U7 Flashcards
major depressive disorder
severe experience of depression persisting at least 2 weeks
anhedonia
general loss of interest in life
diagnostic criteria for MDD
- depressed mood/loss of interest more days then not
- significant weight change
- insomnia/hypersomnia
- fatigue
- impaired concentration
- worthlessness
- suicidal ideation
mania
period of excessive euphoria associated w mood disorders
diagnostic criteria for mania
l week +
increased energy
mood disturbance causes impairs social/occupational functioning
hypomanic episode
less severe version of manic episodes
unipolar mood disorder
individuals who experience either depression or mania
bipolar mood diaorder
experiences both depression and mania (not at the same time)
mixed manic episode
experiences both depression and mania at the same time
full remission
fully recovered for 2+ months
partial remission
partial recovery
t or f
the occurance of 1 depressive episode in a lifetime is rare
t
recurrent depressive episodes
episodes are separated by at least 2 months
persistant depressive disorder
- fewer symptoms then MDD (more mild)
- no break in symptoms for longer then 2 moths for more the 2 years
diagnostic criteria for persistent depressive disorder
- 2 years
- same symptoms as MDD
- never experienced mania
early vs late onset
early - before 21
late - after
double depression
MDD and PDD at same time
double depression with pure dysthymic syndrome
PDD without experiencing MDD within the last 2 yrs
double depression with persistent major depressive episode
PDD with experiencing MDD in the last 2 years
8 basic specifiers used to describe depressive disorders
- psychotic features
- anxious distress
- mixed features
- melancholic features
- atypical features
- catatonic features
- peripartum onset
- seasonal pattern
seasonal affective disorder
mood disorder involving cycling of episodes corresponding to seasons
integrated greif
stems from acute grief
individual accepts and adjusts to loss
severe grief (prolonged grief disorder)
6m - 1yr
increased suicidal thoughts (to join person who died)
premenstrual dysphoric disorder
incapacitating emotional reactions during premenstrual time
diagnostic criteria for premenstrual dysphoric disorder
- symptoms present in final week before period and disappear after
- mood swings, irritability, depressed mood etc
- minimum 2 symptomatic cycles
disruptive mood dysregulation disorder
child has chronic mood swings without mania
diagnostic criteria for disruptive mood dysregulation disorder
- severe reoccurent temper outbursts
- avg 3 times a week
- 12 months +
- different settings
- btwn ages 6-18 yrs
bipolar II disorder
alternation between MDD and hypomanic episodes
bipolar I disorder
alternation between MDD and full manic episodes
cyclothymic disorder
milder but more chronic then bipolar
2yrs
rapid cycling specifier
at least 4 manic or depressive episodes within a year
(higher suicide attempts and more severe symptoms)
ultra rapid and ultra ultra rapid
days vs 24hrs
t of f
its common to develop bipolar past 40
f
difference between major depressive episodes vs disorders
e - minimum 2 wk period of symptoms
d - the presence of at least one episode
are woman or men more likely to develop mood disorders
women
depressive disorders in kids
- similar to adults
- typically comorbid
- less gender differences
- disruptive mood disregulation up to age 12
biological causes of mood disorders
genetics
low levels of serotonin
elevated cortisol
psychological causes of mood disorders
stressful life events
learned helplessness
negative cognitive styles
cognitive triad
theory that depression may result from a tendency to think negatively about self, immediate world, or the future
social causes of mood disorders
marital relations (divorce affects men more)
more women on avg are affected
overall lack of support
treatment for mood disorders
meds (tricyclic antidepressants, MAO inhibitors, SSRI, lithium carbonate)
ECT
cognitive therapy
interpersonal psychotherapy
cognitive therapy vs interpersonal psychotherapy
ct - altering negative thought patterns and adopting coping behaviours
ip - focuses on resolving problems in relationships and learning to form new healthy ones
maintenance treatment
combo of continued psychosocial treatment or medication designed to prevent relapse following therapy
altruistic suicide
kill themselves bc they brought dishonour
egoistic suicide
loss of social support
anomic suicide
result of marked disruptions
fatalistic suicide
perceived loss of control over destiny
causes of suicidal ideation
- family history
- neurobiology (low serotonin levels)
- existing psychological disorders
- stressful life events
treatment for attempted suicide or suicidal ideation
- hospitalization
- cbt
- suicide prevention programs
mood disorder development is more based on genetics or environment
environment
internal attributions
negative outcomes are my fault
stable attributions
future negative outcomes are my fault
global attributions
everything is bad
becks cognitive theory of depression
depression includes
- negative views of the world, or self, and of future
martial dissatisfaction isstringly related to depression in men or women
men
depression is more common in men or women overall
women
behavioural activation
type of psychological treatment involving an increase is pleasurable activities
____ commit suicide more but ____ attempt more often
males
females