PS280 Lecture Notes - Lecture 5: Bipolar Disorder, Major Depressive Episode, Postpartum Depression
Document Summary
Many symptoms are the reverse of those typically found in mdd. Why: unknown, biological rhythm disturbance (melatonin, serotonin deficiencies. Treatment: phototherapy: 60-90% will respond to this treatment. Symptoms meet criteria for a major depressive, manic or mixed episode with symptom onset occurring within 4 weeks of giving birth. In more rare cases, postpartum depression can include psychotic features. Why: chemical or hormonal imbalances *mixed, psychosocial factors. Episodes of both depression and mania (or hypomania) Mood abnormally and consistently elevated, expansive or irritable for at least one week. During mood being elevated, 3 or more present: excessive self-esteem or grandiosity, less need for sleep, more talkative than usual: pressure to keep talking, thoughts are racing, easily distracted. Increase in behaviour aimed at achieving specific goal. Impulsive acts aimed at increasing feeling of pleasure (e. g. , shopping sprees, promiscuity: for at least 4 days, nearly everyday, less severe symptoms; change in functioning, but not marked impairment.