mood disorders [instructor name] [class name section]
TRANSCRIPT
Overview – Pt. 1
• Depressive Disorders• Bipolar Disorders• Prevalence• Risk Factors• Treatment– Activity: Group Therapy
Depressive DisordersMajor Depressive Episode (MDD) Symptoms
1) Depressed mood2) Diminished interest/pleasure in activities3) Significant weight loss/gain or increase/decrease
in appetite4) Insomnia/hypersomnia5) Psychomotor agitation/retardation6) Fatigue/loss of energy7) Feeling worthless/excessive or inappropriate guilt8) Diminished ability to concentrate/ indecisiveness9) Recurrent thoughts of death, suicidal ideation, or
a suicide attempt
Depressive DisordersMajor Depressive Episode
Requirements2 weeks <Patients must have either depressed mood or decreased interest
Depressive Disorders
Major Depressive Disorder1 Major Depressive Episode <
Persistent Depressive Disorder
1) Poor appetite or overeating
2) Insomnia or hypersomnia3) Low energy or fatigue4) Low self-esteem5) Poor concentration or
difficulty making decisions6) Feelings of hopelessness
Overview – Pt. 1
• Depressive Disorders• Bipolar Disorders• Prevalence• Risk Factors• Treatment– Activity: Group Therapy
Bipolar Disorders
Requirements:Euphoric mood: 3 < symptomsIrritable mood: 4 < symptomsMania: Must be present for 1 week <Hypomania: 4-7 days
Symptoms: Mania or Hypomania• self-esteem or grandiosity• goal-directed activity or psychomotor agitations• talkativeness• risky behavior• need for sleep•Racing thoughts or flight of ideas•Distractibility
Bipolar Disorders
Bipolar ISingle manic episodeNo depressive episode required
Bipolar IIDepressionHypomania
Cyclothymic DisorderNo major depressive episodeSymptoms 50% of timeNo more than 2 months without symptoms
Overview – Pt. 1
• Depressive Disorders• Bipolar Disorders• Prevalence• Risk Factors• Treatment– Activity: Group Therapy
Prevalence of Depressive Disorders
MDD: 16.6% (Lifetime)PDD: .5% (12-month)
Average age of onset: mid-20sRisk FactorsRecoveryRelapseComorbidities
Prevalence of Bipolar Disorders
Lifetime Prevalence: 4.4%Bipolar Disorder I: 1%
Comorbidities
Risk Factor
Course
Overview – Pt. 1
• Depressive Disorders• Bipolar Disorders• Prevalence• Risk Factors• Treatment– Activity: Group Therapy
Risk Factors of Depressive Disorders
Genetic/Biological Factors
EnvironmentalStressful life eventsEarly adversity
Attributional Styles
Risk Factors for Bipolar Disorders
Genetic/Biological Factors
EnvironmentalRelationshipPositive Life EventsSocial zeitgeber theory
Overview – Pt. 1
• Depressive Disorders• Bipolar Disorders• Prevalence• Risk Factors• Treatment– Activity: Group Therapy
Treatment – Depressive Disorders
MedicationMAOIsTricyclicsSSRI & SNRI
ThoughtsThoughts
EmotionsEmotionsBehaviorBehavior
Biological TreatmentsECTTMSDeep Brain Stimulation
Psychosocial TreatmentsBehavioral TherapyCognitive TherapyInterpersonal TherapyShort-Term Psychodynamic
Treatment – Bipolar Disorders
Medication Lithium Carbamazepine Valproate
Adjunctive Psychosocial TreatmentInterpersonal and Social Rhythm Therapy (IPSRT)
Overview – Pt. 1
• Depressive Disorders• Bipolar Disorders• Prevalence• Risk Factors• Treatment– Activity: Group Therapy
Activity: Group TherapyOpen-ended questions:
What was that like? Tell me more about that.
Groups of 4-5
Develop Questions
Overview – Pt. 2
• Sleep and Social Relationships in Depression• Suicide & Mood Disorders• Activity: Suicide Quiz
Sleep & Depression
Sleep/Depression Relationship
6 hours > sleep = depression risk
Depression increases risk for decreased sleep
Lack of sleep = precursor for major depression
Social Relationships & Depression
Social Isolation & Depression
Isolation = risk factor for depression
Depression increases isolation
¼ surveyed felt no social support
½ surveyed reported no friends outside of family
Overview – Pt. 2
• Special Topic: Sleep and Social Relationships in Depression
• Suicide & Mood Disorders• Activity: Suicide Quiz
Suicide & Mood Disorders
Risk Factors of Suicide?
Lack of social support
Childhood abuse
Self-reported depressive symptoms
Maternal depression
Parallels with Depression?
Overview – Pt. 2
• Sleep and Social Relationships in Depression• Suicide & Mood Disorders• Activity: Suicide Quiz
Photo AttributionSlide 1 & 20
Photo Credit: Jessi RM https://www.flickr.com/photos/25273774@N04/4746222641/ https://creativecommons.org/licenses/by-nc-nd/2.0/
Slide 5Photo Credit: Mike Bailey-Gates https://www.flickr.com/photos/10244704@N05/2579140026/ https://creativecommons.org/licenses/by-nc-nd/2.0/
Slide 7Photo Credit: AdamNF https://www.flickr.com/photos/68009561@N00/2390168497/ https://creativecommons.org/licenses/by-nc-sa/2.0/
Slide 10Photo Credit: Key Foster https://www.flickr.com/photos/61411590@N03/5859097301/ https://creativecommons.org/licenses/by/2.0/
Slide 11Photo Credit: Pulpolux !!! https://www.flickr.com/photos/46425925@N00/116981263/ https://creativecommons.org/licenses/by-nc/2.0/
Slide 13Photo Credit: johnm2205 https://www.flickr.com/photos/13049634@N00/2588225548/ https://creativecommons.org/licenses/by-nc-nd/2.0/
Slide 14Photo Credit: theloushe https://www.flickr.com/photos/23478852@N00/3976023854/ https://creativecommons.org/licenses/by-nc-nd/2.0/
Slide 17Photo Credit: TheRogue https://www.flickr.com/photos/17456128@N00/3866847140/ https://creativecommons.org/licenses/by-nc-sa/2.0/
Slide 19Photo Credit: transportationcamp https://www.flickr.com/photos/60342128@N08/5506175191/ https://creativecommons.org/licenses/by/2.0/
Slide 23Photo Credit: David Ingram https://www.flickr.com/photos/dingatx/8219989409/ https://creativecommons.org/licenses/by-nc/2.0/
Slide 25Photo Credit: Randal Droher https://www.flickr.com/photos/randaldroher/399240435/ https://creativecommons.org/licenses/by-nc-sa/2.0/
Slide 27Photo Credit: Horia Varlan http://www.flickr.com/photos/10361931@N06/4273168957 https://creativecommons.org/licenses/by/2.0/