Mood Disorders[Instructor Name]

[Class Name Section]

Overview – Pt. 1

• Depressive Disorders• Bipolar Disorders• Prevalence• Risk Factors• Treatment– Activity: Group Therapy

Depressive DisordersMajor Depressive Episode (MDD) Symptoms

1) Depressed mood2) Diminished interest/pleasure in activities3) Significant weight loss/gain or increase/decrease

in appetite4) Insomnia/hypersomnia5) Psychomotor agitation/retardation6) Fatigue/loss of energy7) Feeling worthless/excessive or inappropriate guilt8) Diminished ability to concentrate/ indecisiveness9) Recurrent thoughts of death, suicidal ideation, or

a suicide attempt

Depressive DisordersMajor Depressive Episode

Requirements2 weeks <Patients must have either depressed mood or decreased interest

Depressive Disorders

Major Depressive Disorder1 Major Depressive Episode <

Persistent Depressive Disorder

1) Poor appetite or overeating

2) Insomnia or hypersomnia3) Low energy or fatigue4) Low self-esteem5) Poor concentration or

difficulty making decisions6) Feelings of hopelessness

Overview – Pt. 1

• Depressive Disorders• Bipolar Disorders• Prevalence• Risk Factors• Treatment– Activity: Group Therapy

Bipolar Disorders

Requirements:Euphoric mood: 3 < symptomsIrritable mood: 4 < symptomsMania: Must be present for 1 week <Hypomania: 4-7 days

Symptoms: Mania or Hypomania• self-esteem or grandiosity• goal-directed activity or psychomotor agitations• talkativeness• risky behavior• need for sleep•Racing thoughts or flight of ideas•Distractibility

Bipolar Disorders

Bipolar ISingle manic episodeNo depressive episode required

Bipolar IIDepressionHypomania

Cyclothymic DisorderNo major depressive episodeSymptoms 50% of timeNo more than 2 months without symptoms

Overview – Pt. 1

• Depressive Disorders• Bipolar Disorders• Prevalence• Risk Factors• Treatment– Activity: Group Therapy

Prevalence of Depressive Disorders

MDD: 16.6% (Lifetime)PDD: .5% (12-month)

Average age of onset: mid-20sRisk FactorsRecoveryRelapseComorbidities

Prevalence of Bipolar Disorders

Lifetime Prevalence: 4.4%Bipolar Disorder I: 1%

Comorbidities

Risk Factor

Course

Overview – Pt. 1

• Depressive Disorders• Bipolar Disorders• Prevalence• Risk Factors• Treatment– Activity: Group Therapy

Risk Factors of Depressive Disorders

Genetic/Biological Factors

EnvironmentalStressful life eventsEarly adversity

Attributional Styles

Risk Factors for Bipolar Disorders

Genetic/Biological Factors

EnvironmentalRelationshipPositive Life EventsSocial zeitgeber theory

Overview – Pt. 1

• Depressive Disorders• Bipolar Disorders• Prevalence• Risk Factors• Treatment– Activity: Group Therapy

Treatment – Depressive Disorders

MedicationMAOIsTricyclicsSSRI & SNRI

ThoughtsThoughts

EmotionsEmotionsBehaviorBehavior

Biological TreatmentsECTTMSDeep Brain Stimulation

Psychosocial TreatmentsBehavioral TherapyCognitive TherapyInterpersonal TherapyShort-Term Psychodynamic

Treatment – Bipolar Disorders

Medication Lithium Carbamazepine Valproate

Adjunctive Psychosocial TreatmentInterpersonal and Social Rhythm Therapy (IPSRT)

Overview – Pt. 1

• Depressive Disorders• Bipolar Disorders• Prevalence• Risk Factors• Treatment– Activity: Group Therapy

Activity: Group TherapyOpen-ended questions:

What was that like? Tell me more about that.

Groups of 4-5

Develop Questions

Mood Disorders

Part 2: Special Topics

Overview – Pt. 2

• Sleep and Social Relationships in Depression• Suicide & Mood Disorders• Activity: Suicide Quiz

Sleep & Depression

Sleep/Depression Relationship

6 hours > sleep = depression risk

Depression increases risk for decreased sleep

Lack of sleep = precursor for major depression

Social Relationships & Depression

Social Isolation & Depression

Isolation = risk factor for depression

Depression increases isolation

¼ surveyed felt no social support

½ surveyed reported no friends outside of family

Overview – Pt. 2

• Special Topic: Sleep and Social Relationships in Depression

• Suicide & Mood Disorders• Activity: Suicide Quiz

Suicide & Mood Disorders

Risk Factors of Suicide?

Lack of social support

Childhood abuse

Self-reported depressive symptoms

Maternal depression

Parallels with Depression?

Overview – Pt. 2

• Sleep and Social Relationships in Depression• Suicide & Mood Disorders• Activity: Suicide Quiz

Activity: Suicide Quiz

Photo AttributionSlide 1 & 20

Photo Credit: Jessi RM https://www.flickr.com/photos/25273774@N04/4746222641/ https://creativecommons.org/licenses/by-nc-nd/2.0/

Slide 5Photo Credit: Mike Bailey-Gates https://www.flickr.com/photos/10244704@N05/2579140026/ https://creativecommons.org/licenses/by-nc-nd/2.0/

Slide 7Photo Credit: AdamNF https://www.flickr.com/photos/68009561@N00/2390168497/ https://creativecommons.org/licenses/by-nc-sa/2.0/

Slide 10Photo Credit: Key Foster https://www.flickr.com/photos/61411590@N03/5859097301/ https://creativecommons.org/licenses/by/2.0/

Slide 11Photo Credit: Pulpolux !!! https://www.flickr.com/photos/46425925@N00/116981263/ https://creativecommons.org/licenses/by-nc/2.0/

Slide 13Photo Credit: johnm2205 https://www.flickr.com/photos/13049634@N00/2588225548/ https://creativecommons.org/licenses/by-nc-nd/2.0/

Slide 14Photo Credit: theloushe https://www.flickr.com/photos/23478852@N00/3976023854/ https://creativecommons.org/licenses/by-nc-nd/2.0/

Slide 17Photo Credit: TheRogue https://www.flickr.com/photos/17456128@N00/3866847140/ https://creativecommons.org/licenses/by-nc-sa/2.0/

Slide 19Photo Credit: transportationcamp https://www.flickr.com/photos/60342128@N08/5506175191/ https://creativecommons.org/licenses/by/2.0/

Slide 23Photo Credit: David Ingram https://www.flickr.com/photos/dingatx/8219989409/ https://creativecommons.org/licenses/by-nc/2.0/

Slide 25Photo Credit: Randal Droher https://www.flickr.com/photos/randaldroher/399240435/ https://creativecommons.org/licenses/by-nc-sa/2.0/

Slide 27Photo Credit: Horia Varlan http://www.flickr.com/photos/10361931@N06/4273168957 https://creativecommons.org/licenses/by/2.0/