Clinical Psychology
Definition
Clinical psychology is the study of mental illnesses and how to treat them, often known as psychopathology. Throughout their lives, clinical psychologists work with people of diverse racial, cultural, and socioeconomic backgrounds as well as individuals, couples, and families that are confronting with mental health problems. In order to improve people's effectiveness and well-being, clinical psychologists intervene in organisations, institutions, and communities and engage with groups and communities to address or avoid issues.

Schizophrenia
Schizophrenia is a severe mental illness that alters a person's thoughts, feelings, and behaviour. It refers to a combination of delusions, hallucinations, disordered thoughts and behaviours. Even hearing voices or seeing objects that other people aren't perceiving are examples of hallucinations. Because of this, patients may appear to lose contact with reality, which can make their day-to-day living extremely difficult. What can cause it? Studies of schizophrenia find abnormally high dopamine activity.
- It afflicts about 1% of the world’s population
- It’s not Multiple Personality Disorder.
- From the Greek “split” and “mind”.

Positive Symptoms Negative Symptoms
- Hallucinations
- Delusions (irrational beliefs) / delusions of reference
- Disorganised behaviours
Absence of normal cognition - where people become emotionless or their emotions are dulled. They don't talk, they don't move. In the most extreme case of catatonic schizophrenia, they may just be perfectly still and not even move at all.
Subtypes of Schizophrenia
- Paranoid - you might believe you had delusions of persecution and some delusion of grandeur that others are jealous of you, they're inferior, you have super and special powers.
- Catatonic - you're just kind of frozen.
- Disorganised - you have delusions, hallucinations, disorganized speech, and behavior and a flat affect.
- Undifferentiated - which is kind of where hard to classify aspects of schizophrenia.
Anxiety Disorders
- A diffuse, vague feeling of fear and apprehension.
- Everyone experiences it.
- It is a problem when it’s irrational, uncontrollable and disruptive.
- Primary disturbance is distressing, persistent anxiety or maladaptive behaviors that reduce anxiety.
Different Types of Psychotic Disorders
Schizophrenia (Lifetime prevalence about 0.3% - 0.7%)
- Two or more of the following for at least 1 month: hallucinations, delusions, disorganized speech, grossly disorganized or catatonic behavior, negative symptoms.
- Impairment in one or more areas of function (social, occupational, educational self-care) for a significant period of time since the onset of the illness.
- Continuous signs of the illness for at least 6 months (this can include prodromal or residual symptoms, which are attenuated forms of the symptoms described above
Schizophreniform Disorder (Lifetime prevalence similar to Schizophrenia)
- The same symptoms of schizophrenia described above that are present for at least 1 month but less than 6 months.
Schizoaffective Disorder (Lifetime prevalence about 0.3%)
- A period of illness where the person has both the psychotic symptoms necessary to meet criteria for schizophrenia and either a major depression or manic episode.
- The person experiences either delusions or hallucinations for at least 2 weeks when they are not having a depressive or manic episode.
- The symptoms that meet criteria for depressive or manic episodes are present for over half of the illness
Delusional Disorder (Lifetime prevalence about 0.2%)
- The presence of at least one delusion for at least a month.
- The person has never met criteria for schizophrenia.
- The person's function is not impaired outside the specific impact of the delusion.
- The duration of any depressive or manic episodes have been brief relative to the duration of the delusion.
Brief Psychotic Disorder (Lifetime prevalence unclear)
- One or more of the following symptoms present for at least 1 day but less than 1 month: delusions, hallucinations, disorganized speech, grossly disordered or catatonic behaviour.
Attenuated Psychotic Disorder (Lifetime prevalence unclear)
- One or more of the following symptoms in an "attenuated" form: delusions, hallucinations, or disorganized speech.
- The symptoms must have occurred at least once a week for the past month and must have started or gotten worse in the past year.
- The symptoms must be severe enough to distress or disable the individual or to suggest to others that the person needs clinical help.
- The person has never met the diagnostic criteria for a psychotic disorder, and the symptoms are not better attributed to another disorder, to substance use, or to a medical condition.
Generalized anxiety disorder (GAD)
- Excessive worry about everyday things that is at a level that is out of proportion to the specific causes of worry.
Internal bodily or somatic cues
- Physical sensations that serve as triggers for anxiety or as reminders of past traumatic events.
Interoceptive avoidance
- Avoidance of situations or activities that produce sensations of physical arousal similar to those occurring during a panic attack or intense fear response.
Obsessive-compulsive disorder (OCD)
- A disorder characterized by the desire to engage in certain behaviors excessively or compulsively in hopes of reducing anxiety. Behaviors include things such as cleaning, repeatedly opening and closing doors, hoarding, and obsessing over certain thoughts.
Panic disorder (PD)
- A condition marked by regular strong panic attacks, and which may include significant levels of worry about future attacks.
Posttraumatic stress disorder (PTSD)
- A sense of intense fear, triggered by memories of a past traumatic event, that another traumatic event might occur. PTSD may include feelings of isolation and emotional numbing.
Dissociation
“A disruption and/or discontinuity in the normal integration of consciousness, memory, identity, emotion, perception, body representation, motor control and behavior”
One prominent interpretation of the origins of dissociative disorders is that they are the direct result of exposure to traumatic experiences.

Acceptance and commitment therapy
A therapeutic approach designed to foster nonjudgmental observation of one’s own mental processes.
Automatic thoughts
Thoughts that occur spontaneously; often used to describe problematic thoughts that maintain mental disorders.
Cognitive bias modification
Using exercises (e.g., computer games) to change problematic thinking habits.
Cognitive-behavioral therapy (CBT)
A family of approaches with the goal of changing the thoughts and behaviors that influence psychopathology.
Comorbidity
Describes a state of having more than one psychological or physical disorder at a given time.
