Mood Disorders

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7848IsSearchNR 1800 depressive episode 2700
depressive episode with psychotic 3100
cyclothymia 800 hypomania 1100 mania World
of Abormal Psychology 600-1415 1630
4750 4750 5300 Treatment
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Depression and Bipolar Disorders
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Robert Burton (1621)
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Mood Disorders DSM IV V

• Depressive Disorders
• Major Depressive Episode
• Unipolar Depression
• Dysthymic Disorder

• Bipolar Disorders
• Bipolar I
• Bipolar II
• Cyclothymic Disorder

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DSM IV Mood Disorders

• Depressive Dis. Bipolar Dis.
• -Maj. Dep. Episode - Bipolar 1
• - Bipolar 2
• -Dysthymic - Cyclothymic

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DSM V Depressive Disorders

• Major Depressive Episode
• Persistent Depressive Disorder (Dysthymia)

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DSM V Bipolar Disorders

• Bipolar Dis.
• - Bipolar 1
• - Bipolar 2
• - Cyclothymic

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Major Symptoms in Depression

• Mood Sx
• Cognitive Sx
• Motor Sx
• Somatic Sx

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Concepts in Depression

• Retarded Depression
• Agitated Depression
• Melancholia
• Seasonal Affective Disorder

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• Melancholia
• Anhedonia
• No capacity to feel better

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PDM Depressive Disorders

• Affective
• Two general emotional orientations
• Anaclitc ? feelings of helplessness, fears of
  abandonment, difficulty tolerating delay
• Introjective ? harsh, punitive, unrelenting
  self-criticism
• Cognitive Patterns
• Guilt, fantasies of loss of approval, recognition
  and love, inability to make decisions, low
  self-regard, suicidal ideas, impaired memory
• Somatic States
• Loss of sexual desire, physical irritability,
  restlessness, physical complaints (e.g.,
  headache, back pain) with no pathophysiology to
  account for.
• Change in appetite ? weight gain or loss
• Fatigue, low energy, and lethargy
• Relationship Patterns
• Insatiable neediness and/or demanding hostility

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Major Symptoms of Manic Episode

• Mood Sx
• Cognitive Sx
• Motor Sx
• Somatic Sx

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PDM Bipolar Disorders Manic States

1. Affective intense pleasure or euphoria, intense
   irritability, hypersensitive to insult and
   rejection excessive energy (disruptive) a sense
   of infinite power, ability and creativity
2. Cognitive Patterns fantasies of invincibility
   and exceptional talent difficulty thinking
   clearly, logically fear that they cannot hold
   onto their thoughts sometimes thoughts are
   highly disoriented, sometimes are freeing and
   joyful.
3. Somatic States restlessness and sleeplessness
   physically invigorated and aroused intense and
   frequent sexual desire physical exhaustion (may
   evoke suicidal depression)
4. Relationship Patterns unpredictable, chaotic,
   impulsive, and sexualized.

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Other Depressions

• Grief or Loss
• Adjustment Disorders (dep. mood)
• Completion of major task (dissertation)
• Postpartum Depression (can be dramatic
  psychotic)
• College Life

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Mother who killed son on subway dies of injuries
- A Toronto doctor who jumped in front of a
subway train while cradling her baby son died of
her injuries Saturday night. She had been in
hospital for nine days. Suzanne
Killinger-Johnson, 37, leapt in front of a moving
train with her sleeping child around 7 a.m. Aug.
11. - The six-month-old boy, Cuyler, died
instantly. Dr. Killinger-Johnson survived, but
spent the past week in intensive care with severe
internal injuries. - "Dr. Killinger-Johnson died
peacefully at 830 (p.m.)," confirmed Sandra
Cruickshanks, head of public affairs at
Sunnybrook Health Sciences Centre, early Sunday
morning.
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Vulnerability to Depression

• Past depression
• Object loss in childhood
• Poor social skills
• Genetic components
• Personality
• Dysfunctional Attitudes

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Personality Vulnerability

• Passive Dependent Personality
• Achievement vs Dependency Personality
• Self-Oriented Perfectionism
• DIATHESIS STRESS IMPORTANT

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Personality

• Achievement

• Dependency

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Unhappiness and Depression

• Continuity Hypothesis
• Dichotomy Hypothesis

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Continuity

• Depression Level
• _?____ ________?________?__ ____?_
• Mild Subclinical Clinical
  Severe

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Dichotomy
Dysphoria
Depression