PSYC 106 Lecture Notes - Lecture 7: Major Depressive Episode, Mania, B Symptoms

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A distinct period of abnormally and persistently elevated, expansive, or irritable mood, increased goal-directed activity or energy. Excessive involvement in pleasurable activities that have a high potential for painful consequences (e. g. , spending sprees, sexual indiscretions, or foolish business investments) Main difference is that it is not severe enough to cause marked impairment in social or occupational functioning or to necessitate hospitalization. If there are psychotic features, the episode is, by definition, manic. May have been preceded or followed by hypomanic or major depressive episode. Specify current or most recent episode: manic or major depressive episode. At least one hypomanic episode and at least one major depressive episode. Not without symptoms for more than 2 months: symptoms present at least half the time . Never met criteria for manic, hypomanic, or major depressive episode. Presentation is extremely variable (even within kid: jumping between activities, risk-taking. Biggest controversy is pre-pubertal bp: mood swings, lability, irritability, aggression.

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