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These episodes show symptoms of mania but they're
hypomanic episode
less intense. Does not involve significant impairment
Elevated, expansive mood for at least one week,
inflated self-esteem, decreased need for sleep, racing
thought, easily distracted, pleasurable but risky
manic episode
behavior, more goal-directed activity. Impairment not
normal in functioning, not caused by direct
physiological events or medical condition.
All forms of bipolar disorder have the defining feature
bipolar disorder of mania. Usually involves episodes of depression
alternating with mania.
-gross deviations in mood
mood disorder - unipolar: involves only depressive symptoms
- bipolar: involves manic symptoms also
-Periods of depressed or elevated mood lasting days or
weeks
mood episode - MDE
- Persistent depression
- Manic and hypomanic episodes
, - genetics: heritability factors (37% MDD, 93% bipolar
disorder)
- neurotransmitters (norepinephrine and serotonin)
- concordance rates are high in identical twins (two or
three times more likely to present with mood disorders
neurobiological factors in than a fraternal twin of a depressed co-twin
mood disorder etiology - heritability rates are higher compared to males
- much research to identify specific genes involved in
mood disorders, but the results of most studies have not
been replicated
- gene influencing dopamine function appears related
to MDD
psychological factors that - psychodynamic model: no strong research support
play a role in mood - behavioral model: modest research support
disorder etiology - cognitive views: considerable research support
- 1967, 1976
- Negative triad: Broadly negative views of self, world,
future, self defeating attitudes learned during childhood
- Negative schema: underlying tendency to see the
Beck's cognitive theory of
world negatively
depression
- Negative schema cause cognitive biases/errors:
tendency to process information in negative ways,
minimization of the positive and magnification of the
negative
- half of people with MDD, PDD receive professional
treatment, can be divided into: psychological,
sociocultural, biological
- psychodynamic: widely used, no strong research to
Treatments for mood support its effectiveness
disorders - behavioral: used for mild or moderate depression,
practiced less in the last decade
- cognitive: performs well, large and growing clinical
following, likely the most effective, but not relapse
proof, cognitive-behavioral, interpersonal, biological
Theories on how the intervention of drugs alone or psychological
psychopharmacological treatments alone do not prove as effective as the
interventions affect combination of psychological therapy and
symptoms of mood pharmacological interventions in mood disorders
disorders
, - reserved for treatment non- responders
- induce brain seizure and momentary unconsciousness
ECT - 6 to 12 sessions over 2 to 4 weeks
- bilateral or unilateral
- causes memory loss
- more effective than any other treatment for severe
depression
- combination of psychotherapy and drug therapy is
modestly more helpful to depressed people than either
treatment alone
ECT leading hypothesis in - depression may be having too many connections
severe mood symptoms between certain brain areas. ECT may help to reduce
connections between areas such as the frontal lobe
with regions involved in emotional control
- it has been found to increase levels of nerve growth
factor that trigger the birth of new brain cells and
revitalize damaged connections in the hippocampus
Suicidal ideation - thoughts of killing oneself
- behaviors intended to injure oneself without the intent
to kill oneself
- cutting, burning, scratching, interfering with wound
Non-suicidal self injury
healing
- does not include overdosing, substance use, eating
disorders, body piercing, or tattooing
- mental illness
- previous suicide attempt
- serious physical illness/chronic pain
- family history
- history of mental illness and suicide
Consistent risk factors for - shame/despair
suicide - aggression/ impulsivity
- triggering event
- access to lethal means
- suicide exposure
- inflexible thinking
- genes, stress, and mood