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MODULE 1: MOOD DISORDERS
symptoms of depression in children
2 week duration of depressed or irritable mood and/or loss of interest or
pleasure of four of following symptoms:
Weight or appetite change, sleep disturbance, psychomotor retardation or
agitation, fatigue or loss of energy, feelings of worthlessness or guilt,
diminished concentration, and suicidal ideation, intent, or plan. The
symptoms must cause
impairment in the child's functioning with regard to, for example, social or
school performance or peer relationships
Youth with major depressive disorder often display?
irritable mood rather than dysphoria.
mood disturbance symptoms in depression
mood change: painful arousal, hypersensitivity to unpleasant events,
insensitivity to pleasant events, insensitivity to unpleasant events, reduced
anticipatory pleasure, anhedonia affecting blunting, apathy
,disruptive mood dysregulation disorder
severe recurrent temper outbursts manifested verbally (verbal rages) and/or
behaviorally (physical aggression toward people or property) that are
grossly out of proportion in intensity or duration to the situation or
provocation
types of sleep disturbances that can be associated with major depressive
disorder?
hypersomnia
difficulty falling asleep (insomnia) middle insomnia
terminal insomnia (early morning awakening)
hypersomnia
may include either an extended period of nighttime sleep or daytime napping
that totals at least 10 hours of sleep per day (or at least 2 hours more than
when not
depressed).
,disruptive mood dysregulation disorder Diagnostic Criteria
The temper outbursts occur, on average, three or more times per week
The mood between temper outbursts is persistently irritable or angry most
of the day, nearly every day, and is observable by other
have been present for 12 or more months.
family and twin data collectively suggest that genes explain approximately
what percent of bipolar disorder and what percent of major depression
75%, 37%
persistent depressive disorder
depressed mood for most of the day, for most days than not, as indicated by
either subjective account or observation by others, for at least 2 years
persistent depressive disorder characteristics
1. Poor appetite or overeating.
2. Insomnia or hypersomnia.
3. Low energy or fatigue.
4. Low self-esteem.
5. Poor concentration or difficulty making decisions.
6. Feelings of hopelessness
, DIGFAST
Manic Episode: distractibility, indiscretion, grandiosity, flight of ideas,
activity increase, sleep deficit, talkativeness
contraindications of bright light therapy
patients with glaucoma, cataracts, macular degeneration, retinal
detachment, retinitis pigmentosa or retinopathy, patients taking
photosensitizing medications
indications for bright light therapy
Used for SAD; influences circadian rhythms, Advanced sleep-phase
syndrome (early sleep-wake times), Delayed sleep-phase syndrome,
Shift work disorder (insomnia during daytime sleep, drowsiness/fatigue
when awake), Jet lag,
Nonseasonal depression
bright light therapy sym that benefits the most
hypersomnia seems to be the most responsive symptom; most beneficial in
the morning.
3 levels of CBT therapy:
automatic thoughts, intermediate beliefs, cognitive schemata
automatic thoughts:
the conscious response to stimuli