HLTHAGE 1CC3 Lecture Notes - Lecture 5: Breast Pain, Fluoxetine, Mood Disorder

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In most menstrual cycles during past year, 5+ symptoms in week before menses: affective liability (ex mood swings, sensitivity to rejection) irritability or increased interpersonal conflicts depressed mood anxiety, tension, feeling on. Edge decreased interest in usual activities subjective sense of difficulty in concentration lethargy change in appetite hypersomnia or insomnia physical symptoms (breast tenderness or swelling, going or muscle pain) We can see an overlap of these symptoms with other psychiatric disorders (ex depression) Included in the dsm only after the launch of sarafem (fluoxetine) other wise known as an antidepressant (fluoxetine = prozac) A local language for expressing distress in an acceptable way: how culture always informs how we experience and express mental distress disruptive mood. Severe and recurrent temper outbursts, grossly disproportionate to situation (diagnosis mostly meant for children) Child must be between 6-18, w/symptoms beginning by age 10. Observable by parents, teacher, and peers (must be observed in 2/3 settings)

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