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Mood Disorders and Suicide
Chapter 7 Abnormal Psychology
46
Psychology
Undergraduate 1
06/07/2020

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Term
mood disorders
Definition
extremes of emotion or affect—soaring elation or deep depression—dominate the clinical picture. Other symptoms are also present, but abnormal mood is the defining feature
Term
depression
Definition
involves feelings of extraordinary sadness and dejection,
Term
mania
Definition
intense and unrealistic feelings of excitement and euphoria
Term
unipolar depressive disorders
Definition
a person experiences only depressive episodes
Term
bipolar and related disorders
Definition
a person experiences both depressive and manic episodes
Term
depressive episode
Definition
a person is markedly depressed or loses interest in formerly pleasurable activities (or both) for at least 2 weeks, as well as other symptoms such as changes in sleep or appetite, or feelings of worthlessness (see the DSM-5 box for diagnostic criteria)
Term
manic episode
Definition
a person shows a markedly elevated, euphoric, or expansive mood, often interrupted by occasional outbursts of intense irritability or even violence—particularly when others refuse to go along with the manic person’s wishes and schemes
Term
hypomanic episode
Definition
a person experiences abnormally elevated, expansive, or irritable mood for at least 4 days. In addition, the person must have at least three other symptoms similar to those involved in mania but to a lesser degree
Term
major depressive episodes
Definition
periods of very low moods
Term
major depressive disorder
Definition

 may experience a loss of energy, too much or too little sleep, decreased appetite and weight loss, an increase or slowdown in mental and physical activity, difficulty concentrating, irrational guilt, and recurrent thoughts of death or suicide.

 

Term
relapse
Definition
refers to the return of symptoms within a fairly short period of time, a situation that probably reflects the fact that the underlying episode of depression has not yet run its course
Term
recurrence
Definition
refers to the onset of a new episode of depression
Term
specifiers
Definition
patterns of symptoms or features that are important to note when making a diagnosis because these patterns have implications for understanding more about the course of the disorder and its most effective treatment
Term
major depressive episode with melancholic features
Definition
applied when, in addition to meeting the criteria for a major depressive episode, a patient either has lost interest or pleasure in almost all activities or does not react to usually pleasurable stimuli or desired events
Term
severe major depressive episode with psychotic features
Definition

 

Psychotic symptoms, characterized by loss of contact with reality and delusions (false beliefs) or hallucinations (false sensory perceptions), may sometimes accompany other symptoms of major depression.

Term
mood congruent
Definition
any delusions or hallucinations seem in some sense appropriate to serious depression because the content is negative in tone, such as themes of personal inadequacy, guilt, deserved punishment, death, or disease.
Term
Major depressive episode with atypical features
Definition
includes a pattern of symptoms characterized by mood reactivity; that is, the person’s mood brightens in response to potential positive events
Term
Major depressive episode with catatonic features
Definition
includes a range of psychomotor symptoms, from motoric immobility (catalepsy—a stuporous state) to extensive psychomotor activity, as well as mutism and rigidity.
Term
recurrent major depressive episode with a seasonal pattern
Definition
also commonly known as seasonal affective disorder- when individuals who experience recurrent depressive episodes show a seasonal pattern
Term
Persistent depressive disorder
Definition
a disorder characterized by persistently depressed mood most of the day, for more days than not, for at least 2 years (1 year for children and adolescents).
Term
double depression
Definition
When PDD and MDD co-occur in the same person
Term
dysfunctional beliefs
Definition

 also known as depressogenic schemas

 are rigid, extreme, and counterproductive

Term
negative automatic thoughts
Definition
thoughts that often occur just below the surface of awareness and involve unpleasant, pessimistic predictions.
Term
negative cognitive triad
Definition
include negative thoughts about (1) self (“I’m worth- less”); (2) world (“No one loves me”); and (3) future (“It’s hopeless because things will always be this way”)
Term
Dichotomous or all-or-none reasoning
Definition
involves a tendency to think in extremes
Term
Selective abstraction
Definition
involves a tendency to focus on one negative detail of a situation while ignoring other elements of the situation
Term
Arbitrary inference
Definition
involves jumping to a conclusion based on minimal or no evidence
Term
learned helplessness
Definition
occurs when an individual continuously faces a negative, uncontrollable situation and stops trying to change their circumstances, even when they have the ability to do so
Term
attributions
Definition
the action of regarding a quality or feature as characteristic of or possessed by a person or thing
Term
pessimistic attributional style
Definition
an inclination towards writing off positive events as external, stable and specific, in other words, the good things that happen are due to some external factor that won't have longevity
Term
rumination
Definition

involves a pattern of repetitive and relatively passive mental activity

 

Term
Cyclothymic disorder
Definition
refers to the repeated experience of hypomanic symptoms for a period of at least 2 years
Term

 

Bipolar I disorder

Definition
a series of attacks of elation and depression, with periods of relative normality in between
Term
mixed episode
Definition
characterized by symptoms of both full-blown manic and major depressive episodes for at least 1 week, either intermixed or alternating rapidly every few days.
Term
Bipolar II
Definition
the person does not experience full-blown manic (or mixed) episodes but has experienced clear-cut hypomanic episodes as well as major depressive episodes.
Term
bipolar disorder with a seasonal pattern
Definition
the recurrences can be seasonal in nature
Term
rapid cycling
Definition
those who go through periods of rapid cycling usually experience many more than four episodes a year.
Term
monoamine oxidase inhibitors (MAOIs)
Definition
inhibit the action of monoamine oxidase, the enzyme responsible for the breakdown of norepinephrine and serotonin once released.
Term
tricyclic antidepressants
Definition
increase neurotransmission of the monoamines, primarily norepinephrine and to a lesser extent serotonin
Term
selective serotonin reuptake inhibitors (SSRIs)
Definition
treat depression by increasing levels of serotonin in the brain. Serotonin is one of the chemical messengers (neurotransmitters) that carry signals between brain nerve cells (neurons). SSRIs block the reabsorption (reuptake) of serotonin into neurons
Term
Lithium
Definition
they exert mood-stabilizing effects in either direction
Term
electroconvulsive therapy (ECT)
Definition

often used with patients who are severely depressed (especially among the elderly) and who may present an immediate and serious suicidal risk, including those with psychotic or melancholic features.   The treatments, which induce seizures, are delivered under general anesthesia and with muscle relaxants

 

Term
cognitive-behavioral therapy (CBT)
Definition

 a relatively brief form of treatment (usually 10 to 20 sessions) that focuses on here-and-now problems rather than on the more remote causal issues that psychodynamic psychotherapy often addresses

 

Term
behavioral activation treatment
Definition
approach focuses intensively on getting patients to become more active and engaged with their environment and with their interpersonal relationships
Term
interpersonal therapy (IPT)
Definition
focuses on current relationship issues, trying to help the person understand and change maladaptive interaction patterns
Term
nonsuicidal self-injury (NSSI)
Definition
refers to direct, deliberate destruction of body tissue (often taking the form of cutting or burning one’s own skin) in the absence of any intent to die
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