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PS280 Study Guide - Midterm Guide: Bipolar Disorder, Major Depressive Episode, Bulimia Nervosa

Course Code
Kathy Foxall
Study Guide

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Mood disorders and suicide
Mood disorders
Mood problems may be inappropriate, long-lasting, or interfere with function
Last atleast 2 weeks or more
Attempted and completed suicides are strongly related to the presence of
mood disorders
2 broad categories of mood disorders: Unipolar and bipolar
Conditions for clinical diagnosis
1) Interference
Depression interferes with ability to function in work, school, and relationships
2) Range of symptoms
Affects feelings and behaviour
Core symptoms of depression Affective
Necessary but not sufficient for a diagnosis
Mood down, sad most of the time, every day for 2 weeks or more
Loss of interest or pleasure in things that used to enjoy most of the time,
every day (anhedonia) for 2 weeks or more
Affective symptoms of depression
Include core symptoms on previous slide
Feelings of worthlessness
Cognitive symptoms of depression
Pessimistic thinking
Loss of motivation
Work and household chores seems like a great effort
Feelings of incompetence
Put self down
Thoughts of death in general and/or suicide
Difficulty concentrating
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Behavioral symptoms of depression
Low activity/energy level
Social withdrawal, lowered productivity
Poor grooming
Psychomotor slowing
Some are agitated, restless
Physiological Symptoms of depression
Loss of appetite, weight
Sleep difficulties; insomnia, especially early morning awakenings, or
Women may have longer menstrual cycles, may skip period(s)
Decreased libido
Findings on hippocampus (memory)
Depression is often untreated
Estimated that only 50% of people with depression receive a diagnosis
High co morbidity with anxiety
Overlapping symptoms of poor concentration, irritability, hypervigilance,
fatigue, guilt, memory loss, sleep difficulties, worry, obsessions & phobias
Relationship difficulties
Substance abuse
Severity of MDD
1) Mild
2) Moderate
3) Severe
1.With psychotic features
2.With anxious distress, mild to severe
3.With mixed features
4.With melancholic features- includes somatic features like early morning
awakening weight loss, inappropriate guilt, anhedonia
5. With catatonic features
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6. Atypical features oversleeping, overeating, anxiety, but can react with pleasure,
more common in women
7. With peripartum onset- just before or after birth
8. With seasonal pattern
Seasonal affective disorder
Vulnerability to environmental changes in amount of sunlight
Unipolar or bipolar
More women than men
Mood disorder with Peri-Partum Onset
Quick and unpredictable changes in mood and constant thoughts of infant
Andrea Yates
Persistent depressive disorder (Dysthymia)
Symptoms of depression, but not enough to qualify as major depressive
2 years or more
2 or more of the following: poor appetite/overeating; sleep disturbance,
fatigue, low self-esteem, poor
Disruptive mood Dysregulation Disorder
New to DSM-5
1995-2005, diagnosis of bipolar disorder in children increased 40x
Do not have mania
Premenstrual dysphoric disorder
Bipolar Disorders
Bipolar Disorder I and II
Symptoms of Mania
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