The modern era had given us a comfortable life but also at the same time spread mental stress worldwide.
Psychological disorders can cause disruptions in daily functioning, relationships, work, school, and other important domains. With appropriate diagnosis and treatment, however, people can find relief from their symptoms and discover ways to cope effectively.
DHS hospital has a dedicated psychiatric department to help people handle the increasing challenges of the modern age.
What is it?
The term psychological disorder is sometimes used to refer to what is more frequently known as mental disorders or psychiatric disorders. Mental disorders are patterns of behavioural or psychological symptoms that impact multiple areas of life. These disorders create distress for the person experiencing these symptoms.
While not a comprehensive list of every mental disorder, the following list includes some of the major categories of disorders
Neurodevelopmental disorders are those that are typically diagnosed during infancy, childhood, or adolescence. These psychological disorders include:
Intellectual disability (or Intellectual Developmental Disorder) was formerly referred to as mental retardation. This type of developmental disorder originates prior to the age of 18 and is characterized by limitations in both intellectual functioning and adaptive behaviours.
Limitations to intellectual functioning are often identified through the use of IQ tests, with an IQ score between 70 and 75 often indicating the presence of a limitation. Adaptive behaviours are those that involve practical, everyday skills such as self-care, social interaction, and living skills.
Global developmental delay is a diagnosis for developmental disabilities in children who are under the age of five. Such delays relate to cognition, social functioning, speech, language, and motor skills. It is generally seen as a temporary diagnosis applying to kids who are still too young to take standardized IQ tests. Once children reach the age where they are able to take a standardized intelligence test, they may be diagnosed with an intellectual disability.
Communication disorders are those that impact the ability to use, understand, or detect language and speech.
Autism spectrum disorder is characterized by persistent deficits in social interaction and communication in multiple life areas as well as restricted and repetitive patterns of behaviours.
Attention-deficit hyperactivity disorder is characterized by a persistent pattern of hyperactivity-impulsivity and/or inattention that interferes with functioning and presents itself in two or more settings such as at home, work, school, and social situations.
Bipolar and Related Disorders
Bipolar disorders represent a major category of psychological disorders
Bipolar disorder is characterized by shifts in mood as well as changes in activity and energy levels. The disorder often involves experiencing shifts between elevated moods and periods of depression. Such elevated moods can be pronounced and are referred to either as mania or hypomania.
Mania is characterized by feeling overly excited and even hyper. Periods of mania are sometimes marked by feelings of distraction, irritability, and excessive confidence. People experiencing mania are also more prone to engage in activities that might have negative long-term consequences such as gambling and shopping sprees.
Depressive episodes are characterized by feelings of intense sadness, guilt, fatigue, and irritability. During a depressive period, people with bipolar disorder may lose interest in activities that they previously enjoyed, experience sleeping difficulties, and even have thoughts of suicide.
Both manic and depressive episodes can be frightening for both the person experiencing these symptoms as well as family, friends and other loved ones who observe these behaviours and mood shifts. Fortunately, appropriate and effective treatments, which often include both medications and psychotherapy, can help people with bipolar disorder successfully manage their symptoms.
Anxiety disorders are a type of psychological disorder
Anxiety disorders are those that are characterized by excessive and persistent fear, worry, anxiety and related behavioural disturbances. Fear involves an emotional response to a threat, whether that threat is real or perceived. Anxiety involves the anticipation that a future threat may arise. Types of anxiety disorders include:
Generalized anxiety disorder [GAD] which is marked by excessive worry about everyday events. While some stress and worry are a normal and even common part of life, GAD involves worry that is so excessive that it interferes with a person’s well-being and functioning.
Agoraphobia is characterized by a pronounced fear a wide range of public places. People who experience this disorder often fear that they will suffer a panic attack in a setting where escape might be difficult.
Because of this fear, those with agoraphobia often avoid situations that might trigger an anxiety attack. In some cases, this avoidance behaviour can reach a point where the individual is unable to even leave their own home.
Social anxiety disorder is a fairly common psychological disorder that involves an irrational fear of being watched or judged. The anxiety caused by this disorder can have a major impact on an individual’s life and make it difficult to function at school, work, and other social settings.
Specific phobias involve an extreme fear of a specific object or situation in the environment. Some examples of common specific phobias include the fear of spiders, fear of heights, or fear of snakes. The four main types of specific phobias involve natural events (thunder, lightning, tornadoes), medical (medical procedures, dental procedures, medical equipment), animals (dogs, snakes, bugs), and situational (small spaces, leaving home, driving). When confronted by a phobic object or situation, people may experience nausea, trembling, rapid heart rate, and even a fear of dying.
Panic disorder is a psychiatric disorder characterized by panic attacks that often seem to strike out of the blue and for no reason at all. Because of this, people with panic disorder often experience anxiety and preoccupation over the possibility of having another panic attack.
People may begin to avoid situations and settings where attacks have occurred in the past or where they might occur in the future. This can create significant impairments in many areas of everyday life and make it difficult to carry out normal routines.
Separation anxiety disorder is a type of anxiety disorder involving an excessive amount of fear or anxiety related to being separated from attachment figures. People are often familiar with the idea of separation anxiety as it relates to young children’s fear of being apart from their parents, but older children and adults can experience it as well. When symptoms become so severe that they interfere with normal functioning, the individual may be diagnosed with separation anxiety disorder.
Symptoms involve an extreme fear of being away from the caregiver or attachment figure. The person suffering these symptoms may avoid moving away from home, going to school, or getting married in order to remain in close proximity to the attachment figure.
Trauma and Stressor-Related Disorders
Trauma- and stressor-related disorders involve the exposure to a stressful or traumatic event. These were previously grouped with the anxiety disorders but are now considered a distinct category of disorders. Disorders included in this category include:
Acute stress disorder, which is characterized by the emergence of severe anxiety within a one month period after exposure to a traumatic event such as natural disasters, war, accidents, and witnessing a death
As a result, the individual may experience dissociative symptoms such as a sense of altered reality, an inability to remember important aspects of the event, and vivid flashbacks as if the event were reoccurring. Other symptoms can include reduced emotional responsiveness, distressing memories of the trauma, and difficulty experiencing positive emotions.
Adjustment disorders can occur as a response to a sudden change such as divorce, job loss, end of a close relationship, a move, or some other loss or disappointment. This type of psychological disorder can affect both children and adults and is characterized by symptoms such as anxiety, irritability, depressed mood, worry, anger, hopelessness, and feelings of isolation.
Post-traumatic stress disorder [PTSD] can develop after an individual has experienced a stressful life event. Symptoms of PTSD include episodes of reliving or re-experiencing the event, avoiding things that remind the individual about the event, feeling on edge, and having negative thoughts. Nightmares, flashbacks, bursts of anger, difficulty concentrating, exaggerated startle response, and difficulty remembering aspects of the event are just a few possible symptoms that people with PTSD might experience.
Reactive attachment disorder can result when children do not form normal healthy relationships and attachments with adult caregivers during the first few years of childhood. Symptoms of the disorder include being withdrawn from adult caregivers and social and emotional disturbances that result from patterns of insufficient care and neglect.
Dissociative disorders are psychological disorders that involve a dissociation or interruption in aspects of consciousness, including identity and memory. Dissociative disorders include:
Dissociative amnesia involves a temporary loss of memory as a result of disassociation. In many cases, this memory loss, which may last for just a brief period or for many years, is a result of some type of psychological trauma.
Dissociative amnesia is much more than simple forgetfulness. Those who experience this disorder may remember some details about events but may have no recall of other details around a circumscribed period of time.
Dissociative identity disorder, formerly known as multiple personality disorder, involves the presence of two or more different identities or personalities. Each of these personalities has its own way of perceiving and interacting with the environment. People with this disorder experience changes in behaviour, memory, perception, emotional response, and consciousness.
Depersonalization/derealization disorder is characterized by experiencing a sense of being outside of one’s own body (depersonalization) and being disconnected from reality (derealization). People who have this disorder often feel a sense of unreality and an involuntary disconnect from their own memories, feelings, and consciousness.
Somatic psychological disorders
Formerly referred to under the heading of somatoform disorders, this category is now known as somatic symptoms and related disorders. Somatic symptom disorders are a class of psychological disorders that involve prominent physical symptoms that may not have a diagnosable physical cause.
In contrast to previous ways of conceptualizing these disorders based on the absence of a medical explanation for the physical symptoms, the current diagnosis emphasizes the abnormal thoughts, feelings, and behaviours that occur in response to these symptoms.
Disorders included in this category:
Somatic symptom disorder involves a preoccupation with physical symptoms that make it difficult to function normally. This preoccupation with symptoms results in emotional distress and difficulty coping with daily life.
It is important to note that somatic symptoms do not indicate that the individual is faking his or her physical pain, fatigue, or other symptoms. In this situation, it is not so much the actual physical symptoms that are disrupting the individual’s life as it is the extreme reaction and resulting behaviours.
Illness anxiety disorder is characterized by excessive concern about having an undiagnosed medical condition. Those who experience this psychological disorder worry excessively about body functions and sensations are convinced that they have or will get a serious disease, and are not reassured when medical tests come back negative.
This preoccupation with illness causes significant anxiety and distress. It also leads to changes in behaviour such as seeking medical testing/treatments and avoiding situations that might pose a health risk.
Conversion disorder involves experiencing motor or sensory symptoms that lack a compatible neurological or medical explanation. In many cases, the disorder follows a real physical injury or stressful even which then results in a psychological and emotional response.
Factitious disorder, which used to have its own category, is now included under the somatic symptom and related disorders category of the DSM-5. A factitious disorder is when an individual intentionally creates, fakes, or exaggerates symptoms of illness. Munchausen syndrome, in which people feign an illness to attract attention, is one severe form of factitious disorder.
Feeding and Eating Disorders
Eating disorders are characterized by obsessive concerns with weight and disruptive eating patterns that negatively impact physical and mental health. Feeding and eating disorders that used to be diagnosed during infancy and childhood have been moved to this category in the DSM-5.
Types of eating disorders include:
Anorexia nervosa is characterized by restricted food consumption that leads to weight loss and a very low body weight. Those who experience this disorder also have a preoccupation and fear of gaining weight as well as a distorted view of their own appearance and behaviour.
Bulimia nervosa involves binging and then taking extreme steps to compensate for these binges. These compensatory behaviours might include self-induced vomiting, the abuse of laxatives or diuretics, and excessive exercise.
Rumination disorder is marked by regurgitating previously chewed or swallowed food in order to either spit it out or re-swallow it. Most of those affected by this disorder are children or adults who also have a developmental delay or intellectual disability. Additional problems that can result from this behaviour include dental decay, oesophageal ulcers, and malnutrition.
Pica involves craving and consuming non-food substances such as dirt, paint, or soap. The disorder most commonly affects children and those with developmental disabilities.
Psychological disorders related to sleep
Sleep disorders involve an interruption in sleep patterns that lead to distress and affects daytime functioning.
Examples of sleep disorders:
Narcolepsy is a condition in which people experience an irrepressible need to sleep. People with narcolepsy may experience a sudden loss of muscle tone.
Insomnia disorder involves being unable to get enough sleep to feel rested. While all people experience sleeping difficulties and interruptions at some point, insomnia is considered a disorder when it is accompanied by significant distress or impairment over time.
Hypersomnolence disorder is characterized by excessive sleep during the day or prolonged night-time sleep. People with this condition may fall asleep during the day at inappropriate times such as at work and school. In addition to this excessive sleepiness, people with hypersomnolence may also experience anxiety, memory problems, loss of appetite, slow thinking, and disorientation upon waking.
Breathing-related sleep disorders are those that involve breathing anomalies including sleep apnoea and chronic snoring that can occur during sleep. These breathing problems can result in brief interruptions in sleep that can lead to other problems including insomnia and daytime sleepiness.
Parasomnias involve disorders that feature abnormal behaviours that take place during sleep. Such disorders include sleepwalking, sleep terrors, sleep talking, and sleep eating.
Restless legs syndrome is a neurological condition that involves having uncomfortable sensations in the legs and an irresistible urge to move the legs in order to relieve the sensations. People with this condition may feel tugging, creeping, burning, and crawling sensations in their legs resulting in an excessive movement which then interferes with sleep.
Sleep disorders related to other mental disorders as well as sleep disorders related to general medical conditions have been removed from the DSM-5. The latest edition of the DSM also provides more emphasis on coexisting conditions for each of the sleep-wake disorders.
Impulse control disorders
Impulse-control disorders are those that involve an inability to control emotions and behaviours, resulting in harm to oneself or others. These problems with emotional and behavioural regulation are characterized by actions that violate the rights of others such as destroying property or physical aggression and/or those that conflict with societal norms, authority figures, and laws.
Types of impulse-control disorders:
Kleptomania involves an inability to control the impulse to steal. People who have kleptomania will often steal things that they do not really need or that have no real monetary value. Those with this condition experience escalating tension prior to committing a theft and feel relief and gratification afterwards.
Pyromania involves a fascination with fire that results in acts of fire-starting that endanger the self and others.
Intermittent explosive disorder is characterized by brief outbursts of anger and violence that are out of proportion for the situation. People with this disorder may erupt into angry outbursts or violent actions in response to everyday annoyances or disappointments.
Conduct disorder is a condition diagnosed in children and adolescents under the age of 18 who regularly violate social norms and the rights of others. Children with this disorder display aggression toward people and animals, destroy property, steal and deceive, and violate other rules and laws. These behaviours result in significant problems in a child’s academic, work, or social functioning.
Oppositional defiant disorder begins prior to the age of 18 and is characterized by defiance, irritability, anger, aggression, and vindictiveness. While all kids behave defiantly sometimes, kids with oppositional defiant disorder refuse to comply with adult requests almost all the time and engage in behaviours to deliberately annoy others.
Substance-Related and Addictive Disorders
Substance-related disorders are those that involve the use and abuse of different substances such as cocaine, methamphetamine, opiates, and alcohol. These disorders may include substance-induced conditions that can result in many associated diagnoses including intoxication, withdrawal, the emergence of psychosis, anxiety, and delirium.
Examples of substance-related disorders:
Alcohol-related disorders involve the consumption of alcohol, the most widely used (and frequently overused) drug.
Cannabis-related disorders include symptoms such as using more than originally intended, feeling unable to stop using the drug, and continuing to use despite adverse effects in one’s life.
Inhalant-use disorder involves inhaling fumes from things such as paints or solvents. As with other substance-related disorders, people with this condition experience cravings for the substance and find it difficult to control or stop engaging in the behaviour.
Stimulant use disorder is a new category that involves the use of stimulants such as meth, amphetamines, and cocaine.
Tobacco use disorder is characterized by symptoms such as consuming more tobacco than intended, difficulty cutting back or quitting, cravings, and suffering adverse social consequences as a result of tobacco use.
Neurocognitive psychological disorders
Neurocognitive disorders are characterized by acquired deficits in cognitive function. These disorders do not include those in which impaired cognition was present at birth or early in life.
Types of cognitive disorders include:
Delirium, also known as acute confessional state, that develops over a short period of time (usually a few hours or a few days) and is characterized by disturbances in attention and awareness.
Major and mild neurocognitive disorders have the primary feature of acquired cognitive decline in one or more areas including memory, attention, language, learning, and perception. These cognitive disorders can be due to medical conditions including Alzheimer’s disease, HIV infection, Parkinson’s disease, substance/medication use, vascular disease, and others.
Personality disorders are characterized by an enduring pattern of maladaptive thoughts, feelings, and behaviours that can cause serious detriments to relationships and other life areas.
Types of personality disorders include:
Antisocial personality disorder is characterized by a long-standing disregard for rules, social norms, and the rights of others. People with this disorder typically begin displaying symptoms during childhood, have difficulty feeling empathy for others, and lack remorse for their destructive behaviours.
Avoidant personality disorder involves severe social inhibition and sensitivity to rejection. Such feelings of insecurity lead to significant problems with the individual’s daily life and functioning.
Borderline personality disorder is associated with symptoms including emotional instability, unstable and intense interpersonal relationships, unstable self-image, and impulsive behaviours.
Dependent personality disorder involves a chronic pattern of fearing separation and an excessive need to be taken care of. People with this disorder will often engage in behaviours that are designed to produce care-giving actions in others.
Histrionic personality disorder is associated with patterns of extreme emotionality and attention-seeking behaviours. People with this condition feel uncomfortable in settings where they are not the centre of attention, have rapidly changing emotions, and may engage in socially inappropriate behaviours designed to attract attention from others.
Narcissistic personality disorder is associated with a lasting pattern of exaggerated self-image, self-centeredness, and low empathy. People with this condition tend to be more interested in themselves than with others.
Obsessive-compulsive personality disorder is a pervasive pattern of preoccupation with orderliness, perfectionism, inflexibility, and mental and interpersonal control. This is a different condition than obsessive compulsive disorder (OCD).
Paranoid personality disorder is characterized by a distrust of others, even family, friends, and romantic partners. People with this disorder perceive others intentions as malevolent, even without any evidence or justification.
Schizoid personality disorder involves symptoms that include being detached from social relationships. People with this disorder are directed toward their inner lives and are often indifferent to relationships. They generally display a lack of emotional expression and can appear cold and aloof.
Schizotypal personality disorder features eccentricities in speech, behaviors, appearance, and thought. People with this condition may experience odd beliefs or “magical thinking” and difficulty forming relationships.
Apart from the clinical departments DHS hospital has many critical and crucial supportive facilities. These insure prompt and quality patient care.
DHS hospital is the best place for patients needing lifetime dialysis. Our ultra-modern dialysis machines give the best results.
DHS hospital arranges ambulance transfer patients 24x7. The ambulance staff is trained to take care of the patient during transit.
Day Care Services
Patients are admitted and discharged on the same day. Services include chemotherapy, arthroscopy, endoscopy, eye & ENT surgery, appendectomy, hernia etc.
Auditorium for Seminars
Unless you know about common diseases, you cannot get the best treatment. DHS hospital organizes regular health education seminars for patients.
It ensures the right medicines at the right place at the right time, stored at the right temperature, available 24x7.
ICU on wheels
When ‘time is life’, this is the only transport option for critically ill patients. DHS hospital organizes ICU on wheels.