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Nov 24, 2024

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This week’s discussion is both straightforward and complex to me. There are so many different perspectives to have on the topic of how psychopathology initiates. There is no doubt that there are various factors that contribute to mental health disorders starting from childhood that cascade into a plethora of behaviors, addictions, and disorders when not addressed very early in life (Cheung & Mak, 2018). Biologically, psychopathology starts early in utero. Internal and external factors that the mother experiences while carrying her child begins to shape and imprint on the child’s DNA (Masten & Kalstabakken, 2018). From birth on, children are constantly given messages, rules, and regulations about how to feel and not to feel, act and not to act. Also, during childhood, we are introduced to not only our family’s standards but also peers, school, sports, clubs, and a host of other interactions that can have a profound positive or negative effect on psychopathology. As I moved through my practice as an RN and a NP, I used to give certain factors more weight or view them more important than another. I begin to mature in my practice through thorough assessment skills, listening skills, collaboration and continuing my education I learned that all factors that contribute to our psychopathology are equally important. An altering life event such as the loss of a parent can often have a traumatic and continuous negative effect on a child that does not possess the skill to adapt or adjust. I personally know quite a few adults that have lost their parents over 25-30 years ago and continue to struggle with the loss and suffer with a few psychological illnesses and behaviors because of not adjusting and adapting to the loss they sustained. Lack of coping skills in childhood is a pertinent factor why children tend to develop PTSD (Butcher & Kendall, 2018). Emotional and physical abuse is one of the factors of psychopathology that plagues mental healthcare. The impact that abuse has can have over and on someone is truly disturbing and creates chaos and low quality of life and suffering for years and sometimes forever in individuals. Socioeconomic conditions such as poverty places one at a disadvantage due to limited resources, cultural confines, and lack of family support (Butcher & Kendall, 2018). The social factors that exist in contributing to psychopathology are so important especially during adolescents because this is the time where clinicians are often able to witness the onset of a psychiatric disorder. I think we all can relate one way or another to hearing about or even personally witnessing certain behaviors in children that prompt a few questions to be asked for further assessment into the childs/teenagers thought process to establish safety. My family and I personally missed a lot of cues from my nephew who eventually committed suicide through shooting himself. He was displaying a lot of out of character behaviors that were either not addressed or not viewed as alarming from a young age. After his suicide, at age 16, a letter was found that explained all of his suffering which started at age 7 with the loss of a best friend. Socioeconomic conditions such as poverty places one at a disadvantage due to limited resources, cultural confines, and lack of family support (Butcher & Kendall, 2018). Clinicians need to be open minded, highly educated, and compassionate when caring for mental health disorders in each client and all factors need to be considered when creating a treatment plan to motivate a healthy and safe outcome for all involved. RESOURCES: Butcher, J. N., & Kendall, P. C. (2018). Introduction to childhood and adolescent psychopathology. In J. N. Butcher & P. C. Kendall (Eds.), APA handbook of psychopathology: Child and adolescent psychopathologyLinks to an external site. (https://search.ebscohost.com/login.aspx? direct=true&db=psyh&AN=2018-03400-001&site=edslive&scope=site&authtype=shib&custid=s6527200) ., Vol. 2. (pp. 3–14). American Psychological Association.

Cheung, F. M., & Mak, W. W. S. (2018). Sociocultural factors in psychopathology. In J. N. Butcher & J. M. Hooley (Eds.), APA handbook of psychopathology: Psychopathology: Understanding, assessing, and treating adult mental disorders., Vol. 1Links to an external site. (https://search.ebscohost.com/login.aspx?direct=true&db=psyh&AN=2018-03401- 006&site=edslive&scope=site&authtype=shib&custid=s6527200) . (pp. 127–147). American Psychological Association. Masten, A. S., & Kalstabakken, A. W. (2018). Developmental perspectives on psychopathology in children and adolescents. In J. N. Butcher & P. C. Kendall (Eds.), APA handbook of psychopathology: Child and adolescent psychopathology., Vol. 2Links to an external site. (https://search.ebscohost.com/login.aspx? direct=true&db=psyh&AN=2018-03400-002&site=edslive&scope=site&authtype=shib&custid=s6527200) . (pp. 15–36). American Psychological Association.

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