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Psych 257 Chap 7 Psych 257 Psychopathology Barlow et Al: Abnormal Psychology 2nd CDN edition Chapter 7

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Uzma Rehman

Mood Disorders momentary emotional states usually pass depression constant debilitating sadmood An Overview of Depression and Mania mood disorder gross deviations in mood most common major depressive episode extremely depressed state lasts for 2 weeks cognitive symptomsdisturbed physical functioning if untreated lasts for 9 months avg accompanied by loss of interest interaction with loved ones mania abnormally exaggerated elation joy euphoria hyperactivity rapid incoherent speech usu 1 week or less if severe if untreated 26 months hypomanic episode less severe doesnt cause marked impairment in socialoccupational functioning The Structure of Mood Disorders unipolar mood disorder either having depression or mania not both bipolar disorder both depression and mania usu alternating not necessarily though dysphoric manicmixed episode can have manic symptoms but be internally depressed may differ bw people in severity course accompanying inflated selfesteemgrandiosity usu mix Depressive Disorders Clinical Descriptions most recognizedcommon major depressive disorder single episode absence of manichypomanic episode beforeduring MDEMDD recurrent 2 episodes separated by min 2 month period recurrence predicts course of disorder dysthymic disorder sim To MDD diff course milder symptoms unchanged for long time period eg constant depressed mode for at least two years depression cant subside for more than 2 months double depression MDEDD usu DD develops first at early age followed by MDEspeople recovering from MDE may not recover from underlying DDrelapse in MDEs Onset and Duration MDD untreated avg onset is 25 yrs treated is 29 yrs prevalence of MDin adolescence esp girls length of MDE is variable 2 weeks to years may have residual symptomsadolescent onset assocd with greater chronicity poor prognosis likelihood of disorder in family dysthymia may last 20 yrs or more adults 5 yrs Child4 yrs chance of suicide than MDEs From Grief to Depression after death of loved one disorder diagnosis only if severe psychoticsuicidal symptoms appear immediate attention if deathincapability to function extreme weight loss no energy usu natural grieving process resolves wn months recovery from grief after 1 year is low pathological grief reactionimpacted grief reaction predicted by history of past MDEs symptoms intrusive memory strong yearnings for loved one avoiding places that remind them usu best treated by specific PGR group therapy not just depression therapy Bipolar Disorders key feature tendency of manic episodes to alternate w MDE big highs and lows bipolar II MDEs alternate w hypomanic episodes not full manicbipolar I MDEFull manic during hypofull manic patient denies problem behavior seems reasonable cyclothymic disorder chronic alternating in happydepression doesnt reach severity of MDEmanic few periods of neutral pattern usu2 yrs substantial enough mood states to interfere w functioning Onset and Duration avg onset for BP1 18 BP2 22 can begin in childhood 13 BDs start at adolescence 10 BP2sBP1 rare to develop BD 40yrs 52 of unipolar depressed people get BDcyclothymia chroniclifelong 13 of people BD usu onset 12 yrspeople with cyclothymia usually just thought to be moody highstrung explosive hyperactive etc
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