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

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<strong>COSIG</strong> Co-Occurring Disorders Conference, Hershey PA, May 15-17, 2006<br />

DSM-IV Criteria<br />

Dysthymic Disorder<br />

• Depressed mood for most of the day<br />

on more days than not, lasting for two<br />

years<br />

• When depressed, two or more of:<br />

– Poor appetite or overeating<br />

– Insomnia or hypersomnia<br />

– Low energy or fatigue<br />

DSM-IV Criteria for Dysthymia<br />

– Low self-esteem<br />

– Poor concentration of indecisiveness<br />

– Feelings of hopelessness<br />

• Causes significant distress or impaired<br />

social or occupational functioning<br />

• Can never be without symptoms longer<br />

than two months<br />

• Lifetime prevalence is 6%<br />

Bipolar Disorders<br />

• Bipolar I<br />

– Meets criteria for major depression and mania<br />

• Bipolar II<br />

– Meets criteria for major depression and<br />

hypomania<br />

• Cyclothymic<br />

– Minor depression and hypomania<br />

• Bipolar Disorder NOS<br />

DSM-IV Criteria For Manic Episode<br />

• Distinct period of abnormally and<br />

persistently elevated, expansive, or<br />

irritable mood lasting at least 1 week<br />

– Or any duration if hospitalized<br />

•3 or more:<br />

– Inflated self-esteem or grandiosity<br />

– Decreased need for sleep<br />

DSM-IV Criteria For Manic Episode<br />

• Behaviors (Cont’d)<br />

– More talkative than usual or pressure to keep<br />

talking<br />

– Flight or ideas or subjective experience that<br />

thoughts are racing<br />

– Distractibility<br />

– Increase in goal-directed activity<br />

– Excessive involvement in pleasurable activity<br />

Some Medical Conditions That Can<br />

Cause Mania (Preston,2002)<br />

• Central nervous system trauma<br />

–Post-stroke<br />

• Metabolic disorders<br />

– Hyperthyroidism<br />

• Infectious diseases<br />

– Encephalitis<br />

• Seizure disorder<br />

• Central nervous system tumor<br />

6

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