o Dsythymic disorder
o Major depressive disorder in partial recession
o Double depression-dysthymia and superimposed depression²presentation of a lot
of psychopathology-beyond mood problem itself. prognosis much worse-more
chronic and less likely to respond to treatment.
o Dysthymia with past history of depression
- Alternating of manic episodes (grandiose state) to extreme despair. Bipolar I: involves
episodes of mania or mixed episodes that include symptoms of both mania and depression
Criteria for manic episode
- Elevated or irritable mood. Abnormally and persistently elevated, expansive or irritable mood
- Gradiosity: inflated view of RQH¶V self.
- Decrease need of sleep. Sleep for a few hours
- Extremely talkative: rate of speech and the conversation
- Flight of ideas or racing thoughts. No being able to keep up with thoughts. Apparent to
interviewer. Thought loosely connected
- Distractibility: stimuli in the environment WKDWGRHVQ¶WKDYHPXFKLPSRUWDQFHFDWFKHVWKH
attention of the patient
- Engage in risky behaviors, bad decisions (sexual indiscretions, buying sprees, and foolish
- 1st symptom Elevated mood and 3 or more symptoms. Last for 7 days. Outcomes severe²
usually lands in a hospital.
- Greater overrepresentation diagnosed with bipolar in the creative arts.
- Bipolar I prevalence is 1% avg person develops it in their 20 (peak of onset) disorder is
common in both men and women. Disorder continues to be recurring (50% will have either 4
recurring manic or depressive episodes)
- Bipolar II
o Less severe form of bipolar I. bipolar II hypomanic episodes, not full fledged mania.
Hypomanic episodes last for 4 days and less symptoms, not as severe consequence
as manic episode. Elevated state but no serious outcomes.
- Clythomic disorder
o Rarely seen and diagnosed. Person alternates b/w manic and depressed state, but
none meet the DSM criteria. Person moves mild depression and hypomania. If some
is diagnosed with this condition it has to last for 2 years. it is chronic. People seem
develop bipolar disorder.
- 10-13 % of people diagnosed with bipolar 2 tend to become bipolar 1
- When diagnosing a mood disorder: other features of mood disturbances must be considered
o Atypical presentation: major depression and bipolar 1. Tendency to oversleep,
overeat. Gain a lot of weight and a lot of anxiety.
o Melancholy: more severe semantic symptoms. Weight loss, loss of sex drive.
Reduce ability to enjoy pleasurable things. Occurs more in the elderly. Trigger less
by stressors. More biological vulnerability. No as much stress events
o Chronic: depressive episode for 2 yrs or more
o Catatonic features: absent of movement. Person sitting fixed, hunched over
o Psychotic depression: 5-15% who become depressed will have psychotic feature of
depression with hallucinations and delusions. Combine antidepressants with