Psychological Disorders

Psychological Disorders


Hello this is Dr. Brouk today we’re
going to talk about psychological disorders psychological disorders listed
in dsm-5 which is the Diagnostic and Statistical Manual of Mental Illness 5th
edition Oh meet the definition of abnormal but
what is normal and what is abnormal mental health professionals assume that
an individual is normal when his or her way of thinking feeling and behaving are
healthy and adaptive or functional and allow them to take care of the daily
responsibilities are culturally and socially acceptable and the way they
think feel and behave do not cause that stressed and also do
not make other people feel uncomfortable these are some of the characteristics of
someone who is considered to be normal what is abnormal well abnormality can occur in the way a
person thanks feels and behaves so according to
mental health professionals the individuals way of thinking feeling and
behaving are unhealthy and maladaptive maladaptive means inability to adjust
interfere with individuals daily functioning and responsibilities are
culturally unusual and go against the social norm and cause the individual and
or people around them distrust discomfort we see abnormalities in the
way a person things if they exhibit distorted and illogical thinking or eat
their behavior by demonstrating excessive fatigue or difficulty
communicating or eating and sleeping disturbances let’s look at some helpful terms used in
abnormal psychology once again the definition of normal is
no adaptive meaning unhealthy cognitions thinking emotions and behavior there are at odds with social
expectations and caused this dress and discomfort to the individual and or
people around them is symptom is a sign of illness it indicates that something is not
working properly syndrome is a cluster or a collection of symptoms diagnosis is
labeling a disorder based on the presenting symptoms for
instance someone will go to a psychologist and will say that i have
not been sleeping for the last two and a half weeks I can’t eat I have a difficult time
hanging out with my friends I don’t enjoy things that I used to
enjoy and I have a sense of guilt and there have been times when I have
thought about suicide based on these presenting symptoms the diagnosis will be depression ideology is this
study of causes of a disorder prevalence is the percentage of the
population that is affected with a particular disease at a given time what is important here is to note that
it is a percentage of a particular population at a given time in contrast incident is a rate of
occurrence of a disease is a five stands for the diagnostic and statistical
manual of mental disorders which was published in 2013 by the American
Psychiatric Association this manual list and describes various psychological
disorders and all of the disorders here are discussed beast under
categories and severity this is the book used by mental health
professionals in practice and also research the first category of disorders that we
will talk about is the anxiety disorders the main symptom is anxiety which is
defined as a general feeling of dread and apprehension that is accompanied by
physiological changes or bodily responses such as increased heart rate
sweating shaking and so on these bodily changes are caused by the sympathetic
nervous system and they are associated with fight or flight according to do some there are several
types of anxiety disorders here we have generalized anxiety
disorder panic disorder a girl phobia specific phobia social anxiety disorder
depression anxiety disorder selective mutism and substance medication induced
anxiety disorder here we have a video that looks that
living with anxiety disorders suffer from anxiety disorder stress base
to fears to depression and obvious cbs19 Jennifer he talks place like how
to detect anxiety and control it in tonight CBS 19 special report Chuck and Julie anxiety disorders are
the most common mental illness in this country we can all relate to that tense destroys feeling but what causes
so many people to live with fear essentially like hyperventilating feels
like you can’t breathe in air sometimes there’s pain associated with
that that thousand was 18 years old when he had his first panic attack after leaving a concert was the first
time that happened kind of blacked out of driving in dallas he’s now a 27 year old college student
living with anxiety and snowballs into a panic attack and she’s learned to deal
with his triggers going over bridges across the people of Tom’s small things
can help a panic attack and a person have a local prison picture from being
yourself loud noises – Bridget anxiety can be
much more generalized at least fifty percent at any one time are treated for
anxiety problems I think everybody has at some point in
their life dr. brian lowry the general practitioner with Trinity clinics he says more patients are asking about
depression and anxiety I think we have a much busier lifestyle
now and I think there are a lot of stressors outside of our control that caused a lot of stress of people
according to the anxiety disorders association of america anxiety cost the
u.s. more than 42 billion dollars a year and people with anxiety or three to five
times more likely to go to the doctor anxiety is not just you know you’re
stressed out and sometimes that can translate into somebody’s Moody or they’re edible or sleeping more or
not sinking as much as I used to Jennifer would counsel people on issues
from marriage to anxiety every day she says while medication can help a lot
of people it’s not the only treatment option
sensitive just trying to treat the symptoms I think it’s important to really dig
deep and look and see what a person is really
anxious about and what their heart fears overcoming fear is one thing that says
he’s done by depending on his friends family fate and one other method for
yourself in a situation that you know you have anxiety issues and then very creating that till you get the
sensitizes influence but that’s it . out overcoming it starts by talking with a
lot of people don’t really talk about it it’s an embarrassment for most people
and myself xiety and stress disorders are more
likely to affect women they don’t discriminate when it comes to age the
elderly and even children experience symptoms of anxiety and check and
Jillian while the disorders are treatable only one in every three people
who suffer from anxiety ever seek treatment Thank You Jennifer more common then we
all might think that to learn more about anxiety treatments and how to reach
doctors and counselors just go to our website CBS 19 . TV and click on the hot
button got a lot of information there for you let’s look at several types of anxiety
disorders generalized anxiety disorder or GD is characterized 36 months or more
of persistent high levels of anxiety and excessive glory that effects many
aspects of the individual’s life panic disorder involves several
occurrence of panic attacks a panic attack is a periodic sudden and intense
episode of fear that reaches a peak within minutes and after a few minutes
it will pass the individual diagnosed with panic disorder demonstrates a
persistent concern or worry about having additional attacks and these symptoms
can cause significant unhealthy changes in the individual’s behavior agri phobia requires a fear of being in
public places or situations where escape might be difficult embarrassing or help might be
unavailable in case of a panic attack back symptoms often lead to avoidance of
situations such as being alone on the outside of a home traveling in a car bus
or airplane or being in a crowded area specific phobia involves a strong
persistent and irrational fear of some specific or situation often leading to
avoidance for instance somebody who is diagnosed
with arachnophobia is afraid of spiders and they would do anything to avoid
being near spiders social anxiety disorder was formerly known as social
phobia and it involves excessive and persistent fear of social or performance
situations in which embarrassment can occur it could be public speaking or it could
be going to a party alone where the individual will feel very uncomfortable
and we do anything to avoid those situations suppression anxiety disorder
involves excessive anxiety even panic when the child is separated from home or
parents selective mutism formerly known as elective mutism includes persistent
failure to speak in specific situations when the individual or the child can
actually speak and they have spoken in other situations substance or medication induced anxiety
is characterized by anxiety due to substance intoxication withdrawal or the
individual is being treated with a particular medication that is causing
them anxiety for more information on anxiety
disorders please check this link next we have
bipolar disorders by poor disorders involve extreme
elevation in food and the symptoms are bipolar disorders caused distress and
discomfort to the individual and or people around them there are different types of bipolar
disorders hear it again is a short video on bipolar disorders the different types
of bipolar disorders are by poor one bipolar 2 and cycle meal these three disorders involve manic
episodes major depressive episode and hypomanic episodes a manic episode is
characterized by a week of symptoms of elevation in mood irritability and extreme excessive
energy where the person doesn’t need any sleep or food they have grandiose ideas
and goals depressive episode involves two weeks of the processed food low self-esteem feelings of hopelessness 15 and lack of concentration hi dramatic episode is little manic hypo
manic and involves variability elevated mood grandiosity lack of need for food and sleep but the symptoms
last for days so again bipolar disorders are made up
of manic episodes depressive episodes and hypomanic episodes for more information on bipolar
disorders you can check this length depressive disorders are characterized
by symptoms such as sadness empathy irritable mood and bodily changes and
cognitive changes specifically when we talk about
depressive disorders they’re characterized by symptoms such
as depressed mood markedly diminished interest or pleasure in all or almost
all activities most of the day nearly every day for
about two weeks significant weight loss we’re not
dieting or weight gain insomnia or hypersomnia insomnia is lack
of sleep hyper Sonya’s is sleeping a lot psychomotor agitation or retardation
psychomotor agitation is but when somebody seems very antsy and they’re
tapping fingers on the desk and retardation is when the individual seems
like they have absolutely no energy there is no movement fatigue or loss of
energy feelings of worthlessness or excessive or inappropriate guilt
diminished ability to think or concentrate recurring thoughts of death
or suicidal ideation with a specific plan or without next we have the obsessive compulsive
disorder and there are other disorders associated with obsessive-compulsive
disorders or actually or CD was part of anxiety disorders but in new dsm-5 it is
a category by itself obsessive-compulsive disorders include
obsessions and compulsions obsessions or irrational and repetitive impulses
images and ideas and they cause anxiety to neutralize or diminish the effects of
obsessions the individual engages in compulsions which are basically
activities or mental arts that help the individual neutralize the obsessions here is a great video on of CD there’s a common misconception that if
you like to meticulously organized your things keep your hands clean or plan out your
weekend to the last detail you might have OCD in fact OCD which
stands for obsessive-compulsive disorder is a serious psychiatric condition that
is frequently misunderstood by society and mental health professionals like so let’s start by debunking some myths
with one repetitive or ritualistic behaviors are synonymous with OCD as its
name suggests obsessive-compulsive disorder has two aspects the intrusive
thoughts images or impulses known as sessions and the behavioral compulsions
people engage in to relieve the anxiety the obsessions cause the kinds of
actions that people often associate with OCD like excessive hand washing or
checking things repeatedly maybe examples of obsessive-compulsive
tendencies that many of us exhibit from time to time but the actual disorder is
far more rare and can be quite devoted people affected have little or no
control over their obsessive thoughts and compulsive behaviors which tend to
be time consuming and interfere with work school or social life to the point
of causing significant distress this set of diagnostic criteria is what
separates people suffering from OCD from those who may just be a bit more
meticulous or hygiene obsessed unusual is too the main symptom of OCD is excessive
hand washing although hand washing is the most common
image OCD in popular culture obsessions and compulsions and take many different
forms obsessions can manifest as fears of
contamination and illness worries about harming others or preoccupations with
numbers patterns morality or sexual identity and compulsions can range from
excessive cleaning or double checking to the fastidious arrangement of objects or
walking in predetermined patterns three individuals with OCD don’t understand
that they are acting irrationally many individuals with OCD actually understand
the relationship between their obsessions and compulsions quite well
being unable to avoid these thoughts and actions despite being aware of their rationality
is part of the reason why OCD is so distressing OCD sufferers report feeling
crazy for experiencing anxiety based on your rational thoughts and finding it
difficult to control their responses so what exactly causes OCD the
frustrating answer is we don’t really know however we have some important clips OCD
is considered a neurobiological disorder in other words research suggests that
OCD sufferers brains are actually hardwired to behave in a certain fashion research has implicated three regions of
the brain variously involved in social behavior and complex cognitive planning
voluntary movement and emotional and motivational responses the other piece of the puzzle is that
OCD is associated with low levels of serotonin a neurotransmitter that
communicates between brain structures and helps regulate vital processes such
as aggression and pulse control sleep tight
body temperature but our serotonin and activity in these brain regions the
sources of OCD or symptoms of an unknown underlying cause of the disorder we probably won’t know until we have a
much more intimate understanding of the brain the good news is there are effective
treatments for OCD including medications which increase serotonin in the brain by
limiting its reabsorption my brain cells behavioral therapy that gradually
desensitizes patients to their anxieties and in some cases electroconvulsive therapy horse surgery
when OCD doesn’t respond to other forms of treatment knowing that your own brain is lying to
you while not being able to resist its commands can be agonizing with knowledge
and understanding comes the power to seek help and future research into the
brain may finally provide the answers were looking for trouble and
stress-related disorders some five classifies acute stress disorder and
post-traumatic stress disorder in the trauma and stress related disorder
category both of these disorders were part of
anxiety disorders in dsm for trauma and stress disorders are
characterized by extreme anxiety caused by exposure to trauma now the individual could have been
exposed personally or witness somebody else be exposed to the trauma were their
lives or psychological health were threatened let’s watch this video on PTSD said
himself how difficult it was for troops to return for more from serving the
greater good he said overseas to serving their own good ones home and this number
tonight nearly twenty percent of returning true suffer from symptoms of
post-traumatic stress and they’re the ones we know about ABC’s chief global
affairs correspondent Martha Raddatz in the middle east tonight reporting in on
what just might be an invisible epidemic for our veterans for anyone suffering
post-traumatic stress it is a feeling of powerlessness
numbness your mind frozen in battles long ago couldn’t stop thinking about
our Channel I just felt empty the register shall walking for marine
Brendan schnitzel is one of some 70,000 service members in the last decade who
have been diagnosed with post-traumatic stress disorder 70,000 with it can come
depression substance abuse anger management suicide I was constantly feeling anxious
and constantly feeling something bad was going to happen it is too early to tell whether PTSD or
mental health issues contributed to today’s horrific murders but it has
happened before in 2007 a mentally unstable army sergeant went on a killing rampage
in a combat stress facility at his face in Iraq and retired staff sergeant
robert miller berger who received a Silver Star for
saving countless lives in a hellish 2004 battle in Iraq was later diagnosed with
PTSD he says he now avoids firearms theory he
could hurt someone if I had a guy was threatening me i could pay tribute to
shoot him and I can see the ball is going in your blood coming out PTSD is not new but with tens of
thousands now coming home the fear is that we still don’t know
enough about it we are in the dark in our ability to
treat post-traumatic stress to a level that we can guarantee most individuals who have it can recover
from it and mother joins us now from the middle east tonight where she has spent
the decade covering those wars and market structures today was that Chris
Kyle known for his outrage known for helping soldiers traumatized by war and
you better wonder if he couldn’t get through what should we be doing as a nation what
do we need to be doing all day that I think what we have to do is exactly what
Chris Kyle wanted to do there has to be some sort of outreach to
America’s veterans we have to figure out what the problem is some of the people in that piece two of
the young men have been in therapy intense therapy they turned their lives
around so it can work it does work we can look
at our veterans victims we can look at them all as crazy therapy does work we
just have to figure out what kind of therapy and take care of them when they
do call personality disorders are a group of disorders that are
characterized by on healthy and rigid way of thinking feeling and behaving
that going social expectations and cause distress or impairment
acceptance begin in late adolescence or early adulthood and they’re stable over
time this is the great video on personality
disorders I can be smooth and charming and slick I can make a very confident depression
and it’s hard to put me at a loss for words sometimes the bottom shelf and as
I think about I’m limited to success and power and beauty I have repeatedly used deceit to cheat
con or defraud others for my personal game to be honest I don’t have much concern
for the feelings of other people or their suffering doesn’t like to thank
you know just these are all statements from a self assessment measure for
personality disorders that lets patients describe themselves ranking if statement
in terms of how accurate they think it is be honest he can’t really rely too much
on this kind of self reporting to assess what we’re talking about today because
while some people who are overconfident or obsessed with power were downright
deceitful might tell you that they are there’s a certain subset that you want
any of the disorders we’ve talked about so far are considered ego dystonic meaning that people who have
them are aware that they have a problem and tended to be distressed by their
symptoms like a person with bipolar disorder or OCD generally knows that
they have a psychological condition and they don’t like what it does to that but
some disorders are trickier than very egocentric the person experiencing them
doesn’t necessarily think that they have a problem and sometimes they think the
problem is with everyone else personality disorders following this
category these are psychological disorders marked by inflexible
disruptive and enduring behavior patterns that impair social and other
functioning whether the sufferer recognizes that or not unlike many other
conditions that we talked about personality disorders are often
considered to be chronic and enduring syndromes that create noticeable
problems like and you can tell from the self-assessment statements they can
range from probably harmless displays of narcissism
to a true and troubling lack of empathy for other people like a personality
disorders be difficult to diagnose and understand they can also be downright
scary most of the extreme and severe disorders
go by names that you probably recognize psychopath II and sociopathy talking
like serial killers here mob bosses Vlad the Impaler cultures I’ve been studying human
personality characteristics for thousands of years but the concept of
personality disorders is a much newer idea of our modern classifications of
these disorders are based on the work of German psychiatrist Kurt Schneider who
was one of the earliest researchers into what was then known as the psychopath p
and published a treatise on the subject of night between three days the dsm-5
contains ten distinct personality disorder diagnosis group into three
clusters first cluster cluster a includes what are often labeled simply
as odd or eccentric personality characteristics for example someone with
paranoid personality disorder may feel a pervasive distrust of others and be
constantly garden suspicious lovers with schizoid personality disorder would seem
overly aloof and different showing no interest in relationships and a few
emotional response cluster B encompasses dramatic emotional or compulsive
personality characteristics for example the narcissistic personality can display
a selfish grandiose sense of self-importance and entitlement meanwhile the histrionic personality
might seem like they’re acting up heart to get attention even putting themselves
at risk with dramatic dangerous and even suicidal gestures the behavior of dr. B
can be truly self-destructive and frightening and these disorders are
often associated with frequent hospitalizations finally cluster C and
compasses anxious fearful or avoidant personality traits for example those
with avoidant and dependent personality disorders often avoid meeting new people
were taking risks and show a lack of confidence and excessive need to be
taken care of and a tremendous fear of being abandoned in the past and to a
great extent today some of these categories have been controversial many
researchers argue that some of these conditions overlap with each other so
much that it can be impossible to tease them apart narcissistic personality disorder for
example has many treats that resemble histrionic Personality Disorder and
because of this gray area the most commonly diagnosed personality
disorder is actually personality disorder not otherwise specified or
maybe NOS prevalence of this diagnosis suggest that wild clinicians can
identify personality disorder in a patient figuring out the details of the
condition can be messy and difficult one proposed alternative for diagnosing
these disorders is the dimensional bottle which in essence gets rid of
discrete disorders and replaces them with a range of personality traits or
symptoms rating each person on each dimension to their mentioned a lot of
would assess the patient’s not with the aim of diagnosing one disorder or
another but instead simply finding out that they rank high on st. narcissism
and avoided it’s a work in progress so with another generation the clinical
definition of personality disorder may involve pretty radically one of the best
study personality disorders right now is borderline personality disorder or BPD
borderline makes it sound like patients are like pretty close to being healthy
but not quite but that thought that all the KCPD sufferers have often learn to
use dysfunctional unhealthy ways to get their basic psychological needs like
love and validation by using things like outbursts of rage or on the other end of
the spectrum self-injury behaviors like cutting or worse people with baby were
once commonly maligned by clinicians as difficult or attention-seeking but we
now understand vpd as a complicated set of learned behaviors and emotional
responses to traumatic or neglectful environment particularly in childhood
innocence people with this disorder learned that rage or self-harm help them
cope with traumatic situations but as a result they also end up using them in
non traumatic situations although challenging for patients and clinicians
are like the good news is that some psychotherapy is have helped even the
most severely suffering repeated the hospitalized be pd patients probably the
most famous well established and frankly troubling personality disorder he is
antisocial personality disorder I’ve heard this before but maybe by one
of its now somewhat out of oak synonyms psychopath or sociopath people with
antisocial personality disorder usually men – but a lack of conscience for
wrongdoing even towards friends and family members or destructive behavior
services in childhood or adolescence beginning with excessive lying fighting
stealing violence or manipulation as adults people with this disorder i
thought to generally end up in one of two situations either they’re unable to
get a job and engage in violent criminal or similarly dysfunctional behavior or
they become clever charming con artists are ruthless executives who make their
way to positions of power Tony Soprano would have qualified
through a diagnosis even if he wasn’t nearly as bad as a serial killer Ted
Bundy who are flat the Impaler the infamous 15th century romanian prince
who personally watched at all times people get impaled or have this gate of
their feet licked off by ghosts yeah that happened despite this plastic
remorseless lack of empathy and sometimes criminal behavior criminality
is not always a component of antisocial behavior certainly many people with
criminal records don’t fit that psychopathic profile most show remorse
love and concern for friends and family but still although antisocial
personalities makeup just about 1% in general population they were estimated
in one study constitute about sixteen percent of the incarcerated population
so how much someone end up with such a disturbing disorder well as you might
expect the causes are probably a tangled combination of biological and
psychological threads both genetic and environmental although no one has found
a single genetic predictor of antisocial personality disorder twin and adoption
studies do show that relatives of those with psychopathic features do have a
higher likelihood of engaging in psychopathic behavior themselves early
signs are sometimes detective young as age three or four often as parenting fear conditioning in other
words lower than normal response to things that typically start all right
children like loud and unpleasant noise let’s get so we need to get burned by a
hot news wants to know to stay away with kids who would that is playing
antisocial personalities as adults about necessarily connect or care about the
learned consequences when they’re little from there like we’ve seen in other
disorders genetic and biological influences can intersect with an abusive
or neglectful environment to help wire the personality in a peculiar damaged
way while the vast majority of traumatized people don’t grow up to be
killers are con artists James do seem to previous those some
people to be more sensitive to abuse or trauma meanwhile studies exploring the neural
basis of anti social disorder have revealed that was shown evocative
photographs like a child being on tour a woman with a knife at her throat those with psychopathic personality
features showed little change in heart rate and respiration as compared to
control classic antisocial lack of impulse
control and other symptoms have also been linked to deficits in certain brain
structures one study compared PET scans from 41 people convicted of murder to
those of non-criminals and found that the convicted killers had greatly
reduced activity in the frontal lobe an area associated with those control and
keeping aggressive behavior check in fact violent offenders as much as eleven
percent less frontal lobe tissue than the average brain the brain is also
responded Lester facial displays of stress or anguish something that’s also
observed in childhood so it’s possible that some anti-social
personalities lack empathy because they simply don’t or can’t register others
feelings research has also suggested an overly reactive dopamine reward system
suggesting that the drive to act on impulse to gain stimulation or
short-term rewards regardless of the consequences may be
more intense than the average person mentioned before because personality
disorders are pretty much ego sin tonic by definition people don’t often
acknowledged that the a problem or a need for treatment and in the case of
antisocial personality disorder even if they did there aren’t any specific
treatments available at least not for adults there are some promising interventions for kids and adolescents
whose minds and brains are more plastic and adaptable and then when the best way
to treat antisocial personality disorder may be in trying to prevent it according
to American psychiatrist donald w black among others many kids diagnosed with
conduct disorder the diagnostic precursor to an anti
social disorder are at high risk for developing antisocial personalities as
adults by identifying the warning signs early on by working with these kids and
families to correct their behavior and remove negative influences some of that
impulse fearlessness could be channeled into healthier directions like toward
promoting athleticism or a spirit of adventure it’s important to remember that
antisocial personality disorder is only one type of personality disorder this is
a diverse family of psychological conditions determined by many different
factors and we’re still in the early stages of diagnosing and understanding
the mechanisms behind today you learned about personality disorders and the
difference between the district and was syntenic disorders we look at the three
clusters of personality disorder according to the sm5 and how personality
disorder symptoms often overlap we also took a look at borderline and
antisocial personality disorders including their potentials
biopsychosocial rooms thank you for watching especially to our
subbable subscribers without whom we could not make crash course to find out
how you can become a supporter just go to subbable.com / crash course episode
was written by Kathleen Yale edited by Blake de pastino and our consultant is
dr. Ranjit Bhagwat our director and editor is Nicholas Jenkins the script
supervisor and sound designer is Michael Aranda and the graphics team is thought
cafe the last category of disorders are it’s a fun your spectrum disorders des
hommes include schizophrenia or other psychotic disorders and skittles dipole
personality disorders in this category in main characteristic of all of these
disorders is loss of touch with reality the symptoms include delusions
hallucinations disorganized thinking in speech abnormal and disorganized moral
behavior and negative symptoms the first for symptoms here belong to
positive category delusions or false beliefs for destinations or false
perceptions like seeing something that doesn’t exist or tasting something that
is not there or smelling something that doesn’t exist let’s watch this video which is really
old but it best demonstrates the symptoms of schizophrenia l what he was doing was that I have a
monopoly on talking industry that’s the problem isn’t quite right well I you know that sorry and cook and AH provide cooking I
mean hydrant Corbin soda and no one else does what to eat I mean you know i’m
right all right tweet right last time it i think . your
painting done by likes but like know what do you want something that’s a big
palm don’t want to keep the same that is that right yeah my daughter now is the Maine State
Hospital like most families have run out of finally after years seeking help and
all the private facilities and this certainly is a vast difference between
the private facility in the state hospital these are not hospitals these are institutions some of them very much like presence when it comes time to take her back to
the hospital she’s reluctant to go back and then I excited myself it’s
impossible is possible that i’m going to come home shopping and I want to know
what kind of show stopping Oh what have I to do so you want to go you want to buy some yeah Wow go back I believe me I nothing ok Wow crap yeah not call we don’t have to go back right away rough and wait till they come here with
us right back to help him . morning that i am not welcome back to where they said
back although I shouldn’t come after you
we’re not going to have that I do nothing and that’s what I wanted to do
nothing I know how the fuck do I have to go back
so that you can come here again and stay longer stay overnight I know that we’re going to have to leave
and then I’ll come home again I don’t know why we’re just waiting for
the paperwork and complex that comes from injury hard your army taught that they know that’s
retarded eight more you’re not have your none of those
things are bored I’m an order no don’t do i do I look
back to manhattan center part yeah yeah Jana warcraft Bell was a family oh yes hear you clearly see the disorganized
thinking and speech and abnormal and this organized motor behavior this concludes our discussion on
psychological disorders I hope you have found this beneficial
and i look forward to your feedback

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