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University of Toronto St. George
Hywel Morgan

PSY341 Last Lecture Mood disorders --some powerpoint slide Outline 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 cant 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 dont have using credit card tod dont 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 dont 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 2) Bipolar Disorder lot less common than unipolar disorder around our age or 1/5 peers went thorough unipolar disorder ( is probably higher undiagnosis particulary w/ this disorder cuz dont 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 wont 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 adults 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)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 dont 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 dont see this differences - 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 dont 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 see
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