Mood Disorders Flashcards
Depression: key causative factors (Biopsychological model)
genes and gene- environment interaction
neurochemicals, hormones, circadian rhythms and immune system
sex difference
Bipolar disorder: key causative factors (Biopsychological model)
neurochemicals
hormone system
circadian rhythms
Define: Affect
observable mood (subjective)
Define: Mood
how the patient feels (objective)
Define: Egocentric
the patients thoughts of themselves
Define: Euthymic
typical mood range
Define: Elation
great happiness or exhilaration
Define: Dysthymic
lowered mood that is chronic
Define: labile
rapidly changing emotional state
Define: impulsivity
behavioural acts based on feelings and lack of fore thought
Define: somatisation
manifestation of psychological distress in the form of physical symptoms
Define: pressure of speech
rapid and often loud speech
Define: Anhedonia
loss of interest in usually pleasurable activities
Define: psycho-motor retardation
slowing up of usually fluid physical movement
DSM 5 criteria for major depression (five or more of the symptoms for the same two week period)
- depressed mood
- loss of interest
- significant weight loss when not dieting or weight gain
- insomnia or hypersomnia
- psychomotor agitation or retardation
- fatigue or loss of energy
- feelings of worthlessness or guilt
- indecisiveness or difficulty concentrating
- recurrent thought of death
DSM 5 criteria for a manic disorder
A- persistent and abnormal elevated expansive or irritable mood
B- increases activity, energy
1. inflected self esteem or grandiosity
2. decreased need for sleep
3. pressure of speech
4. flight of ideas or racing thoughts
5. distractibility
6. increased goal directed activity
7. excessive involvement in pleasurable activities.
C- mood disturbance causes marked impairment to social or occupational functioning
D- the episode is not due to a substance or medical condition
what should be included in a risk analysis plan for suicide?
category of risk detail of historical risk information health related factors environmental factors planned intent staff allocation strengths barriers specific risk
what are the stable, dynamis and protective risk factors associated with suicide risk?
stable- age, gende, marital status, history, family history of suicide, childhood adversity, employment difficulties
dynamic- mental state, isolation, recent loss, recent experience of suicide in the family/ friends, adversity to stress, access to means
protective- help seeking behaviour, strong social supports, engage with services, stable employment no substance use.
what are some questions you would ask someone you suspect or know is experiencing suicidal ideation
do you have a plan?
do have have access to the plan?
does you whanau know you have a plan?
Depressive disorder- major depressive disorder
- a condition involving seriously depressed mood and other symptoms which affect all body systems and interfere significantly with a person’s ability to carry out their activities of daily living
Depressive disorder- dysthymic disorder
- chronically depressed mood for most of the day, more days than not, for at least two years
DSM 5 criteria for Dysthymia
- depressed mood for most of the day during a 2 year period (1 year for children and adolescents), presence of depressed mood
- symptoms cause clinically significant distress in social, occupation and other important. areas of functioning
- presence of two or more of the following
- decrease or increase in appetite
- insomnia or hypersomnia
- anhedonia
- poor concentration or difficulty making decisions
- feelings of hopelessness and despair
the symptoms are not related to a major depressive episode, a bipolar disorder, a psychotic disorder, the psychological effects of a substance, or general medical condition
Depression observable changes: behaviour
social and emotional withdrawal, less effective in areas of work and family relations, substance abuse
Depression observable changes: cognitive
becomes increasingly egocentric, thoughts become negative, difficulty concentrating, indecisiveness, self-deprecating beliefs and negative ruminations, thoughts of death and suicide
