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18:00 depressive episode27:00 depressive episode with psychotic31:00 cyclothymia 8:00 hypomania11:00 mania

Depression and Bipolar Depression and Bipolar DisordersDisorders

Robert Burton (1621)Robert Burton (1621)

Mood Disorders: DSM IV & VMood Disorders: DSM IV & V

Depressive Depressive DisordersDisorders– Major Depressive Major Depressive

EpisodeEpisode– Unipolar Unipolar

DepressionDepression

Dysthymic Dysthymic DisorderDisorder

Bipolar DisordersBipolar Disorders– Bipolar IBipolar I– Bipolar IIBipolar II

Cyclothymic Cyclothymic DisorderDisorder

DSM – IV Mood DisordersDSM – IV Mood Disorders

Depressive DisDepressive Dis. . Bipolar Bipolar Dis.Dis.

-Maj. Dep. Episode - Bipolar 1-Maj. Dep. Episode - Bipolar 1

- Bipolar 2- Bipolar 2

-Dysthymic -Dysthymic - Cyclothymic- Cyclothymic

DSM – V Depressive DSM – V Depressive DisordersDisorders

- Major Depressive EpisodeMajor Depressive Episode- Persistent Depressive Disorder Persistent Depressive Disorder

(Dysthymia)(Dysthymia)

DSM – V Bipolar DisordersDSM – V Bipolar Disorders

Bipolar Dis.Bipolar Dis.

- Bipolar 1- Bipolar 1

- Bipolar 2- Bipolar 2

- Cyclothymic- Cyclothymic

Major Symptoms in Major Symptoms in DepressionDepression Mood SxMood Sx Cognitive SxCognitive Sx Motor SxMotor Sx Somatic SxSomatic Sx

Concepts in DepressionConcepts in Depression

Retarded DepressionRetarded Depression Agitated DepressionAgitated Depression MelancholiaMelancholia Seasonal Affective DisorderSeasonal Affective Disorder

MelancholiaMelancholia– AnhedoniaAnhedonia– No capacity to feel betterNo capacity to feel better

Major Symptoms of Manic Major Symptoms of Manic EpisodeEpisode

Mood SxMood Sx Cognitive SxCognitive Sx Motor SxMotor Sx Somatic SxSomatic Sx

Other “Depressions”Other “Depressions”

Grief or LossGrief or Loss Adjustment DisordersAdjustment Disorders (dep. mood)(dep. mood) Completion of major task Completion of major task

(dissertation)(dissertation) Postpartum Depression (can be Postpartum Depression (can be

dramatic & psychotic)dramatic & psychotic) College LifeCollege Life

- A Toronto doctor who jumped in front of a subway train while cradling her baby son died of her injuries Saturday night. She had been in hospital for nine days.Suzanne Killinger-Johnson, 37, leapt in front of a moving train with her sleeping child around 7 a.m. Aug. 11.

- The six-month-old boy, Cuyler, died instantly. Dr. Killinger-Johnson survived, but spent the past week in intensive care with severe internal injuries.

- "Dr. Killinger-Johnson died peacefully at 8:30 (p.m.)," confirmed Sandra Cruickshanks, head of public affairs at Sunnybrook Health Sciences Centre, early Sunday morning.

Mother who killed son on subway dies of injuries

Vulnerability to DepressionVulnerability to Depression

Past depressionPast depression Object loss in childhoodObject loss in childhood Poor social skillsPoor social skills Genetic componentsGenetic components PersonalityPersonality Dysfunctional AttitudesDysfunctional Attitudes

Personality VulnerabilityPersonality Vulnerability

Passive Dependent PersonalityPassive Dependent Personality Achievement vs Dependency Achievement vs Dependency

PersonalityPersonality Self-Oriented PerfectionismSelf-Oriented Perfectionism

DIATHESIS STRESS IMPORTANTDIATHESIS STRESS IMPORTANT

PersonalityPersonality

AchievementAchievement DependencyDependency

Unhappiness and Unhappiness and DepressionDepression Continuity HypothesisContinuity Hypothesis Dichotomy HypothesisDichotomy Hypothesis

ContinuityContinuity

Depression LevelDepression Level

[_[_↓↓____ ____________ ________↓↓_______________↓_↓__ __ ________↓_] ↓_]

Mild Subclinical Clinical Mild Subclinical Clinical SevereSevere

DichotomyDichotomy

Depression Dysphoria