PS280 Lecture : Necessary conditions for clinical diagnosis Symptoms of Depression and Mania Incidence, Prevalence, and Course Comorbidity Classification of Mood Disorders (Depressive Disorders, Bipolar Disorders) Sy

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Most people have times when they feel unhappy about some aspect of their lives. 1: severe incapacitating depression rarely continues beyond the first three months, wild weeping may occur as a general reaction to frustration or anger. Behavioural symptoms: low activity/energy level, social withdrawal, lowered productivity, poor grooming, psychomotor retardation - reduced speech, slower movements, some are agitated, restless, exhibit anhedonia, or a loss in the capacity to derive pleasure from normally pleasant experiences. Physiological symptoms: loss of appetite, weight changes, constipation. 2: sleep difficulties; insomnia, especially early morning awakenings, or hypersomnia (sleeping too much, women may have longer menstrual cycles, may skip period(s, the volume of menstrual flow may decrease. 3: decreased libido, memory difficulties, brain changes over time. In severe depression, weight loss can become life threatening. In canada: prevalence estimated to be about 5% (% of population that is currently depressed, two times higher in females than in males.

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