AS.200.212 Chapter Notes - Chapter 7-9: Major Depressive Episode, Mania, Major Depressive Disorder
Document Summary
Mood disturbance: either too down (depression), too up (mania), or too labile (unstable: can be unipolar or bipolar, diagnosis depends on mood episodes. Combination of episodes allows us to decide on diagnosis. Episodes themselves are not diagnoses; how they fit together is what gets us to disorder. Major depressive episode: need atleast 5 symptoms in same two week period, one has to be either 1 or 2. Depressed mood, most of the day, nearly every day. Anhedonia: loss of pleasure for things that used to once be pleasureable. Weight loss, insomnia and psychomotor agitation is a result of increased arousal. Weight gain, psychomotor retardation and hypersomnia is a result of decreased arousal. Feelings of worthlessness or inappropriate guilt; diminished ability to concentrate/indecisiveness;recurrent thoughts of death, suicidal ideation, attempt. More talkative than usual/pressured speech flight of ideas or racing thoughts distractibility increase in goal directed activity or psychomotor agitation excessive involvement in pleasurable but high risk activities.
