01 Classification, Assessment, and Epidemiology

01 Classification, Assessment, and Epidemiology -...

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1 Classification, Assessment, Classification, Assessment, & & Epidemiology of Mood Disorders PSY 423: Mood Disorders Summer 2009 Paula Yanes and Chrystal Vergara 1 For the past month, Ms. X reported having an extreme lack of motivation to accomplish anything. She reported lying in bed most of the time, feeling too tired to do chores and other responsibilities. Due to her extreme avolition, she experiences guilt about not taking care of the household chores and not taking care of the needs of her daughters. Ms. X reported not being able to eat or sleep, and has since lost 14 pounds. She stated that she is constantly worrying about her children, her finances, and her job. Ms. X also reported having increased irritability and restlessness. Mr. X was referred to treatment after being jailed for driving under the influence and reckless driving. He reported that about two weeks ago he started going on frequent drinking binges, “bar- hopping” night after night, spending obscene amounts of money while out, and often ending his night with random sexual encounters. He explained that the binges were preceded by him feeling really “full of himself” and self-confident. He stated that around that time he began feeling full of energy despite sleeping less. He noted that he had trouble concentrating and racing thoughts, problems he attributed to sleeping less. Mrs. Y reported that she is seeking treatment due to pervasive feelings of “unhappiness” she has been experiencing for the past 5 years. She explained that she has been feeling “so unhappy so much of the time for no apparent reason,” and that she has a loss of energy which makes her unable to complete her daily tasks or socialize. She also reported experiencing extremely low self- esteem, eating more, and weight gain. She said that these symptoms aren’t every day, but at least 4 out of 7 days of the week. What is a mood disorder? Is a mood disorder just feeling down? 1)“Disturbance in Mood” Depressed mood Anhedonia Mood Disorders Elevated Mood 2) Mood disturbance accompanied by related symptoms Constellation of symptoms, comprise a syndrome o 3) Present for certain period of time o 4) Clinically significant distress or impairment o All of the above=Mood Episode Episodes of mood disturbances constitute disorders 3
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2 Symptoms of Mood Disorders Affective symptoms Cognitive symptoms Behavioral symptoms Physical symptoms 4 DSM DSM-IV Mood Disorders IV Mood Disorders Depressive Disorders Major Depressive Disorder Dysthymic Disorder Depressive Disorder NOS Depressive Disorder, NOS Bipolar Disorders Bipolar I Disorder Bipolar II Disorder Cyclothymic Disorder Bipolar Disorder, NOS 5 DSM DSM-IV Mood Disorders IV Mood Disorders Other Mood Disorders Mood Disorder due to a General Medical Cn d i t in Condition Substance-Induced Mood Disorder 6
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3 DSM Classification System Mood Disorders Bipolar Disorders Other Disorders Unipolar Disorders 7
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01 Classification, Assessment, and Epidemiology -...

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