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Abnormal Psychology in the Hundred Acre Woods
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Abnormal Psychology in the Hundred Acre Woods
By: Adriana Cacho, Tanya Castellanos, Xandra Martinez, Alyssa Nieves, Megan Hosfield, And Daisy Bolanos
Mental Illness Has a longstanding stigma in media
- Stigmas surrounding them demonize natural occurrences/responses
- A part of life
- Understanding of mental illness, diagnosis, symptoms and coping skills
- Even research from this article is outdated as we discover more
Context
Piglet
- Piglet is Pooh's best friend. He is small is tiny and timid.
- Diagnosis: Generalized Anxiety Disorder (GAD)
- GAD is charecterized by excessive worry lasting 6 months or more; inability to identify source of worry.
- Piglets symptoms include anxiety, excessive worry,irritablity, low self esteem, overthinking. He has anxiety attacks and needs constant reassurance.
DIagnosed with:
CLT displayed sxs of anxiety during sxn with clinician AEB inability to sit still, fidgeting in chair and playing with objects in room during sxn. CLT endorsed sxs of depression and anxiety, stating that they are fearful of “the unknown”. Clinician asked CLT to further explore what “the unknown” entails and CLT refused to elaborate. CLT began speaking about “their favorite” and spoke regarding an interaction with said favorite person: “we’ll be friends forever, won’t we [Pooh, Winnie]”. Clinician asked CLT what they experience regarding separation from this person and CLT endorsed sxs of stomach aches, headaches and an inability to self soothe regarding body image. CLT did not endorse thoughts to harm themselves or others and denied displaying any intent or means. Clinician offered safety planning and intervention with CLT for future sxs of increase anxiety and CLT endorsed coping skills of deep breathing and mindful meditation. Clinician applauded CLT for their safety planning intervention. Rule in dx of generalized anxiety (mood) subtype. Rule out dx of borderline personality disorder (personality) subtype. CLT continues to meet medical necessity AEB mental, emotional and behavioral impairments with little to no insight into coping interventions.
Client Notes
Axis I:Generalized anxiety disorder
Axis II: none
Axis III: Failure to thrive
Tigger
- Shea, et al., - ADHD
- Public Health P.O.V
- Determinants
- Relationships
- Epidemiology
- persistent adult ADHD - 2.58%
- symptomatic adult ADHD - 6.76%
Title
CLT appeared in pressured speech and anxious affect AEB pacing throughout sxn and inability to maintain focus. CLT denied any safety concerns; thoughts to harm themselves or others with no means or intent. CLT denied both sxs of depression or anxiety. CLT was unable to maintain conversation and had no insight into sxs stating “Tiggers never get lost, bunny boy”. CLT then began displaying thoughts of grandiosity stating he was “on top of the world and nothing could hurt me”. CLT then began speaking about his thoughts to run for president within the next cycle and stated that “they” were watching him through his phone and proceeded to state that he got cameras put in him in his sleep. CLT was unable to maintain anxiety levels and clinician asked CLT what they could do in the moment to maintain their anxiety levels and CLT started meditating. CLT meets medical necessity due to an inability to recognize insight into current sxs of mania. Rule in Bipolar Disorder Type 1 and current Manic Episode. Rule out ADHD.
Axis I: ADHD, hyperactivity impulsivity subtype
Client Notes
Pooh was Diagnosed with a Honey addiction
Pooh
CLT awoke from sleep and stated “I need more honey” clinician assed CLT for safety sxs and CLT denied any currency safety concerns. Clinician asked CLT about the physical state of the house AEB CLT seemingly unable to upkeep with ADLs. CLT has no insight into the state of addiction AEB “my tummy must’ve traveled down there for more honey”. Clinician offered CLT therapeutic intervention through offering alternative means of coping such as maintaining environmental cleanliness and CLT denied intervention AEB “I need more honey”. CLT denied any thoughts to harm themselves or others and denied experiencing any sxs of anxiety and depression. CLT exhibits sxs of poor diet, impulse control and poor insight into substance misuse. Rule in dx of intellectual function (personality type), inattentive subtype anxiety provisional dx. Rule out borderline personality (mood) type and OCD. Possible substance use intervention may benefit CLT. CLT meets clinical necessity and criteria to obtain services from tx facility AEB psychosocial unawaress, addiction towards substances and inability to offer insight into current tx.
1. Binge/Intoxication
Location:Basal Ganglia
-experience rewarding or pleasurable effects
-keeping body movement smooth and coordinated/learning routine behaviors and forming habits
Addiction cycle
The Biological Aspect of addiction
There are 3 stages of the addiction cycle that involves different brain regions.
2.Withdrawal/Negative Affect
Location: extended amygdala
-experience negative emotional state in the absence of the substance
-regulate the brain reactions to streess
Possible Treatments:
A.) use medications to replace drug abuse
B.)Attend drug rehabilitation
3.Preoccupation/Anticipation
location: Prefrontal Cortex/hypothalmus
-one seeks substance again after a period of abstinence
-abitiy to organize thoughts and activites/prioritize tasks/manage time
EEYORE
- Axis I (clinical disorders) Dysthymic Disorder
- Axis III (general medical conditions) PTSD due to traumatic amputation of tail
- Axis IV (psychosocial/environmental problems): Housing insecurities
Eeyore
- Interesting and affirming to see representation
- Refreshing to see how he is still included by loved ones despite feeling so low
- Never treated as a burden
- Amygdala is inflamed and causes increased sensitivity
- Mental illness is just a brain injury
Eeyore is diagnosed with PTSD and Persistent depressive disorder.
CLIENT NOTES
Eeyore's apathy is a coping mechanism
CLT presented with a flat affect, low tone in voice and slumped appearance in chair during sxn. CLT denied any sxs of anxiety but did endorsed an elevated level of depression. Clinician assessed CLT for safety and CLT did not explicitly endorse a plan or intent to harm themselves or others but stated “If it was in front of me I can’t say what I would do”. Clinician attempted to safety plan with CLT and asked CLT what their current motivators or coping skills they currently possess. CLT denied having any motivating factors to ensure safety AEB “Wish I could say yes, but I can’t”. Clinician attempted to ask CLT what factors are contributing to their decrease in mood regularity. CLT refused to answer question and stated “I just want to be asleep right now” and proceeded to leave sxn. CLT will be placed on no sharps, no walks or passes unless with staff. CLT will be placed on two sxns a day and staff will assess CLT for safety throughout the day. Rule in Major Depressive Disorder (mood) subtype and Anhedonia. Rule out Schizoaffective Depressive type. CLT may benefit from cognitive behavioral intervention outpatient services and case management. CLT meets medical necessity due to social, environmental and physical determinants as a result of depressive sxs.
- Portrayed as a disadvantage
- However, the brain will learn to protect itself
- May be an advantageous adaption to heal itself
Client Notes
Rabbit
Rabbit
DSM-IV multiaxial diagnosis
Axis II: Personality disorders/mental retardation
- Narcissistic personality disorder
Rabbit represents...
DIagnosis
Rabbit better represents obsessive compulsive disorder (OCD).
- The DSM-5 criteria defined obsessions by recurrent, intrusive, persistent unwanted thoughts, urger, or images in which the person has tried to ignore, suppress or neutralize the thoughts, urges, or images.
- defined by repetitive behaviors or thoughts that the person feels compelled to perform to prevent distress or a dreaded event.
- obsessions or compulsions are either time consuming of more than 1 hour per day or cause clinically significant distress and/or impairment.
Marketing POV
- ‘Emotional Home’ is to provide the child withthe solid foundation and feeling of security that gives comfort in times of trouble and allows them to embrace the everyday challenges of growing up.
- Key drivers of this need state are moral orientation (what is right or wrong), to protect or beprotected, fairness and emotional support.
Why and how this cartoon is being marketed to children? and what age group?
Marketing
"Winnie the Pooh is representative of a child’s emotional home. He lives in a world where nothing bad happens and the good always prevails,embedded in a family-like social environment.
No risks are taken, and a development of the character is not required or its primary goal."
Mental illness is not evil
- Juxtaposition to see familiar, soft, and unassuming characters with demonized conditions
- Normalizes and ultimately destigmatizes
Conclusion
Works Cited
https://www.healthline.com/health/anxiety/generalized-anxiety-disorder
“Medications for Opioid Overdose, Withdrawal, & Addiction.” National Institutes of Health, 31 May 2023, nida.nih.gov/research-topics/opioids/medications-opioid-overdose-withdrawal-addiction-infographic.
Shea, S. E., Gordon, K., Hawkins, A., Kawchuk, J., & Smith, D. (2000). Pathology in the Hundred Acre Wood: a neurodevelopmental perspective on A.A. Milne. CMAJ : Canadian Medical Association journal = journal de l'Association medicale canadienne, 163(12), 1557–1559.
Substance Abuse and Mental Health Services Administration (US); Office of the Surgeon General (US). Facing Addiction in America: The Surgeon General's Report on Alcohol, Drugs, and Health [Internet]. Washington (DC): US Department of Health and Human Services; 2016 Nov. CHAPTER 2, THE NEUROBIOLOGY OF SUBSTANCE USE, MISUSE, AND ADDICTION. Available from: https://www.ncbi.nlm.nih.gov/books/NBK424849/
Shea SE, Gordon K, Hawkins A, Kawchuk J, Smith D. Pathology in the Hundred Acre Wood: a neurodevelopmental perspective on A.A. Milne. CMAJ. 2000 Dec 12;163(12):1557-9. PMID: 11153486; PMCID: PMC80580.
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Special Thanks
- CTREE, Dr. Garcia, Dr. Armenta, Dr. Ray, and Vicky
- Great opportunity to collaborate
- Grateful to learn more about ourselves and our peers