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Fiction and Mental Illness

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Julieann Li

on 16 March 2014

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Transcript of Fiction and Mental Illness

Anxiety Disorder
Monica is an organized clean freak. She organizes basically everything in her house and remembers exactly where everything goes. If something is moved an inch away from where it usually is, then she notices and fixes it until it goes back to its original place.
Bi-Polar Disorder
Helga (Hey Arnold)
Fiction and Mental Illness
Julieann Li, Eileen Qiu, Joann Ly
AP Psychology Period 4
Dean [Supernatural]
Dean is often paranoid and experiences seperation anxiety evident in the way he constantly needs to know the location of his brother, Sam.
Treatments for Dean
Biomedical Therapy
Phobic Disorders
Stitch from Lilo and Stitch is afraid of water (aquaphobia). Whenever he encouters water, he gets extremely anxious and sometimes faints.
Monica (Friends)
Howard [Big Bang Theory]
Howard is in his 30's and still living with his mother. He depends on his mother for his laundry, and meals, and must always recieve permission from her in order to go to social gatherings with friends or have friends over. When given the chance to move out, Howard refused and was dellusional, thinking his mother needed him, when in all actuallity she was trying to kick him out,
Marlin [Finding Nemo]
After a traumatizing event resulting in the loss of his wife and children, Marlin is now constantly afraid for the safety of his only surviving son,Nemo. He frequently asks about Nemo's health and makes sure that he is safe, even from the smallest danger.

The therapist will carefully monitor Howard, and consult with him weekly. Howard may be exposed to group therapy in order to combat his dependence on his mother. He may learn to direct his dependence to new activities such as a hobby or other pasttime.
Helga is often emotionally unstable,
and trasitions between feelings of
extreme euphoria to manic depression
Around her friends Helga is normal,
and switches moods when she is alone,
or after speaking with Arnold
Bio-Medical Therapy: Lamotrigine

Limotrigine will balance the chemicals in the brain by slowing the production of some chemicals and increasing the production of others.

Side Affects: Dizziness, Drowsiness, Headache, Fainting, Bleeding, Muscle Pain, Vomiting, and Stomach Pain

Aterax Pills, which will reduce function of the central nervous system and reduce stress and tension within the user
Side Effects: Drowsiness, Slurreded Speech, Confusion, and Memory Loss
Catapres Pills lower blood pressure and causes the heart to beat more slowly and allows the user to feel more relaxed in their environment
Side Effects: Low Blood Pressure, Irregular Heartbeat, Heart Attack, Drowsiness, and Dizziness
Therapist applies method of Rational Emotive Therapy (RET). His method emphasized rational thinking and finding the cause of anxiety. If Dean found out why being away from Sam causes anxiety, then he could work on fixing it, and begin to create a healthy distance between himself and Sam.
source psychotherapy: http://psychcentral.com/lib/psychotherapy-for-anxiety-disorders/0004

source: Biomedical: http://www.drugs.com/condition/anxiety.html
Cognitive Psychotherapy focuses on establishing healthier outlets for anxiety. For instance, instead of Dean having a near panic attack everytime Sam disappears, he could go out and call a friend instead, and wait until Sam returns.
Psychotherapy: Exposure and Response Therapy

Monica will beexposed to objects or scenerios that she is afraid of whenever she performs her possessive action. The association with fear prevents them from performing the action again

Behavioral Therapy:

The obssessive action will slowly be weaned from the Monica by being praised everytime the action isn't done. The therpaist will slowly challenge Monica to stop doing the action for two weeks, a month, a couple months, a year, and eventually, the rest of her life. Everytime the action isn't done, the Monica will be rewarded.
source: ocd.stanford.edu/treatment/psychotherapy.html

The therapist establishes a relationship with Helga and holds weekly meetings together to establish a healthly sleep cycle and maintain a healthy bond with each other. The therapist is the support for Helga. Her therapist may ask about school and attempt to ease her worries and shed a brighter view on school and her future.
source: www.webmd.com/drugs/mono-7217-LAMOTRIGINE+-+ORAL.aspx?drugid=4582&drugname=lamatrigine+oral

source: http://www.psychologytoday.com/blog/bipolar-you/201304/what-expect-psychotherapy-bipolar-disorder
source psychotherapy: http://psychcentral.com/disorders/sx13t.htm
source behavioral: http://www.health.am/psy/more/cognitive_behavioral_therapy_dpd/

The therapist must establish a personal connection with Howard, but not so much so that the Howard's dependence shifts to the therapist. Howard must feel relaxed enough to relay his thoughts and feelings to the therapist, and the therapist will then encourage self-help to increase self confidencce and let Howard depend on himself instead.

The therapist needs to establish
deep connection with Marlin and
earn his trust.
Paranoid patients usually respond poorly
to therapy because of anxiety and fear of betrayal.
A relationship needs to be established quickly and trust gained in order to start consulting Marlin about the source of his paranoia
source psychotherapy: http://www.health.am/psy/more/paranoid_personality_individual_psychotherapy/
Bio-medical Therapy:

Common anti-depressents and anti-anxiety medications such as those mentioned before can be used to treat paranoia
side effects still include drowsiness, dizziness, upset stomach, headache, and fainting
Manic Depression
Manic Depression
Manic Depression
Castiel (Supernatural)
Castiel rarely smiles, and always wanders away somewhere. He never speaks unless necessary and comes from a troubled background. Castiel's father went missing when he was a child, and he never knew his mom. His brothers and sisters have raised him, but abandoned him due to his affiliation with the Winchester brothers.

Biomedical Therapy
bio-medical source: http://www.uni.edu/walsh/treatment.pdf

psychotherapy source: http://www.webmd.com/depression/psychotherapy-treat-depression
Family/ Group therapy
Medication, such as Tricylics
and seratonin re-uptakes, is
common and effective in combatting
depression by blocking neurotransmitters
that release chemicals that cause depression.
Side Affects: Dizziness, nausea, worsening of mood, thoughts of suicide, headaches
The therapist may start a support group so Castiel will feel less alone, and have someone to live for. The therapist could also bring in some of his family, and they could talk things out.

Joker (Batman)
The Joker recklessly spends money, and toys with Harley's emotions.
He is extremely jealous and abusive, but will always guilt Harley into staying
with him. He is impulsive and obssessed with Batman, and will often kill henchmen
if he is frustrated.
Bio-Medical Therapy

There is no direct treatment for Borderline Disorder, but there are treatments for the co-occuring problems, such as depression, anxiety, and impulsiveness. Medications include antidepressants, antipsychotics and anti-anxiety drugs.
source biomedical:http://www.nimh.nih.gov/health/publications/borderline-personality-disorder/index.shtml

source psychotherapy: http://www.nimh.nih.gov/health/publications/borderline-personality-disorder/index.shtml

The therapist needs to establish a sense of control during appointments so he can better treat Joker.

Cognitive Behavioral Therapy can then be applied in order to keep Joker safe from suicidal thoughts or actions.
The therapist may attempt to teach the Joker how to interact with others again, and how to correctly act in social settings

Wilson Twins (White Chicks)
The twins overract to every
situation that, in their opinion, goes
terribly wrong. They constantly
squeal and shove themselves in front
of cameras in order to gain media attention.
Barney (How I Met Your Mother)
paranoid schizophrenia
Courage (Courage the Cowardly Dog Show)

Tate: American Horror Story
The therapist will take a somewhat skeptical stance in therapy due to the usual exaggeration of events and problems from the twins. By following a line of reasoning to its logical conclusion, the Wilson Twins will discover their unrealistic expectations and fears associated with many behaviors and thoughts.

The therapist can also help by pointing out, in session, when the twins are using shallow criteria to judge another. The patient should eventuallybe able to do this themselves throughout their lives.
Courage constantly sees
strange figures and apparitions that threaten his home and Muriel.
Eustace constantly abuses him, and he imagines himself as a hero fighting
these creatures as a defense mechanism
Mood stabilizers will even out mood swings and reduce irritability, impulsivity, and aggression.
Source: http://psychcentral.com/disorders/sx17t.htm
Biomedical Therapy

Haloperidol Oral is medication
used to treat psychotic disorder by
blocking neurotransmitters from
reaching the brain. This calms the brain
and reduces the chances of hallucinating
or having delusions

Side Affects

Dizziness, Drowsiness, Urinating
while asleep, Headache, Anxiety, Muscle
source biomedical: http://www.webmd.com/drugs/drug-8661-haloperidol+oral.aspx?drugid=8661&drugname=haloperidol+oral&source=0
Barney constantly thinks about himself and tries to draw attention to himself during conversations with his friends. He must constantly redirect any attention back to himself.
source Psychotehrapy: http://www.psychiatrictimes.com/special-reports/cognitive-behavioral-therapy-psychotic-disorders
The therapist will try to decipher the meaning of the delusions and offer another explenation as to why Courage is envisioning these things.
Courage was constantly neglected so he imagined himself free brave, loved, and heroic in the eyes of Muriel. He didn't suffer Eustace's wrath as much because in his eyes, Muriel was always there to defend him, when in all actuality she was too elderly to do anything.
Cognitive Behavioral Therapy
Barney will learn to identify his own unhealthy, unrealisitc beliefs and replace them with healthy, realistic ones.
Desensitization or exposure therapy will gradually change the response towards the phobia through repeated exposure to it.
Tate was a high school shooter
who killed multiple students
with his rifle, and felt no remorse
or regret. When asked why,
Tate had no answer other than
that he simply could.
Group therapy can help the Barney develop a healthy individuality (rather than a resilient narcissism) so that he can acknowledge others as separate people. He will learn how to listen to others and offer support to them instead of expecting support for himself.
Beta Blockers prevent the adrenaline effects (increased heart rate, high blood pressure, increased heart rate)
Cognitive behavioral therapy uses exposure and other techniques to cope with the phobia. Stitch will see different beliefs on his fears and how they impact him. There's an emphasis on how to conquer the phobia
Reinforces appropriate behaviors and attempts to make the connections between Tate's actions and his feelings more beneficial. Emotions are usually key aspects of treatment to his disorder. Patients with this disorder often have little or no significant emotionally-rewarding relationships in their lives. The therapeutic relationship can be one of the first ones.
The content of therapy should focus on the Tate's (lack of) emotions. Tate will learn to experience various emotional states, one of the first may be depression. He will likely be unfamiliar with the feelings associated with depression, so it is beneficial for the clinician to be supportive and empathetic to towards Tate during this time. Reinforcing any emotions, outside of anger or frustration, is usually beneficial.
Bio Medical
Source: http://psychcentral.com/disorders/sx7t.htm
Selective Serotonin Reuptake Inhibitors (SSRIs) are used to influence mood by controlling serotonin
There are no specific medications approved by the FDA, but there are suggested psychiatric medications, such as antipsychotic, antidepressant or mood-stabilizing medications. However, they should be prescribed with caution.
Antidepressants will help treat the Wilson Twin's impulsivities and anxieties.
Antipsychotic medications will treat psychosis or anxiety and anger issues.
Biomedical Therapy
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