Patho Week 9 Transcript
Mood, Dissociative and Personality Disorders – Psychological Disorders (PSY
00:01
Now, let's get into the second broad bean of psychological disorder that I
would say is probably the most common would be mood disorders.
00:10
So these are -- disorders characterized by a persistent pattern of abnormal
mood and there's -- well, referring to you is affect and mood.
00:21
So affect refers to an individual's visible emotion in the moment and mood is
sustain internal emotion that reflects his or her view of life.
00:29
So when we look at things like depression, now, would follow under mood
disorder, this is sort of a long term impact on their view on life and the emotion
they're going to portray.
00:41
So somebody who is depressed isn't going to be smiling all the time and super
happy and smelling the roses, emotionally speaking the visible emotion that
you see would be a little bit more down -- would be a little bit more on the
negative side and their internal mood would be that they feel like, "What's the
point of living, I'm so unhappy, I don’t find happiness in the things that I should
be finding happiness in." The DSM-5 separates mood disorders into two
categories. There are depressive and related disorders, and bipolar and
related disorders.
01:15
Let's start by discussing the depressive disorders. First, there is major
depressive disorder, this one is often called unipolar or a major depression.
01:24
For diagnosis five or more of the following conditions must have been present
nearly every day during the same two week period and one of them must be
depressed mode or lost of interest or pleasure.
01:37
,The conditions are: depressed mood most of the day; markedly diminished
interest or pleasure in all or almost all activities for most of the day.
01:47
Significant so more than 5% weight gain or loss or decreased or increase
appetite.
01:53
Insomnia, often sleep-maintenance insomnia or hypersomnia; psychomotor
agitation or retardation observed by other, not self-reported. Fatigue or loss of
energy.
02:06
Feelings of worthlessness or excessive or inappropriate guilt.
02:11
Diminished ability to think or concentrate or indecisiveness.
02:15
Recurrent thoughts of death or suicide. A suicide attempt or a specific plan for
committing suicide.
02:23
The next form is persistent depressive disorder.
02:26
It is characterized by depressive symptoms that persist for two or more years
without remission.
02:33
PDD consolidates disorders, formally termed chronic major depressive
disorder and dysthymic disorder.
02:41
For diagnosis, patients must have had a depress mode for most of the day for
two or more years plus two or more of the following conditions: poor appetite
or over eating; insomnia or hypersomnia; low energy or fatigue; low self-
esteem; poor concentration or difficulty in making decisions; feelings of
hopelessness.
03:05
Now, let's talk about premenstrual dysphoric disorder. It involves mood and
anxiety symptoms that are clearly related to the menstrual cycle with onset
during the pre-menstrual phase had the symptom free interval after
menstruation.
03:20
, The symptoms must be present during most menstrual cycles during the past
year.
03:25
For diagnosis, patients must have five or more symptoms during the week
before menstruation.
03:31
Symptoms must begin to remit within a few days after onset of menses and
become minimal or absent in the week after menstruation.
03:40
Symptoms are the following: Marked mood swings, for example suddenly
feeling sad or tearful.
03:47
Marked irritability or anger or increased interpersonal conflict; marked
depressed mode, feelings of hopelessness or self-deprecating thoughts.
03:57
Marked anxiety, tension or an on-edge feeling. In addition, one or more of the
following must be present.
04:05
Decreased interest in usual activities, difficulty concentrating, low energy or
fatigue, marked change in appetite, overeating or specific food cravings.
04:17
Hypersomnia or insomnia, feeling overwhelmed or out of control.
04:22
Physical symptoms such as breast tenderness or swelling, joint or muscle
pain. A feeling of being bloated and weight gain.
04:30
Lastly, there is disruptive mood dysregulation disorder. This is a newly added
classification to the DSM-5.
04:39
DMDD is a mental disorder in children and adol5%escence, characterized by
a persistently irritable or angry mood and frequent temper outburst that are
disproportionate to the situation and significantly more severe than the typical
reaction of same age peers.
04:57
Mood, Dissociative and Personality Disorders – Psychological Disorders (PSY
00:01
Now, let's get into the second broad bean of psychological disorder that I
would say is probably the most common would be mood disorders.
00:10
So these are -- disorders characterized by a persistent pattern of abnormal
mood and there's -- well, referring to you is affect and mood.
00:21
So affect refers to an individual's visible emotion in the moment and mood is
sustain internal emotion that reflects his or her view of life.
00:29
So when we look at things like depression, now, would follow under mood
disorder, this is sort of a long term impact on their view on life and the emotion
they're going to portray.
00:41
So somebody who is depressed isn't going to be smiling all the time and super
happy and smelling the roses, emotionally speaking the visible emotion that
you see would be a little bit more down -- would be a little bit more on the
negative side and their internal mood would be that they feel like, "What's the
point of living, I'm so unhappy, I don’t find happiness in the things that I should
be finding happiness in." The DSM-5 separates mood disorders into two
categories. There are depressive and related disorders, and bipolar and
related disorders.
01:15
Let's start by discussing the depressive disorders. First, there is major
depressive disorder, this one is often called unipolar or a major depression.
01:24
For diagnosis five or more of the following conditions must have been present
nearly every day during the same two week period and one of them must be
depressed mode or lost of interest or pleasure.
01:37
,The conditions are: depressed mood most of the day; markedly diminished
interest or pleasure in all or almost all activities for most of the day.
01:47
Significant so more than 5% weight gain or loss or decreased or increase
appetite.
01:53
Insomnia, often sleep-maintenance insomnia or hypersomnia; psychomotor
agitation or retardation observed by other, not self-reported. Fatigue or loss of
energy.
02:06
Feelings of worthlessness or excessive or inappropriate guilt.
02:11
Diminished ability to think or concentrate or indecisiveness.
02:15
Recurrent thoughts of death or suicide. A suicide attempt or a specific plan for
committing suicide.
02:23
The next form is persistent depressive disorder.
02:26
It is characterized by depressive symptoms that persist for two or more years
without remission.
02:33
PDD consolidates disorders, formally termed chronic major depressive
disorder and dysthymic disorder.
02:41
For diagnosis, patients must have had a depress mode for most of the day for
two or more years plus two or more of the following conditions: poor appetite
or over eating; insomnia or hypersomnia; low energy or fatigue; low self-
esteem; poor concentration or difficulty in making decisions; feelings of
hopelessness.
03:05
Now, let's talk about premenstrual dysphoric disorder. It involves mood and
anxiety symptoms that are clearly related to the menstrual cycle with onset
during the pre-menstrual phase had the symptom free interval after
menstruation.
03:20
, The symptoms must be present during most menstrual cycles during the past
year.
03:25
For diagnosis, patients must have five or more symptoms during the week
before menstruation.
03:31
Symptoms must begin to remit within a few days after onset of menses and
become minimal or absent in the week after menstruation.
03:40
Symptoms are the following: Marked mood swings, for example suddenly
feeling sad or tearful.
03:47
Marked irritability or anger or increased interpersonal conflict; marked
depressed mode, feelings of hopelessness or self-deprecating thoughts.
03:57
Marked anxiety, tension or an on-edge feeling. In addition, one or more of the
following must be present.
04:05
Decreased interest in usual activities, difficulty concentrating, low energy or
fatigue, marked change in appetite, overeating or specific food cravings.
04:17
Hypersomnia or insomnia, feeling overwhelmed or out of control.
04:22
Physical symptoms such as breast tenderness or swelling, joint or muscle
pain. A feeling of being bloated and weight gain.
04:30
Lastly, there is disruptive mood dysregulation disorder. This is a newly added
classification to the DSM-5.
04:39
DMDD is a mental disorder in children and adol5%escence, characterized by
a persistently irritable or angry mood and frequent temper outburst that are
disproportionate to the situation and significantly more severe than the typical
reaction of same age peers.
04:57
