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Autumn Wagoner, LISW A category of mental disorders in which the underlying problem affects a person’s persistent mood. Mood disorders have periods of behaviors or “episodes” Major Depressive Disorder, Bipolar Disorder, Dysthymic Disorder, Cyclothymic Disorder, Disruptive Mood Dysregulation Disorder (DMDD), Premenstrual Dysphoric Disorder (PMDD), Seasonal Affective Disorder (SAD) Depressive Manic Mixed Hypomanic Most common mental disorders in the United States (NIMH) In 2014, an estimated 10.2 million adults aged 18 or older in the United States had at least one major depressive episode in the past year with severe impairment. This number represented 4.3% of all U.S. adults. (NIMH) Can have a co-occurring illness w/ Anxiety disorders, alcohol/substance abuse, or serious medical conditions/chronic illnesses Depressed mood or loss of interest/pleasure in most activities Changes in appetite and/or weight Changes in sleep; sleep disturbances or insomnia Increase in fatigue; decrease in energy Changes in psychomotor activity; slowness or restlessness Feelings of worthlessness or guilt Difficulties thinking and/or concentrating Recurrent thoughts of death or suicidal ideations, plans, or attempts https://www.youtube.com/watch?v=1Yq6W7Y AHM4&feature=player_detailpage -What did you notice? -What were your thoughts? Also known as manic-depressive illness 2 types: Bipolar 1 & Bipolar II Occurrence of one or more manic episodes, mixed episodes, or depressive episodes Symptoms of mania or a manic episode include: Mood Changes A long period of feeling "high," or an overly happy or outgoing mood Extreme irritability Behavioral Changes Talking very fast, jumping from one idea to another, having racing thoughts Being easily distracted Increasing activities, such as taking on new projects Being overly restless Sleeping little or not being tired Having an unrealistic belief in one's abilities Behaving impulsively and engaging in pleasurable, high-risk behaviors Symptoms of depression or a depressive episode include: Mood Changes An overly long period of feeling sad or hopeless Loss of interest in activities once enjoyed, including sex. Behavioral Changes Feeling tired or "slowed down" Having problems concentrating, remembering, and making decisions Being restless or irritable Changing eating, sleeping, or other habits Thinking of death or suicide, or attempting suicide. Have had at least 1 major depressive episode lasting at least 2 weeks and at least 1 hypomanic episode lasting at least 4 days People with Bipolar II often have more depressive episodes than hypomanic Hypomania is a less severe form of mania Chronic fluctuating mood disorder Emotional ups and downs that are not as extreme as Bipolar I or Bipolar II Can typically function in daily life, though not always well Chronic and mildly depressed mood that occurs most of the day, more days than not for at least 2 years. Not as severe as Major Depressive Disorder Mood usually described as sad or “down in the dumps” Premenstrual Dysphoric Disorder (PMDD) ◦ Severe and disabling premenstrual disorder that can cause extreme mood shifts ◦ Symptoms include: sadness/hopelessness, anxiety or tension, extreme moodiness, marked irritability or anger Disruptive Mood Dysregulation Disorder (DMDD) ◦ Severe & recurrent temper outbursts that are out of proportion to the situation at hand. ◦ Moods in between outbursts are persistent anger and irritability. Seasonal Affective Disorder (SAD) ◦ Type of depression related to changes in the season ◦ Subtype of Major Depressive Disorder or Bipolar ◦ Difficult to diagnose as symptoms are similar to other depression or mental health issues Simply ask, “How are you doing?” Education on mental health (normalizing to decrease negative stigma) Addressing behavioral concerns: Could identify/recognize barriers to clients treatment Education on correlation of medical health and mental health ◦ Evidence-based treatment that addresses ambivalence to change ◦ DARN-C (Change talk) Desire: People first talk about what they want to do Ability: How they could change Reasons: Why they would change Need: How important it is to change Commitment: Statements about the likelihood of change ***To learn more about MI: please go to https://www.centerforebp.case.edu Coleman Behavioral Health Portage Path Behavioral Health Community Support Services Greenleaf Family Counseling Pastoral Counseling Summa Psychiatry Summit Psychological Association Community Health Center Child Guidance & Family Solutions Mature Services Minority Behavioral Health Blick Clinic Ohio Guidestone Infoline (211) Charak Center for Health & Wellness References Case Western Reserve University, Center for Evidence-Based Practices. Motivational Interviewing. (n.d.). Retrieved February 22, 2016 from URL http://www.centerforebp.case.edu/practices/mi. Mayo Clinic Staff. Diseases and Conditions: Bipolar Disorder. (2015, February 10). Retrieved February 22, 2016 from URL http://www.mayoclinic.org/diseases-conditions/bipolar-disorder/basics/definition/con-20027544 Mayo Clinic Staff. Diseases and Conditions: Cyclothymia, cyclothymic disorder. (2015, June 4). Retrieved February 22, 2016 from URL http://www.mayoclinic.org/diseases-conditions/cyclothymia/basics/definition/con-20028763 Mayo Clinic Staff. Persistent Depressive Disorder, dysthymia. (2015, December 19). Retrieved February 22, 2016 from URL http://www.mayoclinic.org/diseases-conditions/persistent-depressive-disorder/home/ovc-20166590 Mayo Clinic Staff. Disease and Conditions: Seasonal Affective Disorder, SAD. (2014, September 12). Retrieved February 22, 2016 from URL http://www.mayoclinic.org/diseases-conditions/seasonal-affective-disorder/basics/definition/con20021047 National Institute of Mental Health. Bipolar Disorder. (n.d.). Retrieved February 22, 2016 from URL http://www.nimh.nih.gov/health/topics/bipolar-disorder/index.shtml National Institute of Mental Health. Depression. (n.d.). Retrieved February 22, 2016 from URL http://www.nimh.nih.gov/health/topics/depression/index.shtml American Psychiatric Association. DMS-5 Development. Disruptive Mood Dysregulation Disorder Fact Sheet. (2014). Retrieved February 22, 2016 from URL http://www.dsm5.org/Documents/Disruptive%20Mood%20Dysregulation%20Disorder%20Fact%20Sheet.pdf Child Mind Institute. Mental Health Guide. Disruptive Mood Dysregulation Disorder. (n.d.). Retrieved February 22, 2016 from URL http://www.childmind.org/en/health/disorder-guide/disruptive-mood-dysregulation-disorder Rollnick, S., Miller, W.R., & Butler, C.C., (Eds.). (2008). Practicing Motivational Interviewing. In Motivational Interviewing in Health Care: Helping Patients Change Behavior (pp. 33-43). New York, NY: Guilford Press.