L11 - mood disorders.f08(2)

L11 - mood disorders.f08(2) - Overview Today: finish...

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Unformatted text preview: Overview Today: finish somatoform disorders, start mood disorders Wednesday : finish mood disorders, suicide discussion Next week : eating disorders RR#6 (Ch 15) due next Monday Next test: Monday, October 20 Somatoform disorders Specific disorders Hypochondriasis Somatization Disorder Conversion Disorder Pain Disorder Body Dysmorphic Disorder Difficulties with diagnosis?- need to rule out medical causes. Etiologies Psychodynamic theory Defense against unacceptable (sexual) memories or wishes Unexpressed emotions result in somatic symptoms Form of regression (sick child) Etiologies Behavioral/sociocultural/biological theories Rewarded for playing sick role Societal reinforcement? Family histories of somatic complaints Cognitive theory Misinterpretation of bodily sensations Fear of aging and death Treatment Efficacy of treatment in general- success rate of treating disorders= 30% Psychodynamic treatment Stress reduction/relaxation- behavioral Coping skills Anti-depressant medications ***Low-level medical care***-to reassure Best care is going to docs periodically to manage stress. Reality testing usually doesnt help Mood disorders My life is in ruins andmy body is uninhabitable. It is raging and weeping and full of destruction and wild energy gone amok. In the mirror I see a creature I dont know but must live and share my mind with. Kay Redfield Jamison, An Unquiet Mind Mood episodes Major depressive episode Anhedonia- things no longer bring you pleasure Depressed mood Cog impairments, trouble focusing, inwardly focused Sleep and eating go + or -, early morning wakening Lethargy, heaviness, slowing down. OR restless-agitated depression Need 5 or more symptoms to be diagnosed Depressive symptoms in children and older adults Irritable or sad rather than anhedonia Manic episode Distractable, think youre invincible, dont need sleep-or get tired, reckless behavior,...
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L11 - mood disorders.f08(2) - Overview Today: finish...

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