PSYC 238 Lecture Notes - Lecture 4: Major Depressive Disorder, Mood Disorder, Bipolar Disorder

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Common depressive experiences: anhedonia loss of pleasure, depressed mood, psychomotor agitation/retardation, concentration problems, weight fluctuations, feeling worthless, suicidal thoughts, sleep problems, loss of energy. Episodic vs chronic: episodic comes for a couple of months, then goes away for a bit before coming back again, the cycle continues, chronic stable or persistent. Severe (severe impairment and distress/more than 5 symptoms: remission. Common manic experiences: elevated/expansive/irritable mood, distractibility, impulsivity, heightened motivation, grandiosity, decreased sleep, pressure to keep talking, racing thoughts. Mania: intensity mania vs hypomania, duration, impairment, some individuals cycle between hypomania and lower-grade depression (dysthymia) Why is it called bipolar: patient"s experience periods of very low mood (depression) and periods of high- energy and euphoria (mania, mood shifts occur over the course of weeks or months, not within a day or two. Cross-cultural differences: symptoms are interpreted differently and emotions have different expressions, clinical depression is a universal phenomenon.

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