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Mood Disorders [Instructor Name] [Class Name Section] Overview – Pt. 1 • • • • • 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 • • • • • 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 • • • • • Depressive Disorders Bipolar Disorders Prevalence Risk Factors Treatment – Activity: Group Therapy Prevalence of Depressive Disorders MDD: 16.6% (Lifetime) PDD: .5% (12-month) 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 • • • • • 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 • • • • • 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 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 • • • • • 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 Slide 1 & 20 Slide 5 Slide 7 Slide 10 Slide 11 Slide 13 Slide 14 Slide 17 Slide 19 Slide 23 Slide 25 Slide 27 Photo Credit: Jessi RM https://www.flickr.com/photos/25273774@N04/4746222641/ https://creativecommons.org/licenses/by-nc-nd/2.0/ Photo Credit: Mike Bailey-Gates https://www.flickr.com/photos/10244704@N05/2579140026/ https://creativecommons.org/licenses/by-nc-nd/2.0/ Photo Credit: AdamNF https://www.flickr.com/photos/68009561@N00/2390168497/ https://creativecommons.org/licenses/by-nc-sa/2.0/ Photo Credit: Key Foster https://www.flickr.com/photos/61411590@N03/5859097301/ https://creativecommons.org/licenses/by/2.0/ Photo Credit: Pulpolux !!! https://www.flickr.com/photos/46425925@N00/116981263/ https://creativecommons.org/licenses/by-nc/2.0/ Photo Credit: johnm2205 https://www.flickr.com/photos/13049634@N00/2588225548/ https://creativecommons.org/licenses/by-nc-nd/2.0/ Photo Credit: theloushe https://www.flickr.com/photos/23478852@N00/3976023854/ https://creativecommons.org/licenses/by-nc-nd/2.0/ Photo Credit: TheRogue https://www.flickr.com/photos/17456128@N00/3866847140/ https://creativecommons.org/licenses/by-nc-sa/2.0/ Photo Credit: transportationcamp https://www.flickr.com/photos/60342128@N08/5506175191/ https://creativecommons.org/licenses/by/2.0/ Photo Credit: David Ingram https://www.flickr.com/photos/dingatx/8219989409/ https://creativecommons.org/licenses/by-nc/2.0/ Photo Credit: Randal Droher https://www.flickr.com/photos/randaldroher/399240435/ https://creativecommons.org/licenses/by-nc-sa/2.0/ Photo Credit: Horia Varlan http://www.flickr.com/photos/10361931@N06/4273168957 https://creativecommons.org/licenses/by/2.0/