This document discusses mood disorders and provides classifications and descriptions. It covers:
1. The classification of mood disorders includes categories like mania, hypomania, depressive disorders, bipolar mood disorders, and persistent mood disorders.
2. Hypomania is described as involving a persistent mild elevation of mood and other symptoms for at least 4 days.
3. Bipolar disorders involve recurrent episodes of mania and depression, which can occur in any sequence.
4. Differential diagnoses, management including pharmacological and non-pharmacological treatments, and prognosis are also addressed.
Bipolar disorder, also known as manic-depressive illness, is a brain disorder that causes unusual shifts in mood, energy, activity levels, and the ability to carry out day-to-day tasks.
Bipolar disorder, also known as manic-depressive illness, is a brain disorder that causes unusual shifts in mood, energy, activity levels, and the ability to carry out day-to-day tasks.
This a project for a high school AP Psychology course. This is a fictionalized account of having a psychological ailment. For questions about this blog project or its content please email the teacher, Laura Astorian: laura.astorian@cobbk12.org
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.
Mania is a facet of type I bipolar disorder in which the mood state is abnormally heightened and accompanied by hyperactivity and a reduced need for sleep.
Understanding Bipolar Disorder: Biopsychosocial Approaches to Mind Body HealthMichael Changaris
Explores psychological, medical and primary care treatment and self-care for bipolar disorder from the biological bases of brain function and medication management to the psychological integrated care and treatment plan for health complexity and bipolar treatment needs.
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.
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 a project for a high school AP Psychology course. This is a fictionalized account of having a psychological ailment. For questions about this blog project or its content please email the teacher, Laura Astorian: laura.astorian@cobbk12.org
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.
Mania is a facet of type I bipolar disorder in which the mood state is abnormally heightened and accompanied by hyperactivity and a reduced need for sleep.
Understanding Bipolar Disorder: Biopsychosocial Approaches to Mind Body HealthMichael Changaris
Explores psychological, medical and primary care treatment and self-care for bipolar disorder from the biological bases of brain function and medication management to the psychological integrated care and treatment plan for health complexity and bipolar treatment needs.
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.
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.
New Drug Discovery and Development .....NEHA GUPTA
The "New Drug Discovery and Development" process involves the identification, design, testing, and manufacturing of novel pharmaceutical compounds with the aim of introducing new and improved treatments for various medical conditions. This comprehensive endeavor encompasses various stages, including target identification, preclinical studies, clinical trials, regulatory approval, and post-market surveillance. It involves multidisciplinary collaboration among scientists, researchers, clinicians, regulatory experts, and pharmaceutical companies to bring innovative therapies to market and address unmet medical needs.
The Gram stain is a fundamental technique in microbiology used to classify bacteria based on their cell wall structure. It provides a quick and simple method to distinguish between Gram-positive and Gram-negative bacteria, which have different susceptibilities to antibiotics
These simplified slides by Dr. Sidra Arshad present an overview of the non-respiratory functions of the respiratory tract.
Learning objectives:
1. Enlist the non-respiratory functions of the respiratory tract
2. Briefly explain how these functions are carried out
3. Discuss the significance of dead space
4. Differentiate between minute ventilation and alveolar ventilation
5. Describe the cough and sneeze reflexes
Study Resources:
1. Chapter 39, Guyton and Hall Textbook of Medical Physiology, 14th edition
2. Chapter 34, Ganong’s Review of Medical Physiology, 26th edition
3. Chapter 17, Human Physiology by Lauralee Sherwood, 9th edition
4. Non-respiratory functions of the lungs https://academic.oup.com/bjaed/article/13/3/98/278874
Basavarajeeyam is a Sreshta Sangraha grantha (Compiled book ), written by Neelkanta kotturu Basavaraja Virachita. It contains 25 Prakaranas, First 24 Chapters related to Rogas& 25th to Rasadravyas.
micro teaching on communication m.sc nursing.pdfAnurag Sharma
Microteaching is a unique model of practice teaching. It is a viable instrument for the. desired change in the teaching behavior or the behavior potential which, in specified types of real. classroom situations, tends to facilitate the achievement of specified types of objectives.
Title: Sense of Smell
Presenter: Dr. Faiza, Assistant Professor of Physiology
Qualifications:
MBBS (Best Graduate, AIMC Lahore)
FCPS Physiology
ICMT, CHPE, DHPE (STMU)
MPH (GC University, Faisalabad)
MBA (Virtual University of Pakistan)
Learning Objectives:
Describe the primary categories of smells and the concept of odor blindness.
Explain the structure and location of the olfactory membrane and mucosa, including the types and roles of cells involved in olfaction.
Describe the pathway and mechanisms of olfactory signal transmission from the olfactory receptors to the brain.
Illustrate the biochemical cascade triggered by odorant binding to olfactory receptors, including the role of G-proteins and second messengers in generating an action potential.
Identify different types of olfactory disorders such as anosmia, hyposmia, hyperosmia, and dysosmia, including their potential causes.
Key Topics:
Olfactory Genes:
3% of the human genome accounts for olfactory genes.
400 genes for odorant receptors.
Olfactory Membrane:
Located in the superior part of the nasal cavity.
Medially: Folds downward along the superior septum.
Laterally: Folds over the superior turbinate and upper surface of the middle turbinate.
Total surface area: 5-10 square centimeters.
Olfactory Mucosa:
Olfactory Cells: Bipolar nerve cells derived from the CNS (100 million), with 4-25 olfactory cilia per cell.
Sustentacular Cells: Produce mucus and maintain ionic and molecular environment.
Basal Cells: Replace worn-out olfactory cells with an average lifespan of 1-2 months.
Bowman’s Gland: Secretes mucus.
Stimulation of Olfactory Cells:
Odorant dissolves in mucus and attaches to receptors on olfactory cilia.
Involves a cascade effect through G-proteins and second messengers, leading to depolarization and action potential generation in the olfactory nerve.
Quality of a Good Odorant:
Small (3-20 Carbon atoms), volatile, water-soluble, and lipid-soluble.
Facilitated by odorant-binding proteins in mucus.
Membrane Potential and Action Potential:
Resting membrane potential: -55mV.
Action potential frequency in the olfactory nerve increases with odorant strength.
Adaptation Towards the Sense of Smell:
Rapid adaptation within the first second, with further slow adaptation.
Psychological adaptation greater than receptor adaptation, involving feedback inhibition from the central nervous system.
Primary Sensations of Smell:
Camphoraceous, Musky, Floral, Pepperminty, Ethereal, Pungent, Putrid.
Odor Detection Threshold:
Examples: Hydrogen sulfide (0.0005 ppm), Methyl-mercaptan (0.002 ppm).
Some toxic substances are odorless at lethal concentrations.
Characteristics of Smell:
Odor blindness for single substances due to lack of appropriate receptor protein.
Behavioral and emotional influences of smell.
Transmission of Olfactory Signals:
From olfactory cells to glomeruli in the olfactory bulb, involving lateral inhibition.
Primitive, less old, and new olfactory systems with different path
Basavarajeeyam is an important text for ayurvedic physician belonging to andhra pradehs. It is a popular compendium in various parts of our country as well as in andhra pradesh. The content of the text was presented in sanskrit and telugu language (Bilingual). One of the most famous book in ayurvedic pharmaceutics and therapeutics. This book contains 25 chapters called as prakaranas. Many rasaoushadis were explained, pioneer of dhatu druti, nadi pareeksha, mutra pareeksha etc. Belongs to the period of 15-16 century. New diseases like upadamsha, phiranga rogas are explained.
Muktapishti is a traditional Ayurvedic preparation made from Shoditha Mukta (Purified Pearl), is believed to help regulate thyroid function and reduce symptoms of hyperthyroidism due to its cooling and balancing properties. Clinical evidence on its efficacy remains limited, necessitating further research to validate its therapeutic benefits.
2. MOOD VS AFFECT
• MOOD- it is sustained and pervasive
emotional response.
• AFFECT – it is short lived idea or emotional
response to an idea or an event
4. HYPOMANIA
• It is lesser degree of mania , in which
abnormalities of mood and behavior are too
persistent and marker to be included under
cyclothymia but not accompanied by
hallucinations and delusions
5. • A]. Persistent mild elevation of mood
,increased energy , activity and usually marked
felling of well being ,increase sociability ,
talkativeness , decrease need for sleep , but
not to extent that they lead to severe
disruption of work or result in social rejection
• B].Symptoms should present at least for four
consecutive days
6. • C. ) [3 out of 7 if elevated mood , 4 out of 7 if
dysphoric mood ]
• 1. distractibility
• 2. increase interest in pleasurable and risk
taking activity
• 3. Grandiosity
• 4.Flight of ideas
7. • 5. Activity increased
• 6. Need for sleep decrease
• 7.Talkativeness
• D .] The episode is not attributable to the
physiological effect of substance
8. MANIA
1 Life time risk of mania is 0.8 -1 %
2 Disorder tends to occur in episodes
lasting usually 3-4 months
3 MANIA IS OF TWO TYPES
A . MANIA WITHOUT PSYCHOTIC
SYMPTOMS
B.MANIA WITH PSYCHOTIC SYMPTOMS
9. SYMPTOMS OF MANIA
A. elevated ,expansive ,irritable mood
B. [3 out of 7 if elevated mood , 4 out of 7 if dysphoric
mood ]
1. distractibility
2. increase interest in pleasurable and risk taking activity
3. Grandiosity
4.Flight of ideas
5. Activity increased
6. Need for sleep decrease
7.Talkativeness
10. • C. lead to severe disruption of work and result
in social rejection
• D. symptom last at least for one weak
• E . The episode is not attributable by the
physiological effect of substance
11. Bipolar mood[ affective ]disorders
• It is characterized by recurrent episodes of
mania and depression in the same patient at
different time
• These episodes can occur in any sequence
• The patient with recurrent episodes of mania
are also classified as bpad disorder
12. • Current episode of bipolar is specified as
• 1. hypomania
• 2. manic without psychotic symptoms
• 3.manic with psychotic symptom
• 4. mild or moderate depression
13. • 5. severe depression ,without psychotic
symptom
• 6. severe depression with psychotic symptom
• 7.mixed
• 8. in remission
14. BIPOLAR DISORDER TYPES
• BIPOLAR TYPE-1
• It is mania + depression
• prevalence = female =
male
• less suicidal risk
• commonly associated
with psychotic
symptoms
• BIPOLAR TYPE -2
• It is hypomania +
depression
• Prevalence = female>
male
• High suicidal risk
• very less chances of
psychotic symptoms
15. RECURRENT DEPRESSIVE DISORDER
• Characterized by recurrent at least two episodes
of depression
• current episode in recurrent depressive disorder
is specified as
• 1 mild
• 2 moderate
• 3 severe without psychotic symptoms
• 4 severe with psychotic symptoms
• 5 in remission
16. PERSISTENT MOOD DISORDERS
• IT IS CHARACTERISED BY PERSISTENT
MOOD SYMPTOMS WHICH LAST FOR
MORE THAN 2 YEARS , BUT NOT SEVERE
ENOUGH TO BE LABELLED AS EVEN
HYPOMANIA OR MILD DEPRESSIVE
EPISODE
17. • DYSTHYMIA
• If symptom consist of
persistent mild
depression the disorder
is called as dysthymia
• CYCLOTHYMIA
• If symptoms consist of
persistent instability of
mood between mild
depression and mild
elation , the disorder is
cyclothymia
18. OTHER MOOD DISORDER
• IT INCLUDES DIAGNOSIS OF MIXED AFFECTIVE
EPISODE
• In this full clinical picture of depression and
mania is present either at the same time
intermixed or alternates rapidly with each
other [rapid cycling] without a normal
intervening period of euthymia
19. COURSE OF BIPOLAR DISORDER
• occurs in early age [third decade]
• An average manic episode last for 3-4 months
whereas average depressive episode last for 4-
6 months
• Unipolar depression last longer than bipolar
depression
• With rapid institution of t/t major symptoms
of mania are controlled within 2 weeks and of
depression within 6-8 weeks
20. • Chronic depression is usually characterized by
less intense depression ,hypochonrical
symptoms ,alcohol dependence , personality
disorder
• As age increases interval b/w two episodes
decreases ,the duration of episodes and their
frequency increases
21. • not all pt have relapse ,but up to 75% have
second episode
• Pt with greater than 4 episode of bipolar
mood disorder in a year is called rapid cycling
• Pt with greater than 4 episode of bipolar
mood disorder in a month is called ultra rapid
cycle
• When mania and depression alternate very
rapidly [ in hours ] it is called ultra ultra rapid
cyclers /ultradian
22. PROGNOSIS
• GOOD PROGNOSTIC
FACTOR
• 1. short duration of
manic episode
• 2. advanced age of onset
• 3. few suicidal thoughts
• 4. few co-morbidity either
medical or psychiatric
• POOR PROGNOSTIC
FACTORS
• 1. poor occupation status
• 2. alcohol dependence
• 3.psychotic features
• 4. poor drug compliance
• 5. male gender
• 6. inter episodic
depressive features
25. BIOLOGICAL THEORIES
1.] GENITIC HYPOTHESIS – life time risk of first
degree relatives of bipolar mood disorder pt is 25
% and recurrent depressive disorder is 20%
• children with one parent bipolar mood disorder
27%
• Children with both parent bipolar mood disorder
74%
• As per these evidence genetic factor are very
important in making children vulnerable to mood
disorder
26. • 2.] BIOCHEMICAL THEORY
a. monoamine hypothesis – it suggest
catecholamine (histamine , nor epinephrine
dopamine and serotonin ) in central nervous
system at one or more sites
b. Functional increase in mania and decrease in
depression of nor epinephrine and 5-HT in
synaptic cleft
c. Pt with severe depression with marked
decrease in the serotonergic function
evidenced by decrease of 5-HIAA level
27. • 3.] NEUROENOCRINE THEORY
• Mood symptoms are seen with many
endocrine disorders like hypothyroidism
,cushing's disease and addision disease
28. • 4]. BRAIN IMAGING
• WE CAN DO CT SCAN ,PET SCAN ,MRI ,SPECT
• FINDINGS IN THIS INCLUDES
• A. Ventricular dilatation
• B. white matter hyper –intensities
• C . changes in blood flow and metabolism
29. • 5] OTHER THEORIES
• A. PSYCHOANALYTIC THEORIES
• B. PRESSENCE OF STRESS
• C. SLEEP ABNORMALITY
• D.COGNETIVE AND BEHAVIOURAL THEORIES
33. lithium
• Mainly used for t/t of mania and for
prevention of further episode of bipolar
disorder
• Response take approx 2 week to come
• Usual therapeutic dose is 900-1500 mg
• Therapeutic dose of lithium – 0.8-1.2 meq/lt
• Lithium > 2 meq /lt is toxic
34. • 3] . ANTIPSYCHOTIC DRUGS - in this we mainly
use drugs like risperidone , olanzapine ,
quetiapine , haloperidol , aripiprazole
35. NON PHARMACOLOGICAL T/T
• 1 . COGNITIVE BEHAVIOUR THERAPY
• 2. BEHAVIOUR THERAPY
• 3. GROUP THERAPY
• 4 . PYSCHOANALYTIC PSYCHOTHERAPY
• 5. FAMILY THERAPY
36. ECT
INDICATIONS
• 1. SEVERE DEPRESSION WITH SUICIDAL RISK
• 2. SEVERE DEPRESSION WITH STUPOR ,
PSYCHOMOTOR RETARDATION
• 3. SEVERE T/T REFRECTIVE DEPRESSION
• 4. INTOLERANCE TO DRUGS
37. Which of following is not the feature
of mania?
A Disorientation
B delusion of grandeur
C elation
D pressure of speech
38. Number of days require to diagnose
hypomania?
A 4 Days
B 7 days
C 21 days
D one month
39. Which of the following statement is
untrue about hypomania?
A in severe hypomania patient needs to be
admitted.
B minimum duration is 4 days.
C hypomania is seen in type -2 bipolar disorder.
D psychotic symptom are always seen.
E delusion of grandiosity are not present usually.
40. A67 year old lady is brought in by her 6 children saying that she
has gone senile . Six month after her husband death she has
become more religious ,spiritual ,give lots of money in donation
.she is occupied in too many activities and sleep less . She know
believes that she has goal to change the society .she does not
like being brought to the hospital and is argumentative on being
questioned on her doings . The diagnosis is.
A depression
B schizophrenia
C mania
D impulse control disorder
41. A 22 year old male suffer from decreased sleep ,
increased sexual activity , excitement and spending
excessive money for 8 days . The diagnosis is
• A confusion
• B mania
• C hyperactivity
• D loss of money
42. A patient was brought to doctor with non stop talking
,singing , uncontrollable behavior and apparent loss of
contact and reality .it is diagnosed as a case of acute
mania which of following drug are used for rapid
control of symptoms?
• LITHIUM
• HALOPERIDOL
• VALPORATE
• DIAZEPAM
43. A 22 year old female brought the OPD by her friend
because she thinks that salman khan is in love with her
. What is it called ?
• A erotomania
• B Unipolar mania
• C neurosis
• D behavior problem
44. NEEDS A GREAT
DEAL OF
ATTENTION IT’S
FINAL TABOO AND
IT NEED TO BE
FACED AND DEALT
WITH
• LET’S TALK TO PSYCHIATRIC ILLNESS
THANKYOU…