1.
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
- 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