Psych – Exam 2 Bush-Jones - Study guide Mood : Internal emotional state (primary source of energy is dynamic, express feeling or state of being. Effects: thinking, emotions, behavior and physiology) Mood disorder : A particular mood, static in nature, long in duration, impairs ADL’s (gets stuck, static in nature, long in duration, interfere with ADL’s, effects all ages) Infancy: failure to thrive to elderly. Healthy mood: is a blend of ups and downs Major Depression Major Depression : Suppression of emotional energy. Life-time risk = 17%, unrelated to marriage, education, income, ethnicity. 2x as common in woman. Suppressive: Major Depression, SAD, Grief Expressive: Mania, Hypomania, Cyclothymia Both: Bipolar ^ Theories of Depression (people at higher risk) Endogenous vs. Reactive (from within / outside stimulated) Psychoanalytic: suppression of anger (esp. against losses) Cognitive: Negative view of self / world (defeated, inadequate mood. Usually est. in early age/development. Learned helplessness: dependency (suppress ability for autonomy. “helpless” “victim” lets life control them Genetic loading: family predisposition, parent with mood disorder increases offspring risk Biochemical: decrease in catecholamine neurotransmitters – norepinephrine, epinephrine, serotonin during brain development Medical conditions: endocrine disorder hyper/hypo thyroid, pregnancy, neuro, electrolyte, medication, nutrition issues, autoimmune disorder, hepatitis, diets low in tryptophan Drugs and alcohol: Mood altering stimulant or mimics disorder, stimulants, narcotics, sedatives Situational crisis: loss, job loss, death, lack of social support (REACTIVE) DSM-V Criteria Clinical features: (mild – severe) Change from previous level of functioning. Compromise in energy, not wanting to talk, being mute, insomnia, fatigue, catatonic. Clinical features Compromise in energy Physical energy: little desire or energy, easily fatigued, catatonic. Impaired communication: May not want to talk – mute Regressed behavior: Self isolating, seclusive, excessive, sleeping, resists treatment, wanting to be alone, miss events, sluggish, infantile behavior, dependent, refuse to comply with normal expectations (clean, wash self)
Secondary gains: satisfaction, benefit derived from condition, escape responsibility, extra attention, control over others, interrupted/dysfunctional family process. Anhedonia: denies self-pleasure, apathetic, flat affect, deny pleasures in life, unable to laugh or smile. Impaired Emotional Control Futility (“this is just how it is and always will be”), guilt (esp. with past events), boredom, irritable, grouchy, fretful Anxiety: “free floating: Helpless, hopelessness: easily overwhelmed May cry or weep: Overwhelming sadness, impaired emotional = Cause not evident Compromise in thought process Rumination: feelings of worthlessness “I’m no good” Psychotic features: delusions, hallucinations, paranoia (Esp. in elderly) Suicidal ideas: Frequent suicidal thoughts or gestures Impact on physical/ physiologic needs Vegetative signs
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- Spring '18
- Major depressive disorder, Antidepressant