Review
Major Depressive Episode - ANS ✔✔Duration:
- Two weeks.
- Nearly constant for the duration.
Degree of Disturbance:
- At least five of the symptoms are present
- At least one of the symptoms is either:
1) depressed mood
2) loss of interest or pleasure
Impairment:
- Must be a change from previous functioning.
The episode involves a 2-week period of nearly constant depressive symptomatology:
- sadness
- loss of interest or pleasure
- changes in weight
- changes in sleep
- loss of energy
- agitated or slow movement
- difficulty concentrating
- guilt
- thoughts of death.
,Manic Episode - ANS ✔✔Duration
- One week.
- Unless hospitalization is necessary.
Symptoms
- euphoria
- continuous talking
- hypersexual
- decreased need for sleep
- tend to go on shopping sprees
Characterized by:
- excessive elation
- irritability
- talkativeness
- flight of ideas
- accelerated speech and motor behavior
Three factors that constitute "abnormal" - ANS ✔✔Justification
Level/Depth
- does it interfere with your normal functioning?
Duration
Unipolar - ANS ✔✔Refers to experiencing clinical episodes of depressed mood
,Bipolar - ANS ✔✔Refers to experiencing episodes at both poles, depressed and manic.
Fluctuates between mania and depression.
Mood Disorders (from slides) - ANS ✔✔Major depressive disorder
Persistent Depressive disorder (Dysthymia)
Bipolar disorder (I and II)
Cyclothymic disorder
Also:
- Premenstrual Dysphoric Disorder
- Disruptive Mood Dysregulation Disorder
Depressive Disorders - ANS ✔✔Major Depressive Disorder
Persistent Depressive Disorder (Dysthymia)
Disruptive Mood Dysregulation Disorder
Premenstrual Dysmorphic Disorder
(from book)
Major Depressive Disorder: Diagnosis - ANS ✔✔A major depressive episode
At least one of the symptoms is either:
1) depressed mood
2) loss of interest or pleasure
, No history of either manic or hypomanic episodes.
Major Depressive Disorder: Associated Features - ANS ✔✔- feelings of isolation, rejection, being
unloved
- pessimism
- low motivation
- reduced sex drive
The more recurrences, the more likely you will have another episode.
Major Depressive Disorder: Specifiers - ANS ✔✔Melancholic features
Psychotic features
Seasonal pattern (seasonal affective disorder)
Postpartum
Major Depressive Disorder: Melancholic Features - ANS ✔✔- lost pleasure or interest in almost
all activities
- does not react to usually pleasurable stimuli or desired events
Major Depressive Disorder: Psychotic Features - ANS ✔✔- Mood congruent: hallucinations or
delusions
Major Depressive Disorder: Seasonal Pattern - ANS ✔✔Only happens at the same time of
season
- usually winter