SlideShare a Scribd company logo
Mood Disorders Lucia Merino Psychopathology Class Presentation December 13 th , 2009
The Four Humors Melancholic     moody   glum (water) Choleric      hot-tempered   Irritable (fire) Sanguine healthy Happy (air) Phlegmatic   droopy Slow (earth) Source: https://eee.uci.edu/clients/bjbecker/PlaguesandPeople/humorsb.jpg
The Four Personality Type based on the four humors The humors each had associated physical and mental characteristics; the result was a system that was quite subtle in its capacity for describing types of personality. Source: http://www.kheper.net/topics/typology/four_humours.html Humor Body Substance Produced by Personality Type Sanguine blood liver Amorous, happy, healthy, optimistic, irresponsible Choleric yellow bile spleen Violent, vengeful, irritable,  short tempered, ambitious Phlegmatic phlegm lungs Sluggish, pallid, cowardly, droopy, slow, lazy Melancholic Black bile gall bladder Introspective, sentimental,  moody, gloomy, gluttonous
The four humors today
From the four humors to Diagnostic Statistical Manual
Since 2000 using DSM-IV-TR
Mood Disorders Unipolar Disorders Major Depressive Disorder -specify: single, psychotic, post-partum Dysthymic Disorder Depressive Disorder NOS Bipolar Disorders Bipolar I Disorder Bipolar II Disorder Cyclothymic Disorder Bipolar Disorder NOS Mood Disorder due to a General Medical Condition Mood Disorder Not Otherwise Specified Substance-Induced Mood Disorder
Mood changes Vegetative symptoms Suicidal Ideation  Negative Self-Evaluation Cognitive changes Major Depressive Disorder Major Depressive Episode Symptoms: Sad/depressed mood Decreased interest in pleasurable  activities Motoric changes: retardation or agitation Sleep changes: too much or too little Appetite changes: anxious eating or no eating Fatigue or loss of energy Cognitive changes: indecisiveness, lack of attention, concentration Guilt, worthlessness, hopelessness Suicidal ideation (15-20% more likely suicide)
Dysthymic Disorder A. Depressed mood most of the day more days than not for at least 2 yrs. B. While depressed presence of 2 of: (1) poor appetite or overeating (2) insomnia or hypersomnia (3) low energy or fatigue (4) low self-esteem (5) poor concentration or undecis (6) hopelessness C. During the illness two year period the person has never been without A & B sxs for more than 2 months No Major Depressive Episode has been present during the two years of dysthymia. There has never been a manic, hypomanic or mixed episode or cyclothymic  d/o. The disturbance does not occur during the course of a chronic psychotic disorder such as schizophrenia or delusional disorder. The symptoms are not due to a medical condition or physiological effect of any Substances (alcohol, drugs or medications). They symptoms cause clinically significant distress or impairment in social,  occupational, or other important areas of functioning. Photo source: http://i.ehow.com/images/GlobalPhoto/Articles/5472319/391169-main_Full.jpg
Depressive Disorder Not Otherwise Specified The Depressive Disorder NOS category includes disorders with depressive features that do not meet criteria for a MDD, Dysthymic , Adjustment with Depressed Mood, or Adjustment with Mixed Anxiety and Depressed Mood disorder.  Sometimes depressive symptoms can present as part of an Anxiety Disorder NOS. Examples of Depressive Disorder NOS include: Premenstrual dysphoric disorder: Minor depressive disorder: Recurrent brief depressive disorder: Postpsychotic depressive disorder of Schizophrenia: A M D Episode superimposed on Delusional D/O, Psychotic NOS, or the active phase of schizophrenia. Situations in which the clinician has concluded that a depressive d/o is present but is unable to determine whether it is primary, due to a general medical condition, or substance induced.
Bipolar I Disorder Bipolar II Disorder Cyclothymic Disorder Bipolar Disorder NOS Bipolar Disorders
Manic Episode Source: http://farm4.static.flickr.com/3141/2658083689_60c2ff67a0_o.jpg
Symptoms of a Manic Episode Elevated Mood Inflated Self-esteem or grandiosity Decreased need for sleep Talkative, pressure to keep talking Racing thoughts, flight of ideas Distractibility Goal directed activity(social, work, sex) Psychomotor agitation Excessive pleasurable activities Poor judgment behavior Diagnostic Criteria: A distinct period of abnormally and persistently elevated, expansive, or irritable mood, lasting at least 1 week (or any duration if hospitalization is necessary) B) During the period of mood disturbance, three or more of the symptoms listed have persisted (four if the mood is only irritable) and have been present to a significant degree. C) The symptoms do not meet criteria for a mixed episode. D) The mood disturbance is sufficiently severe to case marked impairment in functioning. E) Not due to a medical condition, treatment or substances. Photo source: http://images.dailyradar.com/media/uploads/showhype/photos_large/2008/09/07/robinwilliams.jpg
Case presentation 45 year old divorced Caucasian working male sober  for last 20 yrs –computer programmer. Presenting symptoms: Sleeping 3-4 hours walking up fully rested Writing 2-3 short novels per week (goal directed) Racing thoughts – rush of mental energy Promiscuous behavior including female therapist Poor judgment behavior (i.e. getting $ from ATM  and giving it out to people in the street, getting on a plane to Thailand and spending several months having sex with prostitutes, ex-wife wiring $ to stay longer an finally having to bail him out of jail, having robbers and drunks as room mates at home and relapsing. Showing up in his company party on a skirt with no underwear and flirting with personnel. Finally losing job, health, properties, finances and being sent to a nursing home since his health severely deteriorated and family were not able to take care of him. His children were afraid of him being inappropriate with children, showing up drunk or being aggressive. His behavior was grandiose, he would wear lots of native American jewelry he had made,  colorful beads necklaces, chains with buffalo horns pendant, many rings in his fingers and an exuberant big hat with exotic feathers. Picture retrieved from: http://www.hypomanicedge.com/reviews/nyt/nytimesarticle.jpg
Symptoms of a Hypomanic Episode Elevated, expansive, or irritable mood Inflated Self-esteem or grandiosity Decreased need for sleep Talkative, pressure to keep talking Racing thoughts, flight of ideas Distractibility Goal directed activity(social, work, sex) Psychomotor agitation Excessive pleasurable activities  Poor judgment behavior Diagnostic Criteria: A) A distinct period of persistently elevated, expansive, or irritable mood, lasting throughout at least 4 days , that is different from the usual non-depressed mood. B) During the period of mood disturbance, three or more of the symptoms listed have persisted (four if the mood is only irritable) and have been present to a significant degree. C) The episode is associated with an unequivocal uncharacteristic change in functioning. D) The disturbance in mood and the change in functioning are observable by others. E) The episode is not severe enough to cause marked impairment in social or occupational functioning, or to necessitate hospitalization ,and there are no psychotic features. F) The symptoms not due to the physiological effects of substances or medical conditions.
Diagnostic Criteria Cyclothymic Disorder For at least 2 years, the presence of numerous periods with hypomanic symptoms and numerous periods with depressive symptoms that do not meet criteria for a MDE. During the above 2-year period (1 year in children and adolescents), the person has not been without the symptoms in Criterion A for more than 2 months at a time. No Major Depressive Episode, Manic Episode, or Mixed Episode has been present during the first 2 years of the disturbance. The symptoms in Criterion A are not better accounted for by Schizoaffective and are not superimposed on Schizophrenia, Schizophreniform, Delusional, or Psychotic NOS. Symptoms not due to the effects of substances, mediations or medical conditions. F. The symptoms cause clinically significant distress or impairment in functioning. Photo source: http://www.metroactive.com/papers/metro/03.30.00/gifs/bipolar2-0013.jpg
Bipolar Disorder NOS The Bipolar Disorder NOS category includes disorders with bipolar features that do not meet criteria for any specific Bipolar Disorders. Examples are: Very rapid alternation (over days) between manic symptoms and depressive symptoms that meet symptom threshold criteria but not minimal duration for Manic, Hypomanic, or Major Depressive Episodes. Recurrent Hypomanic Episodes without intercurrent depressive sxs. A Manic or Mixed Episode superimposed on Delusional D/O, residual Schizophrenia, or Psychotic D/O NOS. Hypomanic Episodes, along with chronic depressive symptoms, that are too infrequent to qualify for a diagnosis of Cyclothymic Disorder. Situations in which the clinical has concluded that a Bipolar Disorder is present but is unable to determine whether it is primary, due to a general medical condition, or substance induced. Source: DSM-IV-TR
Summary Graphics Retrieved from: http://journey2balance.files.wordpress.com/2009/10/bipolar_arrow.jpg
Summary Graphics Retrieved from: http://www.thebody.com/content/esp/art6293.html
Bipolar I, II, and Cyclothymic Disorders Retrieved from: http://www.psychosis-bipolar.com/information-about-psychoses-57.html
 
 
 
 
 
References Woo, S., & Keatinge, C. (2008) Schizophrenia and other psychotic Disorders (pp.469-532) in  Diagnosis and Treatment of Mental Disorders Across the Life Span.  Wiley: NJ American Psychiatric Association (2000)  Diagnostic and statistical manual of mental disorders;  Fourth edition; Text Revision; DSM-IV-TR. APA:DC

More Related Content

What's hot

Schizophrenia
SchizophreniaSchizophrenia
Schizophrenia
Money Kalash
 
Dissociative disorder
Dissociative disorderDissociative disorder
Dissociative disorder
Nurzawani Shamsudin
 
Adjustment disorder
Adjustment disorderAdjustment disorder
Dissociative Disorders (2008)
Dissociative Disorders (2008)Dissociative Disorders (2008)
Dissociative Disorders (2008)
Zahiruddin Othman
 
Personality disorders
Personality disordersPersonality disorders
Personality disorders
Eric Pazziuagan
 
Personality disorders in DSM5
Personality disorders in DSM5Personality disorders in DSM5
Personality disorders in DSM5
Ahmed Elaghoury
 
Bipolar Disorder
Bipolar DisorderBipolar Disorder
Bipolar Disorder
SabiraGannie
 
Dissociative Disorders
Dissociative DisordersDissociative Disorders
Dissociative Disorders
Tosca Torres
 
Separation anxiety disorder (SAD)
Separation anxiety disorder (SAD)Separation anxiety disorder (SAD)
Separation anxiety disorder (SAD)
IpsitaDandriyal
 
MOOD DISORDERS
MOOD DISORDERSMOOD DISORDERS
MOOD DISORDERS
hanisahwarrior
 
A Case Study on Schizophrenia
 A Case Study on Schizophrenia A Case Study on Schizophrenia
A Case Study on Schizophrenia
Reeba Sara Koshy
 
Anxiety disorders DSM-5
Anxiety disorders DSM-5Anxiety disorders DSM-5
Bipolar disorder management
Bipolar disorder managementBipolar disorder management
Bipolar disorder management
Harsh shaH
 
Schizophrenia
SchizophreniaSchizophrenia
Schizophrenia
Sara Dawod
 
Case presentation superfinale
Case presentation superfinaleCase presentation superfinale
Case presentation superfinale
Roxanne Jeen Fornolles
 
Schizophrenia case presentation.
Schizophrenia case presentation. Schizophrenia case presentation.
Schizophrenia case presentation.
arunithar
 
Anxiety Disorders
Anxiety DisordersAnxiety Disorders
Anxiety Disorders
velspharmd
 
Disruptive Mood Dysregulation Disorder
Disruptive Mood Dysregulation DisorderDisruptive Mood Dysregulation Disorder
Disruptive Mood Dysregulation Disorder
Shehryar Alam Khan Bangash
 
Generalized Anxiety Disorder (GAD)
Generalized Anxiety Disorder (GAD)Generalized Anxiety Disorder (GAD)
Generalized Anxiety Disorder (GAD)
Deva Pramod
 
Anxiety disorder
Anxiety disorderAnxiety disorder
Anxiety disorder
Safinah Mohd Tumiran
 

What's hot (20)

Schizophrenia
SchizophreniaSchizophrenia
Schizophrenia
 
Dissociative disorder
Dissociative disorderDissociative disorder
Dissociative disorder
 
Adjustment disorder
Adjustment disorderAdjustment disorder
Adjustment disorder
 
Dissociative Disorders (2008)
Dissociative Disorders (2008)Dissociative Disorders (2008)
Dissociative Disorders (2008)
 
Personality disorders
Personality disordersPersonality disorders
Personality disorders
 
Personality disorders in DSM5
Personality disorders in DSM5Personality disorders in DSM5
Personality disorders in DSM5
 
Bipolar Disorder
Bipolar DisorderBipolar Disorder
Bipolar Disorder
 
Dissociative Disorders
Dissociative DisordersDissociative Disorders
Dissociative Disorders
 
Separation anxiety disorder (SAD)
Separation anxiety disorder (SAD)Separation anxiety disorder (SAD)
Separation anxiety disorder (SAD)
 
MOOD DISORDERS
MOOD DISORDERSMOOD DISORDERS
MOOD DISORDERS
 
A Case Study on Schizophrenia
 A Case Study on Schizophrenia A Case Study on Schizophrenia
A Case Study on Schizophrenia
 
Anxiety disorders DSM-5
Anxiety disorders DSM-5Anxiety disorders DSM-5
Anxiety disorders DSM-5
 
Bipolar disorder management
Bipolar disorder managementBipolar disorder management
Bipolar disorder management
 
Schizophrenia
SchizophreniaSchizophrenia
Schizophrenia
 
Case presentation superfinale
Case presentation superfinaleCase presentation superfinale
Case presentation superfinale
 
Schizophrenia case presentation.
Schizophrenia case presentation. Schizophrenia case presentation.
Schizophrenia case presentation.
 
Anxiety Disorders
Anxiety DisordersAnxiety Disorders
Anxiety Disorders
 
Disruptive Mood Dysregulation Disorder
Disruptive Mood Dysregulation DisorderDisruptive Mood Dysregulation Disorder
Disruptive Mood Dysregulation Disorder
 
Generalized Anxiety Disorder (GAD)
Generalized Anxiety Disorder (GAD)Generalized Anxiety Disorder (GAD)
Generalized Anxiety Disorder (GAD)
 
Anxiety disorder
Anxiety disorderAnxiety disorder
Anxiety disorder
 

Viewers also liked

Mood disorders
Mood disordersMood disorders
Mood disorders
Prashant Mishra
 
Four major types of psychotherapy
Four major types of psychotherapyFour major types of psychotherapy
Four major types of psychotherapy
sstout08
 
Psychotherapy
PsychotherapyPsychotherapy
3 types of psychotherapy
3 types of psychotherapy3 types of psychotherapy
3 types of psychotherapy
Jushing Widon
 
Psychotherapy
PsychotherapyPsychotherapy
Psychotherapy
Sathish Rajamani
 
Introduction of psychotherapy
Introduction of psychotherapyIntroduction of psychotherapy
Introduction of psychotherapy
Nursing Path
 
Mania ppt new
Mania ppt newMania ppt new
Mania ppt new
BabaJika Abubakar
 
Mania
ManiaMania
case presentation on mania presented by ajay mor
case presentation on mania presented by ajay morcase presentation on mania presented by ajay mor
case presentation on mania presented by ajay mor
ajaymor33
 
Mood Disorders
Mood DisordersMood Disorders
Mood Disorders
guestd889da58
 
Mood disorders, Psych II
Mood disorders, Psych IIMood disorders, Psych II
Mood disorders, Psych II
MD Specialclass
 
Mood disorders
Mood disordersMood disorders
Mood disorders
Sara Dawod
 
Mood disorders
Mood disordersMood disorders
Mood disorders
Ashley Binuluan
 
Bipolar Affective Disorder
Bipolar Affective DisorderBipolar Affective Disorder
Bipolar Affective Disorder
Vivianaemerald
 
Mania
ManiaMania
Mania
Madhura Tk
 
Mania
ManiaMania
Manic depressive psychosis (bipolar disease)
Manic depressive psychosis (bipolar disease)Manic depressive psychosis (bipolar disease)
Manic depressive psychosis (bipolar disease)
Vaishnavi S Nair
 
Mania powerpoint
Mania powerpointMania powerpoint
Mania powerpoint
dfitz-patrick
 
Anxiety disorders-
Anxiety disorders- Anxiety disorders-
Anxiety disorders-
Kavindya Fernando
 
Psychotherapy
PsychotherapyPsychotherapy
Psychotherapy
Hala Sayyah
 

Viewers also liked (20)

Mood disorders
Mood disordersMood disorders
Mood disorders
 
Four major types of psychotherapy
Four major types of psychotherapyFour major types of psychotherapy
Four major types of psychotherapy
 
Psychotherapy
PsychotherapyPsychotherapy
Psychotherapy
 
3 types of psychotherapy
3 types of psychotherapy3 types of psychotherapy
3 types of psychotherapy
 
Psychotherapy
PsychotherapyPsychotherapy
Psychotherapy
 
Introduction of psychotherapy
Introduction of psychotherapyIntroduction of psychotherapy
Introduction of psychotherapy
 
Mania ppt new
Mania ppt newMania ppt new
Mania ppt new
 
Mania
ManiaMania
Mania
 
case presentation on mania presented by ajay mor
case presentation on mania presented by ajay morcase presentation on mania presented by ajay mor
case presentation on mania presented by ajay mor
 
Mood Disorders
Mood DisordersMood Disorders
Mood Disorders
 
Mood disorders, Psych II
Mood disorders, Psych IIMood disorders, Psych II
Mood disorders, Psych II
 
Mood disorders
Mood disordersMood disorders
Mood disorders
 
Mood disorders
Mood disordersMood disorders
Mood disorders
 
Bipolar Affective Disorder
Bipolar Affective DisorderBipolar Affective Disorder
Bipolar Affective Disorder
 
Mania
ManiaMania
Mania
 
Mania
ManiaMania
Mania
 
Manic depressive psychosis (bipolar disease)
Manic depressive psychosis (bipolar disease)Manic depressive psychosis (bipolar disease)
Manic depressive psychosis (bipolar disease)
 
Mania powerpoint
Mania powerpointMania powerpoint
Mania powerpoint
 
Anxiety disorders-
Anxiety disorders- Anxiety disorders-
Anxiety disorders-
 
Psychotherapy
PsychotherapyPsychotherapy
Psychotherapy
 

Similar to Mood Disorders Presentation

Bipolar disorder by dr ajay nihalani
Bipolar disorder by dr ajay nihalaniBipolar disorder by dr ajay nihalani
Bipolar disorder by dr ajay nihalani
Dr Ajay Nihalani
 
Bipolar Disorder
Bipolar DisorderBipolar Disorder
Bipolar Disorder
Tosca Torres
 
mood disorder report 2013
mood disorder report 2013mood disorder report 2013
mood disorder report 2013
Jhaniz Domoguen
 
Mood disorder(abpsych)
Mood disorder(abpsych)Mood disorder(abpsych)
Mood disorder(abpsych)
Carlo Roa
 
Bipolar And Mania
Bipolar And ManiaBipolar And Mania
Bipolar And Mania
jumar ubalde
 
Bipolar and related disorders
Bipolar and related disordersBipolar and related disorders
Bipolar and related disorders
LAMAEZULFIQAR
 
Mood disorders samiyah aljohani
Mood disorders samiyah aljohaniMood disorders samiyah aljohani
Mood disorders samiyah aljohani
さ ん
 
Mood disorder and depression
Mood disorder and depressionMood disorder and depression
Mood disorder and depression
nabina paneru
 
Bipolar and related disorders
Bipolar and related disordersBipolar and related disorders
Bipolar and related disorders
Muhammad Musawar Ali
 
mood disorder.pptx
mood disorder.pptxmood disorder.pptx
mood disorder.pptx
AbdomagdyAbdomagdy
 
Case study CC26-year-old white female. Individual is AO x3.
Case study CC26-year-old white female. Individual is AO x3.Case study CC26-year-old white female. Individual is AO x3.
Case study CC26-year-old white female. Individual is AO x3.
MaximaSheffield592
 
Cyclothemic Disorder
Cyclothemic DisorderCyclothemic Disorder
Cyclothemic Disorder
Dr.Ahmad Fardeen Aartin Alemi
 
Bipolar Mood disorders 1.pptx nbvbnjjhgfvvb
Bipolar Mood disorders 1.pptx nbvbnjjhgfvvbBipolar Mood disorders 1.pptx nbvbnjjhgfvvb
Bipolar Mood disorders 1.pptx nbvbnjjhgfvvb
epicsoundever
 
Bipolar disorder distance learning ceu wo vids
Bipolar disorder distance learning ceu wo vidsBipolar disorder distance learning ceu wo vids
Bipolar disorder distance learning ceu wo vids
OneHEARTT
 
Majordepressivedisordermddppt1 101212214334-phpapp01
Majordepressivedisordermddppt1 101212214334-phpapp01Majordepressivedisordermddppt1 101212214334-phpapp01
Majordepressivedisordermddppt1 101212214334-phpapp01
Alana T. Kristen
 
Schizophrenic Ni Faye
Schizophrenic Ni FayeSchizophrenic Ni Faye
Psychiatry 5th year, 4th & 5th lectures (Dr. Nazar M. Mohammad Amin)
Psychiatry 5th year, 4th & 5th lectures (Dr. Nazar M. Mohammad Amin)Psychiatry 5th year, 4th & 5th lectures (Dr. Nazar M. Mohammad Amin)
Psychiatry 5th year, 4th & 5th lectures (Dr. Nazar M. Mohammad Amin)
College of Medicine, Sulaymaniyah
 
Q2 l07 mood disorders
Q2 l07  mood disordersQ2 l07  mood disorders
Q2 l07 mood disorders
Dickson College
 
Psychological Disorders
Psychological DisordersPsychological Disorders
Psychological Disorders
Amier Rostam
 
New: Psychiatry 5th year, 4th & 5th lectures (Dr. Nazar M. Mohammad Amin)
New: Psychiatry 5th year, 4th & 5th lectures (Dr. Nazar M. Mohammad Amin)New: Psychiatry 5th year, 4th & 5th lectures (Dr. Nazar M. Mohammad Amin)
New: Psychiatry 5th year, 4th & 5th lectures (Dr. Nazar M. Mohammad Amin)
College of Medicine, Sulaymaniyah
 

Similar to Mood Disorders Presentation (20)

Bipolar disorder by dr ajay nihalani
Bipolar disorder by dr ajay nihalaniBipolar disorder by dr ajay nihalani
Bipolar disorder by dr ajay nihalani
 
Bipolar Disorder
Bipolar DisorderBipolar Disorder
Bipolar Disorder
 
mood disorder report 2013
mood disorder report 2013mood disorder report 2013
mood disorder report 2013
 
Mood disorder(abpsych)
Mood disorder(abpsych)Mood disorder(abpsych)
Mood disorder(abpsych)
 
Bipolar And Mania
Bipolar And ManiaBipolar And Mania
Bipolar And Mania
 
Bipolar and related disorders
Bipolar and related disordersBipolar and related disorders
Bipolar and related disorders
 
Mood disorders samiyah aljohani
Mood disorders samiyah aljohaniMood disorders samiyah aljohani
Mood disorders samiyah aljohani
 
Mood disorder and depression
Mood disorder and depressionMood disorder and depression
Mood disorder and depression
 
Bipolar and related disorders
Bipolar and related disordersBipolar and related disorders
Bipolar and related disorders
 
mood disorder.pptx
mood disorder.pptxmood disorder.pptx
mood disorder.pptx
 
Case study CC26-year-old white female. Individual is AO x3.
Case study CC26-year-old white female. Individual is AO x3.Case study CC26-year-old white female. Individual is AO x3.
Case study CC26-year-old white female. Individual is AO x3.
 
Cyclothemic Disorder
Cyclothemic DisorderCyclothemic Disorder
Cyclothemic Disorder
 
Bipolar Mood disorders 1.pptx nbvbnjjhgfvvb
Bipolar Mood disorders 1.pptx nbvbnjjhgfvvbBipolar Mood disorders 1.pptx nbvbnjjhgfvvb
Bipolar Mood disorders 1.pptx nbvbnjjhgfvvb
 
Bipolar disorder distance learning ceu wo vids
Bipolar disorder distance learning ceu wo vidsBipolar disorder distance learning ceu wo vids
Bipolar disorder distance learning ceu wo vids
 
Majordepressivedisordermddppt1 101212214334-phpapp01
Majordepressivedisordermddppt1 101212214334-phpapp01Majordepressivedisordermddppt1 101212214334-phpapp01
Majordepressivedisordermddppt1 101212214334-phpapp01
 
Schizophrenic Ni Faye
Schizophrenic Ni FayeSchizophrenic Ni Faye
Schizophrenic Ni Faye
 
Psychiatry 5th year, 4th & 5th lectures (Dr. Nazar M. Mohammad Amin)
Psychiatry 5th year, 4th & 5th lectures (Dr. Nazar M. Mohammad Amin)Psychiatry 5th year, 4th & 5th lectures (Dr. Nazar M. Mohammad Amin)
Psychiatry 5th year, 4th & 5th lectures (Dr. Nazar M. Mohammad Amin)
 
Q2 l07 mood disorders
Q2 l07  mood disordersQ2 l07  mood disorders
Q2 l07 mood disorders
 
Psychological Disorders
Psychological DisordersPsychological Disorders
Psychological Disorders
 
New: Psychiatry 5th year, 4th & 5th lectures (Dr. Nazar M. Mohammad Amin)
New: Psychiatry 5th year, 4th & 5th lectures (Dr. Nazar M. Mohammad Amin)New: Psychiatry 5th year, 4th & 5th lectures (Dr. Nazar M. Mohammad Amin)
New: Psychiatry 5th year, 4th & 5th lectures (Dr. Nazar M. Mohammad Amin)
 

More from Lucia Merino, LCSW Bilingual Psychological Services

Providing mental health services latinx clients
Providing mental health services latinx clientsProviding mental health services latinx clients
Providing mental health services latinx clients
Lucia Merino, LCSW Bilingual Psychological Services
 
Como mantener un matrimonio feliz
Como mantener un matrimonio felizComo mantener un matrimonio feliz
Como mantener un matrimonio feliz
Lucia Merino, LCSW Bilingual Psychological Services
 
La depresion
La depresionLa depresion
Schizoaffective disorder DSM5
Schizoaffective  disorder DSM5Schizoaffective  disorder DSM5
Dependent Personality Disorder -DSM5
Dependent Personality Disorder -DSM5Dependent Personality Disorder -DSM5
Dependent Personality Disorder -DSM5
Lucia Merino, LCSW Bilingual Psychological Services
 
Anxiety: causes, symptoms and treatments
Anxiety: causes, symptoms and treatmentsAnxiety: causes, symptoms and treatments
Anxiety: causes, symptoms and treatments
Lucia Merino, LCSW Bilingual Psychological Services
 
La Codependecia: una presentación para mujeres
La Codependecia: una presentación para mujeresLa Codependecia: una presentación para mujeres
La Codependecia: una presentación para mujeres
Lucia Merino, LCSW Bilingual Psychological Services
 
Depression
DepressionDepression
Dysfunctional Families
Dysfunctional FamiliesDysfunctional Families
Stages of Change
Stages of ChangeStages of Change
Divorce & Children
Divorce & ChildrenDivorce & Children
Relaciones interpersonales
Relaciones interpersonalesRelaciones interpersonales
La Ansiedad
La AnsiedadLa Ansiedad
Categories of Distorted Automatic Thoughts 17
Categories of Distorted Automatic Thoughts 17Categories of Distorted Automatic Thoughts 17
Categories of Distorted Automatic Thoughts 17
Lucia Merino, LCSW Bilingual Psychological Services
 
Insight
InsightInsight
15 common defense mechanisms
15 common defense mechanisms15 common defense mechanisms
The pillars of a healthy and happy marriage
The pillars of a healthy and happy marriageThe pillars of a healthy and happy marriage
The pillars of a healthy and happy marriage
Lucia Merino, LCSW Bilingual Psychological Services
 
The five stages of grieving
The five stages of grievingThe five stages of grieving
Menopausia -La Transición Femenina
Menopausia -La Transición FemeninaMenopausia -La Transición Femenina
Menopausia -La Transición Femenina
Lucia Merino, LCSW Bilingual Psychological Services
 
Vrt vs cbt presentation
Vrt vs cbt presentationVrt vs cbt presentation

More from Lucia Merino, LCSW Bilingual Psychological Services (20)

Providing mental health services latinx clients
Providing mental health services latinx clientsProviding mental health services latinx clients
Providing mental health services latinx clients
 
Como mantener un matrimonio feliz
Como mantener un matrimonio felizComo mantener un matrimonio feliz
Como mantener un matrimonio feliz
 
La depresion
La depresionLa depresion
La depresion
 
Schizoaffective disorder DSM5
Schizoaffective  disorder DSM5Schizoaffective  disorder DSM5
Schizoaffective disorder DSM5
 
Dependent Personality Disorder -DSM5
Dependent Personality Disorder -DSM5Dependent Personality Disorder -DSM5
Dependent Personality Disorder -DSM5
 
Anxiety: causes, symptoms and treatments
Anxiety: causes, symptoms and treatmentsAnxiety: causes, symptoms and treatments
Anxiety: causes, symptoms and treatments
 
La Codependecia: una presentación para mujeres
La Codependecia: una presentación para mujeresLa Codependecia: una presentación para mujeres
La Codependecia: una presentación para mujeres
 
Depression
DepressionDepression
Depression
 
Dysfunctional Families
Dysfunctional FamiliesDysfunctional Families
Dysfunctional Families
 
Stages of Change
Stages of ChangeStages of Change
Stages of Change
 
Divorce & Children
Divorce & ChildrenDivorce & Children
Divorce & Children
 
Relaciones interpersonales
Relaciones interpersonalesRelaciones interpersonales
Relaciones interpersonales
 
La Ansiedad
La AnsiedadLa Ansiedad
La Ansiedad
 
Categories of Distorted Automatic Thoughts 17
Categories of Distorted Automatic Thoughts 17Categories of Distorted Automatic Thoughts 17
Categories of Distorted Automatic Thoughts 17
 
Insight
InsightInsight
Insight
 
15 common defense mechanisms
15 common defense mechanisms15 common defense mechanisms
15 common defense mechanisms
 
The pillars of a healthy and happy marriage
The pillars of a healthy and happy marriageThe pillars of a healthy and happy marriage
The pillars of a healthy and happy marriage
 
The five stages of grieving
The five stages of grievingThe five stages of grieving
The five stages of grieving
 
Menopausia -La Transición Femenina
Menopausia -La Transición FemeninaMenopausia -La Transición Femenina
Menopausia -La Transición Femenina
 
Vrt vs cbt presentation
Vrt vs cbt presentationVrt vs cbt presentation
Vrt vs cbt presentation
 

Recently uploaded

View Inheritance in Odoo 17 - Odoo 17 Slides
View Inheritance in Odoo 17 - Odoo 17  SlidesView Inheritance in Odoo 17 - Odoo 17  Slides
View Inheritance in Odoo 17 - Odoo 17 Slides
Celine George
 
The Cruelty of Animal Testing in the Industry.pdf
The Cruelty of Animal Testing in the Industry.pdfThe Cruelty of Animal Testing in the Industry.pdf
The Cruelty of Animal Testing in the Industry.pdf
luzmilaglez334
 
Allopathic M1 Srudent Orientation Powerpoint
Allopathic M1 Srudent Orientation PowerpointAllopathic M1 Srudent Orientation Powerpoint
Allopathic M1 Srudent Orientation Powerpoint
Julie Sarpy
 
BÀI TẬP BỔ TRỢ 4 KỸ NĂNG TIẾNG ANH LỚP 12 - GLOBAL SUCCESS - FORM MỚI 2025 - ...
BÀI TẬP BỔ TRỢ 4 KỸ NĂNG TIẾNG ANH LỚP 12 - GLOBAL SUCCESS - FORM MỚI 2025 - ...BÀI TẬP BỔ TRỢ 4 KỸ NĂNG TIẾNG ANH LỚP 12 - GLOBAL SUCCESS - FORM MỚI 2025 - ...
BÀI TẬP BỔ TRỢ 4 KỸ NĂNG TIẾNG ANH LỚP 12 - GLOBAL SUCCESS - FORM MỚI 2025 - ...
Nguyen Thanh Tu Collection
 
Dr. Nasir Mustafa CERTIFICATE OF APPRECIATION "NEUROANATOMY"
Dr. Nasir Mustafa CERTIFICATE OF APPRECIATION "NEUROANATOMY"Dr. Nasir Mustafa CERTIFICATE OF APPRECIATION "NEUROANATOMY"
Dr. Nasir Mustafa CERTIFICATE OF APPRECIATION "NEUROANATOMY"
Dr. Nasir Mustafa
 
MathematicsGrade7-Presentation-July-12024.pptx
MathematicsGrade7-Presentation-July-12024.pptxMathematicsGrade7-Presentation-July-12024.pptx
MathematicsGrade7-Presentation-July-12024.pptx
nolicaliso1
 
SD_Integrating 21st Century Skills in Classroom-based Assessment.pptx
SD_Integrating 21st Century Skills in Classroom-based Assessment.pptxSD_Integrating 21st Century Skills in Classroom-based Assessment.pptx
SD_Integrating 21st Century Skills in Classroom-based Assessment.pptx
elwoodprias1
 
MATATAG CURRICULUM sample lesson exemplar.docx
MATATAG CURRICULUM sample lesson exemplar.docxMATATAG CURRICULUM sample lesson exemplar.docx
MATATAG CURRICULUM sample lesson exemplar.docx
yardenmendoza
 
RDBMS Lecture Notes Unit4 chapter12 VIEW
RDBMS Lecture Notes Unit4 chapter12 VIEWRDBMS Lecture Notes Unit4 chapter12 VIEW
RDBMS Lecture Notes Unit4 chapter12 VIEW
Murugan Solaiyappan
 
How to Add a Filter in the Odoo 17 - Odoo 17 Slides
How to Add a Filter in the Odoo 17 - Odoo 17 SlidesHow to Add a Filter in the Odoo 17 - Odoo 17 Slides
How to Add a Filter in the Odoo 17 - Odoo 17 Slides
Celine George
 
How to Manage Line Discount in Odoo 17 POS
How to Manage Line Discount in Odoo 17 POSHow to Manage Line Discount in Odoo 17 POS
How to Manage Line Discount in Odoo 17 POS
Celine George
 
2 Post harvest Physiology of Horticulture produce.pptx
2 Post harvest Physiology of Horticulture  produce.pptx2 Post harvest Physiology of Horticulture  produce.pptx
2 Post harvest Physiology of Horticulture produce.pptx
UmeshTimilsina1
 
Cómo crear video-tutoriales con ScreenPal (2 de julio de 2024)
Cómo crear video-tutoriales con ScreenPal (2 de julio de 2024)Cómo crear video-tutoriales con ScreenPal (2 de julio de 2024)
Cómo crear video-tutoriales con ScreenPal (2 de julio de 2024)
Cátedra Banco Santander
 
How to Manage Early Receipt Printing in Odoo 17 POS
How to Manage Early Receipt Printing in Odoo 17 POSHow to Manage Early Receipt Printing in Odoo 17 POS
How to Manage Early Receipt Printing in Odoo 17 POS
Celine George
 
Lange and Roberts "DEIA in the Scholarly Landscape Session 5: DEIA in Peer Re...
Lange and Roberts "DEIA in the Scholarly Landscape Session 5: DEIA in Peer Re...Lange and Roberts "DEIA in the Scholarly Landscape Session 5: DEIA in Peer Re...
Lange and Roberts "DEIA in the Scholarly Landscape Session 5: DEIA in Peer Re...
National Information Standards Organization (NISO)
 
PRESS RELEASE - UNIVERSITY OF GHANA, JULY 16, 2024.pdf
PRESS RELEASE - UNIVERSITY OF GHANA, JULY 16, 2024.pdfPRESS RELEASE - UNIVERSITY OF GHANA, JULY 16, 2024.pdf
PRESS RELEASE - UNIVERSITY OF GHANA, JULY 16, 2024.pdf
nservice241
 
Imagination in Computer Science Research
Imagination in Computer Science ResearchImagination in Computer Science Research
Imagination in Computer Science Research
Abhik Roychoudhury
 
Introduction to Banking System in India.ppt
Introduction to Banking System in India.pptIntroduction to Banking System in India.ppt
Introduction to Banking System in India.ppt
Dr. S. Bulomine Regi
 
How to Empty a One2Many Field in Odoo 17
How to Empty a One2Many Field in Odoo 17How to Empty a One2Many Field in Odoo 17
How to Empty a One2Many Field in Odoo 17
Celine George
 
What is Rescue Session in Odoo 17 POS - Odoo 17 Slides
What is Rescue Session in Odoo 17 POS - Odoo 17 SlidesWhat is Rescue Session in Odoo 17 POS - Odoo 17 Slides
What is Rescue Session in Odoo 17 POS - Odoo 17 Slides
Celine George
 

Recently uploaded (20)

View Inheritance in Odoo 17 - Odoo 17 Slides
View Inheritance in Odoo 17 - Odoo 17  SlidesView Inheritance in Odoo 17 - Odoo 17  Slides
View Inheritance in Odoo 17 - Odoo 17 Slides
 
The Cruelty of Animal Testing in the Industry.pdf
The Cruelty of Animal Testing in the Industry.pdfThe Cruelty of Animal Testing in the Industry.pdf
The Cruelty of Animal Testing in the Industry.pdf
 
Allopathic M1 Srudent Orientation Powerpoint
Allopathic M1 Srudent Orientation PowerpointAllopathic M1 Srudent Orientation Powerpoint
Allopathic M1 Srudent Orientation Powerpoint
 
BÀI TẬP BỔ TRỢ 4 KỸ NĂNG TIẾNG ANH LỚP 12 - GLOBAL SUCCESS - FORM MỚI 2025 - ...
BÀI TẬP BỔ TRỢ 4 KỸ NĂNG TIẾNG ANH LỚP 12 - GLOBAL SUCCESS - FORM MỚI 2025 - ...BÀI TẬP BỔ TRỢ 4 KỸ NĂNG TIẾNG ANH LỚP 12 - GLOBAL SUCCESS - FORM MỚI 2025 - ...
BÀI TẬP BỔ TRỢ 4 KỸ NĂNG TIẾNG ANH LỚP 12 - GLOBAL SUCCESS - FORM MỚI 2025 - ...
 
Dr. Nasir Mustafa CERTIFICATE OF APPRECIATION "NEUROANATOMY"
Dr. Nasir Mustafa CERTIFICATE OF APPRECIATION "NEUROANATOMY"Dr. Nasir Mustafa CERTIFICATE OF APPRECIATION "NEUROANATOMY"
Dr. Nasir Mustafa CERTIFICATE OF APPRECIATION "NEUROANATOMY"
 
MathematicsGrade7-Presentation-July-12024.pptx
MathematicsGrade7-Presentation-July-12024.pptxMathematicsGrade7-Presentation-July-12024.pptx
MathematicsGrade7-Presentation-July-12024.pptx
 
SD_Integrating 21st Century Skills in Classroom-based Assessment.pptx
SD_Integrating 21st Century Skills in Classroom-based Assessment.pptxSD_Integrating 21st Century Skills in Classroom-based Assessment.pptx
SD_Integrating 21st Century Skills in Classroom-based Assessment.pptx
 
MATATAG CURRICULUM sample lesson exemplar.docx
MATATAG CURRICULUM sample lesson exemplar.docxMATATAG CURRICULUM sample lesson exemplar.docx
MATATAG CURRICULUM sample lesson exemplar.docx
 
RDBMS Lecture Notes Unit4 chapter12 VIEW
RDBMS Lecture Notes Unit4 chapter12 VIEWRDBMS Lecture Notes Unit4 chapter12 VIEW
RDBMS Lecture Notes Unit4 chapter12 VIEW
 
How to Add a Filter in the Odoo 17 - Odoo 17 Slides
How to Add a Filter in the Odoo 17 - Odoo 17 SlidesHow to Add a Filter in the Odoo 17 - Odoo 17 Slides
How to Add a Filter in the Odoo 17 - Odoo 17 Slides
 
How to Manage Line Discount in Odoo 17 POS
How to Manage Line Discount in Odoo 17 POSHow to Manage Line Discount in Odoo 17 POS
How to Manage Line Discount in Odoo 17 POS
 
2 Post harvest Physiology of Horticulture produce.pptx
2 Post harvest Physiology of Horticulture  produce.pptx2 Post harvest Physiology of Horticulture  produce.pptx
2 Post harvest Physiology of Horticulture produce.pptx
 
Cómo crear video-tutoriales con ScreenPal (2 de julio de 2024)
Cómo crear video-tutoriales con ScreenPal (2 de julio de 2024)Cómo crear video-tutoriales con ScreenPal (2 de julio de 2024)
Cómo crear video-tutoriales con ScreenPal (2 de julio de 2024)
 
How to Manage Early Receipt Printing in Odoo 17 POS
How to Manage Early Receipt Printing in Odoo 17 POSHow to Manage Early Receipt Printing in Odoo 17 POS
How to Manage Early Receipt Printing in Odoo 17 POS
 
Lange and Roberts "DEIA in the Scholarly Landscape Session 5: DEIA in Peer Re...
Lange and Roberts "DEIA in the Scholarly Landscape Session 5: DEIA in Peer Re...Lange and Roberts "DEIA in the Scholarly Landscape Session 5: DEIA in Peer Re...
Lange and Roberts "DEIA in the Scholarly Landscape Session 5: DEIA in Peer Re...
 
PRESS RELEASE - UNIVERSITY OF GHANA, JULY 16, 2024.pdf
PRESS RELEASE - UNIVERSITY OF GHANA, JULY 16, 2024.pdfPRESS RELEASE - UNIVERSITY OF GHANA, JULY 16, 2024.pdf
PRESS RELEASE - UNIVERSITY OF GHANA, JULY 16, 2024.pdf
 
Imagination in Computer Science Research
Imagination in Computer Science ResearchImagination in Computer Science Research
Imagination in Computer Science Research
 
Introduction to Banking System in India.ppt
Introduction to Banking System in India.pptIntroduction to Banking System in India.ppt
Introduction to Banking System in India.ppt
 
How to Empty a One2Many Field in Odoo 17
How to Empty a One2Many Field in Odoo 17How to Empty a One2Many Field in Odoo 17
How to Empty a One2Many Field in Odoo 17
 
What is Rescue Session in Odoo 17 POS - Odoo 17 Slides
What is Rescue Session in Odoo 17 POS - Odoo 17 SlidesWhat is Rescue Session in Odoo 17 POS - Odoo 17 Slides
What is Rescue Session in Odoo 17 POS - Odoo 17 Slides
 

Mood Disorders Presentation

  • 1. Mood Disorders Lucia Merino Psychopathology Class Presentation December 13 th , 2009
  • 2. The Four Humors Melancholic   moody glum (water) Choleric   hot-tempered Irritable (fire) Sanguine healthy Happy (air) Phlegmatic droopy Slow (earth) Source: https://eee.uci.edu/clients/bjbecker/PlaguesandPeople/humorsb.jpg
  • 3. The Four Personality Type based on the four humors The humors each had associated physical and mental characteristics; the result was a system that was quite subtle in its capacity for describing types of personality. Source: http://www.kheper.net/topics/typology/four_humours.html Humor Body Substance Produced by Personality Type Sanguine blood liver Amorous, happy, healthy, optimistic, irresponsible Choleric yellow bile spleen Violent, vengeful, irritable, short tempered, ambitious Phlegmatic phlegm lungs Sluggish, pallid, cowardly, droopy, slow, lazy Melancholic Black bile gall bladder Introspective, sentimental, moody, gloomy, gluttonous
  • 5. From the four humors to Diagnostic Statistical Manual
  • 6. Since 2000 using DSM-IV-TR
  • 7. Mood Disorders Unipolar Disorders Major Depressive Disorder -specify: single, psychotic, post-partum Dysthymic Disorder Depressive Disorder NOS Bipolar Disorders Bipolar I Disorder Bipolar II Disorder Cyclothymic Disorder Bipolar Disorder NOS Mood Disorder due to a General Medical Condition Mood Disorder Not Otherwise Specified Substance-Induced Mood Disorder
  • 8. Mood changes Vegetative symptoms Suicidal Ideation Negative Self-Evaluation Cognitive changes Major Depressive Disorder Major Depressive Episode Symptoms: Sad/depressed mood Decreased interest in pleasurable activities Motoric changes: retardation or agitation Sleep changes: too much or too little Appetite changes: anxious eating or no eating Fatigue or loss of energy Cognitive changes: indecisiveness, lack of attention, concentration Guilt, worthlessness, hopelessness Suicidal ideation (15-20% more likely suicide)
  • 9. Dysthymic Disorder A. Depressed mood most of the day more days than not for at least 2 yrs. B. While depressed presence of 2 of: (1) poor appetite or overeating (2) insomnia or hypersomnia (3) low energy or fatigue (4) low self-esteem (5) poor concentration or undecis (6) hopelessness C. During the illness two year period the person has never been without A & B sxs for more than 2 months No Major Depressive Episode has been present during the two years of dysthymia. There has never been a manic, hypomanic or mixed episode or cyclothymic d/o. The disturbance does not occur during the course of a chronic psychotic disorder such as schizophrenia or delusional disorder. The symptoms are not due to a medical condition or physiological effect of any Substances (alcohol, drugs or medications). They symptoms cause clinically significant distress or impairment in social, occupational, or other important areas of functioning. Photo source: http://i.ehow.com/images/GlobalPhoto/Articles/5472319/391169-main_Full.jpg
  • 10. Depressive Disorder Not Otherwise Specified The Depressive Disorder NOS category includes disorders with depressive features that do not meet criteria for a MDD, Dysthymic , Adjustment with Depressed Mood, or Adjustment with Mixed Anxiety and Depressed Mood disorder. Sometimes depressive symptoms can present as part of an Anxiety Disorder NOS. Examples of Depressive Disorder NOS include: Premenstrual dysphoric disorder: Minor depressive disorder: Recurrent brief depressive disorder: Postpsychotic depressive disorder of Schizophrenia: A M D Episode superimposed on Delusional D/O, Psychotic NOS, or the active phase of schizophrenia. Situations in which the clinician has concluded that a depressive d/o is present but is unable to determine whether it is primary, due to a general medical condition, or substance induced.
  • 11. Bipolar I Disorder Bipolar II Disorder Cyclothymic Disorder Bipolar Disorder NOS Bipolar Disorders
  • 12. Manic Episode Source: http://farm4.static.flickr.com/3141/2658083689_60c2ff67a0_o.jpg
  • 13. Symptoms of a Manic Episode Elevated Mood Inflated Self-esteem or grandiosity Decreased need for sleep Talkative, pressure to keep talking Racing thoughts, flight of ideas Distractibility Goal directed activity(social, work, sex) Psychomotor agitation Excessive pleasurable activities Poor judgment behavior Diagnostic Criteria: A distinct period of abnormally and persistently elevated, expansive, or irritable mood, lasting at least 1 week (or any duration if hospitalization is necessary) B) During the period of mood disturbance, three or more of the symptoms listed have persisted (four if the mood is only irritable) and have been present to a significant degree. C) The symptoms do not meet criteria for a mixed episode. D) The mood disturbance is sufficiently severe to case marked impairment in functioning. E) Not due to a medical condition, treatment or substances. Photo source: http://images.dailyradar.com/media/uploads/showhype/photos_large/2008/09/07/robinwilliams.jpg
  • 14. Case presentation 45 year old divorced Caucasian working male sober for last 20 yrs –computer programmer. Presenting symptoms: Sleeping 3-4 hours walking up fully rested Writing 2-3 short novels per week (goal directed) Racing thoughts – rush of mental energy Promiscuous behavior including female therapist Poor judgment behavior (i.e. getting $ from ATM and giving it out to people in the street, getting on a plane to Thailand and spending several months having sex with prostitutes, ex-wife wiring $ to stay longer an finally having to bail him out of jail, having robbers and drunks as room mates at home and relapsing. Showing up in his company party on a skirt with no underwear and flirting with personnel. Finally losing job, health, properties, finances and being sent to a nursing home since his health severely deteriorated and family were not able to take care of him. His children were afraid of him being inappropriate with children, showing up drunk or being aggressive. His behavior was grandiose, he would wear lots of native American jewelry he had made, colorful beads necklaces, chains with buffalo horns pendant, many rings in his fingers and an exuberant big hat with exotic feathers. Picture retrieved from: http://www.hypomanicedge.com/reviews/nyt/nytimesarticle.jpg
  • 15. Symptoms of a Hypomanic Episode Elevated, expansive, or irritable mood Inflated Self-esteem or grandiosity Decreased need for sleep Talkative, pressure to keep talking Racing thoughts, flight of ideas Distractibility Goal directed activity(social, work, sex) Psychomotor agitation Excessive pleasurable activities Poor judgment behavior Diagnostic Criteria: A) A distinct period of persistently elevated, expansive, or irritable mood, lasting throughout at least 4 days , that is different from the usual non-depressed mood. B) During the period of mood disturbance, three or more of the symptoms listed have persisted (four if the mood is only irritable) and have been present to a significant degree. C) The episode is associated with an unequivocal uncharacteristic change in functioning. D) The disturbance in mood and the change in functioning are observable by others. E) The episode is not severe enough to cause marked impairment in social or occupational functioning, or to necessitate hospitalization ,and there are no psychotic features. F) The symptoms not due to the physiological effects of substances or medical conditions.
  • 16. Diagnostic Criteria Cyclothymic Disorder For at least 2 years, the presence of numerous periods with hypomanic symptoms and numerous periods with depressive symptoms that do not meet criteria for a MDE. During the above 2-year period (1 year in children and adolescents), the person has not been without the symptoms in Criterion A for more than 2 months at a time. No Major Depressive Episode, Manic Episode, or Mixed Episode has been present during the first 2 years of the disturbance. The symptoms in Criterion A are not better accounted for by Schizoaffective and are not superimposed on Schizophrenia, Schizophreniform, Delusional, or Psychotic NOS. Symptoms not due to the effects of substances, mediations or medical conditions. F. The symptoms cause clinically significant distress or impairment in functioning. Photo source: http://www.metroactive.com/papers/metro/03.30.00/gifs/bipolar2-0013.jpg
  • 17. Bipolar Disorder NOS The Bipolar Disorder NOS category includes disorders with bipolar features that do not meet criteria for any specific Bipolar Disorders. Examples are: Very rapid alternation (over days) between manic symptoms and depressive symptoms that meet symptom threshold criteria but not minimal duration for Manic, Hypomanic, or Major Depressive Episodes. Recurrent Hypomanic Episodes without intercurrent depressive sxs. A Manic or Mixed Episode superimposed on Delusional D/O, residual Schizophrenia, or Psychotic D/O NOS. Hypomanic Episodes, along with chronic depressive symptoms, that are too infrequent to qualify for a diagnosis of Cyclothymic Disorder. Situations in which the clinical has concluded that a Bipolar Disorder is present but is unable to determine whether it is primary, due to a general medical condition, or substance induced. Source: DSM-IV-TR
  • 18. Summary Graphics Retrieved from: http://journey2balance.files.wordpress.com/2009/10/bipolar_arrow.jpg
  • 19. Summary Graphics Retrieved from: http://www.thebody.com/content/esp/art6293.html
  • 20. Bipolar I, II, and Cyclothymic Disorders Retrieved from: http://www.psychosis-bipolar.com/information-about-psychoses-57.html
  • 21.  
  • 22.  
  • 23.  
  • 24.  
  • 25.  
  • 26. References Woo, S., & Keatinge, C. (2008) Schizophrenia and other psychotic Disorders (pp.469-532) in Diagnosis and Treatment of Mental Disorders Across the Life Span. Wiley: NJ American Psychiatric Association (2000) Diagnostic and statistical manual of mental disorders; Fourth edition; Text Revision; DSM-IV-TR. APA:DC

Editor's Notes

  1. Also the humors were related to the elements: water, fire, air, earth.
  2. "[It was though that each of] The "humours" gave off vapors which ascended to the brain; an individual's personal characteristics (physical, mental, moral) were explained by his or her "temperament," or the state of theat person's "humours." The perfect temperament resulted when no one of these humours dominated. By 1600 it was common to use "humour" as a means of classifying characters; knowledge of the humours is not only important to understanding later medieval work, but essential to interpreting Elizabethan drama“ Body Type: Sanguine = corpulent Choleric = red-haired and thin Phlegmatic = pallid, corpulent Melancholic = sallow (sickly yellowish hue or complexion), thin
  3. DSM-V coming out in 2012
  4. Major depressive disorder has identifiers based on how many episodes: MDD single episode or MDD recurrent episodes; based on features: MDD with psychotic symptoms; based on onset: post-partum depression. Always rule out medical conditions, substance abuse and medication as possible causes of the symptoms before assigning diagnosis of a mental illness.
  5. A history of one or more single depressive episode is needed in order to meet criteria for a Major Depressive Disorder. In addition, five of the nine most common symptoms of a depressive episode are needed to meet criteria for the diagnosis of MDD. These five symptoms (one of the two depressed mood and decreased in pleasurable activities is also needed) must have been present for most of the day, most days a week for a minimum of two consecutive weeks in order to meet DSM-IV-TR criteria for a MDD diagnosis. Other symptoms are: lack of motivation, decreased libido, irritability, isolation, rumination and loss of self-esteem. Before assigning a MDD diagnosis, the clinician must rule out any other causes including medical conditions, substance use or abuse, other mental disorder or medication induced sxs. If the symptomatology presented does not meet criteria for a MDD and other causes have been ruled out, consider Depression NOS (Not Otherwise Specify).
  6. Specify: Early onset: before age 21 Late onset: after age 21 Specify: based on the two years of symptoms if Atypical features (does not mean unusual clinical presentation as the term may imply). The essential features of atypical are: -mood reactivity (criterion A) And at least two of the following features (criterion B): Increased appetite or weight gain, hypersomnia -leaden paralysis -long-lasting pattern of extreme sensitivity to perceived interpersonal rejection. These features predominate during the most recent 2 year period of the dysthymic disorder.
  7. Reference: DSM-IV-TR
  8. Manic management attempt is how this person suffering from bipolar disorder titles this chart. He reports did it for two reasons: 1) to track his upward mood and ask for help if he got too up, 2) to track how much sleep he was getting and medication taking since adecuate sleep is one of the best ways to avoid an upward into the full-blown manic episode. He reports: “This chart expresses some of the ebullience, intensity, and desire to maximize self-actualization that I was going through at the time”. The color coded bars indicate the time he was using every day for tasks he considered important for growth and balance. He gave himself starts to mark when he had accomplished his goals. The chart was also an intent to keep track with his hygiene since it tends to suffer when a person is in a manic state.
  9. A manic episode is not a diagnosis, it is a necessary condition for a Bipolar I diagnosis. There are several diagnostic criterion for Bipolar I: Diagnostic criteria for Bipolar I Disorder, Single Manic Episode: A) Presence of only one Manic Episode and no past Major Depressive Episode. Note: Recurrence is defined as either a change in polarity from depression or an interval of at least 2 month without manic symptoms. B) The Manic Episode is not better accounted for by Schizoaffective Disorder and is not superimposed on Schizophrenia, Schizophreniform Disorder, Delusional Disorder, or Psychotic Disorder Not Otherwise Specified. 2) Diagnostic criteria for Bipolar I Disorder, Most Recent Episode Hypomanic A) Currently (or most recently) in a Hypomanic Episode. B) There has previously been at least one Manic Episode or Mixed Episode. C) The mood symptoms cause clinically significant distress or impairment in social, occupational, or other important areas of functioning. D) The mood episodes in Criteria A and B are not better accounted for by Schizoaffective Disorder and are not superimposed on Schizophrenia, Schizophreniform Disorder, Delusional Disorder, or Psychotic Disorder Not Otherwise Specified. 3) Diagnostic Criteria for Bipolar I Disorder, Most Recent Episode Manic. A) Currently (or most recently) in a Manic Episode. B) There has previously been at least one Major Depressive Episode, Manic Episode, or Mixed Episode. C) The mood episodes in Criteria A and B are not better accounted for by Schizoaffective Disorder and are not superimposed on Schizophrenia, Schizophreniform Disorder, Delusional Disorder, or Psychotic Disorder Not Otherwise Specified. 4) Diagnostic Criteria for Bipolar I Disorder, Most Recent Episode Mixed. A) Currently (or most recently) in a Mixed Episode. B) There has previously been at least one Major Depressive Episode, Manic Episode, or Mixed Episode. C) The mood episodes in Criteria A and B are not better accounted for by Schizoaffective Disorder and are not superimposed on Schizophrenia, Schizophreniform Disorder, or Delusional Disorder, or Psychotic Disorder Not Otherwise Specified. 5) Diagnostic Criteria for Bipolar I Disorder, Most Recent Episode Depressed A) Currently (or most recently) in a Major Depressive Episode. B) There has previously been at least one Manic Episode or Mixed Episode. C) The mood episodes in Criteria A and B are not better accounted for by Schizoaffective Disorder and are not superimposed on Schizophrenia, Schizophreniform Disorder, Delusional Disorder, or Psychotic Disorder Not Otherwise Specified. 6) Diagnostic Criteria for Bipolar I Disorder, Most Recent Episode Unspecified. A) Criteria, except for duration, are currently (or most recently) met for a Manic, a Hypomanic, a Mixed, or a Major Depressive Episode. B) There has previously been at least one Manic Episode or Mixed Episode. C) The mood symptoms cause clinically significant distress or impairment in social, occupational, or other important areas of functioning. D) The mood symptoms in Criteria A and B are not better accounted for by Schizoaffective Disorder and are not superimposed on Schizophrenia, Schizophreniform Disorder, Delusional Disorder, or Psychotic Disorder Not Otherwise Specified. E) The mood symptoms in Criteria A and B are not due to the direct physiological effects of a substance (e.g., a drug of abuse, a medication, or other treatment) or a general medical condition (e.g. hyperthyroidsm).
  10. A hypomanic episode is not a diagnosis but a necessary condition for a Bipolar II diagnosis. Diagnostic criteria for Bipolar II disorder: Presence (or history) of one or more Major Depressive Episodes. Presence (or history) of at least one Hypomanic Episode. There has never been a Manic Episode or a Mixed Episode. The mood symptoms in Criteria A and B are not better accounted for Schizoaffective Disorder and are not superimposed on Schizophrenia, Schizophreniform Disorder, Delusional Disorder, or Psychotic Disorder Not Otherwise Specified. The symptoms cause clinically significant distress or impairment in social, occupational, or other important areas of functioning. Need to specify whether the most recent episode has been Hypomanic or Depressed.
  11. A hypomanic episode is not a diagnosis but a necessary condition for a Bipolar II diagnosis. Reference: Google image search. Retrieved from: http://www.psychosis-bipolar.com/information-about-psychoses-57.html
  12. From DSM-IV-TR
  13. Model for the better understanding of the bipolar mood disorder Google Image search. Retrieved from: http://www.psychosis-bipolar.com/information-about-psychoses-57.html
  14. Bipolar I disorders are characterized by distinct manias and depressions. The person afflicted had one or several phases lasting at least one week in which the criteria for a mania are fulfilled (ICD-10: F30 and 31)
  15. The bipolar II disorder is characterized by less distinct and accordingly shorter lasting manias, the so-called hypomanias, and often serious depressive episodes. This form of the bipolar mood disorder is very important is also very difficult to grasp since in retrospect the hypomanias are often not considered as classifiable as an illness or remembered. (ICD-10: F31.8)
  16. “ Rapid Cycling means a quick change of the episodes. In this special form of bipolar mood disorder at least four (or more) episodes of the mania, hypomania or depression occur within twelve months. Three types are distinguished: Rapid cycling (ICD 10: F31.8) At least four phases per year (in ca. 20% of cases). Ultra rapid cycling (ICD 10: F31.8) change of phase within weeks or days, more than four episodes per month. Ultradian cycling (ICD 10: F31.8) Change of phase within one day on more than four days a week. (ICD-10: F31.8)
  17. n the mixed episodes the symptoms of mania and depression occur in rapid rotation to each another or exist at the same time. The inhibition (depression) classically moving in the same direction or excitement (mania) of emotional, cognitive and psychomotor processes no longer exist in the mixed states. Thus, for example rapid thought and speech (like in mania) can occur at the same time as the anxious-depressive mood. A mixed state is an extraordinarily multiform, a clinical picture that is partly difficult to diagnose and treat. (ICD-10: F31.6)
  18. A weakened form of bipolar mood disorder is the so-called cyclothymia or cyclothymic disorder. In these persons often mood swings of a strong degree of characterization take place continually over a period or at least two years, whereby the criteria for a depression or mania in detail are not fulfilled and which often occur independently of external influences. The transitions are however very fluent so that in people who come into a clinic or outpatients department with the suspected diagnosis cyclothymia often a bipolar (II) disorder can be determined. (ICD-10: F34)