Mood Disorder

Mood Disorder
* Depressive disorders
Major depressive disorder (MDD)
Dysthymic disorder
* Biopolar Disorder
* Mood disorder due to a medical condition
* Substance-induced mood disorder

Psychopathology of Mood Disorders - Depression
* Not diagnosed or misdiagnosed - a lot
* Prevalence - 9-20% in general population
* Female - 10-20%; male - 5-12% (life time)
* Recurrence rate - 50% - 80%
* Seeking professional help - 16-23%
* Suicide rate

Assessment
* History of onset
* Comorbid substance - alcohol, med.
* Physical examination - senile, meta. dis.
* Non mood psychiatric disorders
* Stress level, coping & social support
* Presence and/or level of suicidal ideation
* Others - measurement scales, biological measures (cortisol, hormone, sleep pattern)

Measures of Depression (I)
Measures of Depression (II)
Diagnosis Criteria for Depression
Dysthymic Disorder
Diagnosis Criteria for Major Depression
Etiology of Depression
Genetic theory
Cultural, age, gender considerations
Depression in Children
Predisposing factors in Children and adolescents
Depression in Women
Depression in Men
Depression and the Elderly
Predictors for elderly suicide
Diagnostic Evaluation
Treatment of Depression
Nursing Diagnoses related to Mood Disorders
Assessment for Suicidal behavior
Suicide Prevention
Interventions
Interventions (II)
Monitor the side-effect of antidepressant
* Energy & motivation↑ -suicide tendency ↑
* Drug-drug & food-drug interactions
* Toxicity of the medications
* TCAs – drowsiness, agitation, tachycardia
* MAOIs – dizziness, fatigue, vertigo
* SSRIs – nausea, vomiting, tremor
* Lithium – diarrhea, muscle weakness, atxia; lag time 7-10 days
Biopolar Disorders
Young & Biopolar
Checklist for the Bioplar Child
Criteria for Bipolar Disorders - Manic episode
Manic Genius
Tendencies of Manic Patients
Etiology of Bipolar Disorders
Intervention - Bipolar Disorders
Interventions for suicidal pts
Self-help
Family and friends can help
Where to get help

Mood Disorder.ppt