abnormal mid2 card - Depression: Causes; genetic,...

Info iconThis preview shows page 1. Sign up to view the full content.

View Full Document Right Arrow Icon
Depression : Causes ; genetic, neurochemicals (serotonin, norepinephrine), abnormal hormone regulation, sleep cycle and sunlight deficiency, chronic stress, Early adversity as a diatheses, stressful life events, personality and cognitive diatheses. Theories; Beck (“take care of yourself before others”, high levels of dysfunctional beliefs and high stress=major depression), Seligman (learned helplessness), Abramson et al. (attributions and pessimistic attributional style), Hopelessness theory, Interpersonal effects (e.g., lack of social supports and social skills) Treatments ; Pharmacotherapy, MAOIs, antidepressants, SSRIs, Lithium, mood stabilizers, Anticonvulsants, Antipsychotics, ECT, TMS, light therapy, Psychotherapy, CBT, Mindfulness cognitive therapy, Behavioral activation, IPT, Family&marital therapy. *UNIPOLAR*: Major Depressive (5<); Depressed most of the day, Lack of pleasure, Weight loss or gain, Sleep disturbance, Psychomotor agitation, Do not meet criteria for mixed episode(both depression and euphoria), Fatigue, Feelings of worthlessness or guilt, Diminished ability to think, Suicidal ideation, Impairment in Axis IV(psychological/environment). Affects womanx2 [ Melancholic: genetic, childhood trauma ] Lost interest or pleasure in most activities (i.e., anhedonia), Early morning awakenings, Depression is worse in the mornings, Psychomotor retardation, Loss of appetite and weight, Excessive guilt, Depression is different from the sadness experiences during a nonmelancholic depression [ Psychotic ] Loss of contact with reality; delusions (i.e., false beliefs) or hallucinations (i.e., false sensory perceptions), Delusions or hallucinations are mood-congruent, Feelings of guilt and worthlessness, Longer episodes and poorer long-term prognosis [ Atypical: often females ] Mood reactivity (i.e., mood elevates in response to positive events), 2< of: Significant weight gain or increase in appetite, Hypersomnia, Leaden paralysis, Long-standing pattern of being acutely sensitive to interpersonal reject. Manic Episode (3<); Inflated self-esteem, Decreased need for sleep, talkative, Racing thoughts, Psychomotor agitation, Do not meet criteria for mixed episode, Easily distracted, Increase in goal-directed activity, Excessive involvement in pleasurable activities, Need for hospitalization, Impairment in Axis IV. Dysthymic Disorder ; depression at least 2yrs, (2< of) Poor appetite or overeating, Insomnia or hypersomnia, Low energy, Low self-esteem, Poor concentration, Hopelessness, MDD not present. Double Depression ; Major depression and Dysthymic combined. *BIPOLAR* (additional causes can be Basal ganglia and Amygdala, Variations in brain glucose metabolic rates, Personality traits: Neuroticism, High achievers, Increased sensitivity to rewards, Pessimism): Cyclothymic Disorder ; at least 2 yrs, hypomania and depressive symptoms are present that do not meet MDD, has not been without symptoms for more than 2 months, No Major Depressive, Manic Episode, or Mixed Episode present, significant distress or impairment. Bipolar I
Background image of page 1
This is the end of the preview. Sign up to access the rest of the document.
Ask a homework question - tutors are online