Transcript What are Mood Disorders?

Autumn Wagoner, LISW
A category of mental disorders in which the
underlying problem affects a person’s
persistent mood.
 Mood disorders have periods of behaviors or
“episodes”
 Major Depressive Disorder, Bipolar Disorder,
Dysthymic Disorder, Cyclothymic Disorder,
Disruptive Mood Dysregulation Disorder
(DMDD), Premenstrual Dysphoric Disorder
(PMDD), Seasonal Affective Disorder (SAD)


Depressive

Manic

Mixed

Hypomanic



Most common mental disorders in the United
States (NIMH)
In 2014, an estimated 10.2 million adults
aged 18 or older in the United States had at
least one major depressive episode in the
past year with severe impairment. This
number represented 4.3% of all U.S. adults.
(NIMH)
Can have a co-occurring illness w/ Anxiety
disorders, alcohol/substance abuse, or
serious medical conditions/chronic illnesses








Depressed mood or loss of interest/pleasure in
most activities
Changes in appetite and/or weight
Changes in sleep; sleep disturbances or insomnia
Increase in fatigue; decrease in energy
Changes in psychomotor activity; slowness or
restlessness
Feelings of worthlessness or guilt
Difficulties thinking and/or concentrating
Recurrent thoughts of death or suicidal ideations,
plans, or attempts
https://www.youtube.com/watch?v=1Yq6W7Y
AHM4&feature=player_detailpage
-What did you notice?
-What were your thoughts?

Also known as manic-depressive illness

2 types: Bipolar 1 & Bipolar II

Occurrence of one or more manic episodes,
mixed episodes, or depressive episodes
Symptoms of mania or a manic episode include:
Mood Changes
 A long period of feeling "high," or an overly happy or outgoing
mood
 Extreme irritability
Behavioral Changes
 Talking very fast, jumping from one idea to another, having
racing thoughts
 Being easily distracted
 Increasing activities, such as taking on new projects
 Being overly restless
 Sleeping little or not being tired
 Having an unrealistic belief in one's abilities
 Behaving impulsively and engaging in pleasurable, high-risk
behaviors
Symptoms of depression or a depressive episode
include:
Mood Changes
 An overly long period of feeling sad or hopeless
 Loss of interest in activities once enjoyed, including
sex.
Behavioral Changes
 Feeling tired or "slowed down"
 Having problems concentrating, remembering, and
making decisions
 Being restless or irritable
 Changing eating, sleeping, or other habits
 Thinking of death or suicide, or attempting suicide.



Have had at least 1 major depressive episode
lasting at least 2 weeks and at least 1
hypomanic episode lasting at least 4 days
People with Bipolar II often have more
depressive episodes than hypomanic
Hypomania is a less severe form of mania



Chronic fluctuating mood disorder
Emotional ups and downs that are not as
extreme as Bipolar I or Bipolar II
Can typically function in daily life, though not
always well



Chronic and mildly depressed mood that
occurs most of the day, more days than not
for at least 2 years.
Not as severe as Major Depressive Disorder
Mood usually described as sad or “down in
the dumps”

Premenstrual Dysphoric Disorder (PMDD)
◦ Severe and disabling premenstrual disorder that can
cause extreme mood shifts
◦ Symptoms include: sadness/hopelessness, anxiety
or tension, extreme moodiness, marked irritability
or anger

Disruptive Mood Dysregulation Disorder
(DMDD)
◦ Severe & recurrent temper outbursts that are out of
proportion to the situation at hand.
◦ Moods in between outbursts are persistent anger
and irritability.

Seasonal Affective Disorder (SAD)
◦ Type of depression related to changes in the season
◦ Subtype of Major Depressive Disorder or Bipolar
◦ Difficult to diagnose as symptoms are similar to
other depression or mental health issues




Simply ask, “How are you doing?”
Education on mental health (normalizing to
decrease negative stigma)
Addressing behavioral concerns: Could
identify/recognize barriers to clients treatment
Education on correlation
of medical health and
mental health
◦ Evidence-based treatment that addresses
ambivalence to change
◦ DARN-C (Change talk)





Desire: People first talk about what they want to do
Ability: How they could change
Reasons: Why they would change
Need: How important it is to change
Commitment: Statements about the likelihood of
change
***To learn more about MI: please go to
https://www.centerforebp.case.edu







Coleman Behavioral
Health
Portage Path Behavioral
Health
Community Support
Services
Greenleaf Family
Counseling
Pastoral Counseling
Summa Psychiatry
Summit Psychological
Association








Community Health
Center
Child Guidance &
Family Solutions
Mature Services
Minority Behavioral
Health
Blick Clinic
Ohio Guidestone
Infoline (211)
Charak Center for
Health & Wellness
References

Case Western Reserve University, Center for Evidence-Based Practices. Motivational Interviewing. (n.d.). Retrieved
February 22, 2016 from URL http://www.centerforebp.case.edu/practices/mi.

Mayo Clinic Staff. Diseases and Conditions: Bipolar Disorder. (2015, February 10). Retrieved February 22, 2016 from URL
http://www.mayoclinic.org/diseases-conditions/bipolar-disorder/basics/definition/con-20027544

Mayo Clinic Staff. Diseases and Conditions: Cyclothymia, cyclothymic disorder. (2015, June 4). Retrieved February 22,
2016 from URL http://www.mayoclinic.org/diseases-conditions/cyclothymia/basics/definition/con-20028763

Mayo Clinic Staff. Persistent Depressive Disorder, dysthymia. (2015, December 19). Retrieved February 22, 2016 from
URL http://www.mayoclinic.org/diseases-conditions/persistent-depressive-disorder/home/ovc-20166590

Mayo Clinic Staff. Disease and Conditions: Seasonal Affective Disorder, SAD. (2014, September 12). Retrieved February
22, 2016 from URL http://www.mayoclinic.org/diseases-conditions/seasonal-affective-disorder/basics/definition/con20021047

National Institute of Mental Health. Bipolar Disorder. (n.d.). Retrieved February 22, 2016 from URL
http://www.nimh.nih.gov/health/topics/bipolar-disorder/index.shtml

National Institute of Mental Health. Depression. (n.d.). Retrieved February 22, 2016 from URL
http://www.nimh.nih.gov/health/topics/depression/index.shtml

American Psychiatric Association. DMS-5 Development. Disruptive Mood Dysregulation Disorder Fact Sheet. (2014).
Retrieved February 22, 2016 from URL
http://www.dsm5.org/Documents/Disruptive%20Mood%20Dysregulation%20Disorder%20Fact%20Sheet.pdf

Child Mind Institute. Mental Health Guide. Disruptive Mood Dysregulation Disorder. (n.d.). Retrieved February 22, 2016
from URL http://www.childmind.org/en/health/disorder-guide/disruptive-mood-dysregulation-disorder

Rollnick, S., Miller, W.R., & Butler, C.C., (Eds.). (2008). Practicing Motivational Interviewing. In Motivational Interviewing
in Health Care: Helping Patients Change Behavior (pp. 33-43). New York, NY: Guilford Press.