PSYCH 133B Chapter Notes - Chapter 5: Premenstrual Dysphoric Disorder, Major Depressive Episode, Bipolar Disorder

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Symptoms: emotional symptoms, depression, depressed (dysphoric unpleasant) mood. Utterly gloomy, dejected, despondent: mania, periods of inexplicable and unbounded joy (euphoria, optimistic/cheerful, even if life in shambles, feelings of ease, intensity, power, well-being, financial omnipotence, depressed and manic. Caused by different factors than other forms. More likely to have good response to biological treatments (medication/ect: psychotic features hallucinations or delusions during depression/mania. Depressed patient hearing voices that he is worthless human beings who deserves to be suffer for sins (mood congruent psychotic features) More likely to require hospitalization + antidepressant/antipsychotic meds: postpartum onset major depressive/manic episode. Different from minor periods of postpartum blues: course specifiers more extensive descriptions of the pattern that the disorder follows over time, rapid cycling bipolar disorder. Experiences at least four episodes of major depression, mania, hypomania within a 12-month period. Poorer response to treatment/greater risk to attempt suicide: seasonal affective disorder. Episodes commonly in winter (less sunlight hours?) 3 major episodes: 1/6 will meet criteria.

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