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Explore the world of abnormal psychology with a focus on mood disorders like depressive and bipolar episodes, cyclothymia, and hypomania. Learn about DSM criteria, major symptoms, cognitive patterns, somatic states, and relationship patterns associated with these disorders. Discover the vulnerable factors and personality traits contributing to depression.
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http://digital.films.com/portalviewvideo.aspx?xtid=7848&IsSearch=NRhttp://digital.films.com/portalviewvideo.aspx?xtid=7848&IsSearch=NR 18:00 depressive episode 27:00 depressive episode with psychotic 31:00 cyclothymia 8:00 hypomania 11:00 mania World of Abormal Psychology 6:00-14:15 16:30 – 47:50 47:50 – 53:00 Treatment
Mood Disorders: DSM IV & V • Depressive Disorders • Major Depressive Episode • Unipolar Depression • Dysthymic Disorder • Bipolar Disorders • Bipolar I • Bipolar II • Cyclothymic Disorder
DSM – IV Mood Disorders Depressive Dis. Bipolar Dis. -Maj. Dep. Episode - Bipolar 1 - Bipolar 2 -Dysthymic - Cyclothymic
DSM – V Depressive Disorders • Major Depressive Episode • Persistent Depressive Disorder (Dysthymia)
DSM – V Bipolar Disorders Bipolar Dis. - Bipolar 1 - Bipolar 2 - Cyclothymic
Major Symptoms in Depression • Mood Sx • Cognitive Sx • Motor Sx • Somatic Sx
Concepts in Depression • Retarded Depression • Agitated Depression • Melancholia • Seasonal Affective Disorder
Melancholia • Anhedonia • No capacity to feel better
PDM Depressive Disorders • Affective: • Two general emotional orientations: • Anaclitc feelings of helplessness, fears of abandonment, difficulty tolerating delay… • Introjective harsh, punitive, unrelenting self-criticism • Cognitive Patterns: • Guilt, fantasies of loss of approval, recognition and love, inability to make decisions, low self-regard, suicidal ideas, impaired memory • Somatic States: • Loss of sexual desire, physical irritability, restlessness, physical complaints (e.g., headache, back pain) with no pathophysiology to account for. • Change in appetite weight gain or loss • Fatigue, low energy, and lethargy • Relationship Patterns: • Insatiable neediness and/or demanding hostility
Major Symptoms of Manic Episode • Mood Sx • Cognitive Sx • Motor Sx • Somatic Sx
PDM Bipolar Disorders – Manic States • Affective: intense pleasure or euphoria, intense irritability, hypersensitive to insult and rejection; excessive energy (disruptive); a sense of infinite power, ability and creativity • Cognitive Patterns: fantasies of invincibility and exceptional talent; difficulty thinking clearly, logically; fear that they cannot hold onto their thoughts; sometimes thoughts are highly disoriented, sometimes are freeing and joyful. • Somatic States: restlessness and sleeplessness; physically invigorated and aroused; intense and frequent sexual desire; physical exhaustion (may evoke suicidal depression) • Relationship Patterns: unpredictable, chaotic, impulsive, and sexualized.
Other “Depressions” • Grief or Loss • Adjustment Disorders(dep. mood) • Completion of major task (dissertation) • Postpartum Depression (can be dramatic & psychotic) • College Life
Mother who killed son on subway dies of injuries - 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.
Vulnerability to Depression • Past depression • Object loss in childhood • Poor social skills • Genetic components • Personality • Dysfunctional Attitudes
Personality Vulnerability • Passive Dependent Personality • Achievement vs Dependency Personality • Self-Oriented Perfectionism • DIATHESIS STRESS IMPORTANT
Personality • Achievement • Dependency
Unhappiness and Depression • Continuity Hypothesis • Dichotomy Hypothesis
Continuity Depression Level [_↓____ ________↓________↓__ ____↓_] Mild Subclinical Clinical Severe
Dichotomy Dysphoria Depression