Mood Disorders (Depression and Mania) Flashcards
The primary characteristics of mood disorders are?
Feelings of severe and sustained sadness and hope-
lessness and contrasting feelings of euphoria, both of which can alter thinking and behavior in detri-
mental ways.
What determines the specific diagnosis under the umbrella of mood disorders?
Severity and sustained presence of depressive, manic, or combined symptoms
Categories of mood disorders:
c. Bipolar disorders
i.
Depressive (including major depressive disorder), dysthymic, bipolar (I and II), cyclothymic
Dysthymic disorder is characterized by
Major depressive symptoms that are less severe and present chronically for a period of at least 2 years
Bipolar I disorder
One or more manic episodes or mixed episodes
Bipolar II disorder
One or more major depressive episodes and at least one hypomanic episode
Cyclothymic disorder
Chronic (at least 2 years) mood disturbance with fluctuating hypomanic and depressive symptoms
Mood disoder impact on occupational performance
a. Low self-esteem and motivation levels, compromising successful completion of daily tasks
b. Family and work roles affected by mood
c. Daily routines disrupted during manic episodes
d. High work loss rates
Occupational therapy interventions for mood disorders
a. Cognitive–behavioral therapy to uncover distorted beliefs and faulty thinking patterns
b. Interpersonal psychotherapy to improve interpersonal and psychosocial functioning
Pharmacological intervention for depressive disorders
b. Bipolar disorders
i. Selective serotonin reuptake inhibitors: citalopram, escitalopram, fluoxetine, paroxetine,
sertraline
ii. Serotonin–norepinephrine reuptake inhibitors: duloxetine, venlafaxine
iii. Antidepressants: bupropion, mirtazapine
Pharmacological intervention for bipolar disorders
i. Mood stabilizers: lithium carbonate
ii. Anticonvulsants: carbamazepine, divalproex sodium, gabapentin