chapter 7 (220-240) - Chapter 7 Mood Disorders Severity the...

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Chapter 7 Mood Disorders Severity - the number of dysfunctions experience and the relative degree of impairment evidence in those areas Duration - whether the disorder is acute, chronic, or intermittent Mania- often characterized by intense and unrealistic feelings of excitement and euphoria Depression -feelings of extraordinary sadness and dejection Unipolar depressive disorders - only depressive episodes -Rate much higher in women than men Bipolar disorders - both manic and depressive episodes -to diagnose unipolar and bipolar must first determine what kind of mood episode person presently shows -most common is major depressive episode where person is markedly depressed -most common predisposing causes leading to suicide - manic episode where person markedly elevated, euphoric, or expansive mood often interrupted by occasional outbursts of intense irritability or even violence - hypomaniac episode where person abnormally elevated, expansive, or irritable mood for at least 4 days -much less impairment in social and occupational functioning than manic episode and hospitalization not required Unipolar Mood Disorders Grief (depression that is not a mood disorder) More difficult for men than for women 4 phases of normal response 1. numbing and disbelief interrupted by outbursts of intense distress, panic, or anger 2. yearning and searching for dead person 3. disorganization and despair when finally accept loss 4. reorganization when begin to rebuild lives Current DSM classify depression after grief if last longer than 2 months, suggest next DSM lengthen time period Some people have short lived symptoms of depression or bereavement after loss, this does not mean emotionally maladjusted or unattached to spouses Children who undergo grief more likely to not have depression if receive good parental care after loss
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