PSYC 353 Lecture Notes - Major Depressive Episode, Major Depressive Disorder, Psychomotor Agitation

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Observable behaviors that are how one"s inner feelings are expressed. Broad, restricted (constriction in expressive range), blunted (reduction in intensity, ex. Win 1 million dollars but exhibiting little affect), flat (not exhibiting any), inappropriate, labile (fluctuating in abrupt shifts) Type or combination of episodes tell us what diagnosis is: major depressive disorder: at least one major depressive episode, bipolar 2 disorder: recurrent major depressive episodes and hypomanic episodes. Either depressed mood or anhedonia (inability to experience pleasure from normal things) Plus at least 4 other symptoms: appetite change/ weight loss, sleep disturbance, psychomotor symptoms (pacing or rubbing, anxious, fatigue or loss of energy, feelings of worthlessness/guilt (exaggerated responsibility for failures, difficulty concentrating/ making decisions, thoughts of death/ suicide. Abnormally and persistently elevated, expansive or irritable mood. At least one week of symptoms (unless hospitalized) Meet criteria for both a major depressive and manic episode for at least one week. Often includes agitation, insomnia, appetite problems, psychotic features, suicidal thinking.

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