PSYC 208 Chapter Notes - Chapter 11: Appeasement, Mania, Hypomania
Document Summary
Affective disorders a group of disorders characterized by abnormal mood, drive, and motivation. Depressed mood, constant fatigue, worthlessness, weight loss/gain, insomnia/hypersomnia, and psychomotor retardation/agitation. Suicidal ideation: thinking about it, suicidal thoughts with no plan, suicidal plans, suicidal attempts. Must affect patient everyday, most of the day, for 2 weeks. Elevated mood, inflated self-esteem, talkative, decreased need for sleep, intense goal-directed behaviour. Must cause impairment to social functioning and cannot be due to substance use. Mood: low or elevated, drive: increased or decreased, etc. Ex: depressed mood and motivation with flight of ideas. Loss of important biological relationship due to death or separation. Depression is not bereavement (depression passes normal 1 year of bereavement) Dopamine is reduced in depression, increased in manic (dopamine is related to pleasure experiences) Chronic stress over-activated hpa (hypothalamus-pituitary-adrenal) increase cortisol activities depression. Bipolar disorder: enlarged ventricles and reduced prefrontal cortex volume. Depression can be organic due to frontal-temporal dementia.
