Final Flashcards
emotion
short physiological, cognitive, behavioural states
mood
prolonged emotion that effects how you perceive life
mood disorder
prolonged, abnormal mood,
must result in distress +impairment
2 mood disorders
depressive disorders
bipolar and related disorders
cultural differences of depressive disorders
the way other cultures describe depression is somantic (eg. soul loss)
depressive disorders symptoms with children
more physical complaints and irritability
depressive disorder symptoms with the elderly
often compounded with GAD
may come on from physical frailty and leading to stopping doing things
major depressive disorder symptoms
at least 2 weeks of symptoms
1.depressed everyday
2.diminished interest or please in activities
3.significant weight loss
4.insomnia
5.slow motor skills
6. feeling of worthlessness
psychotic features of depression
fixed false beliefs
1/2 people with MDD
like - guilt, disease, punishment
can have hallucinations too - auditory and visual
persistent depressive disorder symptoms
persistance for at least 2 years
need fewer symptoms and lower mood does not need to be everyday
double depression
have Persistant depressive disorder and then mdd occurs
already low, go lower
how often are recurrent episodes of depressive disorders
60-50%
prefrontal cortex and depression
decrease in cortical thickness
associated with behaviour correlated with curiosity and going out into the world
hippocampus and depression
smaller size is correlated with higher levels of MDD
Antieror cingulate cortex
apart of a circuit that regulates emotion
decreased activity in those with depression
amygdala and depression
associated with stress increase and dendrite activity
brodmann area 25 and depression
when overactive mdd is more treatment resistant
monoamine theory
related to causes of depression
the balance between MAO chemicals are more important than their absolute levels
how does EST work
not fully known
alter monoamines- may be jolt to neurocircuts
may stimulate neurogensis in hippocampus
Transmagnetic stimulation
for depression
run magnet over CNS
pulse specific brain areas of PFC
AT beck
cognitive processes
cognitive content
should - I should be better
cognitive process
arbitrary inference
overgeneralization
selective abstraction
arbitrary inference
to arrive at a conclusion where there is no evidence
overgeneralization
magnifying negative things - one criticism means a destrcution of everything
selective abstraction
taking one detail out of contextr
dysfunctional attitudes
im only worth something if everyone loves me
cognitive therapy
for depression
automatic thought records
behavioural experiments
behavioural treatments
behavioural activation
pleasent event scheduling
behavioural activation
getting a person to re-engadge with environment
pleasent event scheduling
positive events will precede a depressed persons good mood
bipolar disorder characterizations
elevated-mania
lowered-deppresion
chacteristics of a manic episode
3 symptoms for at least 1 week
3 types of bipolar
bipolar 1
bipolar 2
cyclothymic disorder
bipolar 1
classic bipolar
clear manic episodes
bipolar 2
hypomanic episodes
cyclothymic disorder
duration of 2 years
less severe cycling of mood
rapid cycling specifier
at least 4 episodes per year
20-50% people
psychotic features specifier
delusions
hallucinations
psychosocial contributors to bipolar
stressful life events
sleep disruption
bio treatment for bipolar
lithium
lithum
for bipolar
50% respond well
many patients stop taking on purpose
valproate
anticonvulsant drug
anhedonia
loss of ability to experience any pleasure in life
hypomania
less severe mania
only has to last 4 days
unipolar disorder
experience of either Mania or depression
defining recurrent MDD
2 or more MDD episodes
separated by at least 2 months
specifier of PDD: pure dysthymic syndrome
Full criteria for a major depressive episode have not been met in at least the preceding 2 years.
Specifier of PDD: With persistent major depressive episode
Full criteria for a major depressive episode have been met throughout the preceding 2-year period.
Specifer of PDD: intermittent major depressive episodes, with current episode
Full criteria for a major depressive episode are currently met, but there have been periods of at least 8 weeks in at least the preceding 2 years with symptoms below the threshold for a full major depressive episode.
Specifier for PDD: intermittent major depressive episodes, without current episode
Full criteria for a major depressive episode are not currently met, but there has been one or more major depressive episodes in at least the preceding 2 years.
dexamethasone
part in body that surprises cortisol secretion in healthy individuals
tricyclic antidepressant
block reuptakes of certain neurotransmitters
lethal in large dose
downreg - norepinephrine, serotonin
MAO inhibiter
antidepressant
blocks enzyme MAO–> which breaks down norepinephrine and serotonin
interaction w/ reg things can be fatal - cheese,redwine
SSRI
blocks presynaptic reuptake of serotonin
increases serotonin at receptor sites
mindfulness based therapy
good for preventing future relapse
do activities alone
psychosocial treatment
30 sessions needed
family focused therapy
regulating sleep, eating cycles
2 other parts of suicidal behaviour
suicide attempts
suicidal ideation
altruistic/formal suicide
suicides that are approved of
in cases of bringing shame to family
egoistic suicide
loss of social support
anomic suicide
result of marked disruption eg. job loss
fatalistic suicide
loss of control of your own destiny eg.cult
Edward shneidman
created the psychological autopsy
psychological autopsy
reconstructing the psych profile of someone who committed suicide through interview with friends and family
definition of substance
any synthesized or natural product that has psychoactive effects