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L11 - mood disorders.f08(2)

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

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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
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Somatoform disorders Specific disorders Hypochondriasis Somatization Disorder Conversion Disorder Pain Disorder Body Dysmorphic Disorder Difficulties with diagnosis?- need to rule out medical causes.
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Etiologies Psychodynamic theory Defense against unacceptable (sexual) memories or wishes Unexpressed emotions result in somatic symptoms Form of regression (sick child)
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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
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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 doesn’t help
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Mood disorders “My life is in ruins and…my 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 don’t know but must live and share my mind with.” Kay Redfield Jamison, An Unquiet Mind
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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
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