COSIG CONFERENCE BROCHURE.pdf - Drexel University College ...

COSIG Co-Occurring Disorders Conference, Hershey PA, May 15-17, 2006
Expression of Mood Disorders
According to CFP Hypothesis
• Major genetic vulnerability with or without
‘abnormal’ major environmental stress
• Predisposing parameters in the absence
of genetic or biological vulnerability
• Severe traumatic event with minimal
vulnerability
SEE STRESS DIATHESIS MODEL
STRESS-DIATHESIS MODEL
Psychobiological
vulnerability
Protective factors
Social support
Skill building
Transitional programs
Medication
Socioenvironmental
stressors
Impairments Dysfunction Disabilities
Disability
Good
Rehabilitation Outcomes
Poor
(Adapted from Anthony, W.A. & Liberman, R.P., 1994)
Major Depressive Episode
(DSM-IV): Criterion A
• Essential Feature:
–A period of at least 2 weeks
during which there is either
depressed mood or the lost of
interest or pleasure in nearly all
activities
DSM-IV Criteria for Major
Depressive Episode: Criterion A
•4 or more of:
–Appetite changes (usually weight
loss)
–Insomnia or hypersomnia
–Motor agitation or retardation
–Fatigue/loss of energy
DSM-IV Major Depressive Episode:
Criterion A (Cont’d)
–Feelings of worthlessness or
excessive guilt
–Diminished ability to think or
concentrate or indecisiveness
–Recurrent thoughts of death or
suicidal ideation without a plan, or a
suicide attempt or a specific plan for
committing suicide
Physical Symptoms in Depression
That Can also be Due to SUDs
• Tiredness, fatigue
• Sleep disturbance
• Headaches
• Psychomotor retardation/agitation
• GI disturbances
• Appetite changes
• Body aches and pains
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