Download Mood Disorders

Mood Disorders
[Instructor Name]
[Class Name Section]
Overview – Pt. 1
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Depressive Disorders
Bipolar Disorders
Prevalence
Risk Factors
Treatment
– Activity: Group Therapy
Depressive Disorders
Major Depressive Episode (MDD) Symptoms
1) Depressed mood
2) Diminished interest/pleasure in activities
3) Significant weight loss/gain or increase/decrease
in appetite
4) Insomnia/hypersomnia
5) Psychomotor agitation/retardation
6) Fatigue/loss of energy
7) Feeling worthless/excessive or inappropriate guilt
8) Diminished ability to concentrate/ indecisiveness
9) Recurrent thoughts of death, suicidal ideation, or
a suicide attempt
Depressive Disorders
Major Depressive Episode
Requirements
 2 weeks <
 Patients must have either depressed mood or
decreased interest
Depressive Disorders
Major Depressive Disorder
1 Major Depressive Episode <
Persistent Depressive Disorder
1) Poor appetite or
overeating
2) Insomnia or hypersomnia
3) Low energy or fatigue
4) Low self-esteem
5) Poor concentration or
difficulty making decisions
6) Feelings of hopelessness
Overview – Pt. 1
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Depressive Disorders
Bipolar Disorders
Prevalence
Risk Factors
Treatment
– Activity: Group Therapy
Bipolar Disorders
Symptoms:
Mania or Hypomania
•  self-esteem or grandiosity
•  goal-directed activity or
psychomotor agitations
•  talkativeness
•  risky behavior
Requirements:
•  need for sleep
Euphoric mood: 3 < symptoms
• Racing thoughts or flight of
Irritable mood: 4 < symptoms
ideas
Mania: Must be present for 1 • Distractibility
week <
Hypomania: 4-7 days
Bipolar Disorders
Bipolar I
Cyclothymic Disorder
 Single manic episode
 No depressive episode
required
 No major depressive
episode
 Symptoms 50% of time
 No more than 2 months
without symptoms
Bipolar II
 Depression
 Hypomania
Overview – Pt. 1
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Depressive Disorders
Bipolar Disorders
Prevalence
Risk Factors
Treatment
– Activity: Group Therapy
Prevalence of Depressive
Disorders
MDD: 16.6% (Lifetime)
PDD: .5% (12-month)
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Average age of onset: mid-20s
Risk Factors
Recovery
Relapse
Comorbidities
Prevalence of Bipolar Disorders
Lifetime Prevalence: 4.4%
Bipolar Disorder I: 1%
 Comorbidities
 Risk Factor
 Course
Overview – Pt. 1
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Depressive Disorders
Bipolar Disorders
Prevalence
Risk Factors
Treatment
– Activity: Group Therapy
Risk Factors of Depressive
Disorders
Genetic/Biological Factors
Environmental
 Stressful life events
 Early adversity
Attributional Styles
Risk Factors for Bipolar
Disorders
Genetic/Biological Factors
Environmental
 Relationship
 Positive Life Events
 Social zeitgeber theory
Overview – Pt. 1
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Depressive Disorders
Bipolar Disorders
Prevalence
Risk Factors
Treatment
– Activity: Group Therapy
Treatment – Depressive
Disorders
Thoughts
Biological Treatments
 ECT
 TMS
 Deep Brain Stimulation
Behavior
Emotions
Psychosocial Treatments
Medication
 MAOIs
 Tricyclics
 SSRI & SNRI
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Behavioral Therapy
Cognitive Therapy
Interpersonal Therapy
Short-Term Psychodynamic
Treatment – Bipolar Disorders
Medication
 Lithium
 Carbamazepine
 Valproate
Adjunctive Psychosocial
Treatment
 Interpersonal and Social
Rhythm Therapy (IPSRT)
Overview – Pt. 1
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Depressive Disorders
Bipolar Disorders
Prevalence
Risk Factors
Treatment
– Activity: Group Therapy
Activity: Group Therapy
Open-ended questions:
 What was that like?
 Tell me more about that.
Groups of 4-5
Develop Questions
Mood Disorders
Part 2: Special Topics
Overview – Pt. 2
• Sleep and Social Relationships in Depression
• Suicide & Mood Disorders
• Activity: Suicide Quiz
Sleep & Depression
Sleep/Depression Relationship
 6 hours > sleep = depression
risk
 Depression increases risk
for decreased sleep
 Lack of sleep = precursor for
major depression
Social Relationships & Depression
Social Isolation & Depression
 Isolation = risk factor for
depression
 Depression increases
isolation
 ¼ surveyed felt no social
support
 ½ surveyed reported no
friends outside of family
Overview – Pt. 2
• Special Topic: Sleep and Social Relationships in
Depression
• Suicide & Mood Disorders
• Activity: Suicide Quiz
Suicide & Mood Disorders
Risk Factors of Suicide?
 Lack of social support
 Childhood abuse
 Self-reported depressive
symptoms
 Maternal depression
Parallels with Depression?
Overview – Pt. 2
• Sleep and Social Relationships in Depression
• Suicide & Mood Disorders
• Activity: Suicide Quiz
Activity: Suicide Quiz
Photo Attribution
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