Download ECPY 621 – Class 2

ECPY 621 – Class 5
Mood Disorders
Overview
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Review last week
Collect Homework
Mood Disorders
Activity
Delusion vs. Hallucination
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Delusion – A falsely held belief that cannot be
influenced or corrected by reason or
contradictory evidence. Characterized as
nonbizarre (situations that could occur in
everyday life) or bizarre (fantastic situation
that could never occur in reality)
Hallucination – An organized sensory
experience that is a product of the mind, that
does not exist in the outside world.
Mood Disorders
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Major depressive Disorder
Dysthymic Disorder
Bipolar I Disorder
Bipolar II Disorder
Cyclothymic Disorder
Episodes
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Major Depressive Episode
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Manic Episode
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Elevated mood of 1 week
Mixed Episode
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9 criteria within 2 weeks
Both met for 1 week
Hypomanic
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4 days and not enough to impair
Mood Disorders
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Major depressive Disorder- MDE
Dysthymic Disorder- >2 yrs/no MDE
Bipolar I Disorder- MDE and MME
Bipolar II Disorder – MDE and HME
Cyclothymic Disorder – HME and Depressive
symptoms
Specifiers
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Mild
Moderate
Severe without Psychotic Features
Severe with Psychotic Features
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Mood Congruent – either power, inflated worth or
death/guilt
Mood Incongruent– thought insertion, broadcasting
In partial Remission - < 2 months
In Full Remission > 2 months
Specifiers – cont’
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Chronic - > 2 years
Catatonic
Melancholic- loss of pleasure
Atypical – hypersomnia, weight gain
Longitudinal
Seasonal Pattern
Rapid Cycling- 4/yr (different for children)
Book Notes
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Page 194 (table 7-1 and 7-2)
Page 208 (table 7-3)
Needed Information
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Hx of financial difficulties/failed business
Hx of increased sexual activity & sexual
indiscretions
Hx of previous depression, hypomania/mania
Hx of rapid switches in mood
Hx of substance abuse
Hx of medical illness
Current mood
Needed Information cont’
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Patient’s guilty feelings/quality of self-esteem
Current hallucinations/delusions
Current & previous suicide ideation/attempts
Change in patient’s level of energy
Change in pattern of sleep
Activity
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Video Segment 1 - 5
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296.36 – Major
Depressive Disorder,
Recurrent, with Full
Interepisode Recovery,
Apparently in Full
Remission