury is an unhealthy way to deal with emotions, stress, or traumatic events. Self-injury can be a symptom of a mood disorder, anxiety disorder, or eating disorder. Suicide is the intentional killing on oneself. Mood disorders, such as depression, are a major risk factor for suicide. Other risk factors for suicide include a family history of suicide, having both a mental disorder and substance abuse disorder, and feelings of hopelessness or isolation. Cluster suicides are a series of suicides that occur within a short period of time in the same peer group or community.

31. Showing Concern You should be concerned if a friend describes a detailed plan for committing suicide. To help your friend, you should notify an adult that your friend is in danger. If you are feeling depressed because your problems seem overwhelming, discuss your feelings with a trusted adult or mental health professional. Together, you will be able to find solutions that may not have thought of on your own. You can also get help by calling a crisis center or suicide-prevention hotline.

32. Depression and Suicide • Clinical Depression • 1. List five signs of clinical depression. • a. __________________________________________________________ • b.___________________________________________________________ • c.___________________________________________________________ • d. ___________________________________________________________ • e. ___________________________________________________________ • 2. List five risk factors for depression • _________________________________________________________ • _________________________________________________________ • _________________________________________________________ • _________________________________________________________ • _________________________________________________________

33. Self-Injury 3. Define the term self-injury. ___________________________________________________ ___________________________________________________ 4. People who self-injure ____ a. don’t hurt themselves on purpose. ____ b. are trying to kill themselves. ____ c. tend to be proud of their behavior. ____ d. are trying to relieve painful feelings.

34. Suicide Prevention 5. Complete the outline by adding details about suicide prevention. 1. Suicide Prevention Suicide is the intentional killing of oneself. • Risk Factors • 1. ______________________________________________ • 2. ______________________________________________ • 3. ______________________________________________ • 4. ______________________________________________ B. Protective Factors 1. _______________________________________________ 2. _______________________________________________ 3. _______________________________________________ 4. _______________________________________ C. Cluster Suicides ____________________________________ D. Warning Signs _____________________________________ E. Helping Others _____________________________________ F. Helping Yourself ___________________________________

35. Dealing with Setbacks Everyone experiences setbacks in life. It is important to be able to bounce back from a setback and move on toward your goals. Use this worksheet to think about how you typically respond to setbacks and how you might respond in a more positive way in the future. • Think of a setback as an isolated event. • Use this checklist to evaluate how you typically respond to a setback I see the setback as a sign that I am a failure. yes no I let a setback in one area of my life affect other yes no area of my life I tell myself that I simply did not succeed at one yes no particular thing.

36. Recognizing Setbacks 2. Recognize that a setback is temporary. A setback often changes your immediate plans. You may get discouraged and give up tour original goal. It is better, however, to view the setback as an opportunity. As you answer the questions below, think about a setback you experienced recently. Is there a different path I can take to reach my goal? yes no Can I arrange for a second opportunity to try to reach yes no my goal, either now or in the near future? Can I modify my goal somewhat? yes no

37. Become aware of your self-talk 3. Become aware of your “self-talk.” Pay attention to what you are thinking and saying to yourself about a setback. Turn your negative thoughts into positive thoughts. In the space below, record some negative thoughts you have felt during a setback. Then change each negative thought in to positive thought. An example is included to help you get started. _______________________ _______________________

38. Take Action • 4. Take action. • One key to bouncing back from a setback is to focus your energy in • productive ways. Pick one of the following ways you could focus your • energy. Then make an action plan to achieve your goal. Record your • plan in the space below. • Work harder to improve your current skills. • Learn a new skill. • Find a new interest. • _________________________________________________________ • _________________________________________________________ • _________________________________________________________ • _________________________________________________________ • _________________________________________________________ • _________________________________________________________ • _________________________________________________________

39. Helping a Friend Complete the following Sentences If I had a friend who was thinking about suicide, I would………. When I’m feeling stressed or anxious, I …………………… Some of the people, I would ask for help if I couldn’t handle a difficult situation are………………………….

40. Practice Group Activity: The Facts About Suicide Knowing the facts about suicide can help you effectively advocate for yourself and others. If helps t discuss this information with others

41. Application With a partner, discuss the risks factors and protective factors for suicide Also discuss things what you would and would not do if a friend is thinking about suicide. 1. Some risk factors for suicide _______________________________ _________________________________________________________ 2. Protective factors that reduce the risk of suicide _________________ _________________________________________________________ 3. Actions I would take if a friend mentioned suicide at school _______ _________________________________________________________ 4. Actions I would take if a friend called me at home end described a detailed suicide plan ________________________________________ _________________________________________________________ 5. Things I would avoid doing if a friend was thinking about suicide __ _________________________________________________________

42. Signs of Clinical Depression * • A person who is overwhelmed by feelings of sadness for months and • is unable to carry out normal everyday activities may be suffering • from clinical depression. Study the signs of clinical depression and • answer the questions below. • Suicide - thinking -hopelessness –sleep- tired - interest -appetite • Using the word list fill in the blanks using each word once. • A person probably suffers from clinical depression if he or she • a. is always _____. b. has difficulty ____. c. has a change in ____ • with significant weight loss or gain. d. has repeated thoughts of___. • e. has feelings of ___. f. shows a loss of ___ in usual activities • g. experiences a change in ____ patterns.

43. Review • How do mental health experts diagnose clinical depression? • Why is it important to identify and treat clinical depression? • Describe the self-injury behavior know as cutting. Explain why individuals might injure themselves on purpose. • What is a major risk factor for suicide? What protective factor can help to reduce the effect of this risk factor? • What are cluster suicides? What can be done to prevent them? Critical Thinking 6. Evaluating: Why do you think cluster suicides occur most frequently among teenagers.

44. Lesson Quiz 3 • TRUE • TRUE • FALSE • TRUE • FALSE • FALSE • A • A • D • C

45. Lesson Four Treating Mental Disorders TSWBAT: CO 1. List reasons that might prevent a person form seeking help for a mental disorder CO 2. Identify four types of mental health professionals CO 3. Describe some general types of treatment for mental disorders LO 4. Create an outline and give details about treatment for mental disorders.

46. Critical Vocabulary Psychiatrist Neurologist Therapy Clinical Psychologist Social Worker Psychiatric Social Worker

47. Warm-up Dear Advise Line, Writing: What advise would you give to this person? What would you say about the person’s fear of being labeled?

48. Treating Mental Disorders Sometimes people don’t recognize the signs of a mental disorder. Or they may have been told that , with willpower alone, they can overcome the problem. They might not know where to go for help. The first step toward recovery is to recognize the need for help. If you have a mental disorder, you should see a mental health professional for treatment. Psychotherapy, drug therapy, and hospitalization are three methods used to treat mental disorders. During psychotherapy, people talk with therapist to help understand and overcome their mental disorders. Three types of psychotherapy are insight therapy, cognitive and behavioral therapy, and group therapy. Doctors may prescribe drugs to help lessen the symptoms of a mental disorder and allow people to function normally. When people with mental disorders are in danger of hurting themselves or others, they may have to treated in a hospital.

49. Continued Psychiatrists, clinical psychologist, social workers, and mental health counselors are four types of mental health professionals. A psychiatrist is a doctor who can identify and treat mental disorders. If a psychiatrist suspects there is a physical cause for a patient’s symptoms, the patient may see a neurologist. A neurologist is a doctor who treats physical disorders of the nervous system. A neurologist may be asked asked to examine a patient to find a physical cause for a mental disorder. A clinical psychologist is trained to identify and treat behavior that is not normal. A psychologist may help a psychiatrist identify a person’s disorder. A psychiatric social worker helps people with mental disorders and their families accept and adjust to an illness. Mental health counselors may focus on specific problems or work with people with specific groups of people.

50. Locating Community Resources 1. List three reasons shy people do not seek help for a mental disorder. a. ______________________________________________________ b. ______________________________________________________ c. ______________________________________________________ Types of Mental Disorders 2. Complete the table about mental health professionals.