types of mood disorders Flashcards
categories of mood disturbance?
normal experience
clinical depression / mania (syndrome) - bipolar
recurrent episodes of mood disturbance
relatively mild & chronic mood disturbances (sub-syndromal depression + dysthymia)
core symptoms of depressive disorders?
low mood
lack of energy
lack of enjoyment + interest
2 classifications of features of depressive disorders
depressive thoughts
biological symptoms
depressive thoughts?
low self esteem
guilt + self blame
hopelessness
suicidal thoughts
biological symptoms of depressive disorders?
loss of interest / pleasure lack of emotional response EMW DMV reduced appetite weight loss psychomotor retardation / agitation loss of libido
other presentations of depression
agitated depression masked depression atypical depression psychotic depression depression in a specific context (e.g. post-natal)
how do patients present with agitated depression?
there is no psycho-motor retardation, but instead the patient is restless and agitated
how do patients present with masked depression?
more difficult to diagnose
some of the depressive symptoms are less obvious
how do patients present with atypical depression?
over-eating weight gain increased sleep patients are often extremely fatigued (relationship with SAD)
how do patients present with psychotic depression?
hallucinations, often auditory
delusions
what are hallucinations?
a false perception where there is no external stimulus
what is a delusion?
an idea / belief, held on inadequate grounds and not in keeping with the patient’s educational and cultural background
the believes are firmly held
symptoms of mania?
elated mood increased activity increased energy ideas of self importance pressure of speech flight of ideas increased libido reduced sleep psychotic symptoms
classification of depressive episodes in manic patients?
mild
moderate
severe
severe with psychotic symptoms
classification of manic episodes in manic patients?
hypomania
mania
mania with psychotic symptoms