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Chapter 6mood disorders be able to identify the

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Chapter 6—Mood disorders. Be able to identify the cognitive, physical/somatic, and emotional/affective symptoms of depression. Emotional Symptoms Unremitting sadness Hopelessness Numbness Anhedonia : Reduced ability to feel pleasure Behavioral/Physical Symptoms Changes in appetite or weight (increase or decrease) Psychomotor agitation OR psychomotor retardation Sleep disturbance Cognitive Symptom Feelings of worthlessness or guilt Negative self-evaluation Rumination over past events and feelings Poor concentration, difficulty remembering, making decisions
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Be able to distinguish among the following: Major depressive disorder; dysthymic disorder; Bipolar I, Bipolar II, cyclothymic disorder, mania, hypomania, and mixed episode. Major depressive disorder (MDD) Marked by five or more symptoms of depression Lasting more than 2 weeks Up to 20% of Americans will experience depression in their lifetime Associated with more than $30 billion dollars of lost productivity Dysthymic disorder Fewer of the symptoms of MDE At least 2 years Double depression Having both major depressive disorder and dysthymic disorder Bipolar I - A person affected by bipolar I disorder has had at least one manic episode in his or her life. A manic episode is a period of abnormally elevated mood, accompanied by abnormal behavior that disrupts life. Bipolar II - in bipolar II disorder, the "up" moods never reach full-on mania. The less- intense elevated moods in bipolar II disorder are called hypomanic episodes, or hypomania. A person affected by bipolar II disorder has had at least one hypomanic episode in life. Most people with bipolar II disorder also suffer from episodes of depression. Less severe because of the absence of manic episodes Cyclothymic disorder - is a mild form of bipolar disorder (manic depressive illness) in which a person has mood swings over a period of years that go from mild depression to emotional highs. alternate between hypomanic episodes and “sub- threshold” depression Hypomanic episode o Persistent and pervasive elated, irritable, or euphoric mood o Doesn’t impair functioning o Clearly different from normal state o Uncritical self-confidence but not grandiose Manic episode o 1 week persistent elevated or expansive mood or irritability o May: Begin projects with no skills or special training Believe they have special relationships with famous people or superior abilities Have less need for sleep Talk rapidly and loudly or have pressured speech Racing thoughts, flight of ideas Be highly distractible Have poor judgment resulting in reckless gambling, spending, or sexual behaviors. Be familiar with the attribution pattern for negative events that is common in depression.
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Know Seasonal Affective Disorder and its treatment.
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