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Behavior Science - Block 3 - Part 3

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davidwurbel7's version from 2015-11-26 21:58

Mood Disorders

Question Answer
Depressed mood, low self esteem, loss of enjoyment of pleasurable activities. Untreated episode: 6-13 months; Treated episode: 3 months; Early drug cessation: Recurrence of symptoms, Insomnia, Weight loss.Depression
A person that does not feel or know that they are depressedMasked Depression
Depression episode must last at least two weeks and have five or more of the following symptoms; 1. Depressed mood most of the day, nearly every day. 2. Markedly diminished interest in all, or almost all, activities most of the day, nearly every day. 3. Significant weight loss when not dieting, or weight gain (>5% change in body weight in less than a month). 4. Insomnia or hypersomnia. 5. Psychomotor agitation or retardation. 6. Fatigue or loss of energy. 7. Feelings of worthlessness or excessive guilt. 8. Diminished ability to think or concentrate. 9. Recurrent thoughts of death/suicidal ideation; Symptoms cause clinically significant distress or impairment of functioning (social, etc.). Symptoms are not due to a medical condition. Symptoms are not better explained by another condition. There has never been a manic or hypomanic episode.Major Depressive Disorder
Depressive symptoms during winter months Increased sleep, increased appetite, especially for carbs, decreased energy, morning sickness, difficulty in waking up. Caused by abnormal melatonin metabolism. Criteria- 1. Depressive episodes must occur at a particular time of the year. 2. Remissions or mania/hypomania must also occur at a characteristic time of year. 3. These patterns must have lasted two years with no nonseasonal major depressive episodes during that same period. 4. These seasonal depressive episodes outnumber other depressive episodes throughout the patient's lifetime. Treatment with sunlamps. Melatonin tablets may or may not help, lots of debate here. Anti-depressants (SSRI’s). Negative air ionizationSeasonal Affective Disorder (SAD)
Depressed mood for most of the day, for more days than not, as indicated either by subjective account or observation by others, for at least 2 yrs. (In children or adolescents, mood can be irritable and less than 1 yr duration); Presence, while depressed, of two (or more) of the following: 1. Poor appetite or overeating. 2. Insomnia or hypersomnia. 3. Low energy or fatigue. 4. Low self esteem. 5. Poor concentration or difficulty making decisions. 6. Feelings of hopelessnessPersistent Depressive Disorder
Severe recurrent temper outbursts manifested verbally and/or behaviorally (e.g., physical aggression) grossly out of proportion in intensity or duration to the situation or provocation. Outbursts are inconsistent with developmental level. Outbursts occur three or more times a week. Mood between temper outbursts is persistently irritable or angry most of the day, nearly every day, and is observable by others. The previous symptoms have been present for 12mths or more, with no period of 3mths or more without these symptoms. The previous symptoms should be present in at least two of three settings (at home, school, with peers) and are severe in at least one of these. The diagnosis should not be made before age 6 or after age 18. Age at onset of Criteria A-E is before 10 years oldDisruptive Mood Dysregulation Disorder
Symptoms of major depressive disorder, but are associated with the ingestion, injection, or inhalation of a substance (medication, drug of abuse, etc.). The depressive symptoms are present beyond the expected length of physiological effects, intoxication, or withdrawal periodSubstance/Medication Induced Depression
Defined as patients with both manic and depressive episodes, or just manic episodesBipolar Disorder
A distinct period of an abnormally and persistently elevated, expansive, or irritable mood lasting at least 1 week, or less if hospitalization is required. During the period of mood disturbance, three or more of the following have persisted: 1. Inflated self-esteem or grandiosity. 2. Decreased need for sleep. 3. More talkative than usual. 4. Flight of ideas. 5. Distractibility. 6. Psychomotor agitation or increase in goal-directed activity. 7. Excessive involvement in pleasurable activities having potential negative outcomes. Symptoms cause clinically significant distress or impairment of functioning (social, etc.). Symptoms are not due to a medical conditionMania
A distinctive period of persistently elevated expansive or irritable mood, lasting no more than 4 days, that is clearly different from the usual nondepressed mood. During the period of mood disturbance, three or more of the following have persisted: 1. Inflated self-esteem or grandiosity. 2. Decreased need for sleep. 3. More talkative than usual. 4. Flight of ideas. 5. Distractibility. 6. Psychomotor agitation or increase in goal-directed activity. 7. Excessive involvement in pleasurable activities having potential negative outcomes. The episode is associated with an unequivocal change in functioning that is uncharacteristic of the person when not symptomatic. The disturbance in mood and the change in functioning are observable by others. The episode is not severe enough to cause marked impairment in social or occupational functioning, or to necessitate hospitalization, and there are no psychotic features. Symptoms cause clinically significant distress or impairment of functioning (social, etc.). Symptoms are not due to a medical conditionHypomania
Criteria for a manic episode must be met. The manic episode may have been preceded by, and may be followed by, hypomanic or major depressive episodesBipolar Disorder I
Criteria for a hypomanic episode, and a major depressive episode, must be met. Person has not had a full manic episodeBipolar Disorder II
Period of time during which symptoms of both mania and depression co exist. Person may have suicidal thoughts but be extremely energizedMixed Affective Episode
Chronic, fluctuating mood disturbance involving numerous periods of hypomanic symptoms and periods of depressive symptoms that are distinct from each other. For at least 2 yrs, there have been numerous periods with hypomanic symptoms that do not meet the criteria for a hypomanic episode, and numerous periods with depressive symptoms that do not meet criteria for a major depressive episode. (Duration is 1 year for children and adolescents). During the 2 yr period the hypomanic and depressive symptoms have been present for at least half the time, and the person has not been without the symptoms for more than 2 months at a time. C. Criterion for major depressive or manic episode have never been met.Cyclothymia
Characterized as expression of mood lability, irritability, dysphoria, or anxiety. Occur repeatedly during the premenstrual phase.Remits with onset of menses or shortly after. May be accompanied by behavioral and physical symptomsPremenstrual Dysphoric Disorder
Mood, behavior and physical symptoms at specific time during menstrual cycle; mood lability, crying spells, verbal outbursts. Five symptoms present week before menses improve with few days onset of mensesPremenstrual Dysphoric Disorder
Person diagnosed with Depression that also exhibit withdrawing from activities, wasting away, hard/difficult morningsMelancholic Specifier
Person diagnosed with Depression that exhibits weight gain and sleepingAtypical Specificer
Person diagnosed with Depression is mute and stuporous, sometimes immobile or bizarre movementsCatotonia Specifer
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Mixed Features Specifier

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