Feb 28 - Lecture 12: Varieties of Depression, Hamlets...

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Lecture 12: Varieties of Depression, Hamlet’s Self-diagnosis, & the Mechanisms of Medication 2/28/08 Range of Mood: (must be for at least 2 weeks) - Can go both ways: depression or mania - hypomania = little mania- “the strange case of Dr. Z”- elation that is not really a response to general events, more, super power, thinks rapidly, feels grandiose, can make impulsive decisions, does not involve the loss of reality but a kind of pressure o often successful people, need less sleep, more energy, think quickly o mood not in response to external events but internal genetic push - bipolar- swing from depression to mania (often poets and musicians) Major Depression: 5 -11% lifetime prevalence- most people experience it 10-15 million people a year 50% recurrence after a single episode- if depressed once, probably again Rule of 7’s: 1/7 with recurrent depressive illness commits suicide 70% of suicides have depressive illness 70% of suicides see their primary physician within 6 weeks of suicide Suicide is the 7 th leading cause of death Kinds of Depression Dysthymia (mild depression)- 2 or 3 chronic symptoms of depression Unipolar depression (depression only) Bipolar Depression I (depression/mania) depression followed by stages of mania with the psychotic component, losing touch with reality –often think they have superior powers, talking to angels- many creative and successful people have this, also strange correlation with perfect pitch- great musicians- Mozart, rock bands: creating a feeling of having to get up and dance, the ability to whip up a crowd, grandiosity
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Bipolar Depression II (depression/hypomania)- mania is not psychotic but depression is still full blown- occurs on a spectrum, can have a lot of depression and small bursts of hypomania or vice versa Cyclothymia (dysthymia/hypomania)- cycle from dysthymia and mania Dysthymia This disorder is characterized by an overwhelming yet chronic state of depression, exhibited by a
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This note was uploaded on 09/27/2011 for the course HD 370 taught by Professor Segal during the Spring '08 term at Cornell University (Engineering School).

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Feb 28 - Lecture 12: Varieties of Depression, Hamlets...

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