1-Mood Disorders.pdf - MOOD DISORDERS Bahcesehir University\/Psychology Department Assist.Prof Sine Egeci MOOD DISORDERS Two key emotions on a continuum

1-Mood Disorders.pdf - MOOD DISORDERS Bahcesehir...

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2/7/2017 1 MOOD DISORDERS Bahcesehir University/Psychology Department Assist.Prof. Sine Egeci MOOD DISORDERS Two key emotions on a continuum: Depression Mania Low, sad state in which life seems dark and overwhelming State of breathless euphoria and frenzied energy Disturbances of mood are intense and persistent enough to be clearly maladaptive MOOD DISORDERS Unipolar Depression : Experiencing only depression No mania history Mood turn to normal when depression lifts Bipolar Depression : Experiencing periods of depression that alternate with periods of mania
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2/7/2017 2 Persistent Depressive Disorder (Dsythymia) UNIPOLAR DEPRESSION
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2/7/2017 3 UNIPOLAR DEPRESSION Five main areas of functioning may be affected: Emotional symptoms Motivational symptoms Physiological & Behavioral symptoms Cognitive symptoms Somatic symptoms Symptoms may differ dramatically from person to person SYMPTOMS Emotional Sadness, depressed mood, irritability, anhedonia , crying spells, anger, anxiety, agitated, feeling ‘miserable’, ‘empty’, ‘humiliated’ Motivational ‘Paralysis of will’: social, occupational, personal areas Losing desire to pursue usual acities Lack drive, initiative acts, spontaneity Physiological & Behavioral Less active, less productive Sleep and/or appetite disturbances, psychomotor retardation/agitation , catatonia, fatigue Cognitive Poor concentration, indecisiveness, poor self-esteem, hopelessness, suicidal thoughts Somatic Headaches, digestive problems, dizzy spells, general pain UNIPOLAR DEPRESSION Two diagnoses to consider: 1. Major depressive disorder Criteria 1 – 2 – 3 are met Criteria 1: Major depressive episode Marked by five or more symptoms lasting two or more weeks In extreme cases, symptoms are psychotic, including Hallucinations Delusions Criteria 2: No history of mania Criteria 3: Symptoms must be severe enough to interfere with the daily functioning DIAGNOSING
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2/7/2017 4 UNIPOLAR DEPRESSION Two diagnoses to consider: 1. Major depressive disorder Major depression, single episode => only one depressive episode Major depression, recurrent => 2 or more episodes separated by at least 2 months without symptoms Major depression, chronic => If MDD continues more than 2 years DIAGNOSING UNIPOLAR DEPRESSION Two diagnoses to consider: 2. Dysthymic disorder Depressed mood + two of: (a) poor appetite or overeating (b) insomnia or hypersomnia (c) low energy or fatigue (d) low self-esteem (e) poor concentration or difficulty making decisions (f) feelings of hopelessness Consistent symptoms for at least two years Never have been without the symptoms for longer than 2-month period DIAGNOSING UNIPOLAR DEPRESSION Two diagnoses to consider: 2. Dysthymic disorder When dysthymic disorder leads to major depressive episodes , the sequence is called double depression DIAGNOSING
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2/7/2017 5 Major Depression Dysthymic Disorder 5 or more symptoms
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