1 / 15

Mood Disorders

Mood Disorders. Depressive Disorders Major Depressive Disorder Dysthymic Disorder. Major Depressive Disorder. At least one of the following three abnormal moods which significantly interfered with the person's life (for at least 2 weeks, nearly every day) :

brewster-neumann
Download Presentation

Mood Disorders

An Image/Link below is provided (as is) to download presentation Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author. Content is provided to you AS IS for your information and personal use only. Download presentation by click this link. While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server. During download, if you can't get a presentation, the file might be deleted by the publisher.

E N D

Presentation Transcript

  1. Mood Disorders • Depressive Disorders • Major Depressive Disorder • Dysthymic Disorder

  2. Major Depressive Disorder • At least one of the following three abnormal moods which significantly interfered with the person's life (for at least 2 weeks, nearly every day): • Abnormal depressed mood or dysphoric mood most of the day. • Abnormal loss of all interest and pleasure most of the day. • If 18 or younger, abnormal irritable mood most of the day.

  3. Major Depressive Disorder • At least five of the following symptoms have been present during the same 2 week depressed period. • Abnormal depressed mood (or irritable mood if a child or adolescent). • Abnormal loss of all interest and pleasure [as defined in criterion A2]. • Appetite or weight disturbance, either: • Abnormal weight loss (when not dieting) or decrease in appetite. • Abnormal weight gain or increase in appetite. • Sleep disturbance, either abnormal insomnia or abnormal hypersomnia.

  4. Major Depressive Disorder • (cont’d) • Activity disturbance, either abnormal agitation or abnormal slowing (observable by others). • Abnormal fatigue or loss of energy. • Abnormal self-reproach or inappropriate guilt. • Abnormal poor concentration or indecisiveness. • Abnormal morbid thoughts of death (not just fear of dying) or suicide

  5. Major Depressive Disorder • The symptoms are not due to a mood-incongruent psychosis. • There has never been a Manic Episode, a Mixed Episode, or a Hypomanic Episode. • The symptoms are not due to physical illness, alcohol, medication, or street drugs. • The symptoms are not due to normal bereavement.

  6. Assessment • Self-report instruments screening • Beck Depression Inventory • MMPI -2 • Clinical Interview • Suicide Risk

  7. Incidence • Males and females are equally affected by Major Depressive Disorder prior to puberty • After puberty, this disorder is twice as common in females as in males • Greatest incidence ages 25-44 • Up to 15% of patients with severe Major Depressive Disorder die by suicide

  8. Treatment Plans • Psychotherapies • Biological therapies • Family therapies • Suicide intervention

  9. Treatment Plans:Psychotherapies • Cognitive • Rational Emotive Behaviour Therapy • Behaviour Therapy • Interpersonal Psychotherapy • Family Therapies

  10. Treatment Plans:Suicide Intervention plans • Active vs passive ideation • No-suicide contracts • Modify maladaptive cognitions

  11. Treatment Plans:Biological Therapies • Psychotropic medications: • SSRI’s (selective serotonin reuptake inhibitors) • Prozac, Zoloft • Tricyclic Antidepressants • MAOI’s: (monomine oxidase inhibitors) • Electro-Convulsive Therapy

  12. Bipolar Disorders Manic Phase • Abnormally expansive, elevated or irritable mood • At least three additional symptoms ( 4 if irritable) during 1 week period: • Inflated self-esteem • Decreased need for sleep • Talkativeness (loud, nonstop, rapid) • Racing ideas • High distractibility • Increased goal-directed activity or physical agitation • Excessive involvement in sexual or other risk-related pleasurable activities

  13. Bipolar Disorders Hypomanic Episodes • Parallel manic episodes • At least three additional symptoms ( 4 if irritable) during a four day period: • Inflated self-esteem • Decreased need for sleep • Talkativeness (loud, nonstop, rapid) • Racing ideas • High distractibility • Increased goal-directed activity or physical agitation • Excessive involvement in sexual or other risk-related pleasurable activities

  14. Bipolar Disorders Mixed Episodes • Both manic and depressive episodes nearly every day for at least a one-week period. • Rapid cycling bipolar • Bipolar I – a past or present manic episode despite past history of depressive episodes • Bipolar II – in absence of past manic episode or mixed episodes, a person experiencing hypomania and a past major depressive episode

  15. Cyclothymia • Sustained period of vacillation between spirited & dispirited moods • Hypomania but not all the way to manic episodes • And numerous periods of sub-clinical depression

More Related