Mood disorders and Schiz2 POST

Mood disorders and Schiz2 POST - Mood Disorders and...

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1 Mood Disorders and Psychosis: Depression, Bipolar and Schizophrenia Psychology 2:  Principles of Psychology Spring 2008 Ronald Elson, M.D. University of California, Berkeley
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2 What are we talking about? What’s mood?   Affect?  Emotion?  Feeling? What is personality?  Temperament? Is it psychological? Biological?   Cultural/social? Disorder? Noun / adjective / verb?
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3 What’s the experience of anxiety like? Apprehension Uncomfortable; Want to get out of there Sweaty, rapid heart, rapid breathing Pupils dilate; blood to periphery High energy Can’t stop it, once it starts
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4 Evolutionary usefulness? Apprehension Uncomfortable; Want to get out of there Sweaty, rapid heart, rapid breathing Pupils dilate; blood to periphery High energy Can’t stop it, once it starts
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5 Cultural / Social aspects May understand their symptoms as a defined illness in a specific culture. Neurasthenia (a "nerve weakness"), pa-leng (Chinese for "fear of cold"), hwa byung (Korean for "fire illness") and taijin kyofusho (Japanese for "fear of losing face and facing situations) Psychosocial issues encountered by immigrants can exacerbate or create new anxiety Some herbal preparations can cause or worsen anxiety. Ma-huang contains ephedrine, Ginseng basal metabolic rate and heart rate, trigger anxiety
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6 So remember: • How’s it look to outside / feel to inside • What’s going on? --  Bio-psycho-social • What causes it? -- External/ Internal • Why is it there? -- Survival /evolutionary value? • Is it ever useful? -- Survival; creativity;…. • Spectrum -- “normal”……. “abnormal” • What can we do about it?  -- prevention; diagnosis;  treatment; outcomes
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7 Depression
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8 Combined Anxiety and Depression Anxiety and depression often co-exist.  50% of people with anxiety will have an episode of major depression at some time in their life Chronic anxiety may lead to depression,  chronic depression may lead to anxiety, and  both may have similar underlying physiologic  etiology.  Anxiety disorders frequently precede the onset  of major depressive disorder (MDD). 
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Hypotheses for coexistence and anxiety include: Anxiety and depression both share high levels of negative affect, general distress, and a tendency to worry and overestimate the probability of negative events occurring. Shared temperamental features render individuals susceptible to anxiety and depression, either alone or in combination. The shared pathophysiology of depression and the
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Mood disorders and Schiz2 POST - Mood Disorders and...

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