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digital.films/portalviewvideo.aspx?xtid=7848&IsSearch=NR 18:00 depressive episode

http://digital.films.com/portalviewvideo.aspx?xtid=7848&IsSearch=NR 18:00 depressive episode 27:00 depressive episode with psychotic 31:00 cyclothymia 8:00 hypomania 11:00 mania World of Abormal Psychology 6:00-14:15 16:30 – 47:50 47:50 – 53:00 Treatment.

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digital.films/portalviewvideo.aspx?xtid=7848&IsSearch=NR 18:00 depressive episode

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  1. http://digital.films.com/portalviewvideo.aspx?xtid=7848&IsSearch=NRhttp://digital.films.com/portalviewvideo.aspx?xtid=7848&IsSearch=NR 18:00 depressive episode 27:00 depressive episode with psychotic 31:00 cyclothymia 8:00 hypomania 11:00 mania World of Abormal Psychology 6:00-14:15 16:30 – 47:50 47:50 – 53:00 Treatment

  2. Depression and Bipolar Disorders

  3. Robert Burton (1621)

  4. Mood Disorders: DSM IV & V • Depressive Disorders • Major Depressive Episode • Unipolar Depression • Dysthymic Disorder • Bipolar Disorders • Bipolar I • Bipolar II • Cyclothymic Disorder

  5. DSM – IV Mood Disorders Depressive Dis. Bipolar Dis. -Maj. Dep. Episode - Bipolar 1 - Bipolar 2 -Dysthymic - Cyclothymic

  6. DSM – V Depressive Disorders • Major Depressive Episode • Persistent Depressive Disorder (Dysthymia)

  7. DSM – V Bipolar Disorders Bipolar Dis. - Bipolar 1 - Bipolar 2 - Cyclothymic

  8. Major Symptoms in Depression • Mood Sx • Cognitive Sx • Motor Sx • Somatic Sx

  9. Concepts in Depression • Retarded Depression • Agitated Depression • Melancholia • Seasonal Affective Disorder

  10. Melancholia • Anhedonia • No capacity to feel better

  11. PDM Depressive Disorders • Affective: • Two general emotional orientations: • Anaclitc feelings of helplessness, fears of abandonment, difficulty tolerating delay… • Introjective harsh, punitive, unrelenting self-criticism • Cognitive Patterns: • Guilt, fantasies of loss of approval, recognition and love, inability to make decisions, low self-regard, suicidal ideas, impaired memory • Somatic States: • Loss of sexual desire, physical irritability, restlessness, physical complaints (e.g., headache, back pain) with no pathophysiology to account for. • Change in appetite  weight gain or loss • Fatigue, low energy, and lethargy • Relationship Patterns: • Insatiable neediness and/or demanding hostility

  12. Major Symptoms of Manic Episode • Mood Sx • Cognitive Sx • Motor Sx • Somatic Sx

  13. PDM Bipolar Disorders – Manic States • Affective: intense pleasure or euphoria, intense irritability, hypersensitive to insult and rejection; excessive energy (disruptive); a sense of infinite power, ability and creativity • Cognitive Patterns: fantasies of invincibility and exceptional talent; difficulty thinking clearly, logically; fear that they cannot hold onto their thoughts; sometimes thoughts are highly disoriented, sometimes are freeing and joyful. • Somatic States: restlessness and sleeplessness; physically invigorated and aroused; intense and frequent sexual desire; physical exhaustion (may evoke suicidal depression) • Relationship Patterns: unpredictable, chaotic, impulsive, and sexualized.

  14. Other “Depressions” • Grief or Loss • Adjustment Disorders(dep. mood) • Completion of major task (dissertation) • Postpartum Depression (can be dramatic & psychotic) • College Life

  15. Mother who killed son on subway dies of injuries - A Toronto doctor who jumped in front of a subway train while cradling her baby son died of her injuries Saturday night. She had been in hospital for nine days. Suzanne Killinger-Johnson, 37, leapt in front of a moving train with her sleeping child around 7 a.m. Aug. 11. - The six-month-old boy, Cuyler, died instantly. Dr. Killinger-Johnson survived, but spent the past week in intensive care with severe internal injuries. - "Dr. Killinger-Johnson died peacefully at 8:30 (p.m.)," confirmed Sandra Cruickshanks, head of public affairs at Sunnybrook Health Sciences Centre, early Sunday morning.

  16. Vulnerability to Depression • Past depression • Object loss in childhood • Poor social skills • Genetic components • Personality • Dysfunctional Attitudes

  17. Personality Vulnerability • Passive Dependent Personality • Achievement vs Dependency Personality • Self-Oriented Perfectionism • DIATHESIS STRESS IMPORTANT

  18. Personality • Achievement • Dependency

  19. Unhappiness and Depression • Continuity Hypothesis • Dichotomy Hypothesis

  20. Continuity Depression Level [_↓____ ________↓________↓__ ____↓_] Mild Subclinical Clinical Severe

  21. Dichotomy Dysphoria Depression

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