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Lecture 7

KIN354 Lecture Notes - Lecture 7: Major Depressive Disorder, Bipolar Disorder, Cyclothymia

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Peter Hall

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Kin 354
- Experience of consistent sadness
- Major depressive disorder: most common form of depression
- Dystemia: lower level of depression, last many years
- Bipolar disorder: very low periods and high periods characterized by mania. Higher rate of
suicide than major depressive disorder.
- Manic phase: Includes aggressiveness and can be dangerous
- Disorders conferring greatest risk: Depressive disorder, substance abuse disorder and
- Without treatment, depression can last years. With treatment there is a good chance to return
- Primary treatments are:
o Drug therapy
o Talk therapy
- Type: Unipolar - dysthymia and bipolar cyclothymia, bipolar 1 and 2
- Psychotic features: Person may develop unusual beliefs and ideas. People have hallucinations
- Ideations: Very common in depression
- Attempt: Somewhat common in depression
- Suicide: Uncommon in depression and rare in general population
- About 50% who died from suicide is from depressive disorder
- Bipolar disorder is higher by 10%
- Laws such as not allowing suicide lowers rates
Sex as a risk factor
- Women more attempts
o Less lethal methods (poison overdoses)
- Men higher absolute suicide rate
o More lethal methods (Weapons)
- Men are 2 to 4 more likely to compete suicide
- Older adults at highest risk and younger adults is declining
- Life context : Access to means of carrying out suicide, childhood trauma
- Internal dispositions: Hopelessness You a’t hage our life o atter hard ou tr
- Low cholesterol increase suicide risk
- Few physical disorders increase suicide risks
Media Guidelines to reduce contagion
- Avoid unrealistic positive descriptions roaticisig
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