PSY-2212 Lecture Notes - Lecture 7: Bipolar Ii Disorder, Bipolar I Disorder, Suicidal Ideation

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26 Sep 2016
School
Department
Course
Bipolar and Depressive Disorders
Wednesday, September 21, 2016
11:03 AM
Bipolar and depressive disorders consist of conditions with varying degrees of depressed or manic
moods
Symptoms interfere with daily life (work, socialization, sex, diet, sleep)
Bipolar disorders:
Bipolar I
Bipolar II
Cyclothymia
Depressive Disorders:
Major Depression
Dysthymia
Disruptive Mood Dysregulation Disorder
Premenstrual Dysphoric Disorder'
Major Depressive Episodes: last longer than 2 weeks, involves sadness, weight change, sleep change,
fatigue, worthlessness, difficulty concentrating, suicidal ideation (loss not excluded)
Persistent depressive disorder (dysthymia): depressed mood most of the day, more days than not for
over 2 years. Never been without symptoms for more than 2 months
Disruptive Mood Dysregulation Disorder describes children 6-18, which "slows the rate of childhood
bipolar diagnoses"
PMDD is a more severe form of normal pre-menstruation mood changes, effects 3-18% of reproductive
women
MDD with peripartum onset is an intense period of depression following childbirth and peaking 2-6
months later, affects 6.5-12.9% of new mothers
Suicide is the 10th leading cause of death in the US, 1 million deaths world/year
3% of people report suicidal ideation, more common in women
Completed suicide is more common in men (who choose more lethal methods)
Risk factors for suicide: family history, psychological disorder, low seratonin, impulsivity, aggression
Elderly are most at-risk age group, followed by adolescents
Manic Episode- lasting more than a week, characterized by:
Grandiosity
Decreased need for sleep
Talkative
Racing thoughts
Distractibility
Goal-directed activity or psychomotor agitation
High-risk activities
Distress or impairment may include hospitalization or psychotic features
Hypomanic episode: expansive, elevated, or irritable mood and increased energy lasting more than four
days. Has the same symptoms of mania, but not severe enough to cause severe impairment or
hospitalization
Bipolar I disorder: one or more manic episodes. MDD or hypomania may be present, but not necessary
for diagnosis
Bipolar II disorder: one or more hypomanic episode and one or more depressive episode (never a manic
episode)
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