MOOD DISORDERS • One of their feature is mood abnormality • Mood: is sustained abnormality of inner subjective feelings. That may be: – Depressed as in depression – Elated / limitable / Euphoric as in manic – Blunt / flat – in schizophrenia – Anxious in Anxiety and phorias – Incongruent – in schizophrenia – Labile
Classification of mood disorders • •
Bipolar disorders Depressive disorders
Bipolar disorders: A.
Manic Episode • • •
Hypomania Mania Mania with Psychosis
B. Bipolar affective disorders • • • • •
Currently hypomania Currently Mania Currently depressed Currently Mixed In remission
• Co-morbidity with Anxiety disorders and substance abuse
Why the people harm themselves? • • • • • •
Social Economical Mental Disappointed Chronic illness Environmental
Etiology • Genetic • Poly genetic inheritance • Linkages to 4,12,18 chromosomes • Association with gene coding for serotonin transporters and A form of mono-amino –oxidase
• Personality:
cyclothymic
• Early environment: - Parental deprivation / discord. - Relationship with parents - Sexual or physical abuse
Course and Prognosis • Bipolar disorder: – Average length of manic episode is 6 mths – 90% of Patients experience further episodes of mood disorders – In 25 yrs follow by bipolar disorder patients experience 10 episodes of mood disturbance – Interval between episodes become shorter and shorter – Nearly all patients recover from acute episode – Rapid cyclers have poor outcome
Course and Prognosis Cont= • Prognostic factors: – Bipolar – Poor social support – Poor physical health – Co-morbid substance misuse – Co-morbid personality disorder
Management • Assessment: – – – – –
Diagnosis Severity Etiology Effects of illness on others Person’s resources
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F. Perdereau a,b. , Z. Rein a,b. , S. Berthoz a. , J. Wallier a,b. ,. Ph. Jeammet a,b. , M.F. Flament c a Department of Psychiatry, Institut Mutualiste Montsouris (IMM), ...
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IRON DEFICIENCY AND DEPRESSIVE MOOD IN HISPANIC WOMEN. A Dissertation. Presented to the Faculty of the Graduate School of Cornell University in Partial Fulfillment of the Requirements for the Degree of. Doctor of Philosophy by. Maike Rahn. January 20
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