Mood disorders involve disturbances in emotions that cause subjective discomfort and impair functioning. The two central mood disorders are depression and mania. Depression is characterized by sadness, worthlessness, and withdrawal, while mania involves elevated mood, expansiveness, or irritability leading to hyperactivity. Depression is more common than mania and is a leading reason individuals seek mental health treatment. Mood disorders have biological, psychological, and social/cultural factors influencing their development and presentation.
Mood Disorders Mental Health Nursing Chapter 16 Part Iilifeisgood727
The document discusses bipolar disorder and mood disorders. It covers biological, psychosocial and developmental theories of bipolar disorder. It also discusses symptoms, diagnosis, and treatment strategies for bipolar disorder including in children and adolescents. Treatment includes psychopharmacology, psychotherapy, electroconvulsive therapy and family interventions. The nursing process for patients with mood disorders or who are suicidal is also summarized including assessment, diagnoses, planning and evaluation.
The document provides information about mood disorders including statistics, types of mood disorders, diagnostic criteria, and features of specific disorders. Some key points:
- 15% of those diagnosed with major depressive disorder or bipolar disorder commit suicide, making it a leading cause of death.
- Major depressive disorder and bipolar disorder are characterized by episodes of depression and for bipolar disorder, episodes of mania or hypomania.
- Dysthymic disorder involves chronic depressed mood for most of the day for at least two years.
- Bipolar I disorder includes manic episodes that cause severe symptoms and impairment in functioning. It has a lifetime prevalence of about 1% and often involves other conditions as well
This document provides information on mood disorders including depressive disorders and bipolar disorders. It defines key terms like major depressive episode and manic episode. It describes the diagnostic criteria for major depressive disorder, dysthymic disorder, bipolar I disorder, bipolar II disorder, and cyclothymic disorder. It also provides case studies and discusses epidemiology, subtypes, course, and comorbidities of various mood disorders.
This document summarizes mood disorders including major depressive disorder, bipolar disorder, dysthymic disorder, and cyclothymic disorder. It discusses the symptoms, diagnostic criteria, prevalence, etiology, treatment goals, and pharmacotherapy options for these conditions. Key points include that major depressive disorder is more prevalent in women while bipolar disorder is equal between men and women; biological and psychosocial factors can contribute to the development of mood disorders; and treatment may involve hospitalization, psychotherapy, cognitive behavioral therapy, and medications like SSRIs, SNRIs, lithium, and antipsychotics depending on the specific diagnosis.
The patient exhibited symptoms of mania such as distractibility, rapid speech, grandiose delusions about replacing the president and being Alexander the Great. Laboratory tests ruled out substance use. The most likely diagnosis is bipolar disorder with psychotic features (option A) given the presentation of manic symptoms with psychotic features in the absence of substance use. Mood disorders are highly prevalent and impairing but many go undiagnosed. Conditions include major depression, bipolar disorder, and dysthymia. Treatment involves hospitalization, psychotherapy, and pharmacotherapy with antidepressants, mood stabilizers, or ECT.
The document provides information about mood disorders including major depressive disorder and bipolar disorder. It discusses the classification, signs and symptoms, epidemiology, etiology, differential diagnosis, and treatment options for mood disorders. Treatment involves risk assessment, hospitalization if needed, psychotherapy, pharmacotherapy, and addressing any medical causes.
Major depressive disorder and bipolar disorder are mood disorders characterized by disturbances in mood and behavior ranging from depression to mania. Major depressive disorder involves at least two weeks of depressed mood or lack of interest in activities along with other symptoms. Bipolar disorder involves extreme mood swings between episodes of mania and depression. Both have genetic and biological factors and are treated with medication and psychotherapy. Accurate assessment and monitoring of symptoms is important for nursing care.
Mood Disorders Mental Health Nursing Chapter 16 Part Iilifeisgood727
The document discusses bipolar disorder and mood disorders. It covers biological, psychosocial and developmental theories of bipolar disorder. It also discusses symptoms, diagnosis, and treatment strategies for bipolar disorder including in children and adolescents. Treatment includes psychopharmacology, psychotherapy, electroconvulsive therapy and family interventions. The nursing process for patients with mood disorders or who are suicidal is also summarized including assessment, diagnoses, planning and evaluation.
The document provides information about mood disorders including statistics, types of mood disorders, diagnostic criteria, and features of specific disorders. Some key points:
- 15% of those diagnosed with major depressive disorder or bipolar disorder commit suicide, making it a leading cause of death.
- Major depressive disorder and bipolar disorder are characterized by episodes of depression and for bipolar disorder, episodes of mania or hypomania.
- Dysthymic disorder involves chronic depressed mood for most of the day for at least two years.
- Bipolar I disorder includes manic episodes that cause severe symptoms and impairment in functioning. It has a lifetime prevalence of about 1% and often involves other conditions as well
This document provides information on mood disorders including depressive disorders and bipolar disorders. It defines key terms like major depressive episode and manic episode. It describes the diagnostic criteria for major depressive disorder, dysthymic disorder, bipolar I disorder, bipolar II disorder, and cyclothymic disorder. It also provides case studies and discusses epidemiology, subtypes, course, and comorbidities of various mood disorders.
This document summarizes mood disorders including major depressive disorder, bipolar disorder, dysthymic disorder, and cyclothymic disorder. It discusses the symptoms, diagnostic criteria, prevalence, etiology, treatment goals, and pharmacotherapy options for these conditions. Key points include that major depressive disorder is more prevalent in women while bipolar disorder is equal between men and women; biological and psychosocial factors can contribute to the development of mood disorders; and treatment may involve hospitalization, psychotherapy, cognitive behavioral therapy, and medications like SSRIs, SNRIs, lithium, and antipsychotics depending on the specific diagnosis.
The patient exhibited symptoms of mania such as distractibility, rapid speech, grandiose delusions about replacing the president and being Alexander the Great. Laboratory tests ruled out substance use. The most likely diagnosis is bipolar disorder with psychotic features (option A) given the presentation of manic symptoms with psychotic features in the absence of substance use. Mood disorders are highly prevalent and impairing but many go undiagnosed. Conditions include major depression, bipolar disorder, and dysthymia. Treatment involves hospitalization, psychotherapy, and pharmacotherapy with antidepressants, mood stabilizers, or ECT.
The document provides information about mood disorders including major depressive disorder and bipolar disorder. It discusses the classification, signs and symptoms, epidemiology, etiology, differential diagnosis, and treatment options for mood disorders. Treatment involves risk assessment, hospitalization if needed, psychotherapy, pharmacotherapy, and addressing any medical causes.
Major depressive disorder and bipolar disorder are mood disorders characterized by disturbances in mood and behavior ranging from depression to mania. Major depressive disorder involves at least two weeks of depressed mood or lack of interest in activities along with other symptoms. Bipolar disorder involves extreme mood swings between episodes of mania and depression. Both have genetic and biological factors and are treated with medication and psychotherapy. Accurate assessment and monitoring of symptoms is important for nursing care.
This document provides information about mood disorders such as depression and bipolar disorder. It discusses the prevalence, symptoms, diagnostic criteria, course, and causes of various mood disorders. Some key points include: major depressive disorder is one of the leading causes of disability worldwide. It affects about 13-21% of people. Bipolar I disorder involves episodes of mania and depression, affecting about 1% of the population. Genetics, neurotransmitters, stress, and other biological and environmental factors can all contribute to the development of mood disorders.
Mood disorders include depressive disorders like major depressive disorder and bipolar disorders. Major depressive disorder involves one or more major depressive episodes without a history of mania. Bipolar I disorder involves one or more manic or mixed episodes. Etiology may include genetics, neurotransmitter imbalances, stress, negative thought patterns, and interpersonal problems. Treatment involves psychotherapy like cognitive behavioral therapy and interpersonal therapy as well as medication like SSRIs, tricyclics, lithium, and ECT.
This document provides an overview of bipolar disorder for learners. It defines bipolar disorder as a mood disorder that causes shifts between mania and depression. Mania involves elevated mood, decreased need for sleep, and risky behaviors while depression includes feelings of sadness and loss of interest. The document outlines symptoms of mania and depression and describes treatment involving medication, lifestyle changes, therapy, and social support. It also discusses self-help strategies, triggers of bipolar episodes, warning signs of suicide, and the social stigma associated with bipolar disorder.
Bipolar disorder, also known as manic-depressive illness, is characterized by periods of depression alternating with periods of mania or hypomania. During manic episodes, patients experience elevated mood, decreased need for sleep, grandiosity, and increased goal-directed activity. Depressive episodes involve depressed mood, loss of interest, changes in appetite and sleep, feelings of worthlessness, and thoughts of death or suicide. Treatment involves medication such as mood stabilizers, antipsychotics, and antidepressants as well as psychotherapy. The causes of bipolar disorder are thought to involve genetic, neurological, environmental, and psychosocial factors.
The document discusses mood disorders, which are characterized by extreme disturbances in mood or feeling such as depression or mania. The main types of mood disorders covered are major depressive disorder, seasonal affective disorder, bipolar disorder, dysthymic disorder, cyclothymic disorder, and endogenous depression. Bipolar disorders involve periods of both depression and mania or hypomania. The causes, symptoms, and patterns of suicidal thoughts and behaviors are also examined.
This document discusses mood disorders such as depression and bipolar disorder. It covers the symptoms, causes, and treatment options including medications. Some key points:
- Depression is a common, treatable mental illness that involves mood, thought, behavior, and physical symptoms like changes in sleep, appetite, and energy. It can be situational or chronic.
- Bipolar disorder involves cycling between episodes of mania and depression. Mania symptoms include euphoric or irritable mood, rapid speech, decreased need for sleep, and risky behaviors.
- Treatment options discussed include antidepressant medications from several classes as well as electroconvulsive therapy. Lithium is mentioned as a treatment for bipolar disorder.
Mood disorders:major depressive and bipolar disorderNandu Krishna J
a basic description about mood disorders mainly MDD and bipolar disorder. Can be made useful in presentations and theory exams. Subject was imbibed from different presentations and DSM IV manual. Thanks for viewing.
The document discusses mood disorders including unipolar depressive disorders, symptomatology of depressive disorders, DSM-IV categories of unipolar depressive disorders, subtypes of depression, bipolar disorder, gender and age differences in depression, the course of depression, and biological theories of mood disorders.
This document discusses clinical depression, including its symptoms, causes, and treatment options. It summarizes the TV show "You're the Worst" and how it depicts depression through the character of Gretchen. Key points: Depression is a mood disorder causing sadness and loss of interest. It affects thoughts, feelings and behaviors. Genetic and environmental factors can increase risk. Episodes may have no obvious external cause. Treatment includes antidepressants, psychotherapy, or a combination. The show portrays Gretchen's depressive episodes in a realistic way and how depression can impact relationships. It shows depression is an illness requiring professional help, not a personal weakness.
This document discusses mood disorders and depression. It covers the classification of mood disorders according to ICD-10 codes, as well as the etiology of mood disorders from biological, psychological, and social perspectives. The etiology is complex and multifactorial, involving genetics, neurotransmitters like serotonin and norepinephrine, stress, and social support systems. Recurrent depression is associated with neuronal damage over time from repeated episodes.
Bipolar disorder is a brain disorder that causes extreme shifts in mood and energy levels that are more severe than normal ups and downs. It is caused by a combination of genetic and biological factors and can be triggered by environmental or random events. There are four main types of bipolar disorder classified by the severity and duration of manic and depressive episodes experienced.
This document provides an overview of mood disorders including major depressive disorder and bipolar disorder. It discusses categories of mood disorders, symptoms, treatment, nursing assessments, nursing diagnoses, outcomes, interventions, and evaluations. Special populations such as the elderly are also addressed. Suicide is described in terms of risk factors and the nurse's role in prevention and response.
This document provides information about bipolar disorder, including its symptoms, types, causes, effects, myths, and treatment. Bipolar disorder involves periods of elevated or irritable mood alternating with periods of depression. It is a serious mental illness caused by genetic and environmental factors that affect neurotransmitters in the brain. Bipolar disorder can impair individuals' relationships and job performance, and increase risks of suicide. Treatment involves medication, psychotherapy, lifestyle management, education, and social support.
Mood disorders are characterized by a sense of loss of control over one's mood and subjective distress. They include conditions like bipolar disorder and recurrent depressive disorder. Bipolar disorder involves alternating periods of mania and depression, while recurrent depressive disorder involves two or more episodes of major depression. Core features of mania include elevated or irritable mood, increased speech, decreased need for sleep, and increased psychomotor activity, while depression is marked by depressed mood, anhedonia, and loss of energy. Treatment involves mood stabilizers, antipsychotics, benzodiazepines, antidepressants, or electroconvulsive therapy. Prognosis depends on factors like age of onset, duration of episodes, and presence of psych
Cyclothymia, also known as cyclothymic disorder, is a mood disorder involving numerous periods of hypomanic symptoms alternating with periods of depressive symptoms. For a diagnosis of cyclothymic disorder, these mood periods must occur for at least two years in adults (or one year in children and adolescents) and cannot be severe enough or long enough to be classified as major depressive or hypomanic episodes. Cyclothymia has a prevalence of about 1% worldwide and commonly develops during adolescence or early adulthood. Its causes involve genetic and environmental factors, and treatment focuses on lifestyle changes, psychotherapy, and mood stabilizing medications.
This document discusses mood disorders such as depression and bipolar disorder. It covers the symptoms, causes, and treatment options including medications. Some key points:
- Depression is a common, treatable mental illness that involves mood, thought, behavior, and physical symptoms like changes in sleep, appetite, and energy. It can be situational or chronic.
- Bipolar disorder involves cycling between episodes of mania and depression. Mania symptoms include euphoric or irritable mood, rapid speech, decreased need for sleep, and risky behaviors.
- Treatment options discussed include antidepressant medications from several classes as well as electroconvulsive therapy. Lithium is mentioned as a treatment for bipolar disorder.
This document discusses mood disorders like depression and bipolar disorder. It defines key terms like emotion, affect, and mood. Mood disorders are characterized by episodes of depressed, manic, or mixed moods that impair functioning. Symptoms include emotional, cognitive, somatic, and behavioral changes. Depression is more common in women and bipolar disorder has onset typically between ages 28-33. Treatment involves psychotherapy, medication, and in severe cases ECT. Around 15-20% of those with mood disorders attempt or commit suicide, which is a major risk that requires crisis intervention and support.
Bipolar disorder is a mental condition characterized by alternating periods of mania and depression. During mania, an individual feels abnormally happy, energetic, or irritable and makes poorly thought out decisions. Depression causes crying, poor eye contact, and a negative outlook. Bipolar disorder is diagnosed based on self-reported experiences and observations by professionals, and can be treated with psychotherapy and medications like lithium, which helps prevent relapses.
Bipolar disorder is a brain disorder that causes shifts in mood and ability to function. People with bipolar disorder experience extreme episodes of mania and depression. It is a lifelong illness that typically develops in late adolescence or early adulthood. Bipolar disorder is caused by an imbalance of neurotransmitters in the brain and can be triggered by stress, though the underlying causes are unknown. Treatment involves mood stabilizing medications, psychotherapy, and lifestyle management.
Mood disorders involve disturbances in emotions that cause discomfort and impair functioning. Depression is characterized by sadness and withdrawal, while mania involves elevated mood and hyperactivity. Mood disorders can be unipolar, involving only depression, or bipolar, involving both manic and depressive episodes. Depression is more common than mania and affects females more than males. Risk of recurrence increases with each mood episode. Treatment involves medication, psychotherapy, and electroconvulsive therapy. Suicide is often associated with mood disorders and involves intentional self-harm as an escape from psychological pain. Risk factors include depression, substance abuse, and communication of suicidal intent.
This slide contains information regarding mood disorder and depression. This can be helpful for proficiency level and bachelor level nursing students. Your feedback is highly appreciated.
This document provides information about mood disorders such as depression and bipolar disorder. It discusses the prevalence, symptoms, diagnostic criteria, course, and causes of various mood disorders. Some key points include: major depressive disorder is one of the leading causes of disability worldwide. It affects about 13-21% of people. Bipolar I disorder involves episodes of mania and depression, affecting about 1% of the population. Genetics, neurotransmitters, stress, and other biological and environmental factors can all contribute to the development of mood disorders.
Mood disorders include depressive disorders like major depressive disorder and bipolar disorders. Major depressive disorder involves one or more major depressive episodes without a history of mania. Bipolar I disorder involves one or more manic or mixed episodes. Etiology may include genetics, neurotransmitter imbalances, stress, negative thought patterns, and interpersonal problems. Treatment involves psychotherapy like cognitive behavioral therapy and interpersonal therapy as well as medication like SSRIs, tricyclics, lithium, and ECT.
This document provides an overview of bipolar disorder for learners. It defines bipolar disorder as a mood disorder that causes shifts between mania and depression. Mania involves elevated mood, decreased need for sleep, and risky behaviors while depression includes feelings of sadness and loss of interest. The document outlines symptoms of mania and depression and describes treatment involving medication, lifestyle changes, therapy, and social support. It also discusses self-help strategies, triggers of bipolar episodes, warning signs of suicide, and the social stigma associated with bipolar disorder.
Bipolar disorder, also known as manic-depressive illness, is characterized by periods of depression alternating with periods of mania or hypomania. During manic episodes, patients experience elevated mood, decreased need for sleep, grandiosity, and increased goal-directed activity. Depressive episodes involve depressed mood, loss of interest, changes in appetite and sleep, feelings of worthlessness, and thoughts of death or suicide. Treatment involves medication such as mood stabilizers, antipsychotics, and antidepressants as well as psychotherapy. The causes of bipolar disorder are thought to involve genetic, neurological, environmental, and psychosocial factors.
The document discusses mood disorders, which are characterized by extreme disturbances in mood or feeling such as depression or mania. The main types of mood disorders covered are major depressive disorder, seasonal affective disorder, bipolar disorder, dysthymic disorder, cyclothymic disorder, and endogenous depression. Bipolar disorders involve periods of both depression and mania or hypomania. The causes, symptoms, and patterns of suicidal thoughts and behaviors are also examined.
This document discusses mood disorders such as depression and bipolar disorder. It covers the symptoms, causes, and treatment options including medications. Some key points:
- Depression is a common, treatable mental illness that involves mood, thought, behavior, and physical symptoms like changes in sleep, appetite, and energy. It can be situational or chronic.
- Bipolar disorder involves cycling between episodes of mania and depression. Mania symptoms include euphoric or irritable mood, rapid speech, decreased need for sleep, and risky behaviors.
- Treatment options discussed include antidepressant medications from several classes as well as electroconvulsive therapy. Lithium is mentioned as a treatment for bipolar disorder.
Mood disorders:major depressive and bipolar disorderNandu Krishna J
a basic description about mood disorders mainly MDD and bipolar disorder. Can be made useful in presentations and theory exams. Subject was imbibed from different presentations and DSM IV manual. Thanks for viewing.
The document discusses mood disorders including unipolar depressive disorders, symptomatology of depressive disorders, DSM-IV categories of unipolar depressive disorders, subtypes of depression, bipolar disorder, gender and age differences in depression, the course of depression, and biological theories of mood disorders.
This document discusses clinical depression, including its symptoms, causes, and treatment options. It summarizes the TV show "You're the Worst" and how it depicts depression through the character of Gretchen. Key points: Depression is a mood disorder causing sadness and loss of interest. It affects thoughts, feelings and behaviors. Genetic and environmental factors can increase risk. Episodes may have no obvious external cause. Treatment includes antidepressants, psychotherapy, or a combination. The show portrays Gretchen's depressive episodes in a realistic way and how depression can impact relationships. It shows depression is an illness requiring professional help, not a personal weakness.
This document discusses mood disorders and depression. It covers the classification of mood disorders according to ICD-10 codes, as well as the etiology of mood disorders from biological, psychological, and social perspectives. The etiology is complex and multifactorial, involving genetics, neurotransmitters like serotonin and norepinephrine, stress, and social support systems. Recurrent depression is associated with neuronal damage over time from repeated episodes.
Bipolar disorder is a brain disorder that causes extreme shifts in mood and energy levels that are more severe than normal ups and downs. It is caused by a combination of genetic and biological factors and can be triggered by environmental or random events. There are four main types of bipolar disorder classified by the severity and duration of manic and depressive episodes experienced.
This document provides an overview of mood disorders including major depressive disorder and bipolar disorder. It discusses categories of mood disorders, symptoms, treatment, nursing assessments, nursing diagnoses, outcomes, interventions, and evaluations. Special populations such as the elderly are also addressed. Suicide is described in terms of risk factors and the nurse's role in prevention and response.
This document provides information about bipolar disorder, including its symptoms, types, causes, effects, myths, and treatment. Bipolar disorder involves periods of elevated or irritable mood alternating with periods of depression. It is a serious mental illness caused by genetic and environmental factors that affect neurotransmitters in the brain. Bipolar disorder can impair individuals' relationships and job performance, and increase risks of suicide. Treatment involves medication, psychotherapy, lifestyle management, education, and social support.
Mood disorders are characterized by a sense of loss of control over one's mood and subjective distress. They include conditions like bipolar disorder and recurrent depressive disorder. Bipolar disorder involves alternating periods of mania and depression, while recurrent depressive disorder involves two or more episodes of major depression. Core features of mania include elevated or irritable mood, increased speech, decreased need for sleep, and increased psychomotor activity, while depression is marked by depressed mood, anhedonia, and loss of energy. Treatment involves mood stabilizers, antipsychotics, benzodiazepines, antidepressants, or electroconvulsive therapy. Prognosis depends on factors like age of onset, duration of episodes, and presence of psych
Cyclothymia, also known as cyclothymic disorder, is a mood disorder involving numerous periods of hypomanic symptoms alternating with periods of depressive symptoms. For a diagnosis of cyclothymic disorder, these mood periods must occur for at least two years in adults (or one year in children and adolescents) and cannot be severe enough or long enough to be classified as major depressive or hypomanic episodes. Cyclothymia has a prevalence of about 1% worldwide and commonly develops during adolescence or early adulthood. Its causes involve genetic and environmental factors, and treatment focuses on lifestyle changes, psychotherapy, and mood stabilizing medications.
This document discusses mood disorders such as depression and bipolar disorder. It covers the symptoms, causes, and treatment options including medications. Some key points:
- Depression is a common, treatable mental illness that involves mood, thought, behavior, and physical symptoms like changes in sleep, appetite, and energy. It can be situational or chronic.
- Bipolar disorder involves cycling between episodes of mania and depression. Mania symptoms include euphoric or irritable mood, rapid speech, decreased need for sleep, and risky behaviors.
- Treatment options discussed include antidepressant medications from several classes as well as electroconvulsive therapy. Lithium is mentioned as a treatment for bipolar disorder.
This document discusses mood disorders like depression and bipolar disorder. It defines key terms like emotion, affect, and mood. Mood disorders are characterized by episodes of depressed, manic, or mixed moods that impair functioning. Symptoms include emotional, cognitive, somatic, and behavioral changes. Depression is more common in women and bipolar disorder has onset typically between ages 28-33. Treatment involves psychotherapy, medication, and in severe cases ECT. Around 15-20% of those with mood disorders attempt or commit suicide, which is a major risk that requires crisis intervention and support.
Bipolar disorder is a mental condition characterized by alternating periods of mania and depression. During mania, an individual feels abnormally happy, energetic, or irritable and makes poorly thought out decisions. Depression causes crying, poor eye contact, and a negative outlook. Bipolar disorder is diagnosed based on self-reported experiences and observations by professionals, and can be treated with psychotherapy and medications like lithium, which helps prevent relapses.
Bipolar disorder is a brain disorder that causes shifts in mood and ability to function. People with bipolar disorder experience extreme episodes of mania and depression. It is a lifelong illness that typically develops in late adolescence or early adulthood. Bipolar disorder is caused by an imbalance of neurotransmitters in the brain and can be triggered by stress, though the underlying causes are unknown. Treatment involves mood stabilizing medications, psychotherapy, and lifestyle management.
Mood disorders involve disturbances in emotions that cause discomfort and impair functioning. Depression is characterized by sadness and withdrawal, while mania involves elevated mood and hyperactivity. Mood disorders can be unipolar, involving only depression, or bipolar, involving both manic and depressive episodes. Depression is more common than mania and affects females more than males. Risk of recurrence increases with each mood episode. Treatment involves medication, psychotherapy, and electroconvulsive therapy. Suicide is often associated with mood disorders and involves intentional self-harm as an escape from psychological pain. Risk factors include depression, substance abuse, and communication of suicidal intent.
This slide contains information regarding mood disorder and depression. This can be helpful for proficiency level and bachelor level nursing students. Your feedback is highly appreciated.
This document provides information on mood disorders including depression and bipolar disorder. It discusses the characteristics and prevalence of depression, including symptoms such as lowered mood, sleep disturbances, and weight loss. Mania is described as involving overactivity, mood changes, and self-important ideas. The document outlines various classifications of depressive and bipolar disorders. It also discusses the epidemiology, causes, assessment, and management of depression and bipolar disorder.
Mood disorders are characterized by disturbances in emotion and mood, ranging from mild to extreme. Major depressive disorder is the most severe form of depression, characterized by depressed mood and loss of interest in activities. Bipolar disorder involves severe mood swings between depression and mania. Biological factors like changes in brain chemicals and genetics contribute to mood disorders, as do psychological factors such as negative thought patterns and learned helplessness. Mood disorders are prevalent and have significant impacts.
This document provides a history and overview of mood disorders including depression and bipolar disorder. It discusses:
- Historical descriptions of mood disorders from ancient times through the 20th century
- Epidemiology including prevalence rates of major types of mood disorders
- Psychological and cognitive models used to understand mood disorders
- Clinical features and symptoms of depression and mania
- Diagnosis and classification systems for mood disorders
- Brain changes associated with mood disorders
- Management approaches including psychological, pharmacological, and physical treatments
Major depressive disorder is one of the most common psychiatric disorders, affecting nearly 17% of the population. It is characterized by depressed mood or loss of interest/pleasure for at least two weeks, along with other symptoms such as changes in appetite, sleep, energy levels, concentration, feelings of worthlessness and thoughts of death or suicide. Biological factors like abnormalities in neurotransmitter systems, hormones, and sleep patterns are implicated in its etiology. Treatment involves medications and psychotherapy.
This document discusses mood disorders, specifically manic episodes and depression. It begins by providing historical context on the study of mood disorders dating back to ancient Greece. It then defines mood disorders as being characterized by disturbances in mood accompanied by manic or depressive syndromes.
The document describes the clinical features of mania, including elevated mood, increased psychomotor activity, and decreased need for sleep. It also discusses the clinical features of depression, such as depressed mood, psychomotor retardation or agitation, and thoughts of worthlessness.
The document covers the classification, epidemiology, etiology, diagnosis and management of both manic episodes and depressive episodes. It notes that mood disorders often have genetic and biochemical factors and
Bipolar disorder, also known as bipolar affective disorder (and originally called manic-depressive illness), is a mental disorder characterized by periods of elevated mood and periods of depression. The elevated mood is significant and is known as mania or hypomania depending on the severity or whether there is psychosis.
This document defines key terms related to bipolar disorder and outlines the objectives, causes, symptoms, diagnostic criteria, and treatment approaches for the different types of bipolar disorder according to the DSM-IV-TR. It discusses bipolar I disorder, bipolar II disorder, cyclothymia, and the symptoms and diagnostic criteria for mania, hypomania, depression, and mixed episodes. The causes of bipolar disorder discussed include genetic, biological, neurological, cognitive, and psychosocial factors.
A mood disorder is a mental health condition that primarily affects your emotional state. They can cause persistent and intense sadness, elation and/or anger. Mood disorders are treatable — usually with a combination of medication and psychotherapy.
This document discusses bipolar disorder, also known as manic depression. It is a mental illness characterized by periods of depression and mania. There are different types of bipolar disorder defined by the severity and frequency of mood episodes. While the causes are unclear, it is thought to involve imbalances in brain chemicals and may be influenced by genetic and environmental factors. Diagnosis involves evaluating mood symptoms and ruling out other potential causes. Treatment includes mood stabilizing medications, psychotherapy, and lifestyle management to control symptoms and minimize relapse.
This document discusses bipolar disorder, also known as manic depression. It is a mental illness characterized by periods of depression and mania. There are different types of bipolar disorder defined by the severity and frequency of mood episodes. While the cause is unknown, it is thought to involve imbalances in brain chemicals and may be influenced by genetic and environmental factors. Diagnosis involves evaluating mood symptoms and ruling out other potential causes. Treatment includes mood stabilizing medications, psychotherapy, and lifestyle management to control symptoms and minimize relapse.
This document provides information about bipolar disorder, including its definition, types, causes, symptoms, and treatment strategies. It defines bipolar disorder as a mental illness characterized by extreme mood swings between mania and depression. There are several types of bipolar disorder that are distinguished by the severity and length of manic episodes. Potential causes include genetic and environmental factors that impact neurotransmitter levels and brain circuitry. Symptoms vary depending on the current mood state. Treatment strategies include psychotherapy, pharmacotherapy using mood stabilizers and other medications, and brain stimulation techniques like ECT if needed.
This document discusses mental health issues among college students, specifically depression and bipolar disorder. Some key points:
- Nearly 15% of college students have been diagnosed with depression and about 1/3 report that stress impacts their academic performance.
- The symptoms of depression include feelings of sadness, hopelessness, changes in appetite and sleep, difficulty concentrating, and sometimes suicidal thoughts.
- Bipolar disorder causes shifts between manic and depressive episodes and also mixed states with symptoms of both. It is treated with medication, counseling, or a combination of both.
- Both genetics and stress contribute to depression and bipolar disorder. Seeking treatment is important, as over 80% of individuals see improvement with counseling, medication,
This document discusses homeopathic treatment approaches for depression. It provides an overview of symptoms of depression, different types of depression, potential causes, risk factors, complications if left untreated, and conventional and homeopathic management strategies. Homeopathy takes a holistic approach by considering a patient's complete medical history and symptoms to determine a constitutional remedy aimed at stimulating the immune system and restoring healthy mental functioning, rather than just suppressing symptoms like antidepressants.
A 42-year-old man is experiencing a recurrent major depressive episode. He had previously responded well to treatment with imipramine but did not tolerate the anticholinergic side effects. Given his history of responding well to antidepressants and preference to avoid side effects, an SSRI with fewer anticholinergic effects would be a suitable first-line treatment option for this episode. Close monitoring would also be important given his risk of recurrence.
This document discusses mood disorders and their treatment. It defines mood as a sustained emotional state, versus affect which is the external display of emotions. Mood disorders involve disturbances in mood that impair functioning, and include magnified states of mania and depression. There are several types of mood disorders including major depressive disorder, bipolar disorder, and dysthymic disorder. Treatment involves risk assessment, psychosocial therapies like CBT and IPT, pharmacotherapy with antidepressants, and other options like ECT for severe cases.
The document defines and describes various mood disorders including major depressive disorder, bipolar disorder types I and II, dysthymic disorder, and their diagnostic criteria and features. It covers topics such as mood episodes, the main mood disorders, criteria for major depressive and manic/hypomanic episodes, course and treatment options. Medical causes and substance-induced varieties are also discussed.
Mooddisordersmentalhealthnursingchapter16 Partii 091112080813 Phpapp02Arletha Thomas
The document discusses bipolar disorder and mood disorders. It covers biological, psychosocial and developmental theories of bipolar disorder. Symptoms of mania in children and adolescents are provided. Treatment strategies discussed include psychopharmacology, family interventions, and addressing comorbid conditions like ADHD. Nursing assessments, diagnoses, interventions, education and evaluations related to bipolar disorder and suicide risk are also summarized.
The chapter introduces the field of psychology and its goals of description, explanation, prediction, and control. It discusses early perspectives in psychology such as structuralism, functionalism, Gestalt psychology, psychoanalysis, and behaviorism. Modern perspectives presented include psychodynamic, behavioral, humanistic, biopsychological, cognitive, sociocultural, and evolutionary. Research methods in psychology such as case studies, surveys, correlation, and experimentation are explained. Ethical issues in psychological research and principles of critical thinking are also covered.
Red tide is caused by a rapid population growth of microscopic plankton that release toxins harmful to marine life and humans. The toxins can interfere with metabolism, nerve conduction, and the central nervous system. Blooms mainly occur in warm, coastal waters. Scientists have categorized red tide blooms into four stages: introduction, growth, maintenance, and dissipation. Red tide has negatively impacted ecosystems by killing fish, birds, and marine mammals. It also poses health risks and has caused several types of shellfish poisoning in humans. Further research is still needed to understand and address the causes of red tide outbreaks.
Siltation refers to the pollution of water by fine particulate terrestrial material like silt and clay. This leads to increased suspended sediment concentrations and accumulation of fine sediments in undesirable locations. Siltation is often caused by soil erosion or sediment spill. The main pollution source in water is sediment spill from dredging, dredged material transportation, and dredged material deposition near water. Siltation is measured by turbidity near the source, which is correlated to sediment concentration. Background turbidity is subtracted from spill plume turbidity. Repeated measurements integrate over the entire variable plume to reduce uncertainty. Siltation impacts bottom communities by interfering with filter feeding and burying organisms.
Eutrophication is a form of water pollution caused by excess nutrients like nitrogen and phosphorus entering aquatic ecosystems from human activities. This leads to excessive plant growth and decay, reduced oxygen levels, and negative impacts on water quality and wildlife populations. The main sources of eutrophication include agricultural runoff containing fertilizers and manure, sewage discharge, and erosion caused by development and poor land use practices. As more nutrients enter ecosystems, it can lead to algal blooms, changes in plant and animal communities, and reduced biodiversity in lakes and other bodies of water.
Pollution of the world's oceans is a major problem, as waste such as garbage, sewage, chemicals, radioactive waste, heavy metals, and oil have huge negative impacts on ocean plants and animals. These pollutants enter oceans through dumping, industrial waste, accidents, and can accumulate in organisms, causing damage to health and entire ecosystems. Common pollutants include plastic waste which entangles wildlife, sewage which depletes oxygen levels, and oil spills which coat and poison coastlines and their inhabitants.
Thermal pollution is the harmful increase in water temperature that can be caused by power plants, factories, and the removal of vegetation near bodies of water. It impacts aquatic life by decreasing oxygen levels and altering ecosystems. Even a small temperature increase of 1-2 degrees Celsius can kill native species. While thermal pollution from industrial sources can be controlled through techniques like cooling towers, thermal pollution from devegetation is more difficult to regulate due to cumulative minor impacts from many actors. Laws and erosion control efforts can help address this type of thermal pollution.
This document provides information on several personality disorders, including definitions, classifications, symptoms, diagnosis, and treatment. It discusses paranoid, schizoid, and schizotypal personality disorders in Cluster A. Cluster B disorders covered are antisocial, borderline, histrionic, and narcissistic personality disorders. The document aims to inform readers about the characteristics and clinical approach to these conditions.
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1. Mood Disorders
Disturbances in emotions that cause subjective discomfort, hinders a person’s ability to function, or
both.
(Depression and mania are central to these disorders.)
Depression: Emotional state characterized by intense sadness, feelings of futility and
worthlessness, and withdrawal from others.
Mania: Emotional state characterized by elevated mood, expansiveness, or irritability, often
resulting in hyperactivity.
Depression occurs ten times as frequently as mania.
Depression is the most common complaint of individuals seeking mental health care.
Lifetime prevalence:
o
Severe depression: 5-12% of males and 10-25% of females
o
Mood disorder: 15% of males and 24% of females
2. Risk of another episode increases with each episode
o
50% after one episode, 70% after second, 90% after third
The Symptoms of Depression
Affective: Depressed mood, dejection, excessive and prolonged mourning, worthlessness, lack of
joy.
Cognitive: Pessimism, decreased energy, disinterest, loss of motivation, self-accusations of being
incompetent
Cognitive Triad: Negative views of self, outside world, and the future.
Behavioral: Uninhibited, impulsive sexual activity, abusive discourse
Hypomania: “High” mood and overactive behavior; poor judgment, delusions (rare),
start many projects but complete few, dominate conversations, often grandiose.
Mania: Pronounced overactivity, grandiosity, irritability; incoherent speech, no
tolerance for criticism or restraint
Physiological: Decreased need for sleep, plus high levels of arousal.
Classification of Mood Disorders
Depressive Disorders (also called unipolar disorders because no mania is exhibited):
Major depressive disorders
Dysthymic disorder
Depressive disorders not otherwise specified
Bipolar Disorders: Characterized by one or more manic or hypomanic episodes and usually by
one or more depressive episodes.
Bipolar disorder I
Bipolar disorder II
Cyclothymic disorder
3. Depressive Disorders
Major Depression: A disorder in which a group of symptoms, such as depressed mood, loss of
interest, sleep disturbances, feelings of worthlessness, and inability to concentrate, are present
for at least two weeks.
Dysthymic Disorder: Characterized by chronic and relatively continual depressed mood that
does not meet the criteria for major depression.
Pessimism, guilt, loss of interest, poor appetite or overeating, low self-esteem, chronic
fatigue, social withdrawal, concentration difficulties.
Bipolar Disorders
Bipolar I Disorders: Single manic episodes, most recent episode hypomanic, most recent episode
manic, most recent episode mixed, most recent episode depressed, and most recent episode
unspecified.
Bipolar II Disorders: Recurrent major depressive episodes with hypomanic episode.
Manic episodes without depressive episodes are extremely rare.
Cyclothymic Disorder: Chronic and relatively continual mood disorder with hypomanic episodes
and depressed moods that do not meet criteria for major depressive episode.
Symptoms present for more than 2 years, never symptom free for more than 2 months
Other Mood Disorders
Mood Disorder Due to General Medical Condition: Characterized by depressed mood and/or
elevated or irritable mood as a direct result of a general medical condition.
Substance-Induced Mood Disorder: Prominent and persistent disturbance of mood attributable
to use of a substance or cessation of substance use.
4. Symptom Features and Specifiers
Specifiers: Describe major depressive episodes in terms of severity, presence or absence of
psychotic symptoms, and remission status.
Useful for prognosis
May include information such as:
○
Melancholia: Loss of pleasure, lack of reactivity to pleasurable stimuli,
depression that is worse in the morning, early morning awakening, excessive
guilt, weight loss.
○
Catatonia: Motoric immobility, extreme agitation, negativism, or mutism.
Course specifiers:
Rapid Cycling: Episodes occurred 4 or more times during the previous 12 months.
Seasonal Pattern: Moods are accentuated during certain times.
○
Seasonal Affective Disorder (SAD): Serious depression fluctuates according to
the season.
Postpartum Onset: Occurs within 4 weeks of childbirth.
Comparison of Depressive and Bipolar Disorders
Genetic studies:
Increased incidence of manic disturbances for blood relatives of bipolar patients.
More evidence of genetic/ psychophysiological influences for bipolar than unipolar
disorders.
Relatives of unipolar patients have a greater probability of having unipolar disorders,
but relatives of bipolar patients have a greater probability of having bipolar AND
unipolar disorders.
Age of onset is earlier for bipolar (early 20s) than unipolar (late 20s).
Psychomotor retardation and risk of suicide greater for bipolar than unipolar.
Unipolars are more likely to exhibit anxiety.
5. Bipolar patients respond to lithium.
Prevalence differences:
1-2% of adult population has experienced bipolar disorder.
8-19% of adult population has experienced major depressive disorder.
No gender differences in bipolar I disorder.
Women are more likely than men to experience major depression and bipolar II
disorder.
The Etiology of Mood Disorders
Psychological or Sociocultural Approaches to Depression
Psychodynamic: Focus on separation and anger (“symbolic loss”)
Cognitive: Low self-esteem, stable and enduring cognitive styles:
Negative thoughts and errors in thinking
Beck: Depression is a disturbance in thinking, not mood.
Schemas set people up for depression.
The Etiology of Mood Disorders
Psychological or Sociocultural Approaches to Depression
Cognitive:
Depressed people operate from a primary triad of negative self-views, present
experiences, and future expectations.
○
Four errors in logic typify this negative schema:
Arbitrary inference
Selected abstraction
Overgeneralization
Magnification/ minimization
6. Behavioral: Separation or loss, but reduced reinforcement is the cause and leads to less activity;
secondary gain from reinforcement of inactivity.
Lewinsohn suggests 3 sets of variable that help or hinder access to positive
reinforcement
○
Number of potentially reinforcing events/activities
○
Availability of reinforcements
○
Individual’s instrumental behavior
Cognitive-learning approaches:
Learned Helplessness: The belief that one is helpless and unable to affect outcomes in
one’s life.
○
Seligman: Belief in one’s own helplessness
Attributional Style: People who feel helpless make speculations (causal attributions)
about why they are helpless.
○
Internal/external, stable/unstable, global/specific
Cognitive-learning approaches:
Response Styles: People have consistent styles of responding to depressed moods that
affect the course of depression.
○
Ruminative Responses: Dwelling on why one feels bad, considering possible
consequences of symptoms, and expressing how badly one feels.
Cognitive-learning:
Diathesis-Stress: Vulnerability (negative cognitions or pessimistic attributional styles) in
the presence of stress (negative life events) results in depression.
7. Sociocultural: Culture, social experiences, and psychosocial stressors (including stress and
gender)
Social support: Acts as a buffer against depression
Stress and depression:
○
Diathesis: Individual genetic, constitutional, or social conditions may produce
vulnerability to developing depression.
○
Chronic stress more strongly related to depression than acute stress
Gender and depression:
Universally, women are twice as likely as men to develop major depression.
○
Women are more likely to seek treatment or report their depression to others.
○
Possible diagnostic bias
○
Depression may take other forms in men.
○
Possible biological factors
○
Traditional gender roles
○
Response styles (women ruminate)
The Etiology of Mood Disorders
Biological Perspectives on Mood Disorders
Role of heredity:
Adoption studies: Incidence of mood disorders is higher among biological families than
among adoptive families.
Twin studies: Concordance rates are higher for monozygotic twins than for dizygotic
twins (especially for bipolar disorders), although non-genetic factors also have an
influence.
Polygenetic interactions
Etiology of Mood Disorders
Neurotransmitters and Mood Disorders
Neurotransmitters: Chemical substances that are released by axons of sending neurons and that
are involved in the transmission of neural impulses to the dendrites of receiving neurons.
8. Catecholamine Hypothesis: Depression results from a deficit of specific neurotransmitters,
mania is caused by too much.
Neurotransmitters are broken down or chemically depleted by MAOs.
Neurotransmitters are reabsorbed by the releasing neuron in the reuptake process.
Dysregulation of Serotonin (5HT) and Norepinephrine (NE) in the brain are strongly associated
with depression.
Dysregulation of 5HT and NE in the spinal cord may explain an increased pain perception among
depressed patients.
Imbalances of 5HT and NE may explain the presence of both emotional and physical symptoms
of depression.
Low norepinephrine levels related to inaction.
Other possible neurotransmission issues:
Blunted receptor response
Dysregulation in neurotransmission
Neuroendocrine abnormalities:
Depression is linked with high levels of cortisol (hormone secreted by adrenal cortex).
Dexamethasone suppression test (DST) measures cortisol levels.
REM sleep disturbances:
Depression is linked to relatively rapid onset of and increase in REM sleep.
May be connected to severe life stress
Etiology of Mood Disorders
Evaluating Causation Theories
Longitudinal/prospective studies allow more insight into links between life experiences and
depression.
Technological advances in identifying biological markers and processes in mood disorders.
Increased attention to viewing depression as a heterogeneous collection of disorders.
9. Many theories are too simplistic or too complex, hard to test empirically, don’t account for
relevant variables, or are too limited.
Range of mood stages result from interaction between environmental and biological factors.
The Treatment of Mood Disorders
Biomedical treatments:
Medications heighten level of a target neurotransmitter at the neuronal synapse:
Boost neurotransmitter’s synthesis
Block its degradation
Prevent its reuptake from synapse
Mimick its binding to postsynaptic receptors
Electroconvulsive therapy (ECT): For severe depression
Only used after drug treatments have not worked.
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Psychotherapy and behavioral treatments for depressive disorders:
Psychoanalysis: Gain insight into unconscious and unresolved feelings of separation or
anger.
Behavior therapy: Increase exposure to pleasurable events and to improve social skills.
10. Psychotherapy and behavioral treatments:
Interpersonal: Short-term, psychodynamic-eclectic; targets interpersonal relationships.
Cognitive-behavioral: Teaches patient to identify negative, self-critical thoughts, to see
their connection with depression, to examine distorted thoughts and to replace them
with realistic interpretations.
Interpersonal psychotherapy and cognitive-behavioral therapy are both effective for treating
depression.
Combination of psychotherapy and medication (imipramine) may be best.
Effects of treatment diminish over time, although cognitive therapy has better long-term
outcomes.
Treatment for Bipolar Disorders
Same forms of psychotherapy and behavior therapy used for unipolar disorder are used for
bipolar disorder (particularly family therapy).
Typical treatment for bipolar patient involves lithium carbonate, which is 60-80% effective.
Negative physical side effects; also, lack of compliance or self-regulation of dosage.
Anticonvulsant drugs are also being used.