AP Psychology

Mental and Physical Health | AP® Psychology

🏥 AP Psychology Unit 5

Mental and Physical Health

📊 Exam Details

Class Periods

17-23

AP Exam Weight

15-25%

Sub-Topics

5 Sections

💪 5.1 Introduction to Health Psychology

🎯 Learning Objectives

  • Define health psychology and its scope
  • Explain the biopsychosocial model of health
  • Understand stress and its physiological effects
  • Describe coping mechanisms and stress management
  • Analyze lifestyle factors affecting physical health

🏥 Health Psychology Overview

  • Definition: Study of psychological factors affecting physical health
  • Biopsychosocial Model: Health influenced by biological, psychological, social factors
  • Prevention Focus: Promoting healthy behaviors, preventing illness
  • Interdisciplinary: Combines psychology, medicine, public health
  • Applications: Disease prevention, treatment adherence, pain management
  • Mind-Body Connection: Psychological states affect physical health

⚡ Stress and Health

  • Stress Definition: Response to demands that tax coping abilities
  • Acute Stress: Short-term response to immediate threats
  • Chronic Stress: Long-term stress with harmful health effects
  • Fight-or-Flight: Sympathetic nervous system activation
  • General Adaptation Syndrome: Alarm, resistance, exhaustion stages
  • Stress Hormones: Cortisol, adrenaline affect immune system

🧠 Physiological Effects of Stress

  • Cardiovascular: Increased heart rate, blood pressure
  • Immune System: Suppressed immune function
  • Digestive: Stomach ulcers, digestive problems
  • Endocrine: Elevated cortisol, disrupted hormones
  • Sleep: Insomnia, disrupted sleep patterns
  • Mental Health: Increased risk of depression, anxiety

🛡️ Coping Mechanisms

  • Problem-Focused Coping: Address the source of stress
  • Emotion-Focused Coping: Manage emotional response to stress
  • Adaptive Coping: Healthy strategies (exercise, social support)
  • Maladaptive Coping: Unhealthy strategies (substance abuse, avoidance)
  • Social Support: Emotional and practical help from others
  • Cognitive Reappraisal: Reframe stressful situations positively

🏃 Lifestyle and Health

  • Exercise: Improves physical and mental health
  • Nutrition: Balanced diet affects mood and energy
  • Sleep: 7-9 hours crucial for health and cognitive function
  • Smoking: Major risk factor for multiple diseases
  • Alcohol: Moderate vs. excessive consumption effects
  • Social Connections: Strong relationships promote longevity

🧘 Stress Management Techniques

  • Relaxation Training: Progressive muscle relaxation, deep breathing
  • Meditation: Mindfulness, focused attention practices
  • Biofeedback: Learning to control physiological responses
  • Time Management: Prioritizing tasks, setting realistic goals
  • Exercise: Regular physical activity reduces stress
  • Therapy: Cognitive-behavioral therapy for stress management

🔑 Key Takeaways

  • Health psychology emphasizes the interconnection between mind and body
  • Chronic stress has significant negative effects on physical and mental health
  • Effective coping strategies can buffer the harmful effects of stress
  • Lifestyle factors like exercise, nutrition, and social support promote health
  • Stress management techniques can be learned and improve quality of life

🌟 5.2 Positive Psychology

🎯 Learning Objectives

  • Define positive psychology and its focus
  • Understand well-being and happiness research
  • Explain character strengths and virtues
  • Describe resilience and post-traumatic growth
  • Analyze factors contributing to life satisfaction

🌈 PERMA Model of Well-Being

P - Positive Emotions

Joy, gratitude, serenity, interest, hope, pride, amusement, inspiration, awe, love

E - Engagement

Flow, absorption, focused attention, using strengths and skills

R - Relationships

Social connections, love, intimacy, emotional support

M - Meaning

Purpose, significance, belonging to something larger than self

A - Achievement

Accomplishment, success, mastery, pride in achievements

🎈 Positive Psychology Movement

  • Martin Seligman: Founder of positive psychology movement
  • Paradigm Shift: From disease model to strengths model
  • Three Pillars: Positive emotions, engagement, meaning
  • Focus: What makes life worth living
  • Evidence-Based: Scientific study of human flourishing
  • Applications: Education, therapy, workplace, healthcare

😊 Happiness and Well-Being

  • Hedonic Well-Being: Pleasure and positive affect
  • Eudaimonic Well-Being: Meaning and self-realization
  • Life Satisfaction: Cognitive evaluation of life quality
  • Subjective Well-Being: Personal evaluation of happiness
  • Set Point Theory: Genetic baseline for happiness
  • Happiness Formula: 50% genes + 10% circumstances + 40% activities

💪 Character Strengths

  • 24 Character Strengths: Universal positive traits
  • Six Virtues: Wisdom, courage, humanity, justice, temperance, transcendence
  • Signature Strengths: Top 5 strengths that define you
  • VIA Survey: Assessment tool for identifying strengths
  • Strengths Use: Using strengths increases well-being
  • Development: Strengths can be cultivated and grown

🌱 Resilience

  • Definition: Ability to bounce back from adversity
  • Protective Factors: Social support, optimism, coping skills
  • Risk Factors: Previous trauma, lack of support, stress
  • Post-Traumatic Growth: Positive change following trauma
  • Building Resilience: Developing coping skills, support networks
  • Resilient Communities: Social factors promoting resilience

🌊 Flow

  • Mihaly Csikszentmihalyi: Researcher who identified flow
  • Definition: Complete absorption in challenging activity
  • Characteristics: Clear goals, immediate feedback, balance of challenge/skill
  • Components: Loss of self-consciousness, time distortion
  • Conditions: Skills match challenge level
  • Benefits: Increased happiness, performance, creativity

🙏 Gratitude and Optimism

  • Gratitude: Appreciation for positive aspects of life
  • Gratitude Interventions: Journaling, letters, visits
  • Benefits: Improved mood, relationships, physical health
  • Optimism: Tendency to expect positive outcomes
  • Learned Optimism: Seligman's approach to developing optimism
  • Explanatory Style: How we explain good and bad events

🔑 Key Takeaways

  • Positive psychology focuses on human strengths and optimal functioning
  • Well-being includes both hedonic (pleasure) and eudaimonic (meaning) components
  • Character strengths are universal positive traits that can be developed
  • Resilience helps people overcome adversity and can be strengthened
  • Gratitude, optimism, and flow contribute significantly to life satisfaction

🔍 5.3 Explaining and Classifying Psychological Disorders

🎯 Learning Objectives

  • Define psychological disorders and abnormal behavior
  • Understand different models of mental illness
  • Explain the DSM-5 classification system
  • Describe cultural considerations in diagnosis
  • Analyze stigma associated with mental illness

🧭 Defining Abnormal Behavior

  • Statistical Rarity: Behaviors that are uncommon
  • Deviation from Social Norms: Violates cultural expectations
  • Personal Distress: Causes suffering for individual
  • Impaired Functioning: Interferes with daily life
  • 4 D's: Deviance, Distress, Dysfunction, Danger
  • Contextual: Consider cultural, situational factors

🏥 Medical Model

  • Disease Perspective: Mental disorders are illnesses
  • Symptoms: Observable signs of underlying disorder
  • Etiology: Biological causes of mental illness
  • Treatment: Medical interventions, medications
  • Advantages: Reduces blame, promotes treatment
  • Criticisms: Oversimplifies, ignores social factors

🌐 Biopsychosocial Model

  • Biological Factors: Genetics, brain chemistry, hormones
  • Psychological Factors: Thoughts, emotions, behaviors, personality
  • Social Factors: Relationships, culture, socioeconomic status
  • Integration: All factors interact to influence mental health
  • Comprehensive: More complete understanding than medical model
  • Treatment Implications: Multiple intervention approaches

📖 DSM-5 (Diagnostic and Statistical Manual)

  • Purpose: Standardized classification system
  • Categories: Over 300 disorders organized by symptoms
  • Criteria: Specific symptoms, duration, severity
  • Multiaxial System: Previous versions used 5 axes
  • Reliability: Consistent diagnosis across clinicians
  • Revisions: Updated based on research findings

🌍 Cultural Considerations

  • Cultural Formulation: Consider cultural context in diagnosis
  • Culture-Bound Syndromes: Disorders specific to certain cultures
  • Expression Varies: Symptoms manifest differently across cultures
  • Stigma Differences: Attitudes toward mental illness vary
  • Help-Seeking: Cultural factors influence treatment seeking
  • Bias Prevention: Avoid cultural bias in diagnosis

🏷️ Stigma and Mental Health

  • Public Stigma: Negative stereotypes and discrimination
  • Self-Stigma: Internalized shame and self-blame
  • Label Avoidance: Avoiding treatment to avoid labels
  • Consequences: Reduced help-seeking, social isolation
  • Reducing Stigma: Education, contact, advocacy
  • Recovery Movement: Focus on hope and possibility

🔑 Key Takeaways

  • Defining abnormal behavior requires multiple criteria and cultural sensitivity
  • The biopsychosocial model provides comprehensive understanding of mental disorders
  • DSM-5 standardizes diagnosis but has limitations and ongoing revisions
  • Cultural factors significantly influence expression and interpretation of symptoms
  • Stigma remains a major barrier to mental health treatment and recovery

🏷️ 5.4 Selection of Categories of Psychological Disorders

🗂️ Major Categories of Psychological Disorders

😰 Anxiety Disorders

Excessive fear and anxiety. GAD, panic disorder, phobias, social anxiety.

😢 Mood Disorders

Disturbances in emotional state. Major depression, bipolar disorder, persistent depressive disorder.

🧠 Psychotic Disorders

Loss of contact with reality. Schizophrenia, delusional disorder, brief psychotic disorder.

🍷 Substance Disorders

Problematic substance use. Alcohol, drug dependence, substance abuse disorders.

🎭 Personality Disorders

Enduring maladaptive patterns. Borderline, narcissistic, antisocial personality disorders.

🧩 Neurodevelopmental

Developmental disorders. ADHD, autism spectrum disorder, intellectual disability.

😰 Anxiety Disorders

  • Generalized Anxiety Disorder: Excessive worry about many things
  • Panic Disorder: Recurrent panic attacks with physical symptoms
  • Specific Phobias: Irrational fear of specific objects/situations
  • Social Anxiety: Fear of social situations and judgment
  • Agoraphobia: Fear of situations where escape is difficult
  • Prevalence: Most common class of mental disorders

😢 Mood Disorders

  • Major Depressive Disorder: Persistent sadness, loss of interest
  • Bipolar I: Manic episodes alternating with depression
  • Bipolar II: Hypomanic episodes with major depression
  • Persistent Depressive Disorder: Chronic, less severe depression
  • Seasonal Affective Disorder: Depression related to seasons
  • Risk Factors: Genetics, stress, medical conditions

🧠 Schizophrenia

  • Positive Symptoms: Hallucinations, delusions, disorganized speech
  • Negative Symptoms: Flat affect, social withdrawal, avolition
  • Cognitive Symptoms: Attention, memory, executive function deficits
  • Onset: Late teens to early 30s
  • Prevalence: About 1% of population
  • Causes: Genetic, brain abnormalities, environmental factors

🍷 Substance Use Disorders

  • Criteria: Impaired control, social impairment, risky use, tolerance
  • Alcohol Use Disorder: Most common substance disorder
  • Opioid Use Disorder: Increasing problem with prescription/illegal opioids
  • Cannabis Use Disorder: Problematic marijuana use
  • Stimulant Disorders: Cocaine, amphetamines, caffeine
  • Treatment: Detox, therapy, medication, support groups

🎭 Personality Disorders

  • Cluster A (Odd): Paranoid, schizoid, schizotypal
  • Cluster B (Dramatic): Antisocial, borderline, histrionic, narcissistic
  • Cluster C (Anxious): Avoidant, dependent, obsessive-compulsive
  • Borderline: Instability in relationships, self-image, emotions
  • Antisocial: Disregard for rights of others
  • Treatment Challenges: Ego-syntonic, long-standing patterns

🧩 Neurodevelopmental Disorders

  • ADHD: Inattention, hyperactivity, impulsivity
  • Autism Spectrum: Social communication deficits, restricted interests
  • Intellectual Disability: Deficits in intellectual and adaptive functioning
  • Learning Disorders: Specific academic skill deficits
  • Communication Disorders: Language, speech, stuttering
  • Early Onset: Typically manifest in childhood

🔑 Key Takeaways

  • Psychological disorders are organized into categories based on similar symptoms
  • Anxiety disorders are the most common class of mental health conditions
  • Mood disorders significantly impact emotional regulation and daily functioning
  • Schizophrenia involves positive, negative, and cognitive symptom clusters
  • Each category requires specific diagnostic criteria and treatment approaches

💊 5.5 Treatment of Psychological Disorders

🏥 Treatment Approaches

💬 Psychotherapy

Talk therapy, behavioral interventions, cognitive restructuring

💊 Biomedical

Medications, ECT, brain stimulation, psychosurgery

🤝 Community

Support groups, community programs, prevention

🔄 Integrative

Combination of approaches, eclectic treatment

💬 Psychodynamic Therapy

  • Freudian Approach: Unconscious conflicts, childhood experiences
  • Free Association: Say whatever comes to mind
  • Dream Analysis: Interpret symbolic meaning of dreams
  • Transference: Project feelings onto therapist
  • Insight: Understanding unconscious motivations
  • Modern Forms: Brief psychodynamic therapy

🧠 Cognitive-Behavioral Therapy (CBT)

  • Cognitive Component: Identify and change negative thought patterns
  • Behavioral Component: Change maladaptive behaviors
  • Homework Assignments: Practice skills between sessions
  • Evidence-Based: Strong research support
  • Short-Term: Typically 12-20 sessions
  • Disorders Treated: Depression, anxiety, PTSD, eating disorders

🌱 Humanistic Therapy

  • Carl Rogers: Client-centered therapy
  • Unconditional Positive Regard: Accept client without judgment
  • Empathy: Understand client's perspective
  • Genuineness: Therapist authenticity
  • Self-Actualization: Help client reach potential
  • Non-Directive: Client leads the conversation

🔄 Behavior Therapy

  • Classical Conditioning: Systematic desensitization, flooding
  • Operant Conditioning: Token economies, contingency management
  • Exposure Therapy: Gradual exposure to feared stimuli
  • Aversion Therapy: Pair unwanted behavior with unpleasant stimulus
  • Biofeedback: Learn to control physiological responses
  • Focus: Change behavior directly, not underlying causes

💊 Psychopharmacology

  • Antidepressants: SSRIs, SNRIs for depression, anxiety
  • Antipsychotics: Typical and atypical for schizophrenia
  • Mood Stabilizers: Lithium for bipolar disorder
  • Anti-anxiety: Benzodiazepines for anxiety disorders
  • Stimulants: For ADHD (Ritalin, Adderall)
  • Side Effects: Important consideration in treatment

⚡ Other Biomedical Treatments

  • Electroconvulsive Therapy (ECT): For severe depression
  • Transcranial Magnetic Stimulation (TMS): Non-invasive brain stimulation
  • Deep Brain Stimulation: Electrodes implanted in brain
  • Psychosurgery: Rarely used, last resort
  • Vagus Nerve Stimulation: For treatment-resistant depression
  • Ketamine: Rapid-acting treatment for depression

👥 Group and Family Therapy

  • Group Therapy: Multiple clients, shared experiences
  • Family Therapy: Treat family system, not individual
  • Couples Therapy: Improve communication, resolve conflicts
  • Support Groups: Peer support, shared experiences
  • Therapeutic Communities: Residential treatment programs
  • Benefits: Cost-effective, social learning, support

🎯 Treatment Effectiveness

  • Evidence-Based Practice: Treatments supported by research
  • Dodo Bird Effect: Different therapies equally effective
  • Common Factors: Therapeutic relationship, hope, explanation
  • Specific vs. General: Some treatments better for specific disorders
  • Combination Treatment: Often more effective than single approach
  • Cultural Competence: Consider client's cultural background

🔑 Key Takeaways

  • Multiple therapeutic approaches exist, each with different theoretical foundations
  • CBT has strong empirical support and is widely used for many disorders
  • Psychopharmacology is effective but requires careful consideration of side effects
  • Combination treatments often provide better outcomes than single approaches
  • Treatment effectiveness depends on client factors, therapist factors, and their relationship

📚 Study Tips for Unit 5

🧠 Memory Techniques

  • Create disorder symptom charts and comparison tables
  • Use PERMA acronym for positive psychology
  • Remember medication categories and their uses
  • Practice distinguishing normal vs abnormal behavior

🎯 AP Exam Focus

  • Know major disorder categories and symptoms
  • Understand different therapy approaches
  • Master biopsychosocial model applications
  • Practice FRQ scenarios with treatment recommendations

💡 Key Connections

  • Link stress to physical health outcomes
  • Connect positive psychology to mental health
  • Relate therapy approaches to learning theories
  • Apply cultural considerations to diagnosis

📝 Essential Vocabulary

Biopsychosocial Model

Health influenced by biological, psychological, social factors

PERMA Model

Positive emotions, engagement, relationships, meaning, achievement

DSM-5

Diagnostic and Statistical Manual of Mental Disorders

Comorbidity

Presence of two or more disorders simultaneously

Cognitive-Behavioral Therapy

Change negative thought patterns and behaviors

Resilience

Ability to bounce back from adversity

General Adaptation Syndrome

Alarm, resistance, exhaustion stages of stress

Unconditional Positive Regard

Accept client without judgment (Rogers)

👨‍🎓 About the Author

Adam Kumar

Co-Founder @ RevisionTown

Adam is an education expert specializing in AP Psychology and various international curricula including IB, AP, GCSE, IGCSE, and more. With extensive experience in health psychology and abnormal psychology education, he has helped thousands of students master complex psychological concepts and excel on standardized exams.

Through RevisionTown, Adam creates comprehensive study materials that break down complex topics like mental health disorders, treatment approaches, and positive psychology into manageable, understandable segments. His expertise ensures students receive accurate, exam-focused preparation materials that connect theory to real-world clinical applications.

📧 Email: info@revisiontown.com

💼 LinkedIn: Connect with Adam

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