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4 Categories
1. epressive isorders
2. Bipolar isorder
3. Mood disorder resulting from a general medical condition
4. Substance induced mood disorders
epression is the oldest and the most frequently described psychiatric illness.
Categories:
Major epressive isorder ʹ is a mood disorder characterized by symptoms that persists over a minimal
of 2 weeks.
Specifiers
1. Atypical epression
2. Melancholic epression
3. Catatonic features
4. Postpartum epression
5. Psychotic epression
6. Seasonal Affective isorder (SA)
ATYPICAL EPRESSION
MELANCHOLIC EPRESSION
- Older adults
- Anhedonia, inability to cheer up
POSTPARTUM EPRESSION
PSYCHOTIC EPRESSION
YSTHYMIC ISORER
Criteria:
Adults
- Events that predispose children and adolescents to develop Major epressive isorder:
1. Loss of Parents ( ivorce, separation, death)
2. eath of other individual close to the child
3. eath of a pet
4. Move to another neighborhood / town
5. Academic problems / failure
6. Physical illness or Injury
Elevated mood
Grandiosity
Irritability
Anger
Insomnia
Anorexia
Flamboyant gestures
Flight of ideas
istractibility, Hyperactivity
Loud, rapid speech, talkative
High energy
Increased interest in sex
High rate of suicide
Excessive make up
Labile elusion, Hallucination
epressed Mood
Low self esteem
Withdrawal
Passivity
Insomnia, daytime sleepiness
Anorexia, sluggish thinking
ifficulty concentrating
istractibility, inertia
iminished interest
ecrease in speech
Fatigue
ecrease interest in sex
High rate of suicide
Memory loss
Abnormal thoughts about death
Weight loss
Anxiety disorders
Generalized Anxiety isorder (GA)
- ͞free floating anxiety͟
- Problem with AL
- 6 mos
- Women and adolescence
-
Primary Symptoms
- Agitations
- iaphoresis
- Insomnia Irritability
- Nervousness
- Shortness of breath
- Tachycardia, tension
TNPR:
1. Reduce the level of anxiety
2. evelop / Teach coping strategies
3. evelop Trust and Rapport
4. Provide Safety, calm environment
Milleu:
SSRI (OC), TCA, Benzodiazepine
Phobic isorder
Tyoes:
Agoraphobia
Social Phobia
Simple / Specific P.
ù Natural ʹenvironmental
ù Blood Injection
ù Situational
ù Animal
Milieu:
- Systemic esensitization
- Exposure Therapy
- Flooding/Implosive
- CBT
OC: SSRI
3 For agora / social p.
Social Skills Training
Panic isorder
' ͞Panikos͟ (fear)
' Is a chronic condition characterized by appearance of panic attack.
Panic Attack ʹ sudden Period of intense fear and discomfort characterized by physical and cognitive
sysmptoms
' No precipitating factor
' 15 ʹ 30 mins; peak: 10 mins
' Late adolescence
Primary Symptoms:
yspnea, izziness, iaphoresis
Hyperventilation
Tachycardia
Uncontrollable fear
TNPR:
AJUSTMENT ISORER
' ivorce
' isability
' Financial Problems
' Child bearing
' Moving
' Retirement
' Marriage
' w/in 3 mos to 6 mos
RELATE ISORERS
1. Anxiety isorder due to a general medical condition
2. Substance-induced anxiety disorder
3. Separation anxiety disorder