Mood Disorders [Instructor Name] [Class Name Section]

Overview – Pt. 1 Depressive Disorders Bipolar Disorders Prevalence Risk Factors Treatment – Activity: Group Therapy

Depressive Disorders Major Depressive Episode (MDD) Symptoms 1)Depressed mood 2)Diminished interest/pleasure in activities 3)Significant weight loss/gain or increase/decrease in appetite 4)Insomnia/hypersomnia 5)Psychomotor agitation/retardation 6)Fatigue/loss of energy 7)Feeling worthless/excessive or inappropriate guilt 8)Diminished ability to concentrate/ indecisiveness 9)Recurrent thoughts of death, suicidal ideation, or a suicide attempt

Depressive Disorders Major Depressive Episode Requirements  2 weeks <  Patients must have either depressed mood or decreased interest

Depressive Disorders Major Depressive Disorder 1 Major Depressive Episode < Persistent Depressive Disorder 1)Poor appetite or overeating 2)Insomnia or hypersomnia 3)Low energy or fatigue 4)Low self-esteem 5)Poor concentration or difficulty making decisions 6)Feelings of hopelessness

Overview – Pt. 1 Depressive Disorders Bipolar Disorders Prevalence Risk Factors Treatment – Activity: Group Therapy

Bipolar Disorders Requirements: Euphoric mood: 3 < symptoms Irritable mood: 4 < symptoms Mania: Must be present for 1 week < Hypomania: 4-7 days Symptoms: Mania or HypomaniaMania  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 I  Single manic episode  No depressive episode required Bipolar II  Depression  Hypomania Cyclothymic Disorder  No major depressive episode  Symptoms 50% of time  No 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-20s  Risk Factors  Recovery  Relapse  Comorbidities

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 Environmental  Stressful life events  Early adversity Attributional Styles

Risk Factors for Bipolar Disorders Genetic/Biological Factors Environmental  Relationship  Positive Life Events  Social zeitgeber theory

Overview – Pt. 1 Depressive Disorders Bipolar Disorders Prevalence Risk Factors Treatment – Activity: Group Therapy

Treatment – Depressive Disorders Medication  MAOIs  Tricyclics  SSRI & SNRI Thoughts Emotions Behavior Biological Treatments  ECT  TMS  Deep Brain Stimulation Psychosocial Treatments  Behavioral Therapy  Cognitive Therapy  Interpersonal Therapy  Short-Term Psychodynamic

Treatment – Bipolar Disorders Medication  Lithium  Carbamazepine  Valproate Adjunctive Psychosocial Treatment  Interpersonal and Social Rhythm Therapy (IPSRT)

Overview – Pt. 1 Depressive Disorders Bipolar Disorders Prevalence Risk Factors Treatment – Activity: Group Therapy

Activity: Group Therapy Open-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

Photo Attribution Slide 1 & 20 Photo Credit: Jessi RM Slide 5 Photo Credit: Mike Bailey-Gates Slide 7 Photo Credit: AdamNF Slide 10 Photo Credit: Key Foster Slide 11 Photo Credit: Pulpolux !!! Slide 13 Photo Credit: johnm Slide 14 Photo Credit: theloushe Slide 17 Photo Credit: TheRogue Slide 19 Photo Credit: transportationcamp Slide 23 Photo Credit: David Ingram Slide 25 Photo Credit: Randal Droher Slide 27 Photo Credit: Horia Varlan