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Mental Health Terms

- T -

  • Tangentiality

  • Replying to a question in an oblique or irrelevant way. Compare with circumstantiality.

  • Terminal insomnia

  • Awakening before one's usual waking time and being unable to return to sleep.

  • Termination

  • The act of ending or concluding. In psychotherapy, termination refers to the mutual agreement between patient and therapist to bring therapy to an end. The idea of termination often occurs to both, but usually it is the therapist who introduces the subject into the session as a possibility to be considered. In psychoanalytic treatment, the patient's reactions are worked through to completion before the treatment ends. The early termination that is characteristic of focal psychotherapy and other forms of brief psychotherapy often requires more extensive work with the feelings of loss and separation.

  • Therapeutic community

  • A term of British origin, now widely used, for a specially structured mental hospital milieu that encourages patients to function within the range of social norms.

  • Therapeutic window

  • A well-defined range of blood levels associated with optimal clinical response to antidepressant drugs, such as nortriptyline. Levels above or below that range are associated with a poor response.

  • Thought broadcasting

  • The delusion that one's thoughts are being broadcast out loud so that they can be perceived by others.

  • Thought disorder

  • Mental disorders with impaired perception of reality, such as schizophrenia.

  • Thought insertion

  • The delusion that certain of one's thoughts are not one's own, but rather are inserted into one's mind.

  • Tic

  • An involuntary, sudden, rapid, recurrent, nonrhythmic, stereotyped motor movement or vocalization.

  • Token economy

  • A system involving the application of the principles and procedures of operant conditioning to the management of a social setting such as a ward, classroom, or halfway house. Tokens are given contingent on completion of specified activities and are exchangeable for goods or privileges desired by the patient.

  • Tolerance

  • A characteristic of substance dependence that may be shown by the need for markedly increased amounts of the substance to achieve intoxication or the desired effect, by markedly diminished effect with continued use of the same amount of the substance, or by adequate functioning despite doses or blood levels of the substance that would be expected to produce significant impairment in a casual user.

  • Tourette's Syndrome (TS)

  • A tic disorder characterized by repeated involuntary movements and uncontrollable vocal sounds. This disorder usually begins during childhood or early adolescence.

  • Tranquilizer

  • A medication used to reduce tension and anxiety.

  • Transcranial magnetic stimulation (TMS)

  • A procedure in which an electromagnetic coil placed against the scalp is used to briefly stimulate nerve cells in specific areas of the brain.

  • Transference

  • The unconscious assignment to others of feelings and attitudes that were originally associated with important figures (parents, siblings, etc.) in one's early life. The transference relationship follows the pattern of its prototype. The psychiatrist utilizes this phenomenon as a therapeutic tool to help the patient understand emotional problems and their origins. In the patient-physician relationship, the transference may be negative (hostile) or positive (affectionate). See also countertransference.

  • Transitional object

  • An object, other than the mother, selected by an infant between 4 and 18 months of age for self-soothing and anxiety-reduction. Examples are a 'security blanket' or a toy that helps the infant go to sleep. The transitional object provides an opportunity to master external objects and promotes the differentiation of self from outer world.

  • Transsexualism

  • Severe gender dysphoria, coupled with a persistent desire for the physical characteristics and social roles that connote the opposite biological sex.

  • Transvestism

  • Sexual pleasure derived from dressing or masquerading in the clothing of the opposite sex, with the strong wish to appear as a member of the opposite sex. The sexual origins of transvestism may be unconscious.

  • Tricotillomania

  • Recurrent hair pulling resulting in significant hair loss with a motivation of self-gratification or tension release.

  • Tricyclic antidepressants (TCAS)

  • An older class of antidepressants used to treat depression by increasing levels of the neurotransmitters serotonin and norepinephrine. Drugs used in the treatment of clinical depression. Tricyclic refers to the presence of three rings in the chemical structure of these drugs.


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