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PSY240Lec 5- Mood Disorders and Suicide.docx
PSY240Lec 5- Mood Disorders and Suicide.docx

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University of Toronto Mississauga
Tina Malti

PSY240 FEB 11- MOOD DISORDERS  Symptoms of depression  Cognitive  Ppl who are depressed cannot concentrate, make decisions  Poor self esteem  Feeling hopeless  Suicidal thoughts  Hallucinations or delusions severe depression not psychosis  Physiological and behavioral  Sleep problems  Tried and fatigued  Lose energy  ^If worse than catatonia inability to move …..not a matter of attitude doesn’t require motivation  Emotional  Lose interest in activities they like to do  Nervous  Irritable  Lose pleasure in usual activities  Can’t motivate self  2 types of depressive disorders  Major depression needs 5 or more symptoms including sadness or loss of interest, at least 2 weeks  Dysthymic disorder has to show 3 symptoms including depressed mood and at least 2 years in duration  Ppl can also have double depression which is both 2 yrs but a period of 2 weeks in which they have 5 or more symptoms ^…although rare  Look at the most optimistic view and can turn those bad  Dysthymic disorder Case example  rob- dysthymia for 20 yrs  Can only focus on the negative  Blames himself  A typical day  stays up late, smokes, not able to get to work on time, fall asleep, shut alarm, go to work late, isolation after  Since he can make it to work it is not major depressive disorder  Also want to know about other disorders with depression.. which comes first?  Usually depression comes first  Try to get them out of bed, and physical activity…physical activity increases our level of mood  Subtypes of depression  Depression with melancholic features  Inability to experience pleasure, early morning awakening, gain or lose a lot of weight  Depression with psychotic features  Hallucinations or delusions  Not very frequent  Depression with catatonic features  Excessive motor activity or severe disturbances in speech  Depression with atypical features  Clinicians don’t know how to diagnose it  Significant weight gain  Heavy feelings  May think everything is criticism  Postpartum onset  4 weeks after giving birth  Related to hormonal level  Seasonal patterns  One season of the year (usually winter)  2 yrs  Prevalence and prognosis (SLIDE 6)  DEPRESSION FREQUENT problem in our society  Depression in children and adolescents (SLIDE 7)  Young boys and girls have equal rates…girls more frequent during puberty bc of hormonal changes  Age differences in depression, also in ethnicity  Poverty and struggles effect as well  Physical exercise and depression study  4 mo study over age of 50 diagnosed with major depressive disorders….156 men and women  Improvement of depressant symptoms  Both were equally effective (meds and exercise)  SLIDE 11  Copying styles and depression  Is distraction a bad thing?  Depends with what you distract yourself  Depends on context  Can be good or bad  Action oriented coping style vs ruminative coping style  If you consistently use distractions  Can lead to addiction or disassociation from your emotions  Can develop a whole new problem  Bipolar mood disorders  Symptoms of mania (SLIDE 14) *  Diff from depression bc they can have feelings of grandiosity  Diagnosis for mania  SLIDE 15  Bipolar I disorder  Bipolar II disorder  More about bipolar mood disorder  Cyclothymia  might e link bn bipolar disorder and creativity  genetic link strong for bipolar disorder  bio theories  genetic theories  genes predispose ppl for these disorders  neurotransmitter  differences in neurotransmitters  neurophysiological abnormalities brain structures  neuroendocrine abnormalities hormonal  psych theories of mood disorders  behavioral theories  learned helplessness  cog theories  Aaron Beck IMP  “Errors” in thinking and depression  SLIDE 25  Negative thoughts  SLIDE 22  Feel out of control  Reformulated learned helplessness  Internal attribute it to yourself  Stable always stable  Global attribute it to environment  psychodynamic theory  subconscious and unconscious  interpersonal theories  learned helplessness  place ppl in situations where they have no control  example Stanford prison experiment  psychological abuse increased  ppl played prisoners and guards  “prisoners” were abused …sleep deprivation  ^ more skeptical of authority  In a short time, ppl who would think they wouldn’t be sadistic, became sadistic  Developed signs of depression  Une
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