Week 4 notes
Week 4 notes psyc 3330
Popular in Abnormal psychology
Popular in Psychology (PSYC)
This 6 page Class Notes was uploaded by Appolonia Redmon on Friday September 16, 2016. The Class Notes belongs to psyc 3330 at Georgia Southern University taught by Conrad in Fall 2016. Since its upload, it has received 8 views. For similar materials see Abnormal psychology in Psychology (PSYC) at Georgia Southern University.
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Date Created: 09/16/16
Week 4 Pg.1 Depressive disorders Dsm5 criteria for major depressive episode • Five or more of the following symptoms have been present during the same 2week period and represent change from previous functioning; at least one symptom is depressed mood or loss of pleasure: • Depressed mood most of the day, nearly every day; either subjective report or observation made from others • Diminished interest or pleasure in all, or almost all, activities • Significant weight loss when not dieting, or weight gain, or increase or decrease in appetite • Insomnia or hypersomnia • Psychomotor agitation or retardation • Fatigue or loss of energy • Feelings of worthlessness or excessive or inappropriate guilt • Diminished ability to think or concentrate, or indecisiveness • Recurrent thoughts of death or suicide Major depressive disorder: dsm5 criteria • Sad mood or loss of pleasure in usual activities • Meet criteria for at least one major depressive episode • Symptoms present nearly every day, most of the day, for at least 2 weeks; more severe than normative responses to significant loss Persistent depressive disorder: dsm5 criteria • Depressed mood for most of the day more than half of the time for 2 years (or 1 year for children and adolescents) • At least two of the following: • Poor appetite or overeating • Sleeping too much or too little • Low energy • Poor selfesteem • Trouble concentrating or making decisions • Feelings of hopelessness Week 4 Pg.2 • Symptoms do not clear for more than 2 months at a time • Bipolar disorders not present Bipolar disorders Dsm5 criteria for manic and hypomanic episodes • Distinctly elevated or irritable mood • Abnormally increased energy or activity • At least three of the following are noticeably changed from baseline (four if mood is irritable): • Increase in goaldirected activity or psychomotor agitation • Unusual talkativeness; rapid speech • Flight of ideas or subjective impression that thoughts are racing • Decreased need for sleep • Increased selfesteem; belief that one has special talents, powers, abilities • Distractibility, attention easily diverted • Excessive involvement in activities that are likely to have painful consequences • Symptoms present most of the day, nearly every day Manic and hypomanic episodes • For manic episode: • Symptoms last 1 week, require hospitalization, or include psychosis • Symptoms cause significant distress or functional impairment • For hypomanic episode: • Symptoms last at least 4 days • Clear changes in functioning are observable to others, but impairment is not marked • No psychotic symptoms present Week 4 Pg.3 Bipolar I and ii: dsm5 criteria • Bipolar I Disorder: • Criteria have been met for at least one manic episode • Occurrence of manic episode not better explained by another disorder • Bipolar II Disorder: • Criteria have been met for at least one hypomanic episode AND at least one major depressive episode • There has never been a manic episode • Occurrence of hypomanic episode and major depressive episode not better explained by another disorder • Symptoms cause clinically significant distress etiology Biological factors • Neurotransmitters • Norepinephrine, dopamine, serotonin • Reward system • Brain functions: • Anterior cingulate cortex • Dorsolateral cortex • Striatum • Cortisol dysregulation Social factors • Childhood adversity • Early parental death • Physical or sexual abuse • Negative life events • Loss of job, key friendship, romantic partner Week 4 Pg.4 • Interpersonal difficulties • Low social support • Expressed emotion • Interpersonal loss, isolation, relationship concerns Psychological factors • Depression • Neuroticism • Cognitive theories: • Beck’s Theory • Hopelessness Theory • Rumination Theory Bipolar Disorders • Predictors of mania: • Reward sensitivity • Sleep deprivation Treatment of mood disorders Psychological treatments Depression • Interpersonal Psychotherapy (IPT) • Cognitive Therapy • Mindfulnessbased cognitive therapy (MBCT) • Behavioral Activation (BA) Therapy • Behavioral Couples Therapy Bipolar disorders • Psychoeducation • Learn about symptoms of disorder • Expected time course Week 4 Pg.5 • Triggers • Treatment strategies Biological Treatments Depression • Electroconvulsive Therapy (ECT) • Antidepressant drugs: • MAOIs • Tricyclics • SSRIs • Transcranial Magnetic Stimulation Bipolar Disorders • Moodstabilizing medications: • Lithium • Other classes of moodstabilizing drugs: • Anticonvulsants • Antipsychotics • Antidepressants Risk factors for suicide • Belief in suicide myths • Psychological disorders • Depression, impulse control disorders, panic disorder, eating disorders • Neurobiological factors • Serotonin and cortisol • Social factors Week 4 Pg.6 • Economic recession • Celebrity suicide • Psychological factors • Intention of suicide Preventing suicide • Talk about it! • 80% who attempt suicide but do not die report that they are glad to be alive or are ambivalent about death • Treat the associated psychological disorder • Treat suicide directly • Public health • Limit access to means
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