OUTLINE FOR LECTURE NOTES IN PSYC 405

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Chapter 6

Chapter 6: Mood Disorders and Suicide

I. Mood Disorders and Suicide

....A. Introduction

....B. DSM V Approach

.........1. Major Depressive Episode (Necessary for major depression dx)

.........2. Manic Episode (Necessary for bipolar I depression)

.........3. Others (Not on exam)

....C. Basic Types of Depression:

.........1. Major Depression(Main focus in this group)

...............a. Symptoms: Episode + 5 symptoms, but vegetative & anhedonia are key

..................1. Type = Single or recurrent

..................2. Specifiers = Melancholic, chronic, catatonic, psychotic, paritpartem, SAD

........................a. Note on SADS: Symptoms, causes, treatment

........................b. Click here for more on SADS

...............b. Characteristics: Prevalence, gender, suicide

.........2. Other Types of Depression

...............a. Persistent Depressive Disorder (Not on exam)

...............b. Double Depression (Not on exam)

...............c. Premenstral Dysphoric Disorder (Not on exam)

...............d. Disruptive Mood Dysregulation Disorder: Note on controversy

.........3. Bipolar(Several types, emphasis on Bipolar I)

..............a. Bipolar I: Mania + cyclic, depressive, or manic type

..............b. Bipolar II: No mania, but major depression + hypomania (Not on exam)

..............c. Cyclothymic: No mania or depressive episode, but hypomania + low (Not on exam) depressions

....C. Causes

.........1. Biological Dimension

...............a. Genetics

...............b. Neurobiological Mechanisms (3)

....................1. The Permissive Hypothesis: Neurotransmitter problem = SR to NE > D > major path to depression

....................2. Endocrine: Hormones and Neuromodulators + effects SR > alternative path to depression

....................3. Sleep irregularities = effects other processes (modulators or hormones) > alternative path to depression

.........2. Psychological Factors

..............a. Stress: Meanings

..............b. Learned helplessness: Attribution

..............c. Cognitive style: Negative triad (self-world-future) > Schema (embedded triad) > Self-fulfilling prophecy

.........3. Social-cultural dimensions: Marital Satisfaction, Gender

.........4. Integrative theory of cause (Equifinality)

....D. Treatment

.........1. Biological (somatic) therapies

..............a. Medications

...................1. Types: Byclicics, MOAs, Tricyclics, Others

...................2. Facts

..............b. ECT and other biological treatment

..............c. Evaluation

.........2. Psychosocial Treatments

..............a. Cognitive Therapy: CBT

..............b. IP therapy

..............c. Evaluation

........3. Combining treatment

....E. Suicide

.........1. Statistics

.........2. Problems in assessing suicide

.........3. Other (e.g. Hopelessness )

.........4. Major Theories: Tunneling

.........5. Prevention

..............a. Assessing suicide = SLAP (Specificity, Lethality, Availability, Proximity of help or "People")

..............b. Intervention

.........6. Integration: Suicidal Tunneling

.........7. Survivor's guilt

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