Thursday, November 7, 2013

Affective disorders MOOD

Under the affective mood disorders affect realize vivid expression of emotion, which is reflected in their behavior.

By understanding the mood of a lot of emotion for a certain period of time, which do not always manifest themselves in behavior and can successfully hide.


Emotion is manifested in behavior, such as facial expressions, posture, gesture, features of social communication, thinking, and subjectively described the structure of experience.


When control is lost over the emotion, it reaches the degree of affect and can lead to autodestruktsii (suicide, self-harm) or destruction (aggression).


Under the affective mean a group of mental disorders associated with disturbances in the emotional sphere.


These include mania, depression, rekkurentnye, bipolar, dysthymic disorder, seasonal changes in weight, night craving for carbohydrates, menstrual disorders, part of teenage aggression, depression among migrants in northern latitudes during the polar winter, etc.


Many of these disorders occur under the sign meteozavisimosti, exacerbated by a full moon and new moon are associated with disturbances in the biological clock.


The frequency of mood disorders is about 1%, with no gender differences.


The most frequency affective disorders arise at the age of 30-40 years.

Causal and contributing factors of affective disorders:


1) Genetic factors - the abnormal gene in hromosome11 at geneticheskomo variety of affective disorders (assumed to be dominant, recessive, and polygenic forms of affective disorders)


2) pathophysiological factors - qualitative and quantitative metabolic neurotransmitters (eg, decreased activity of serotonin in depression and increase in delusions), functional disorders of the hypothalamic-pituitary axis and the limbic system, the pineal gland, acute and chronic distress, etc.,


3) social factors - the loss of social contacts in the cognitive and psychoanalytic interpretation (depressogenic fixing schemes, regression to narcissism and the formation of self-hatred, etc.)


4) psychobiological factors - deregulation in the spectrum of aggressive - auto-aggressive behavior.


Affective disorder is accompanied by many endocrine disorders (thyrotoxicosis and hypothyroidism), vascular pathology of the brain, Parkinson's disease, etc.


In contrast to the endogenous organic affective disorder manifested cognitive deficits or disorders of consciousness.


Medical care is prevention, as well as in influencing depression and mania.


Among the preventive measures are paramount in the lifestyle intervention with patient education.


Of the non-drug using technologies such as sleep deprivation, and photon therapy.


Fluoxetine is used for depression, lerivon, Zoloft, mianserin, tricyclic antidepressants, etc.


When delusions are assigned in increasing doses of lithium, under the control of changes in the blood are used antipsychotics, carbamazepine, on the testimony of beta-blockers.


In maintenance therapy is usually prescribed lithium carbonate, carbamazepine or sodium valprat.


Help solely a matter for the doctor.


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Affective Mood Disorder Part 2








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