MOOD DISORDERS Flashcards
Are characterized by disturbances in feelings, thinking and behavior that tend to occur on a continuum ranging from severe depression to severe mania.
Mood Disorders
A state in which an individual feels very sad and despondent and has no energy or sense of future.
Depression
characterized by increased psychomotor activity
Agitated Depression
characterized by prominent patterns of anxiety
Anxious depression
lasts longer than 2 years; about 10% of those diagnosed with depression fall into this category
Chronic depression
characterized by biological cause, without known external stressors
Endogenous depression
occurs in the person’s late 40’s and 50’s
Involutional depression
usually revealed during treatment of somatic complaints. mostly elderly
Masked depression
characterized by paranoid ideation
Paranoid depression
can occur after childbirth, in three stages
Postpartum depression
3 stages of postpartum depression
First 3 to 4 days
3rd week after delivery
3 mos after delivery
the patient may begin to feel ‘blue’ and sad
first 3 to 4 days
other symptoms of depression appear; these symptoms can last for about one year
3rd week
confusion and disturbances in thought processes begin to accompany other symptoms.
3 mos
characterized by hallucinations and delusions
Psychotic depression
associated with external stressors
Reactive depression
accompanied by decreased psychomotor activities
Retarded depression
occurs during a specific season of the year
Seasonal depression
results from patient’s use of prescription, over-the-counter, or other types of drugs
Drug induced depression
Causes of depression
- Genetic and biologic predisposition theory
- Biochemical theory
- Psychodynamic theory
- Behavioral theory
- Cognitive theory
- Environmental theory
- Interpersonal theory
Biochemical theory
*Biogenic amine hypothesis. Dec amt of nor epi and serotonin
*High level of cortisol
*low thyroid hormones
Clinical symptoms of depression
Mild
Moderate (Dysthymia)
Major
The person may usually complain of physical discomfort and may be less responsive to the environment.
Mild
Is exhibited by affective symptoms of sadness or the ‘blues’- an appropriate response to stress.
Mild
Clinical symptoms are less severe compared to severe depression and do not include psychotic manifestation
Moderate
Person with this disorder may already manifests hallucination and delusion and may appear in a person with no known reason or cause.
Major
Persons with this disorder do not experience momentary shifts from one unpleasant mood to another.
Major depressive
The clinical symptoms interfere with social, occupational, or other important areas of functioning.
Major depressive disorder
Symptoms are not due to physiologic effect of a substance or due to a general medical condition
Major depressive disorder
Clinical symptoms of Major DD
5 or more symptoms during same 2 week period
are similar to those of the major depressive disorder or severe depression but are less severe.
Dysthymic disorder
There is no delusion, hallucination, impaired communication or incoherence.
Dysthymic disorder
Clinical symptoms of dysthymia
2 yrs or more, continual or intermittent
usually overly sensitive, often have intense guilt feelings, and may experience chronic anxiety.
Dysthymia
Bipolar Disorders
Bipolar 1
Bipolar 11
Cyclothymic
Is a recurrent disorder in which the individual may experience one or more manic episodes or mixed episodes.
Bipolar 1
the individual exhibits an abnormal, persistently elevated, expansive, or irritable mood that lasts for at least one week.
Bipolar 1
Impairment in various areas of functioning, psychotic symptoms, and the possibility of self-harm exist.
Bipolar 1
Is characterized by recurrent major depressive episodes with hypomania ( a mood between euphoria and excessive elation) episodes
Bipolar 11
Common in women
Bipolar 11
Diagnostic criteria require that the client have a presence or history of one or more major depressive episodes, alternating with manic episode
Bipolar 11
This diagnosis is used when an individual displays numerous periods of hypomanic symptoms and depressive symptoms that do not meet the criteria for a major depressive episodes
Cyclothymic disorder
Such symptoms occur for at least 2 years, during which they do not subside for more than 2 months.
Cyclothymic disorder