Mood disorders Flashcards
Depression
A down, state of sadness, withdrawl that is more than just a bad mood and effects most if not all aspects of daily functioning
3 important distinctions
- Depressive symptoms
- Depression as a syndorm(syptoms coccure)
- Depression as a psychological disorder(recive diagnosis)
Cognitive model of depression
Depressed individuals think differntly (underestimate preformance, judge selves to have preformed worse than they actuallu do, and blame selves for failures)
-therapy focuses on reframing cognitive distortions and finding alternative coping skills to replace maladaptive schemas
Biological model of depresson
Seratonin is thought to play a mojor role (SSRIs)
-takes weeks for dugs to be effectibve
Also may involve norepinephrine(effexor) or dapamine (wellbutrin)
Stress: chronic stress—> heightended levels of cortisol—erodes systems related to norepenephrine and other NTs and disrups circadian rhythems
Treatment focuses on ECT: acts like a system reboot and leads to resotred seratonin, norepenephrin, and dopamine release
Psychoanalytic/psychodynamic model for depression
Traditional model(psychoanalytic) proposed by frued says -forbidin feelings toward someone that are inappropriate and anger turned inward
Psychodynamic- modern model
-focuses on maladaptive relationship patterns and hypothesizes behaivoral patterns over time
Behaivoral model of depression
Anhedonia cause by not a lot of rewarding things in life and too much time to ruminate
Treatment focuses on behaivoral activation, self monitoring, and pleasent activity schedual
Humanistic model of depression
Disconnect betweeen who you are who and who you think you should be and clients might not even know what they want
Modern
- positive psychotherapy
- helps clients identify wat is important to them and recraft their lives accordingly
Sociocultural model of depression
Belief you should move on and be happy -gender disparity in depression based on social roles in responding to low moods Men—>action Women—>reflection and rumimation -men are less likely to report distress
Dysthymia
A chronic form of depression lasting at least 2 years with at least 2 of the symptoms of MDD.
Double Depression
Person has a dythymic disorder so there baseline isnt normal mood like in MDD. There baseline is a low grade depression and they occilate between that and severe depressiojn.
DSM 5 Clinical Depression
Must experience symptoms for at least 2 weeks
Patient must experience 5 ut of 9 of the fwollowing and depressed mood and anhedonia must be part of the 5
- depressec mood
- anhedonia
- a considerable loss or gain of weight (5% or more)
- insomnia or hypersomnia
- psychomoter agitation or retardation
- feeling fatigued or diminished energy
- reduced ability to think or concentrate
- thoughts of worthlessness and extreme guilt
- frequent thoughts of death or suicide
Also:
- symptoms cause sig distress or impariment
- not attributable to another condition
- never been a hypomanic or manic episode