1. Mood Disorders [Instructor Name] [Class Name Section]

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

3. 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

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

5. 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

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

7. 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

8. 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

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

10. Prevalence of Depressive Disorders MDD: 16.6% (Lifetime) PDD:.5% (12-month)  Average age of onset: mid-20s  Risk Factors  Recovery  Relapse  Comorbidities

11. Prevalence of Bipolar Disorders Lifetime Prevalence: 4.4% Bipolar Disorder I: 1%  Comorbidities  Risk Factor  Course

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

13. Risk Factors of Depressive Disorders Genetic/Biological Factors Environmental  Stressful life events  Early adversity Attributional Styles

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

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

16. 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

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

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

19. Activity: Group Therapy Open-ended questions:  What was that like?  Tell me more about that. Groups of 4-5 Develop Questions

20. Mood Disorders Part 2: Special Topics

21. Overview – Pt. 2 Sleep and Social Relationships in Depression Suicide & Mood Disorders Activity: Suicide Quiz

22. Sleep & Depression Sleep/Depression Relationship  6 hours > sleep = depression risk  Depression increases risk for decreased sleep  Lack of sleep = precursor for major depression

23. 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

24. Overview – Pt. 2 Special Topic: Sleep and Social Relationships in Depression Suicide & Mood Disorders Activity: Suicide Quiz

25. Suicide & Mood Disorders Risk Factors of Suicide?  Lack of social support  Childhood abuse  Self-reported depressive symptoms  Maternal depression Parallels with Depression?

26. Overview – Pt. 2 Sleep and Social Relationships in Depression Suicide & Mood Disorders Activity: Suicide Quiz

28. Photo Attribution Slide 1 & 20 Photo Credit: Jessi RM https://www.flickr.com/photos/25273774@N04/4746222641/ https://creativecommons.org/licenses/by-nc-nd/2.0/ Slide 5 Photo Credit: Mike Bailey-Gates https://www.flickr.com/photos/10244704@N05/2579140026/ https://creativecommons.org/licenses/by-nc-nd/2.0/ Slide 7 Photo Credit: AdamNF https://www.flickr.com/photos/68009561@N00/2390168497/ https://creativecommons.org/licenses/by-nc-sa/2.0/ Slide 10 Photo Credit: Key Foster https://www.flickr.com/photos/61411590@N03/5859097301/ https://creativecommons.org/licenses/by/2.0/ Slide 11 Photo Credit: Pulpolux !!! https://www.flickr.com/photos/46425925@N00/116981263/ https://creativecommons.org/licenses/by-nc/2.0/ Slide 13 Photo Credit: johnm2205 https://www.flickr.com/photos/13049634@N00/2588225548/ https://creativecommons.org/licenses/by-nc-nd/2.0/ Slide 14 Photo Credit: theloushe https://www.flickr.com/photos/23478852@N00/3976023854/ https://creativecommons.org/licenses/by-nc-nd/2.0/ Slide 17 Photo Credit: TheRogue https://www.flickr.com/photos/17456128@N00/3866847140/ https://creativecommons.org/licenses/by-nc-sa/2.0/ Slide 19 Photo Credit: transportationcamp https://www.flickr.com/photos/60342128@N08/5506175191/ https://creativecommons.org/licenses/by/2.0/ Slide 23 Photo Credit: David Ingram https://www.flickr.com/photos/dingatx/8219989409/ https://creativecommons.org/licenses/by-nc/2.0/ Slide 25 Photo Credit: Randal Droher https://www.flickr.com/photos/randaldroher/399240435/ https://creativecommons.org/licenses/by-nc-sa/2.0/ Slide 27 Photo Credit: Horia Varlan http://www.flickr.com/photos/10361931@N06/4273168957 https://creativecommons.org/licenses/by/2.0/