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LP 4 Mood Disorders/ Reflection Paper Mood Disorders Jamie M. Floeter Moraine Park Technical College AODA Counseling Program 550-142 Introduction to Community Mental Health Jerome M. VanKirk March 5, 2013 LP 4 Mood Disorders/ Reflection Paper Abstract Well in general the term Mood is the way how a person is feeling at a given time. Happy or sad is a good example of a person’s mood, though in a clinical setting a mental health professional will use the term mood in a different way. The term mood is used to describe a continuous emotional state of mind that will affect how a person looks and the world and how that person copes and deals with life. When a mental health professional looks into these moods they will look at them as depression and or mania. These are known as mood disorders or affective disorders. These mood disorders get placed into two broad categories. These categories are depressive disorders and bipolar disorders (manic depressive disorder). There are many classifications of these mood disorders. There is major depression (unipolar depression), mania, episodic depression, dysthymic disorder, chronic depression and double depression. I was very shocked to read about all the different forms and classifications of depression and find it hard to keep it all organized. LP 4 Mood Disorders/ Reflection Paper Mood Disorders When it comes to being in a bad mood, how do you know when it has come to the point where you have a disorder? We have all had our down points were life just feels like it’s completely against us. Given the right amount of time we generally bounce back to our happy selves. (Time heals all wounds) Then we can go through the process again because life is not easy and is always throwing obstacles are way, that’s just life in general. (Normal depression) But people can reach a point where it’s not that easy to bounce back again or the will to bounce back fades. Degree Normal depression can have many of the same symptoms as depressive disorders. They both can show the same amount of emotional problems at work, school, or in the home. So how does normal depression differ from depressive disorders? In many ways, normal depression differs only in degree, not in kind, from the clinical disorder. (Flett, Vredenburg, and Krames, 1997) When a person with a depressive disorder however, the symptoms of depression are way more sever, happen more frequently, and can last for much longer periods of time. Classifications Unipolar depression is another name for Major depressive disorder. This is when a person may have troubles eating and sleeping, they may not be interested in activities that once gave them enjoyment, troubles Mood Disorders/ Reflection Paper LP 4 concentrating, also feelings of fatigue, sadness, and hopelessness. By the DSM-IV’s definition, a major depressive disorder episode can last up to two weeks. Mania tends to be the opposite of depression. This is when a person experiences changes in their mood such as abnormally elevated irritation and energy levels. People with mania tend to an inflated self-esteem, fights of ideas, and they can be much more talkative. The word Mania derived from the Greek "μανία" meaning “mad, frenzy”. Bipolar disorder also known as manic depression is when an individual has major swings into mania then over to depression. Bipolar disorders are distinguished by to kinds, this is weather the depression is full manic episodes or just hypomanic episodes. A hypomanic episode can last up to four days and the person’s mood is clearly different than usual. The symptoms are not drug induced, or caused by any medical treatment or condition. Episodic depression can last up to two years and has a clear beginning. I tried my best to research this, but I had troubles finding information on this one. Dysthymic Disorder is depression that has lasted longer than two years. A two years stretch with maybe one to two months of normal mood and functions. Then there was talk about chronic depression, which I had problems coming up with its own definition, just that it’s higher in degree LP 4 Mood Disorders/ Reflection Paper when it comes to depression. Then I read about double depression which seems to do high degrees of depression with low levels of recovery. Treatment Now day’s people who suffer with depression can now get relief with brief biological or psychological treatment. Though there is still going to be some form of reoccurrence that will remain with all form and types of treatments. Biological treatment for unipolar depression when it is sever has two ways. The first is to use drugs that can create a moderate form of relief. Though if the drug is stopped, the relapse rate is extremely high. The second is Electro compulsive shock therapy. Even though about 80 percent of patients with severe depression have had positive responses to this form of therapy, it still sounds inhumane to me. I do hope that over time that a new science will replace this form of therapy. One of the medications that is used for depression is, Tricyclic antidepressants that block the reuptake of norepinephrine (NE), thus making NE more available. When NE is more available the patient tends to feel less depressed. Another drug that is used is Monoamine oxidase inhibitors (MAO’s) that prevent the breakdown of NE by inhibiting the enzyme (MAO). I feel that the MAO’s are dangerous because they are known to have lethal side effects. A third drug that is used is a Selective Serotonin reuptake inhibitor. Mood Disorders/ Reflection Paper LP 4 Another route to go in treatment is either Cognitive therapy or Psychodynamic therapy. Cognitive therapy can help to alleviate symptoms short term. Psychodynamic therapy focuses more on long term changes than on short term alleviation. I feel that it will take some training for me to become competent in counseling those who suffer with disorders as such. I feel that some of these symptoms will be similar to those of a long term addict. I also wouldn’t be surprised in the least if I have a client who has miss-used some of these anti-depressants I mentioned earlier. I do feel that it is important to receive some training in this area when it comes to AODA counseling. LP 4 Mood Disorders/ Reflection Paper References http://www.psyweb.com/mdisord/jsp/moodd.jsp © 2013 http://depression.about.com/od/mooddisordertypes/g/unipolar.htm Nancy Schimelpfening Reviewed by Medical Health Board Updated May 04, 2007 http://en.wikipedia.org/wiki/Mania Modified on March 3rd 2013 http://suite101.com/article/am-i-bipolar-mixedmanichypomanic-episodes-a107242 The American Psychiatric Association Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition, (DSM-IV) © Lisa C. DeLuca http://emedicine.medscape.com/article/290686-overview Author: Jerry L. Halverson, MD: Chief Editor: David Bienenfeld, MD ©1994-2013 by WebMD LLC. Abnormal Psychology Fourth Edition Seligman, Walker, Rosenhan © 2001, 1995, 1989, 1984, by W. W. Norton & Company, Inc