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Lecture 7

Lecture 7; Mood Disorders.docx

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Department
Psychology
Course
Psychology 2310A/B
Professor
Rod Martin
Semester
Fall

Description
Mood DisordersDepression vs Mania DSMIV distinguishes 2 general patterns unipolar only depression never have maniabipolar both mania and depression periods of mania and depression very rare for someone to have mania without having depression Historical PerspectiveFreud and his student Abraham had an early psychodynamic model that drew a parallel bw depression and griefaccording to them individuals most likely to become depressed following a loss are those whose needs either were not met or were excessively met during the oral stage of development also recognized that some ppl develop depression despite the absence of lossthey develop the concept of imagined loss such that the individual unconsciously interprets other types of events as severe lossevents even a failure at work could be interpreted as a loss Unipolar Depression Normal depressionpsychological equivalent of physical paindepression tells us something is wrong with our life there is a healing process that needs to take placethe grieving process a psychological process of healing when someone close to you dies very often depression results from really stressful events especially the first episodes of depression also can be symbolic losses like breakupdivorce losing a job financial stress this causes a disruption of the persons self identityDSMIV categoriesMajor depress son the main depressionDysthymic Disorder DysthymiaAdjustment disorder with depression mood clinically depressed but as a result of a severe stressful life event and a time limited depression that only lasts about 6 monthsDepression is the leading cause of disability worldwide according to WHOcosts more in treatment and lost productivity than anything but heart diseaseCanada 144 billionyear in terms of lost productivity and in terms of treatmentDSM Major Depressive Episode typically goes in episodes lasts for 6 months to a year and then typically people usually do come out of the depression even without depression at least for a period of time and then again later may again have an episode usually isnt continuous 5 or more symptoms lasting 2 weeksMost of the day nearly every dayMood syndromes one must be presentDepressed mood down in the dumps feeling low Loss of interest or pleasure in activities anhedonia Physical SymptomsSignificant weight loss lose appeptite or gain eating for self soothing typically weight loss rather than gainInsomnia more related to more severe depression cant sleep or more commonly wake up early in the morning and cant get back to sleep or hypersomnia related to less severe depression cant wake upPsychomotor agitation pacing floor constantly moving cant sit still or retardation completely immobile to the point of maybe even becoming catatonic become unresponsive to the world around themFatigue feeling tired no energy and that effects their motivation so they dont do anything and then that makes them feel worse a cycle Cognitive SymptomsFeelings of worthlessness or guilt becomes very irrational imaginary things they might not of even done but they feel that they did this can turn into a psychotic level of depression where they are thinking really irrationallybut more commonly just seeing oneself as worthless having a negative self image Diminished ability to think or concentrate become inefficient in their workcan be very indecisive everything seems like such an effort and big dealRecurrent thoughts of death suicidal ideationisnt that the person feels they deserve to die its pain of the depression and suicide is the only way out of it Symptoms cause clinically significant distress or impairment in functioning Major Depressive Disorder Referred to as the common cold of mental disordersIt is the leading cause of disability world wideInvolves the abnormalities in all systems biological emotional cognitive behaviouralHas to show persistent sad moodlack of pleasure in activites for at least 2 weeks must be accompanied by at least 4 additional symptomsIf the synptoms of major depression appear transiently following the death of a loved one this should be seen as normal grief and not a pathological mood disorderthis criterion has been deleted in the DSM 5 Presence of Major Depressive Episode has have to had at least 1 or currently in it Cant have any history of maniac or hypomanic episodesSubtypes single episode about 50 of people only have one episode vs recurrent episodesSpecifiersMild moderation severe wo psychotic features clear disability cant go to work anymore cant care for their children anymore etc
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