Mood Disorders Major Depression Persistent feelings of sadness despair loss of interest in sources of pleasure Emotional Symptoms sad hopeless despair Cognitive Symptoms slowed thinking trouble concentrating or making decisions Physical and Motor Symptoms Less active problems sleeping low sex drive physical pain Generally episodic Episodes vary typical 3 12 months If time limited why treat 2x women over men Lifetime prev 16 17 Often sudden and no known cause Good news effective tx therapy and or medication Dysthymia More moderate but lasts longer Seasonal Affective Disorder Symptoms fluctuate with time of year reaction to levels of sunlight Post Partum Depression Appears after giving birth 10 Interferes with baby s care vs baby blues Bipolar Disorder Severe mood swings Depression and manic episodes Mania Excessive excitement energy optimism elation or irritability Prev 1 2 5 less than depression Men Women Most effective treatment Therapy and medication Schizophrenia Severe disorder including disordered thinking bizarre behavior disrupted emotions disrupted perceptions 1 of population Psychotic inability to distinguish between reality and fantasy Positive Symptoms In excess of or in addition to normal behavior they do most people don t Thought Disorder illogical loose connections Bizarre Behavior dress mannerisms talk to self Hallucinations false sensory perceptions auditory most common Delusions false beliefs refusal to accept evidence of their falseness Negative Symptoms Symptoms that are less than normal they don t do most people do harder to treat Flat Affect a lack of emotional responsiveness Poor speech production Lack of initiative Social withdrawal Cause Diathesis vulnerability Stress Disorder Genes other biological or psychological stressors Risk Neurodevelopmental disorder differences in brain structure and function Ex Typical Course Usually emerges teen early adult Better prognosis Sudden or later onset Well adjusted before episode Fewer negative symptoms Supportive family Follows treatment plan medication
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