explosive disorder. Training Module on the Right to Mental Health for Local Health Leaders - Substance-related and addictive disorders include problems associated with excessive alcohol, caffeine, tobacco, and drugs. This class also has gambling disorder. - Neurodevelopmental disorders cover a wide range of problems that usually begin in infancy or childhood, often before grade school. Examples include autism spectrum disorder, attention-deficit/ hyperactivity disorder (ADHD), and learning disorders. - Personality disorder is a mental health problem where your attitudes, beliefs, and behaviors cause longstanding problems in your life. If you have this diagnosis, it doesn’t mean that you’re fundamentally different from other people—but you may regularly experience difficulties with how you think about yourself and others and find it very difficult to change these unwanted patterns. There are several different categories and types of personality disorders, but most people diagnosed with a particular personality disorder don’t fit any single category very clearly or consistently. • Category A: paranoid personality, schizotypal personality, schizoid personality; • Category B: anti-social personality, borderline personality, histrionic personality, narcissistic personality; and, • Category C: avoidant personality, dependent personality, obsessivecompulsive personality Signs and Symptoms of Mental Distress or Illness • Sleep or appetite changes — Dramatic sleep and appetite changes or decline in personal care • Mood changes — Rapid or dramatic shifts in emotions or depressed feelings • Withdrawal — Recent social withdrawal and loss of interest in activities previously enjoyed • Decrease in functioning — An unusual decrease or drop in functioning at school, work, or social activities, such as quitting sports, failing in school, or difficulty performing familiar tasks • Problems thinking — Problems with concentration, memory, or logical thought and speech that are hard to explain • Increased sensitivity — Heightened sensitivity to sights, sounds, smells, or touch; avoidance of over-stimulating situations • Apathy — Loss of initiative or desire to participate in any activity • Feeling disconnected — A vague feeling of being disconnected from oneself or one’s surroundings; a sense of unreality 11