ch 5 notes - CH 5: MOOD DISORDERS & SUICIDE Major...

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Major depression is leading cause of disability worldwide Emotion – the state of aroused defined by subjective states of feeling i.e. sadness, anger, disgust Affect – pattern of observable behaviors Facial expression, pitch of voice, body movements Mood – a pervasive and sustained emotional response that can color one’s perception of the world Depressed mood – disappointment and dispair Clinical Depression – depressed mood accompanied by other symptoms such as loss of energy, loss of pleasure, fatigue, changes in sleep and appetite Mania – disturbance of mood accompanied by euphoria or irritability, grandiosity, decreased need for sleep, pressured speech (speaking so quickly that their thoughts are moving faster than they can speak) The flip side of depression Euphoria – elated mood; opposite emptional state from a depressed mood Mood disorders are defined by episodes Discrete periods of time in which a person’s behavior is dominated by either a depressed or manic mood
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Unipolar Mood Disorder – experience of a depressive episode Bipolar Mood Disorder – episodes of depression and mania or mania alone Emotional Symptoms of Mood Disorders Unipolar: depressed mood (gloomy and dejected) dysphoric Bipolar: euphoria (inexplicable joy) or irritability Anxiety: co-occurs with unipolar or bipolar (co-morbidity) Cognitive Symptoms Unipolar Slowed thinking Difficulty concentrating Preoccupation with judgments about oneself (i.e. guilt and worthiness) Self-destructive ideas (i.e. suicide) Bipolar Racing thoughts High distractibility Inflated self-esteem Somatic Symptoms (Body Symptoms) Unipolar
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Tired, fatigue Aches and pains Disturbed sleep Changes in appetite Loss of sexual desire Inability to experience pleasure Bipolar Reduced need for sleep Dramatically increased energy Behavioral Symptoms Unipolar Psychomotor retardation – slowing of motor responses Bipolar Energetic, impulsive Psychomotor agitation Diagnosis Historical Perspective 1 st widely accepted classification system by German physician Emil Kraepelin 2 categories
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dementia praecox – schizophrenia manic-depressive psychosis – all depressives based on age of onset, clinical symptoms, course of disorder (progress over time) Unipolar Major depressive disorder – the experience of at least one major depressive episode (at least two weeks) without any manic episodes Dysthymia – predominantly depressed mood for at least 2 years, but less severe symptoms compared to MDD Two aspects of same disorder? Black Box Label: taking medicine can increase thoughts of suicide Maybe because it makes you function well enough to carry out suicide Bipolar Disorders Bipolar I – at least one manic episode (for at least 1 week) Bipolar II – at least one hypomanic (less severe episode of mania) episode and at least one major depressive episode, but not full blown manic episode. Cyclothymia
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ch 5 notes - CH 5: MOOD DISORDERS & SUICIDE Major...

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