abnormal in class notes
abnormal in class notes Psy 3315
Popular in Abnormal Psychology
Popular in Psychology
verified elite notetaker
This 4 page Class Notes was uploaded by Hayoung Lee on Friday October 7, 2016. The Class Notes belongs to Psy 3315 at Texas State University taught by \ Etherton in Fall 2016. Since its upload, it has received 3 views. For similar materials see Abnormal Psychology in Psychology at Texas State University.
Reviews for abnormal in class notes
Report this Material
What is Karma?
Karma is the currency of StudySoup.
You can buy or earn more Karma at anytime and redeem it for class notes, study guides, flashcards, and more!
Date Created: 10/07/16
Abnormal psych Unit 2 I guess 10.04.16 CH 7: MOOD DISORDERS Depressive disorders: Video: Barbara, behavioral observation Self report: o Changes in functioning o Onset and course Onset: when she first started feeling this way, high school Course: recurring episodes o Severity of symptoms o Degree of functional impairment Psychomotor changes: retardation; agitation Blunted affect: not showing very much emotion Self hatred: “feelings of worthlessness” Isolation: alone for long periods of time Social skills/repair relationship: conflict with kids Seasonal affect: more neurobiological, depressive by season due to shorter days and longer night s Causality: o Social difficulties o Life events (trigger) o Neurobiology (“chemical imbalance,” heritability) o Cognition (way people think, interpret events, view selves and others) o Reduced reinforcers (not enough pleasant events in life) Major depressive disorder o Major depressive episode o 5 or more of the following, at least one of which must be symptom 1 or 2 1. Depressed mood (sad, blue, down) 2. Anhedonia (reduced interest/pleasure) 3. Appetite disturbance 4. Sleep disturbance 5. Feelings of worthlessness or inappropriate guilt 6. Loss of energy/fatigue 7. Difficulty concentrating or indecision 8. Psychomotor agitation or retardation 9. Recurrent thoughts of death or suicide o 2-week duration, most of the day for most days Not better explained by medical condition, substance use Abnormal psych Unit 2 I guess Clinically significant distress or impairment; distinct and more severe than normative response to loss Persistent depressive disorder o 2-year minimum duration o Depressed mood and at least 2 additional symptoms of depression o Symptoms persist at least half of the time 2+ years o Displaces “Dysthymia” from DSM-IV, incorporates a more chronic of MDD Prevalence o MDD: 12-16% lifetime prevalence in the US o Women: Men 2:1 o Persistent DD prevalence not yet known (new diagnosis) Dysthymic disorder at 2.5% lifetime prevalence o Cohort effect: rates of depression higher in each successive generation Comorbidities o 60% with MDD meet anxiety disorder criteria o Also co-morbid with substance use disorders, personality disorders o Shared underlying mechanism? o Increased risk of cardiovascular disease o Factors: Behavior (isolating, avoiding, relation to mood, relation to biology from opposite effect, low activity, affects relationships) Cognition (failure, negative memories/expectations, relation to behavior, relation to biology due to stress) Biology (serotonin, dopamine) Mood (relation to negative cognitions) Relationships (relation to cognitions) Constant cycle in relation to each other Cognitive therapy: interpersonal therapy, enhancing relationships Behavioral activation: more long term 10.06.16 Diathesis – stress o 1. Heritability, neurobiological o 2. Cognitive – interpretations/beliefs o 3. Coping skills Bipolar disorders o Bipolar I Disorder: at least 1 manic episode, 1% US prevalence o Bipolar II Disorder: at least 1 hypomanic (hypo=less, less severe) episode and 1 depressive episode (no history of manic episode) Abnormal psych Unit 2 I guess o Cyclothymic Disorder: 2-years minimum duration of mild manic like symptoms and mild depressive-like symptoms (full criteria not met for either), about 4% prevalence Manic Episode o 1 week of: distinctly elevated, expansive or irritable mood persistently increased goal-directed activity o And at least 3 of the following: Rapid speech Flights of ideas/racing thoughts Decreased need for sleep Increased self esteem (grandiosity) Distractibility, easily diverted Excessive involvement in activities likely to have painful consequences: spending, sexual indiscretions, unrealistic business ventures o 1-week duration, or any duration if hospitalization is needed o Not attributable to substance use or medical condition Hypomanic Episode o Symptoms are milder than mania o No significant impairment o However, depressive episodes are impairing Etiology o Heritability estimates 37% for MDD Higher heritability for more severe depression o As high as 93% for bipolar I disorder Also high for bipolar II o Differences in genes for serotonin transporter may interact with childhood maltreatment/adult life stressors Neurotransmitters o Depression: Low levels of serotonin? Low sensitivity in serotonin receptors? Insensitive dopamine receptors? o Mania Overly sensitive dopamine receptors? Psychosocial Contributions o MDD: Life stressors Interpersonal difficulties Reduction in reinforcement Abnormal psych Unit 2 I guess Inaccurate negative conditions o Manic episodes: Shifts in sleep cycle Increased activity patterns, accomplishments Increased reward sensitivity Interactive model o Cognitions/emotions/neurobiological/behaviors o Correlate and affect with each other Treatments o Medication SSRI: Selective serotonin receptor inhibitor SNRI: MAOI: Monoamine oxidation inhibitor o Electroconvulsive Therapy (ECT): aka shock therapy, given thousands of times, treatment of last resort, does not respond to at least 2 medications, success rate of 70%. Downside: month’s worth of memories gone??? Depression may come back o Transcranial Magnetic Stimulation o For Bipolar Disorder: Lithium, mood stabilizers (Depakote), antipsychotics (Zyprexa) o
Are you sure you want to buy this material for
You're already Subscribed!
Looks like you've already subscribed to StudySoup, you won't need to purchase another subscription to get this material. To access this material simply click 'View Full Document'