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    Chapter 6 Mood Disorders

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    Munir Ahmed
    This document summarizes mood disorders and other psychotic disorders. It discusses the classification of mood disorders including manic episodes, depressive episodes, and bipolar mood disorders. It covers the etiology, symptoms, diagnosis, course, and treatment of these conditions. The treatment section focuses on somatic treatments like antidepressants, lithium, antipsychotics, ECT and psychosocial treatments like CBT and family therapy. It also summarizes other psychotic disorders such as persistent delusional disorders, schizoaffective disorder, and reactive psychoses.

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    Chapter 6 Mood Disorders

    Uploaded by

    Munir Ahmed
    123 views27 pages
    This document summarizes mood disorders and other psychotic disorders. It discusses the classification of mood disorders including manic episodes, depressive episodes, and bipolar mood disorders. It covers the etiology, symptoms, diagnosis, course, and treatment of these conditions. The treatment section focuses on somatic treatments like antidepressants, lithium, antipsychotics, ECT and psychosocial treatments like CBT and family therapy. It also summarizes other psychotic disorders such as persistent delusional disorders, schizoaffective disorder, and reactive psychoses.

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    This document summarizes mood disorders and other psychotic disorders. It discusses the classification of mood disorders including manic episodes, depressive episodes, and bipolar mood disorders. It covers the etiology, symptoms, diagnosis, course, and treatment of these conditions. The treatment section focuses on somatic treatments like antidepressants, lithium, antipsychotics, ECT and psychosocial treatments like CBT and family therapy. It also summarizes other psychotic disorders such as persistent delusional disorders, schizoaffective disorder, and reactive psychoses.

    Copyright:

    Attribution Non-Commercial (BY-NC)
    Download as PPT, PDF, TXT or read online from Scribd
    Download as ppt, pdf, or txt
    123 views27 pages

    Chapter 6 Mood Disorders

    Uploaded by

    Munir Ahmed
    This document summarizes mood disorders and other psychotic disorders. It discusses the classification of mood disorders including manic episodes, depressive episodes, and bipolar mood disorders. It covers the etiology, symptoms, diagnosis, course, and treatment of these conditions. The treatment section focuses on somatic treatments like antidepressants, lithium, antipsychotics, ECT and psychosocial treatments like CBT and family therapy. It also summarizes other psychotic disorders such as persistent delusional disorders, schizoaffective disorder, and reactive psychoses.

    Copyright:

    Attribution Non-Commercial (BY-NC)
    Download as PPT, PDF, TXT or read online from Scribd
    Download as ppt, pdf, or txt
    of 27

    Chapter 6 Mood Disorders

    Mood disorders
    • Affect : short –lived emotional response to an idea
    /event
    • Mood : sustained & pervasive emotional response
    which colors the whole psychic life
    Classification
    Ⅰ. Manic episode
    Ⅱ. Depressive episode
    Ⅲ. Bipolar mood (affective) disorders
    Ⅳ. Recurrent depressive disorders
    Ⅴ. Persistent mood disorder (cyclothymia ,dysthymia)
    Ⅵ.Other mood disorders(mixed affective episode &
    recurrent brief depressive disorder)
    ⅰ.Elevated,expansive or irritable mood
    ⅱ.Psychomotor activity goal- oriented
    ⅲ.Speech & thought
    ⅳ.Goal-directed Activity
    ⅴ.Other features sleeping
    ⅵ.Absence of underlying organic causes
    ⅰ. Euphoria hypomania
    ⅱ. Elation confidence & enjoyment
    ⅲ.Exaltation delusion of grandeur
    ⅳ. Ecstasy rapture of blissfullness
    delirious / stuporous mania
    ⅰ.Depressed mood
    ⅱ.Depressive ideation /cognition
    ⅲ.Psychomotor activity ＜ 40y
    ⅳ.Physical symptoms hypochondriacal (ill)
    ⅴ.Biological functions sleeping
    ⅵ.Psychotic features delusion
    ⅶ.Suicide
    ⅷ.Absence of underlying organic causes
    BipolarⅠ & Ⅱ
    ⅰ. Hypomanic
    ⅱ. Manic without psychotic symptoms
    ⅲ. Manic with psychotic symptoms
    ⅳ. Mild or moderate depression
    ⅴ. Severe depression , wtihout psychotic symptoms
    ⅵ. Severe depression , wtih psychotic symptoms
    ⅶ. mixed
    ⅷ. In remission
    ⅰ. mild
    ⅱ. moderate
    ⅲ. Severe,without psychotic symptoms
    ⅳ. Severe,with psychotic symptoms
    ⅴ. In remission
    Courses & prognosis
    • Bipolar mood disorders early onset than recurent
    depressive
    • Manic episode 3~4 mon 2w
    • Depressive episode 4~6mon 6~8w
    • Unipolar depression longer than bipolar
    depression
    • Rapid cyclers 4episodes/y F 70·80%
    (Bipolar )
    Etiology
    • Ⅰ. Biological theories
    • Ⅱ. Psychosocial theories
    Biological theories
    • Genetic hypothesis monozygotic 65% ,46% dizygotic
    • Biochemical theories
    • Neuroendocrine
    • Sleeping studies
    • Brain imaging
    Psychosocial theories
    • Psychoanalytic theories self-love
    • Stress
    • Cognitive & behavioral theories
    Depressive negative cognition, learned helplessness
    Anger directed inward
    Differential diagnosis
    • Organic , drug-induced
    • Acute & transient psychotic disorders/
    schizoaffective disorder & schizophrenia
    obsessive compulsive disorder
    Management

    Ⅰ. Somatic treatment
    Ⅱ. Psychosocial treatment
    Somatic treatment
    • Antidepressants
    • ECT(Electroconvulsive therapy)
    • Lithium (Li) manic episode
    • Antipsychotics
    • Other mood stabilizers
    • Other treatment
    Electroconvulsive therapy
    • psychosis or a risk of suicide
    • major depression :manic delirium, or catatonia
    • schizoaffective or schizophreniform disorder
    Common antipsychotics
    First generation

    * Butyrophenones
    Haloperidol (Haldol) (Serenace) Droperidol
    (Droleptan)
    * Phenothiazines
    *Thioxanthenes
    Chlorprothixene
    Flupenthixol (Depixol and Fluanxol)
    Thiothixene (Navane)
    Zuclopenthixol (Clopixol & Acuphase)
    Common antipsychotics 2nd &3rd generation

    2nd Clozapine (Clozaril)


    Risperidone (Risperdal)
    Quetiapine (Seroquel)

    3rd Aripiprazole (Abilify) 1 mg ~ 30 mg


    Mechanism of action is thought to reduce susceptibility to
    metabolic symptoms seen in some other atypical
    antipsychotics
    Psychosocial treatment
    • Cognitive behavior therapy
    • Interpersonal therapy
    • Psychoanalytic psychotherapy
    • Behavior therapy
    • Group therapy
    • Family & marital therapy
    Other syndromes of depression & mania
    • Involutional melancholia
    • Mixed anxiety –depressive disorder
    • Masked depression
    • Depressive equivalents compulsion
    • Atypical depression(s)
    • Agitated depression impulsive
    • Seasonal mood disorder
    • Secondary depression & secondary mania
    • Neurotic depression
    •
    Chapter 7 Other Psychotic Disorders
    Other Psychotic Disorders
    • Persistent delusional disorders
    • Induced delusional disorder (2)
    • Acute & transient psychotic disorders
    • Schizoaffective disorder
    • Capgras ‘ syndrome (The delusion of doubles)
    • Reactive psychosis
    •
    PERSISTENT DELUSIONAL DISORDER
    • Delusional disorder
    • Other persistent delusional disorders
    Differential diagnosis
    • Paranoid schizophrenia delusion
    • Mania
    • Depression
    • Paranoid personality disorder
    • Organic delusional disorder
    Treatment
    • Antipsychotics MHP
    • Supportive psychotherapy
    • Antidepressants fluoxetine & ECT
    •

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