Zusammenfassung der Ressource
Mood Disorders
- Unipolar
- Major Depressive Disorder
Anmerkungen:
- Diagnostic Criteria
Anmerkungen:
- Single episode of Major Depression
Alteration in sleep, appetite, energy
- 5 symptoms for 2 weeks
1 must be depressed mood or loss of interest and pleasure
Sleep/Guilt/Energy/Concentration/appetite/Psychomotor/suicidality
- Untreated Episodes:
6-12 months
- Epidemiology
Anmerkungen:
- PR 5-20%
Female-Male 2:1
IR 20-40
Decreases above 65
- Etiology
Anmerkungen:
- Genetic/Personal Experience
Deficiency in:
NE - Alertness and enegry
Serotonin - mood and imulse
Dopamine - drive and motivation
- Neuro-endocrine link
Hypothalamic-Pituitary-Adrenal axis
- Anti-hypertensives
Cortisone
Analgesics
Hormones
- Brain Tumors
CVA
High Potassium, Sodium Bicarb
Calcium
Low Vitamines B1,B6, C, D, Folic Acid
- Beck
Anmerkungen:
- Hopelessness Theory
- Persistent Depressive Disorder
- Dysthymic Disorder
Anmerkungen:
- Mild/Chronic MDD
PR: 6%
2 years of chronically depressed mood
- Diagnostic Criteria
Anmerkungen:
- Sleep Appetite Energy Concentration and Hopelessness
Major Depressive Episodes may co-occur --> Double Depression
- Bipolar
- Bipolar 1
Anmerkungen:
- Most serious
At least 1 episode of mania and MD EPISODES
- Diagnostic Criteria
- Mania
Anmerkungen:
- 3 to 4 of the below:
esteem/sleep/speech/thoughts/attenntion/activity/Hedonism
A week of elevated mood for one time
- PR 0.4-1.6%
Male=Female
Early 20s
Sleep/wake cycle
- Bipolar 2
Anmerkungen:
- PR 0.5%
Women
Cyclic
Suicide 15%
- Diagnostic Criteria
Anmerkungen:
- Hypomania
3 days
with 3 or 4 of the following symptoms:
Grandiose-Decreased sleep-Pressured speech- Racing thoughts-Flight of ideas-easily distractible-psychomotor agitation
- Cyclothymic
- Diagnostic Criteria
Anmerkungen:
- Recurrent, Chronic, Mild
Hypomania and dysthymia
Adolescents to early adulthood
- PR 0.1-1%
MEN=WOMEN
Steroids, high dose anti-convulsants, amphetamines, narcotics
- 1 episode of hypomania
- Mood Disorder with a
known etiology
- Substance Induced
- Due to a
medical condition
- Melancholic Depression
Anmerkungen:
- Depression
Guilt
Remorse
Loss of pleasure
Vegetative Symptoms
- Postpartum Depression
Anmerkungen:
- Seasonal Mood Disorders
Anmerkungen:
- Depression worsen in the fall and improve in the spring and vice versa
- Atypical
Anmerkungen:
- Pattern of hyperinsomia, increased appetite and weight gain
- Rapid Cycling
Anmerkungen:
- 4 mood disturbances per year
- Catatonic
- Disruptive Mood Dysregulation Disorder
Anmerkungen:
- Childhood Bipolar Disorder
Children up to 18 years
- Premenstrual Dysphoric Disorder
Anmerkungen:
- The final week before the onset of menses, few weeks after its onset
- first 4 must be present
Affective liability (swings)
Irratibility
Depression
Anxiety
- Suicide
Anmerkungen:
- Tunnel vision
Constriction in their common cognitive state