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Unformatted text preview: Chapter 7: Mood disorders and Suicide Mood disorders: extremes of emotion or affect- soaring elation or deep depression. WHAT ARE MOOD DISORDERS? Mania: intense and unrealistic feelings of excitement and euphoria Depression : feelings of extraordinary sadness and dejection. A person could experience both or only one of the moods during the same time periods. Unipolar disorders : person experiences only depressive episodes. Bipolar disorders: person experiences both manic and depressive episodes We differentiate mood disorders in terms of 1) severity- number of dysfunctions experienced and the relative degree of impairment , 2) duration- acute, choric, or intermittent. Bipolar and unipolar disorders mood episode the person present Major depressive episode: marked depressed- show no interest in pleasurable activities for most of everyday and for most days for at least two weeks. Show at least three or four other symptoms/ five. Manic Episode: elevated euphoric or expansive mood, interrupted by occasional outburst of intense irritability or even violence- when others refuse to go along with the manic persons wishes and schemes. must persist at least a week/ 3 or more symptoms. The prevalence of Mood disorders Unipolar major depression more common, higher for women. Bipolar major depression less common UNIPOLAR MOOD DISORDERS Sadness, discouragement, pessimism, hopelessness Depression that are not mood disorders LOSS AND THE GRIEVING RPOCESS 1. Loss of spouse or close family member: I. Numbing and disbelief that last from few hours to week, may be interrupted by outburst of intense distress, panic or anger II. Yearning and searching for the dead person, last weeks or months- restlessness, insomnia, and preoccupation. III. Disorganization and despair that set in after yearning and searching diminish. When the person accept the loss as permanent and tries to establish a new identity. criteria for MDD may be met here IV. Gradually rebuild their lives, sadness abates, and zest for life returns level of reorganization. this is considered as a normal pattern. POSTPARTUM BLUES Emotional lability, crying easily, and irritability, often liberally intermixed with happy feelings. after new born child in new mothers 50-70% of women within 10 days of the birth of their child. No relations to socioeconomic status If it is severe it is more likely to develop major depression. Dysthymic disorder Mild moderate Diagnosis: person must have a persistently depressed mood most of the day, for more days than not, for at least 2 years. 2/6 symptoms when depressed Normal moods compared to major depressive disorders Poor appetite or overeating/ insomnia or hypersomnia/ low energy or fatigue/ low self-esteem/ poor concentration/ hopelessness....
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