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Chapter 7
Depressive and Bipolar Disorders
35
Psychology
Undergraduate 1
10/05/2014

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Term
Mood
Definition
Prolonged emotional state
Term
Depressive disorders
Definition
Inds. often experiences one extreme mood
Term
Bipolar disorders
Definition
Indi. often experience both depression and mania
Term
Depression
Definition
Mood state characterized by intense sadness or despair, feeling worthlessness, and withdrawal from others
Core feature of depressive disorders and also commonly seen in bipolar disorders
Term
Mood symptoms
Definition
Depressed mood with feeling of sadness or despair, feeling of sadness, emptiness, hopelessness, worthlessness, or low self-esteem
Little emptiness, hopelessness, worthlessness, or low self esteem
Term
Cognitive symptoms
Definition
Pessimistic, self critical beliefs. Thoughts of suicide. Interfere with memory, concentration, and decision-making
Term
Behavioral symptoms
Definition
Fatigue, social withdrawal, and reduced motivation
daily activities seem overwhelming
slow speech
lack of concern
Term
Physiological symptoms
Definition
Appetite and weight change
sleep disturbance
unexplained aches and pain
aversion to sexual activity
Term
HyperMania
Definition
A milder from of mania involving increased levels of activity and goal directed behaviors combined with elevated, expensive, or irritable mood
Term
Mania
Definition
Very exaggerated activity and emotions including euphoria, excessive excitement or irritability, dismished need for sleep and resultant impairment in social or occupational functioning
Term
Symptoms of Mania
Definition
Mood: Emotionally unstable with modd changes ranging fro extreme elation to intense rage
Elevated mood
Increased mood
Increased energy and enthusiasm
Inappropriate use of humor and poor judgement
Term
Symptoms of Mania: cognitive
Definition
Disorientation, lack of focus and attention and poor judgement
Lack of insight regarding inappropriateness of behavior
Pressured speech: rapid
Flight of ideas: rapidly changing or disjointed thoughts
Term
Symptoms of Mania: Physiological
Definition
Decreased need for sleep
high levels or arousal
increased sex drive
Weight loss->high energy expenditure
Term
Evaluating Mood symptoms
Definition
Mild,mod, severe symp
Frequency and duration of episodes
seasonal changes in mood
Patterns of alcohol or other substance use
presence of aanxiety or suicidality
mixed features
Term
Major depressive disorder
Definition
Requires a major depressive episode impair functioning for most of the day. every day for two weeks
Term
Dysthymic disorder (chronic depression)
Definition
present for most of the day for more days than not during two year period w no more than two months symptom-free
two symptoms must be present:
low self esteem, hopelessness, poor appetite, low energy, sleep difficult
Term
anxious distress
Definition
Symptoms of motor tension, difficulty relaxing, pervasive worries, or feelings that something catastrophic will occur
Term
SAD seasonal affective disorder
Definition
Severe depression that occurs with a seasonal pattern associated with decreasing light. Fall or winter remit spring or summer
Term
PMDD Premenstrual dysphoric disorder
Definition
Symptoms of depression, irritability, and tension that appear the week before menstruation and remit soon after menstruation begins. Produces distress->interferes social and occupational functioning
Term
Prevalence of depressive disorders
Definition
common, leading disability, expensive (50 million spent)
Increased women, native american,divorced.
Recurrence->high
Term
Etiology of depressive disorders: biological
Definition
Heredity: run in families, genetic (serotonin transporter gene)
Term
Etiology of depressive disorders: Psychological
Definition
Behavioral: not enough social support
Cognitive: the way people think causes depression: negative thoughts
Term
Beck's cognitive theory
Definition
Depression is a caused by how you think not modd
Term
Etiology of depressive disorders: social
Definition
maltreatment during childhood
acute stress-> depression
Term
Etiology of depressive disorders: sociocultural
Definition
culture, ethnicity->experienced differently
Gender: women are more common
Term
Treatments for depression:Biomedical
Definition
Biomedical treatments: meds->SSRIs
Exercise and dietary, circadian-related treatments
Brain stimulation therapies: ECT
Term
Treatments for depression: psychological and behavioral
Definition
focus->increase exposure to pleasurable events and activities, improving social skills, and facilitating social interactions via steps: 42
Disrupt the cycle of negative thinking by focusing on present
Term
Treatments for depression
Definition
Bio and psychological is the best way to treat depression->longer lasting effects
Term
Bipolar Disorder
Definition
Symtoms of mania/hypomania that alternate with episodes of depression. Less prevalent than depressive disorder. high cost
Term
Bipolar I
Definition
Manic episode with or without severe depression
Term
Bipolar II
Definition
One major depressive episode lasting two weeks and at least one hypomanic
Term
Cyclothymic Disorder
Definition
Hypomanic episodes are consistently interspersed with depressed moods for at least two years
Term
Etiology of bipolar disorders: Biological
Definition
Heritability. Interactions among multiple genes. Neurological influences. Brain irregularities: traumatic brain injury
Term
Treatments for bipolar disorders
Definition
aims to eliminate all symptoms. Lithium is treatment of choice.
Anticonvulsant drugs are helpful & antidepressants symptoms are can help depressive symptoms.
psychotherapy and family therapy are helpful
Term
psychoeducation
Definition
Teach a patient about their disorder,treatments, ideas
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