scholarly journals Behavioral and Emotional Disorders in Children and Their Anesthetic Implications

Children ◽  
2020 ◽  
Vol 7 (12) ◽  
pp. 253
Author(s):  
Srijaya Reddy ◽  
Nina Deutsch
Keyword(s):  
Emotional Disorders ◽  
Autism Spectrum ◽  
Hospital Environment ◽  
Post Traumatic Stress ◽  
Obsessive Compulsive ◽  
Compulsive Disorder ◽  
Oppositional Defiant ◽  
Post Traumatic ◽  
Perioperative Course ◽  
The Impact

While most children have anxiety and fears in the hospital environment, especially prior to having surgery, there are several common behavioral and emotional disorders in children that can pose a challenge in the perioperative setting. These include anxiety, depression, oppositional defiant disorder, conduct disorder, attention deficit hyperactivity disorder, obsessive compulsive disorder, post-traumatic stress disorder, and autism spectrum disorder. The aim of this review article is to provide a brief overview of each disorder, explore the impact on anesthesia and perioperative care, and highlight some management techniques that can be used to facilitate a smooth perioperative course.

scholarly journals Likely Exacerbation of Psychological Disorders from Covid-19 Response

2021 ◽  
Vol 12 ◽  
pp. 215013272110167
Author(s):  
Tara Rava Zolnikov ◽  
Tanya Clark ◽  
Tessa Zolnikov
Keyword(s):  
Psychological Disorders ◽  
Emotional Reactions ◽  
Post Traumatic Stress ◽  
Obsessive Compulsive ◽  
Compulsive Disorder ◽  
Current State ◽  
The Face ◽  
Adults And Children ◽  
Post Traumatic ◽  
Anxiety Depression

Anxiety and fear felt by people around the world regarding the coronavirus pandemic is real and can be overwhelming, resulting in strong emotional reactions in adults and children. With depressive and anxiety disorders already highly prevalent in the general population (300 million worldwide), depression and/or anxiety specifically because of the pandemic response is likely. Moreover, the current state of panic in the face of uncertainty is apt to produce significant amounts of stress. While this situation has the potential to cause psychological disorders in previously unaffected populations, perhaps more impactful is the exacerbation of symptoms of many existing disorders including anxiety, depression, post-traumatic stress disorder (PTSD), obsessive-compulsive disorder (OCD) and hoarding disorder.

scholarly journals The Impact of MNRI Therapy on the Levels of Neurotransmitters Associated with Inflammatory Processes

2020 ◽  
Vol 21 (4) ◽  
pp. 1358 ◽  
Author(s):  
Tatiana V. Tatarinova ◽  
Trina Deiss ◽  
Lorri Franckle ◽  
Susan Beaven ◽  
Jeffrey Davis
Keyword(s):  
Attention Deficit ◽  
Attention Deficit Disorder ◽  
Emotional Regulation ◽  
Cognitive Skills ◽  
Developmental Disorders ◽  
Negative Impact ◽  
Autism Spectrum ◽  
Post Traumatic Stress ◽  
Compulsive Disorder ◽  
The Impact

The neurotransmitter levels of representatives from five different diagnosis groups were tested before and after participation in the MNRI®—Masgutova Neurosensorimotor Reflex Intervention. The purpose of this study was to ascertain neurological impact on (1) Developmental disorders, (2) Anxiety disorders/OCD (Obsessive Compulsive Disorder), PTSD (Post-Traumatic Stress disorder), (3) Palsy/Seizure disorders, (4) ADD/ADHD (Attention Deficit Disorder/Attention Deficit Disorder Hyperactive Disorder), and (5) ASD (Autism Spectrum Disorder) disorders. Each participant had a form of neurological dysregulation and typical symptoms respective to their diagnosis. These diagnoses have a severe negative impact on the quality of life, immunity, stress coping, cognitive skills, and social assimilation. This study showed a trend towards optimization and normalization of neurological and immunological functioning, thus supporting the claim that the MNRI method is an effective non-pharmacological neuromodulation treatment of neurological disorders. The effects of MNRI on inflammation have not yet been assessed. The resulting post-MNRI changes in participants’ neurotransmitters show significant adjustments in the regulation of the neurotransmitter resulting in being calmer, a decrease of hypervigilance, an increase in stress resilience, behavioral and emotional regulation improvements, a more positive emotional state, and greater control of cognitive processes. In this paper, we demonstrate that the MNRI approach is an intervention that reduces inflammation. It is also likely to reduce oxidative stress and encourage homeostasis of excitatory neurotransmitters. MNRI may facilitate neurodevelopment, build stress resiliency, neuroplasticity, and optimal learning opportunity. There have been no reported side effects of MNRI treatments.

How Microaggressions Are Harmful

2020 ◽  
pp. 43-56
Author(s):  
Monnica T. Williams
Keyword(s):  
Mental Health ◽  
Negative Impact ◽  
Somatic Symptoms ◽  
Mental Health Issue ◽  
Post Traumatic Stress ◽  
Obsessive Compulsive ◽  
Compulsive Disorder ◽  
Implicit Biases ◽  
Post Traumatic ◽  
Everyday Discrimination

Abstract: This chapter discusses the research regarding microaggressions and negative mental health outcomes. Microaggressions are associated with increased stress, increased physical ailments such as hypertension and impaired immune responses, increased depression and depressive symptoms, lower self-esteem and self-efficacy, increased alcohol abuse and binge drinking, substance use disorders, increased post-traumatic stress disorder symptoms, higher levels of suicidal ideation, increased anxiety, increased somatic symptoms and negative affect, and increased obsessive–compulsive disorder symptoms. Overall, those who experience everyday discrimination have higher odds of any lifetime mental health issue. This is illustrated using a case example of a student who developed depression and anxiety from experiencing microaggressions in school, leading to a negative impact on mental health. The chapter presents an example interaction between a client and a therapist illustrating that microaggressions can be harmful to White people as well in indirect ways. Furthermore, to address mental health disparities and treatment barriers as a result of various pathways including microaggressions, clinicians need to address their own possible implicit biases that can lead to perpetuating these problems.

Which biopsychosocial view of mental illness?

2020 ◽  
pp. 82-96
Author(s):  
Walter Sinnott-Armstrong ◽  
Jesse S. Summers
Keyword(s):  
Mental Illness ◽  
Social Engagement ◽  
Psychological Symptoms ◽  
Mental Illnesses ◽  
Post Traumatic Stress ◽  
Obsessive Compulsive ◽  
Compulsive Disorder ◽  
Disinhibited Social Engagement Disorder ◽  
Post Traumatic ◽  
Almost All

Biopsychosocial theories of mental illness claim that biological, psychological, and social factors are all central to every mental illness. This general approach cannot be assessed or employed properly without specifying the precise relation between mental illnesses and these three levels of understanding. This chapter distinguishes disjunctive, causal, explanatory, therapeutic (or treatment), and constitutive (or definitional) versions of biopsychosocial theories. However, all of these claims are uncontroversial and not distinctive of the biopsychosocial approach, except the constitutive claim. That constitutive claim is inaccurate, because almost all mental illnesses are and should be defined by their psychological symptoms instead of their biological or social causes. These lessons are applied to case studies of post-traumatic stress disorder, disinhibited social engagement disorder, obsessive–compulsive disorder, and scrupulosity.

From cognitive targets to symptom reduction: overview of attention and interpretation bias modification research

2020 ◽  
pp. ebmental-2020-300216
Author(s):  
Chelsea Dyan Gober ◽  
Amit Lazarov ◽  
Yair Bar-Haim
Keyword(s):  
Post Traumatic Stress ◽  
Obsessive Compulsive ◽  
Addictive Disorders ◽  
Cognitive Domains ◽  
Compulsive Disorder ◽  
Post Traumatic ◽  
Specific Disorders ◽  
Randomised Controlled ◽  
Bias Modification ◽  
Interpretation Bias Modification

Cognitive bias modification (CBM) is a class of mechanised psychological interventions designed to target specific aberrant cognitive processes considered key in the aetiology and/or maintenance of specific psychiatric disorders. In this review, we outline a multistage translational process that allows tracking progress in CBM research. This process involves four steps: (1) the identification of reliable cognitive targets and establishing their association with specific disorders; (2) clinical translations designed to rectify the identified cognitive targets; (3) verification of effective target engagement and (4) testing of clinical utility in randomised controlled trials. Through the prism of this multistage process, we review progress in clinical CBM research in two cognitive domains: attention and interpretation; in six psychiatric conditions: anxiety disorders, major depressive disorder, post-traumatic stress disorder, addictive disorders, eating disorders and obsessive–compulsive disorder. The review highlights achievement as well as shortcomings of the CBM approach en route to becoming a recognised evidence-supported therapy for these disorders.

Consistency of Diagnostic Thresholds in DSM-V

2010 ◽  
Vol 44 (4) ◽  
pp. 309-313 ◽  
Author(s):  
Gavin Andrews ◽  
Matthew Sunderland ◽  
Alice Kemp
Keyword(s):  
Social Phobia ◽  
Traumatic Stress ◽  
Post Traumatic Stress ◽  
Obsessive Compulsive ◽  
Major Depressive ◽  
Compulsive Disorder ◽  
Diagnostic Thresholds ◽  
Dsm V ◽  
Post Traumatic ◽  
The Mean

Objective: DSM-IV diagnostic criteria define thresholds on a continuum of symptoms above which the diagnosis is said to be established. Data from the 1997 Australian Survey of Mental Health and Wellbeing were used for six internalizing disorders, and the levels of distress and disability associated with each diagnosis were investigated. Method: Mean distress (measured by the K-10) and disability (measured by the SF12-MCS) scores were identified for people in the Survey who reported no physical or mental disorders. The distribution of distress and disability showed by people who met criteria for major depressive disorder, dysthymia, generalized anxiety disorder, social phobia, post-traumatic stress disorder and obsessive–compulsive disorder was plotted against the mean for well people, expecting that ≥90% of people with these mental disorders would score as more distressed or disabled than this mean. Results: More than 90% of people with dysthymia, major depressive disorder, generalized anxiety disorder or with post-traumatic stress disorder scored as more distressed or disabled than the mean for well people. A majority were severely distressed or disabled (>2SD above the mean). This remained the case when the clinical significance criteria were removed. In social phobia and in obsessive–compulsive disorders between 9% and 26% scored below the means for well people, that is, as neither distressed nor disabled, a figure that rose to 16–40% when the clinical significance criteria were removed. In neither case did a majority of cases score in the severe range. Conclusions: The diagnostic thresholds for social phobia and for obsessive–compulsive disorder are less stringent than that for the other disorders and require revision in DSM-V.

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