Disruptive mood dysregulation
Before age 10. Persistent irritable & angry mood.
Angry outbursts at least 3X week.
Comorbid: ADHD & MDD
Course: Chronic, risk of progressing to MDD, Dysthymic, Anxiety
Disruptive mood dysregulation tx
Unipolar depression/Anxiety: SSRI & Stimulant
Bipolar: Atypical antipsychotics & Mood stabilizer
Major depressive disorder dx/prevalence
Highest lifetime prevalence of any psych d/o
Females, Hispanic/Black, Divorced/no close relt
Dx: 5 sx X 2 weeks including:
1. Depressed mood OR
2. Loss of interest/pleasure
Onset with stressful event
MDD Beck’s Cognitive Triad
- Negative view on self
- Environment is hostile & demanding
- Expects suffer & failure in the future
Way of organizing/interpreting experiences
Conclusion without evidence
Focus on one detail & ignore others
Conclusion based on too little experience
Under/Over value the significance of an event
Self-reference external events
All or non categories
Learned helplessness theory (MDD)
Depression is connected with experiencing uncontrollable events
Leads to loss of self esteem.
Tx: learn sense of control & master the environment.