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PSY 380: Chapter 5
Broad types of Mood Disorders |
1. Depressive
2. Manic (bipolar) |
DSM-IV-TR Despressive Disorders |
1. Major Despressive disorder
2. Dysthymia |
DSM-5 Additions to Mood Disorders |
1. Mixed anxiety/depressive disorder
2. Premenstrual dyphoric disorder
3. Disruptive mood dysregulation disorder |
DSM-IV-TR/DSM-5 Bipolar Disorders |
1. Bipolar I
2. Bipolar II
3. Cyclothymia |
Symptoms of Major Depressive Disorder |
Sad mood or loss of interest or pleasure that are present every day for at least due weeks not due to normal bereavement. Plus at least four of the other symptoms. |
Anhedonia |
Sad mood or loss of interest or pleasure |
Common Characteristics of Major Depressive Disorder |
1. Episodic-dissipates over time
2. Recurrent-Future episodes likely to have (av. 4) |
Subclinical Despression |
A sub-set of MDD of sadness plus three other symptoms for 10 days. |
Dysthymia |
Chronic disturbance of mood, not as severe as depression. At least 2 years but 2 other symptoms |
Premenstrual dysphoric disorder (PMDD) |
Premenstrual symptoms severe enough to significantly disrupt a woman's functioning |
Disruptive Mood Dysregulation Disorder |
- new, DSM 5
A. severe recurrent temper outbursts grossly out of proportion
1. manifest verbally and/or behaviorally
2. inconsistant with developmental level
B. frequency- 3 or more a week
C. Mood irratable in between
D. present for a while
E. more than one setting
F. 6- 18 years ages
G. warning twitch
H. cont behave during manic episodes |
mixed anxiety depressive disorder |
new disorder in DSM V; subclinical symptoms of depression and anxiety
- might become one of the most common disorders overall |
Look at Epidemiology and Consequences of Despressive Disorders |
... |
Common Characteristics of Bipolar Disorder |
Involves episodes of depression and mania |
Two Forms of Mania |
Mania: States of intense elation or irritablilty
Hypomania: Less intense symptoms of mania |
Bipolar I |
One episode of mania that may have a major depressive episode |
Bipolar II |
At least one major depressive episode with an episode of hypomania |
cyclothymia |
2-year duration of numerous alternating periods of hypomanic symptoms and depressive symptoms |
Anxiety |
Apprehension about future threat |
Fear |
Response to an immediate threat |
Anxiety Disorders
|
Most common psychiatric disorders
28% report anxiety disorders
Most common are phobias |
Specific Phobias |
Persistent (at least 6 months) fear of specific object or situation that leads to significant impairment |
Social phobia (social anxiety disorder) |
an anxiety disorder: fear of humiliation in the presence of others, characterized by intense self-consciousness about appearance or behavior or both
|
Panic disorder |
in which a person experiences sudden episodes of intense dread
attacks occur unpredictably |
Agoraphobia |
intense anxiety and panic about being in places from which escape might be difficult or in which help might not be available if panic attack were to occur. |
Generalized Anxiety Disorder (GAD) |
Excessive anxiety and worry
Trouble controlling the worries
Worries lead to significant distress
Worry must occur more days than not for at least 6 monthes |