“Mood disorders(2024)”:

  • A mood disorder is a mental health condition characterized by a primary impact on emotional states.  These disorders can manifest as persistent and intense feelings of sadness, euphoria, anger, or a combination of these emotions.  The usual treatment for psychosis involves a combination of medication and psychotherapy, commonly known as talk therapy.

Overview:

  • A mood disorder is a mental health condition that significantly affects your emotional state, causing prolonged extreme happiness, deep sadness, or both Some mood disorders also cause persistent feelings such as anger and irritability.  While it is normal for moods to fluctuate depending on the situation, a diagnosis of a mood disorder requires the presence of symptoms lasting several weeks or longer These disorders can affect behavior and interfere with everyday activities such as work or school.
  • The two most prevalent psychiatric disorders are depression and bipolar disorder.

Types of mood disorders:

Psychiatric disorders encompass a variety of conditions, e.g.

1. Depression and its subtypes:

 – Major or clinical depression is a common mental health condition characterized by feelings of sadness or hopelessness, affecting aspects such as thinking, memory, eating and sleeping

   – Subtypes include postpartum depression, seasonal affective disorder, and persistent depressive disorder.

2. Bipolar disorder and its subtypes:

 – A lifelong condition causing severe mood changes, bipolar disorder includes types such as bipolar I, bipolar II, cyclothymia, and other specified or unspecified bipolar and related disorders

3. Other psychiatric disorders:

   – Premenstrual Disorder Disorder  (PMDD): Premenstrual PMDD is a more severe form of premenstrual syndrome with symptoms such as irritability, irritability, anxiety, depression and insomnia

   – Disruptive Mood Dysregulation Disorder (DMDD): Affecting children and adolescents, DMDD involves frequent outbursts of anger and irritability disproportionate to situations

Anxiety and mood disorders:

  • Anxiety, especially generalized anxiety disorder, is not classified as a mood disorder but falls under an anxiety disorder.  However, anxiety often precedes or accompanies psychosis.

Affected Demographics:

  • Psychiatric disorders can affect anyone from children and adolescents to adults.  Major depression is more common in women and people assigned at birth.  About 7% of adults in the United States experience depression, and about 2.8% experience bipolar disorder.  Psychiatric disorders are relatively common in children and adolescents, affecting 15% of this population.

Symptoms and causes:

Mood disorders

Symptoms of mood disorders:

  • The symptoms of psychosis vary, and each condition presents unique patterns.  In general, psychiatric disorders affect mood, sleep, eating habits, energy levels, and cognitive functions such as concentration.

Symptoms of depression include:

  – Constant sadness.

  – Lack of energy or feeling lethargic.

  – Feelings of futility or hopelessness.

  – I lost interest in activities I used to enjoy.

  – Thoughts about death or suicide.

  – Difficulty staying focused or focused.

  – Changes in sleep patterns or appetite.

Hypomanic or manic episode symptoms may include:

  – Heightened energy or exhilaration.

  – Fast speech or movement.

  – Agitation, restlessness, or irritability.

  – Risk-taking behavior, such as impulsive spending or reckless driving.

  – Race thoughts.

  – Insomnia or difficulty sleeping.

Causes of mood disorders:

Many factors contribute to the development of psychosis, and the causes can be multifaceted.

1.  Biological factors:

 – The amygdala and orbitofrontal cortex, responsible for regulating emotions, are involved in mood disorders.  Imaging tests often show an enlarged amygdala in individuals with mood disorders.

2.  Genetic factors:

– A strong family history of mood disorders increases a person’s chances of developing such conditions, revealing an important genetic or inherited component.

3.  Environmental Factors:

 – Stressful life changes, chronic stress, traumatic events, and childhood abuse are major risk factors for mood disorders, especially depression

– Depression is also associated with chronic diseases such as diabetes, Parkinson’s disease and heart disease.

  • Understanding these symptoms and causes is critical to the effective diagnosis and treatment of psychosis.  If you or someone you know is experiencing symptoms, it is essential to seek professional help for comprehensive care and support.
mood disorders

Diagnosis and testing:

How is mood disorder diagnosed?

  • When experiencing symptoms of psychosis, a health care provider typically begins the diagnostic process.  This usually involves a comprehensive approach:

1. Physical Examination:

  – A physical exam is performed to rule out physical causes such as thyroid disease, other diseases, and vitamin deficiencies as possible contributors to the symptoms

2. Medical history inquiry:

   – Your healthcare provider will ask about your medical history, current medications, and any family history of mood disorders.  This helps in understanding possible genetic factors and other relevant aspects.

3. Referral to Mental Health Professional:

 – If necessary, your provider can refer you to a mental health professional, such as a psychologist or psychiatrist, for further evaluation.

4. Mental Health Professional Assessment:

  – A mental health professional conducts a thorough assessment, which may include an interview or survey.  Questions about symptoms, sleep, diet, and other behaviors are explored.

   – The American Psychiatric Association’s Diagnostic and Statistical Manual of Mental Disorders (DSM) criteria are oftentimes used to diagnose mood disorders

5. Diagnostic Criteria:

  – Psychosis is diagnosed when emotions such as sadness, euphoria, and anger are too intense and persistent.

   – Diagnosis also considers accompanying symptoms such as changes in sleep patterns or activity levels.

   – Furthermore, a psychotic disorder is diagnosed if the emotional state significantly interferes with a person’s ability to function in daily life.

Management and treatment:

How is mood disorder treated?

  • Treatment for mood disorders is tailored to the specific condition and symptoms, typically involving a combination of approaches:

Medications for mood disorders:

1. Antidepressants:

 – Selective serotonin reuptake inhibitors (SSRIs) and serotonin and norepinephrine reuptake inhibitors (SNRIs) are commonly prescribed for episodes of depression and depression in bipolar disorder Different individuals may respond differently to specific antidepressants.

2. Mood Stabilizer:

  – Lithium anticonvulsants are widely used to regulate mood disorders in conditions such as bipolar disorder.  Mood stabilizing agents should be prescribed alongside antidepressants as part of the treatment plan.

3. Antipsychotics (neuroleptics):

 – Atypical antipsychotics such as aripiprazole (Abilify®) are used in the treatment of mania or mixed episodes of bipolar disorder.  In some cases, nonspecific antipsychotics may be prescribed to enhance the effectiveness of antidepressants.

Psychotherapy of psychiatric disorders:

1. Cognitive Behavioral Therapy (CBT):

 – A structured, goal-oriented psychotherapy that addresses mental health conditions and emotional concerns by identifying and changing unhealthy thoughts and behaviors.

2. Dialectical Behavioral Therapy (DBT):  – DBT adapted from CBT is tailored for individuals experiencing intense emotions, providing strategies to effectively manage and regulate emotions.

3. Psychodynamic therapy:

 – Based on the idea that childhood experiences and unconscious thoughts influence behavior and mental well-being.  It explores recurring thoughts or feelings outside of conscious awareness.

Other treatments for mood disorders:

1. Electrical Contraction Therapy (ECT):

  – To pass a mild electric current through the brain, inducing a small seizure.  Proven effective for serious, treatment-resistant mental health conditions like depression and bipolar disorder.

2. Transcranial Magnetic Stimulation (TMS):

  – Brain stimulation therapy for severe depression unresponsive to antidepressant medication.  TMS uses magnetic energy to regulate emotions.

3. Light Therapy:

  – Uses bright artificial light to supplement natural sunlight, which is commonly used to treat affective disorder (SAD) during the fall and winter seasons.

Prevention:

Can mood disorders be prevented?

  • Currently, there is no known method of preventing psychosis, but timely and effective treatment can often reduce associated issues.  Seeking professional help at the onset of symptoms can minimize disruption to daily life.

Outlook / Forecast:

What is the prognosis for mood disorders?

The prognosis (outlook) of mood disorders depends on various factors:

1. Type and Severity:

 – The specific condition and its severity affect the prognosis.

2. Initial Diagnosis:

 – Early diagnosis tends to positively affect the outlook for mood disorders.

3. Appropriate treatment:

 – Treatment effectiveness contributes significantly to prognosis.

Recurrence and long-term treatment:

 – Depression and bipolar disorder can be recurrent or persistent, thus requiring long-term or lifelong treatment.

Associated Risks:

  – About one-third of individuals with psychosis may develop psychosis, and another one-third may have a lifelong anxiety disorder

Risk of Suicidal Behavior: 

  – Children and adults of individuals with psychosis are at increased risk for suicidal behavior.  If thoughts of harm to yourself or others arise, seek help immediately. In the US, calling 988 connects with Suicide & Crisis Lifeline for help.

Additional risks:

  – People with mood disorders are more likely to have disabilities, absenteeism from work or school, severe anxiety, alcohol use disorders and drug use disorders

Medical Message:

 – While finding the right treatment plan for mood disorders can require time, it is important to commit to the process and strive for improvement.  It is important to emphasize that psychiatric disorders are treatable, so that there is hope for those affected.

living with:

When should I see my healthcare doctor about a mood disorder?

1. Experience the symptoms:

   – If you or your child is exhibiting signs of a mood disorder, it is important to seek the advice of a health care provider.

2. Diagnosed with mood disorder:

  – If a mood disorder is diagnosed, regular check-ups with your health care provider or mental health professional are essential to monitor the effectiveness of the treatment plan.

3. Concerns about medication:

   – Discuss any concerns about medication changes or discontinuation with your provider or another health professional.

   – If the current is ineffective or causes unpleasant side effects, ask about the possibility of using different medications or adjusting the dosage.

QUESTIONS AND ANSWERS:

Q.  What is a mood disorder?

A. A mood disorder is a mental health condition primarily affecting your emotional state.  It involves prolonged periods of extreme happiness, sadness, or both, including persistent emotions such as anger and irritability

To understand normal mood changes:

 – Although mood changes in response to situations are normal, symptoms need to persist for several weeks or longer in order to be diagnosed with a mood disorder.

  – Mood disorders can affect behavior and interfere with the ability to perform regular activities, such as work or school.  Getting timely support is essential for effective management.

Leave a Comment

Your email address will not be published. Required fields are marked *

Scroll to Top