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Glossary of Terms

The definitions below are intended to provide an informational matrix and not a diagnostic one. Diagnosis can be made only by a licensed psychological or medical provider.

A B C D E F G H I J K L M N O P Q R S T U V W X Y Z

Acute Stress
Acute stress disorder (ASD) is an anxiety disorder that has a cluster of dissociative and anxiety symptoms occurring within one month of a traumatic event.

ADHD
ADHD is a diagnosis applied to children and adults whose behavioral and attitudinal outputs meet the DSM 1V criteria for ADHD. Those criteria include: distractibility, poor sustained attention to tasks, poor impulse control and difficulty in delaying gratification, inability to stay still and focused physically and mentally. In order to meet diagnostic criteria, these behaviors must be excessive, long term and continually present. For children these behaviors must appear before age 7, and continue for at least 6 months. These behaviors and attitudes must create a real handicap in at least two areas of a person’s life, such as school, home, work, or social settings. Symptoms exhibited by persons with ADHD are: often fails to give attention to details or makes careless mistakes, frequently has difficulty sustaining attention to tasks, does not seem to listen when spoken to directly, often fails to follow instructions carefully and completely, losing or forgetting important things, feeling restless, often fidgeting with hands or feet, or squirming, running or climbing excessively, often talks excessively, often blurts out answers before hearing the whole question, often has difficulty awaiting turn.

Anger
In modern society, anger is viewed as an immature or uncivilized response to frustration, threat, violation, or loss. Conversely, keeping calm, coolheaded, or turning the other cheek is considered more socially acceptable. This conditioning can cause inappropriate expressions of anger, such as uncontrolled, violent outbursts or misdirected anger or, at the extreme, repressing feelings of anger (or lacking them altogether) when those feelings are inappropriate response to the situation. Also, anger that is constantly “bottled up” can lead to persistent violent thoughts or nightmares, or even physical symptoms like headaches, ulcers, or hypertension.

Anger Management
The term anger management commonly refers to a system of psychological therapeutic techniques and exercises by which one with excessive anger can bring that anger under control. Courses in anger management are sometimes mandated by a court for parents and others involved in Domestic Violence. Typical anger management “techniques” are the use of deep breathing and meditation as a means to slow down and avoid precipitous actions. Treatments are designed to be personal to the individual and many combine a variety of therapeutic approaches.

Anxiety
Anxiety is a complex combination of feelings of fear, dread, apprehension, and worrying behavior that may produce physical sensations such as heart palpitations, chest pain, and/or shortness of breath. It may exist as a primary brain disorder or may be associated with other medical problems including other psychological disorders. A chronically recurring case of anxiety that has a serious effect on your life may be clinically diagnosed as anxiety disorder. The most common Anxiety Diagnosis are Generalized Anxiety Disorder, Panic Disorder, Social Anxiety Disorder, Phobias, Obsessive-Compulsive Disorder, and Posttraumatic Stress Disorder (PTSD).

Assertiveness
Assertiveness is being able to stand up for yourself and your beliefs in a calm firm manner. It includes the ability to persevere in your attitudes and stances against popular attitude and positions when needed. We act assertively by not being afraid to speak our mind when it is appropriate, or necessary to do so without violating the rights of others.

Bipolar Disorder
Is a mood disorder in which the affected person exhibits intense and sometimes dramatic changes in moods moving between a very high or manic state to a very low to a very sad or “depressed “state. Bipolar Disorder frequently destroys relationships between friends and coworkers and family members and lovers. It is such a debilitating that an estimated 15% of the sufferers of this disease commit suicide. Many of the people diagnosed with this disorder have excelled in creative and scientific fields, including poets, writers, actors, theoriticals, mathematicians, educators, and investors.
Bipolar Disorder is now generally considered to be a biochemical imbalance of the brain.

Bladder training/bladder retraining
Bladder training is a method of treating incontinence.

Coping Skills
Coping skills is a behavioral tool which may be used by individuals to offset or overcome adversity, disadvantage, or disability when it is difficult, impossible or undesirable to correct. We all utilize coping skills in our daily life.

Cyclothymic
A Cyclothymic Disorder is one in which you have a number of the symptoms for a Major Depression but the symptoms are insufficient in number, severity or duration to meet a diagnosis of depressive disorder. In addition you have the symptoms of a Manic Episode but again they are of insufficient length, severity, or number to meet that diagnostic criteria. Certain other conditions and exclusions must also be met.

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Dementia/Alzheimer’s
Senile Dementia or Alzheimer’s type is a neurodegenerative disease which results in a loss of mental functions due to the deterioration of brain tissue. Its exact etiology (cause) is still unknown but it is likely that environmental as well as genetic factors at hand. The first symptom is memory loss that tends to become progressive. This disease can also cause behavioral changes, such as disorientation, sudden periods of defiance, abusive behavior and violence in people who have no previous history of such behavior. Alzheimer’s disease presents a problem in patient management. Average durations approximately 7-10 years with death as the most probable final outcome.

Depression
Although nearly any mood with a noticeable element of sadness may be termed a depression, a clinical depression requires more specificity than that. When the symptoms must last two weeks or longer and occur strongly enough to impact the processes of daily living, one can generally be said to be exhibiting a clinical depression. Clinical depression affects about the same percentage of the population as Bipolar Disorder.(15-16%). The mean age of onset, from a number of studies is in the late 20s.
Almost 2 times as many females as males report to receive treatment for a clinical depression.

Dissociation
Dissociation is a psychological state or condition in which certain thoughts, emotions, sensations, or memories are separated from the rest of the psyche. The Diagnostic and Statistical Manual of Mental Disorders considers symptoms such as depersonalization, derealization, and psychogenic amnesia as core features of dissociation. However, in the normal population mild dissociative experiences are highly prevalent, with 80% to 90% of the respondents indicating that they experience dissociative experiences at least some of the time.

Dysthymia
Dysthymia, or dysthymic disorder is a form of the mood disorder of depression in which one exhibits a loss of enjoyment/pleasure in life that continues for at least six months. It differs from clinical depression in that the symptoms are less severe. While dysthymia usually does not prevent a person from functioning, it prevents full enjoyment of life. Dysthymia also lasts longer than an episode of major depression. Dysthymia may or may not respond to traditional anti-depressant medication and to other forms of therapy. Dysthymic individuals are often perceived as being sour faced and humorless and as addicted to following rules and procedures to the letter.

Epilepsy
Epilepsy is a chronic neurological condition characterized by recurrent unprovoked seizures. It is usually under control with medication, although experimental surgical methods are slowly gaining acceptance. The causes of epilepsy are not known, but some scientists believe that seizures can result from a number of unrelated conditions. In 70% of all cases, there is no known cause for epilepsy. In the other 30% of cases, a brain injury, scar of malformation is found. In most cases abnormal electrical activity can be detected in the brain with an eletro-encephalograph or EEG.

Family & Parenting Interventions
Intervention is an orchestrated attempt by family and friends to get a family member to “get help” for addiction or other similar problem.

Impulsivity
Impulsivity has been variously defined as human behavior without adequate thought, the tendency to act with less forethought than do most individuals of equal ability and knowledge, or a predisposition toward rapid, unplanned reactions to stimuli without regard to the negative consequences of these reactions.

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Incontinence
Incontinence is the loss of bladder or bowel control resulting in urine or bowel material leakage.

Intellectual Ability
Intellectual ability refers to the ability measured by performance on an intelligence test or mistakenly quantified as an IQ score. It is also sometimes used in the context of discussing the performance of someone in an academic or real world setting.

Kegel
Exercises designed to strengthen the pelvic floor muscles and the urethral sphincter to help control or stop urine or bowel leak.

Learning Disorders
Learning disorders are reported in three categories: reading, mathematics, and written expression. Problems in reading generally occur before the age of 7. Problems in reading are usually followed by problems in spelling, written language, and expression before the age of 8. Mathematical learning disorders are often not detected until after rote memorization, mathematics work has ended, and application of more abstract skills is necessary. These diagnoses should be given only after standardized testing indicates that performance is significantly below that expected by the child’s chronological age, IQ, and educational level and even then only when poor testing performance supported by classroom data.

Learning Disabilities
A learning disability exists when there is a significant discrepancy between one’s ability and achievement. Usually this discrepancy equals a 1.5 standard deviation, typically 22 points between the IQ and an academic area such as math, reading, or written language. Someone with a learning disability does not necessarily have low or high intelligence, it just means this individual is working far below their ability due to a processing disorder, such as auditory processing or visual processing or sometimes unknown problem. Learning disabilities are usually identified by School Psychologists through testing of intelligence, academics and processes of learning,

Manic Episode
Mania is exemplified by a time in which the subject for at least one week, less if hospitalized, exhibits a consistently elevated, expansive or irritable mood and must be accompanied by a t least three of the following:
• Inflated self-esteem or grandiosity
• Decreased need for sleep
• Flight of ideas
• Excessive involvement in pleasurable but dangerous pursuits
• Increased involvement in goal directed activities or psychomotor agitation
• Distractibility

The disturbance must substantially negatively impact social or occupational functioning, is not better explained by another Mental Health Disorder or state, Substance Abuse, Medication or Medical Disorder. People in this stage generally believe that they can do everything better, faster, and more accurately than anyone else in the world. They may go for days without sleep and may “talk a mile a minute”.

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Neurofeedback
Neurofeedback is a Biofeedback process that utilizes two computers, and sophisticated software to pick up EEG Brainwave signals thru the skull and feeds them back (Biofeedback) to the client so that they can be changed and made more flexible or more suited to the task that one is doing. The EEG (Brainwave) signal is divided into slow beta waves that are associated with spaciness and creativity, alpha waves associated with relaxation and meditation, beta waves that are dormant when one is problem solving or engaged in a task that requires thinking.

Neurofeedback Training
Assisting the client thru EEG or Brainwave training to have the right kind of Brainwave in the right part of the Brain at the right time and maintaining it for the length of time is how Neurofeedback exerts its positive effects.

Obsessive-Compulsive
Obsessive-compulsive disorder (OCD) is demonstrated by a person’s obsessive drive to perform a particular act or set of acts or compulsions commonly termed rituals. An estimated 2%-3% of the populations of the United States is thought to have OCD or display OCD-like symptoms. The OCD sufferer performs acts (or compulsions) to seek relief from obsessions. These acts may appear simple and unnecessary. But for the sufferer, such acts feel critically important, and must be performed in particular ways or bad consequences are sure to occur. At the very least they stop the stress build up. An example of this act is repeatedly checking that house doors have been locked before being able to leave.

Panic Attacks
Any 4 or more of these symptoms:
• You wake up in bed and you feel like you can’t “get enough air”
• You feel like throwing up
• You are sweating
• You have chest pains
• Your heart is pounding
• You feel like you are “losing it”
• You are really scared because you know you are having a heart attack
• You know that you are going to die
• The feeling of terror and doom is all around you
• You are having chills or flushing
• You are trembling or shaking
• You feel dizzy, lightheaded
• You feel like you are choking
• Things feel unreal

You may have had a Panic Attack and if you have had four or more and you are dreading having another attack and have changed your routines to avoid that, you could have a Panic Disorder. Of course there are other criteria that need to be met but if you can say yeas, to the above you need to think about getting help, if you have not done so.

Parkinson’s
Parkinson’s disease is a neurodegenerative disease of the substantia nigra. Some of the genes that cause this disorder were identified recently; others remain unknown. The disease involves a progressive movement disorder of the extrapyramidal system, which controls and adjusts communication between neurons in the brain and muscles in the human body. It also commonly involves depression and disturbances of sensory systems.

Phobias
Phobias are the most common form of anxiety disorder. The term phobia, which comes form Greek word fear (fobos) denotes a number of psychological and physiological conditions that can range from serious disabilities and common fears to minor quirks. The National Institute of Mental Health (NIMH) found that between 5.1 and 21.4 percent of Americans suffer from phobias. Broken down by age and gender, the study found that phobias were the most common mental illness among women in all age groups and the second most common illness among men older than 25. Phobias are divided into three categories: Social phobias – fears having to do with other people and social relationships such as performance anxiety, fears of eating in public, etc.
Specific phobias – fear of having a single specific panic trigger, snakes, spiders, dogs, flying, bridges, running water and so on.
Agoraphobia – fear of leaving your home or your small familiar “safe” area, and of the inevitable panic attacks that will follow if you do.

PTSD
Posttraumatic stress disorder (PTSD) is an Anxiety Disorder and a term for the psychological consequences of exposure to or confrontation with stressful experiences which involve actual or threatened death, serious physical injury or a threat to physical or mental integrity and which the person found highly traumatic. Symptoms can include re-experiencing phenomena such as nightmares and flashbacks, avoidance of reminders and emotional detachment, and hyperarousal with sleep abnormalities, extreme distress resulting from personal “triggers”, irritability and excessive startle. Experiences likely to induce the condition include rape, combat exposure, natural catastrophes, violent attacks, childhood physical/emotional abuse. PTSD often becomes a chronic condition but can improve with treatment or even spontaneously.

Psychosis
Psychosis is a mental state in which one’s perception of reality is distorted. Persons experiencing a psychotic episode may experience hallucinations (auditory or visual hallucinations), hold paranoid or delusional beliefs, may experience personality changes and may exhibit disorganized thinking. This is usually accompanied by a lack of insight into the unusual or bizarre nature of their behavior, difficulties with social interaction and acute impairments in carrying out the activities of daily living.

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Social Anxiety
Social anxiety is a disorder that causes sufferers to experience intense anxiety in some or all of their social interactions and public events of everyday life. For instance, some sufferers have difficulty attending parties or meetings, walking into a shop and purchase goods, or asking for help from authority figures. Sufferers are very much afraid of being unfairly judged, watched, and humiliated in public as a result of their actions, behavior or appearance.

Social Skills Training
Social skills training is a general term for instruction conducted in behavioral areas that increase clients’ relationship skills and promotes more productive/positive interactions with others. We teach social skills to students and adults who have not learned how to successfully interact with others in order to promote their acceptance by others.

Stress Management
Stress management techniques include a range of techniques designed to promote our clients with effective coping mechanisms for managing in behavioral and cognitive realms.

Stroke
A stroke or cerebrovascular accident (CVA) occurs when the blood supply to a part of the brain is suddenly interrupted by occlusion, by hemorrhage, or other causes. Ischemia is a reduction of blood flow most commonly due to occlusion (an obstruction). On the other hand, hemorrhagic stroke occurs when a blood vessel in the brain bursts, spilling blood into the spaces surrounding the brain cells or when a cerebral aneurysm ruptures. A small proportion of strokes are watershed strokes caused by hypoperfusion or other vascular problems including vasculitis.

Substance Abuse
Substance abuse is a pattern of continued harmful use of a mood altering substance that results in adverse social consequences, such as failure to meet work, family, or school obligation. It may also cause interpersonal conflicts, or legal problems. Substance abuse may lead to addiction or substance dependence.

Urethra
Urethra is the canal leading from the bladder.

Urologist
Urologist is a doctor specializing in the urinary and urogenital tract problems


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