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Mood Disorders

Chapter 7

Mood Disorders

Mood Disorders

Major Depressive Disorder; Persistent Depressive Disorder

Mood Disorders

Major Depressive Disorder; Persistent Depressive Disorder

Bipolar Affective Disorder

Major Depressive Disorder

Prevalence

Major Depressive Disorder

Symptoms

Major Depressive Disorder

Symptoms

Emotional – sadness, anhedonia, crying, anxiety, anger, agitation, irritability

Major Depressive Disorder

Symptoms

Emotional – sadness, anhedonia, crying, anxiety, anger, agitation, irritability

Motivational – loss of initiative, drive, spontaneity

Major Depressive Disorder

Symptoms

Emotional – sadness, anhedonia, crying, anxiety, anger, agitation, irritability

Motivational – loss of initiative, drive, spontaneity

Behavioral – less active, less productive, move and speak slowly

Major Depressive Disorder

Symptoms

Emotional – sadness, anhedonia, crying, anxiety, anger, agitation, irritability

Motivational – loss of initiative, drive, spontaneity

Behavioral – less active, less productive, move and speak slowly

Cognitive – self-blame, low self image, pessimism and hopelessness, confusion and distractibility, can’t make decisions

Major Depressive Disorder

Symptoms

Emotional – sadness, anhedonia, crying, anxiety, anger, agitation, irritability

Motivational – loss of initiative, drive, spontaneity

Behavioral – less active, less productive, move and speak slowly

Cognitive – self-blame, low self image, pessimism and hopelessness, confusion and distractibility, can’t make decisions

Physical – many physical ailments, sleep and eat too much or too little

Major Depressive Disorder

Symptoms

Emotional – sadness, anhedonia, crying, anxiety, anger, agitation, irritability

Motivational – loss of initiative, drive, spontaneity

Behavioral – less active, less productive, move and speak slowly

Cognitive – self-blame, low self image, pessimism and hopelessness, confusion and distractibility, can’t make decisions

Physical – many physical ailments, sleep and eat too much or too little

Self-injury – cutting, thoughts of death, suicide

Major Depressive Disorder

How does cutting and self-harm help? (Helpguide.org)

“It expresses emotional pain or feelings that I’m unable to put into words. It puts a punctuation mark on what I’m feeling on the inside!”

“It’s a way to have control over my body because I can’t control anything else in my life.”

“I usually feel like I have a black hole in the pit of my stomach, at least if I feel pain it’s better than feeling nothing. ”

“I feel relieved and less anxious after I cut. The emotional pain slowly slips away into the physical pain.”

Major Depressive Disorder

Etiology and treatment

Major Depressive Disorder

Etiology and treatment

Biological view: Endogenous depression. Strong evidence for inherited characteristics such as low norepinephrine and serotonin; high cortisol

Major Depressive Disorder

Etiology and treatment

Biological view: Endogenous depression. Strong evidence for inherited characteristics such as low norepinephrine and serotonin; high cortisol. Treatment: antidepressants, ECT, brain stimulation

Major Depressive Disorder

Etiology and treatment

Biological view: Endogenous depression. Strong evidence for inherited characteristics such as low norepinephrine and serotonin; high cortisol. Treatment: antidepressants, ECT, brain stimulation

Psychodynamic view: turn feelings toward oneself in reaction to real or symbolic loss.

Major Depressive Disorder

Etiology and treatment

Biological view: Endogenous depression. Strong evidence for inherited characteristics such as low norepinephrine and serotonin; high cortisol. Treatment: antidepressants, ECT, brain stimulation

Psychodynamic view: turn feelings toward oneself in reaction to real or symbolic loss. Treatment: uncover and work through losses

Major Depressive Disorder

Etiology and treatment

Biological view: Endogenous depression. Strong evidence for inherited characteristics such as low norepinephrine and serotonin; high cortisol. Treatment: antidepressants, ECT, brain stimulation

Psychodynamic view: turn feelings toward oneself in reaction to real or symbolic loss. Treatment: uncover and work through losses

Behavioral view: loss of reinforcement, especially social rewards.

Major Depressive Disorder

Etiology and treatment

Biological view: Endogenous depression. Strong evidence for inherited characteristics such as low norepinephrine and serotonin; high cortisol. Treatment: antidepressants, ECT, brain stimulation

Psychodynamic view: turn feelings toward oneself in reaction to real or symbolic loss. Treatment: uncover and work through losses

Behavioral view: loss of reinforcement, especially social rewards. Treatment: reintroduce pleasurable activities and reinforce behaviors. Build social skills.

Major Depressive Disorder

Etiology and treatment

Cognitive view:

Negative thinking (Beck) – negative interpretations of life/self/future, automatic self-criticisms, ruminate on negative

Major Depressive Disorder

Etiology and treatment

Cognitive view:

Negative thinking (Beck) – negative interpretations of life/self/future, automatic self-criticisms, ruminate on negative

Learned helplessness (Seligman) – feel a lack of control over life, attribute negative events to internal, global, stable causes

Major Depressive Disorder

Major Depressive Disorder

Etiology and treatment

Cognitive view:

Negative thinking (Beck) – negative interpretations of life/self/future, automatic self-criticisms, ruminate on negative

Learned helplessness (Seligman) – feel a lack of control over life, attribute negative events to internal, global, stable causes

Treatment: Cognitive Therapy – increase activities and improve mood; challenge automatic thinking; identify and change negative thoughts; change unhealthy attitudes

Major Depressive Disorder

Etiology and treatment

Cognitive view:

Negative thinking (Beck) – negative interpretations of life/self/future, automatic self-criticisms, ruminate on negative

Learned helplessness (Seligman) – feel a lack of control over life, attribute negative events to internal, global, stable causes

Treatment: Cognitive Therapy – increase activities and improve mood; challenge automatic thinking; identify and change negative thoughts; change unhealthy attitudes

Sociocultural view: lack of social support or conflicted relationships; gender differences; minority populations with constant stressors and lack of access to treatment.

Major Depressive Disorder

Etiology and treatment

Cognitive view:

Negative thinking (Beck) – negative interpretations of life/self/future, automatic self-criticisms, ruminate on negative

Learned helplessness (Seligman) – feel a lack of control over life, attribute negative events to internal, global, stable causes

Treatment: Cognitive Therapy – increase activities and improve mood; challenge automatic thinking; identify and change negative thoughts; change unhealthy attitudes

Sociocultural view: lack of social support or conflicted relationships; gender differences; minority populations with constant stressors and lack of access to treatment. Treatment: Interpersonal therapy, couple therapy, culture-sensitive therapy

Bipolar Disorder

Bipolar Disorder

Symptoms

Bipolar Disorder

Symptoms

Emotional – euphoria, overinflated mood

Motivational – seek stimulation

Behavioral – very active, move and speak quickly, risky/flamboyant

Cognitive – poor judgement, overly optimistic, grandiose

Physical – very energetic, need little sleep

Bipolar Disorder

Virginia Woolf

Axl Rose

Edgar Allen Poe

Charley Pride

Rosemary Clooney

Linda Hamilton

Sting

Robert Downey, Jr.

Kurt Cobain

Margot Kidder

Carrie Fisher

Sylvia Plath

Vivien Leigh

Robin Williams

Jonathan Winters

Dick Cavett

Ben Stiller

Catherine Zeta-Jones

Ludwig Von Beethoven

Vincent Van Gogh

Jean-Claude Van Damme

Mark Twain

Bipolar Disorder

Etiology and treatment

Bipolar Disorder

Etiology and treatment

Biological view: Strong evidence for inherited characteristics such as genetic abnormalities; high norepinephrine, low serotonin; neuron or brain structure dysfunction.

Bipolar Disorder

Etiology and treatment

Biological view: Strong evidence for inherited characteristics such as genetic abnormalities; high norepinephrine, low serotonin; neuron or brain structure dysfunction. Treatment: mood stabilizing medications

Bipolar Disorder

Etiology and treatment

Biological view: Strong evidence for inherited characteristics such as genetic abnormalities; high norepinephrine, low serotonin; neuron or brain structure dysfunction. Treatment: mood stabilizing medications

Other supportive treatments to focus on education about the disorder and prevention of further episodes, social skills, problem-solving skills

Quiz