Week 3: Mood Disorders Flashcards
What are the two primary mood disorders?
- Major depression (MDD)
- Bipolar disorder (formerly manic-depressive)
What is a major depression(MDD)?
- 2+ weeks of depressed mood, lack of pleasure in life activities
- changes in eating habits, hypersomnia/insomia, impaired concentration, decision making, inability to cope, overwhelming fatigue, negative thinking, pessimistic
What is bipolar disorder (formerly manic-depression)?
-Mood fluctuates to extremes of mania and/or depression
What is dysthymia? Symptoms?
Depressed mood for most of the days for more days than not
Symptoms: insomnia, hypersomnia, poor appetite or over eating, low energy & self esteem, poor concentration, feelings of hopelessness
*no mania or hypomania episodes, underlying medical causes identified
What is disruptive mood dysregulation disorder?
- Persistent angry/irritable
-Severe, recurring angry outbursts that are not in keeping with the situation or provocation, starting before age 10 at least 3 times per week - Inconsistent with developmental level
- Setting is a factor
What is cyclothymia?
- Characterized by 2+ years of symptoms include an alternating pattern of emotional highs and lows
- Highs of cyclothymia characterized hypomanic symptoms, which resemble those of mania, but are less severe
- Lows consist of mild or moderate depressive symptoms.
- Symptom similar to those of bipolar disorder, but less severe
- Usually can function in daily life without social or occupational loss
What is substance-induced depressive or bipolar disorder?
- Significant disruption in mood
- Direct physiologic consequence of ingested substances such as alcohol, other drugs or toxins
- Many medications and substances are known to cause substance-induced depression.
I.E. clonidine, tamoxifen, steroids, triptans, anti depressants etc.
What is a mood disorder?
Due to a general medical condition - i.e. degenerative neurological condition, i.e. CVA
What is seasonal affective disorder(SAD)?
2 types:
Winter or Fall Onset = ↑appetite, sleep, carb cravings, weight gain, conflict, irritability, abates with spring and summer
Spring Onset = less common - insomnia, weight loss, poor appetite
What is postpartum or “maternity” blues? Treatment?
– Within 1-5 days of delivery, brief episodes of labile mood and tearfulness, crying spells, anxiety, peak 3-7 days (mild, predictable ) Treatment: reassurance, time to resolve
What is postpartum depression? Treatment?
– occurs within 4 wks of delivery and more debilitating than the“blues” - Treatment: medication, psychotherapy
What is postpartum psychosis?
Needs IMMEDIATE TREATMENT
- rare, follows delivery
What is pre-menstrual dysphoric disorder?
- Recurrent, moderate psychological and physical symptoms that occur during the week before menses and resolve with menstruation
- Can cause severe dysfunction in social or occupational functioning
What is non-suicidal self-injury(self mutilation)?
- Involves deliberate, intentional cutting, bruising, burning, scraping, hitting, or interference with wound healing
- Persons report reasons of alleviation of negative emotions, self-punishment, seeking attention, or escaping a situation or responsibility
What are the two major chemical messengers implicated in mood disorders?
- Serotonin
- Norepinephrine