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PSY341H1 Lecture Notes - Extreme Weight Loss, Hypomania, Sleep Disorder

Course Code
Hywel Morgan

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Last Lecture
Mood disorders --some powerpoint slide
Chapter 15 know it as well
Additional reading part of short answer
Mood disorders
- particulary in children and adutls mood and anxiety are comborid w/ each other this is more in
children hard to diagnosis depression
- mood disorders occur comborid w/ other diff disorders such as conduct disorder, substance
abuse, adhd
- mood disordersz tackle 2 main emotional problems in human 1) extreme sadness 2) extreme
happyines (mania)
- major diagnositic category for mood disorders good job by bool these disorders are not in the
section of children and adolescent child and adolse must fit dia critera of adults of mood disorders
PROBLEM diagnosis cuz these creitea designed for adults symptoms may be different in children
- it may be impossible to display the sympotms describe in adults 1) very young adults ( 5 and
youngers toddlers) are not parituclary verbal can’t express themselves verbally in sophisticated way
hard to find the out cognitive state of mind
2) the symptoms may be (seems) are indeed different one tell sign of mania is spending lot of money
you don’t have using credit card tod don’t have credit card
Adult section of MOOd disorder
1) Major Depressive Disorders ( major depression/ depression /unipolar disorder technical term)
this not some in funk ( not flatten affect don’t’ mistake this – flatten effect is no emotions
from neurological condition and depression is not neurological/brain damge) depression is
sad effect extend period of time at least 5 symptoms on continue period of at least 2 weeks
them in adults and in children ( w/ symptoms substitution for children)
a. Symptoms in cognitive, emotional, motivational and somatic/physical domain
b. Affect of sadness unipolar disorder

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2) Bipolar Disorder lot less common than unipolar disorder around our age ¼ or 1/5 peers
went thorough unipolar disorder ( is probably higher undiagnosis particulary w/ this disorder
cuz don’t have motivation to seek assessment)
a. MDD can Spontatneously remit & bad news it comes back
b. ADHD and CD 0 cormbid w/ depression due to neglect by peers and family
c. Bipolar is marked by swings b/w manic and MDep
d. Manic persistently elevated expansitve , irritable mood is more diffuclut to
diagnosis in chidren one reason is irritble problem frequently symptoms of
depression too so hard to distinguish them too
i. High sense of self-esteen, in descrutibility risk taking (extreme)
ii. Talktiveness
iii. Questions of validity though tend to cluster together differently
iv. Typically manic is mixed w/ MD bipolar disorder difficult to diagnosis in
children & imanic is extreme in kids manic can look psychotic in children
extreme risktaking, taltivness that wears them out ( mistaken childhood schzio
particular if MD of bipolar is not seen in kids greater extremes and the
extereme last longer time than in adults)
v. Earlier bipolar in middle children poor the prognosis continue to show it in
adulthood in proabilty (or at least earlier in adulthood)
3) Dysthmic Disorder - often refer to depression light synptoms not as severe as MD
subclinical symptoms as warenting diagnosis of MD
a. Requires 3 symptoms - so subclincal of MDD
b. It lasted more than one year (this is bad news)
c. Also refer to as chronic depression is depression that won’t go away
d. In adults diagnosis cormorbidly w/ MDD more difficult to do this w/ children ( I year
for child is lifetime)
4) Double Depression this where you see MDD cormorbid w/ Dystmtic disorder have low
rate of remission low spotant recovery & have to treated much rarer n children than in
5) Melancholic Depression speech & slow movement , somoatic symptoms/ physical symptoms
distinguish this syndrome seems to more responsive to medication than other ones
- Hypomanic less severe form of mania
- 2 ytpes of bipolar type 2 is hypomanic
Category of symptoms of MDD
- Depressed (sad affect) or irritable mood youther children nto sphosticated in expression
verbally, observation what you see in children more permeant irratible condition very
noncompliant all of the time (very moody- saying no , tanturms a lot, unhappy)

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Sad mood is not seen in children that commonly they show unhappy by being irritable
- loss of interest in pleasure or interest hallmark of symptoms -_> these things made them happy
in the past
- weight changes extreme weight loss or gain more common nis don’t want to eat but see self-
medication by eating lot
- sleep problems this another prioble w/ children in adults see sleep problem see is isomoia (
not enough) or always sleep this is more common not seen in children ( pre-pubsent before
teen years) not see either
In adutls EEG brian waves look diff from non-depress ppl but w/ kids don’t see this
- Motor agitation or retardation motoric domain lack of movment of extreme or lots of
movement (agitation) aging can be mistaken for psychosis lack of movment is catanoic
- loss of energy don’t want to got out to play
- feelings worthless or guilyt not awlays detect in younger children
- poor concentration mistaken for ADHD
- thoughts of death or scuide not everybody/ or child suicidal is depressed they are distinct
and separate disorders example for 2 teeangers sucidie but not depressive but seems stress
which is better predictor of sucidial death in teenagers
- at least 5 of the above symptoms for at least 2 weeks w/ impairment in functioning typical
domain in child is school, family , friends (at least one of the domain usually seen by professional
when impairment is at school level)
Domains of these symptoms
-1) Cognitive these kids tend to think of themselves in negative light, poor-selfesteem , find
themselves not ebign able to or socialize to other people , they have believe of inadquacys or
inferiority , research tend to show they have diminished IQ ( doesn’t’ mean mentally retarded
people who have lower iQ cuz depression IQ suffer but this is not permeant But MR is
permeant - If child have IQ can be abnormally low on WSIC Questions are aksed in hiearch w/
order of difficulty idea behind that first few qest easily but after less likely to answer look at the
pattern of response/answer if look at total score - 11 but pattern of response look different
could be some of easy Q wrong but can get harder Q correct this has to do w/ motivation )
In IQ - have to look at pattern of response is more sphositicated analysis
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