?xtid=7848&IsSearch=NR 18:00 depressive episode 27:00 depressive episode with psychotic 31:00 cyclothymia.

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Presentation transcript:

?xtid=7848&IsSearch=NR 18:00 depressive episode 27:00 depressive episode with psychotic 31:00 cyclothymia 8:00 hypomania 11:00 mania

Depression and Bipolar Disorders

Robert Burton (1621)

Mood Disorders: DSM IV & V v Depressive Disorders –Major Depressive Episode –Unipolar Depression v Dysthymic Disorder v Bipolar Disorders –Bipolar I –Bipolar II v Cyclothymic Disorder

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

DSM – V Depressive Disorders - Major Depressive Episode - Persistent Depressive Disorder (Dysthymia)

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

Major Symptoms in Depression v Mood Sx v Cognitive Sx v Motor Sx v Somatic Sx

Concepts in Depression v Retarded Depression v Agitated Depression v Melancholia v Seasonal Affective Disorder

v Melancholia –Anhedonia –No capacity to feel better

Major Symptoms of Manic Episode v Mood Sx v Cognitive Sx v Motor Sx v Somatic Sx

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

- 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 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. Mother who killed son on subway dies of injuries

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

Personality Vulnerability v Passive Dependent Personality v Achievement vs Dependency Personality v Self-Oriented Perfectionism v DIATHESIS STRESS IMPORTANT

Personality v Achievement v Dependency

Unhappiness and Depression v Continuity Hypothesis v Dichotomy Hypothesis

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

Dichotomy Depression Dysphoria