By Gordon Parker
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Extra resources for Dealing with Depression: A Commonsense Guide to Mood Disorders
1 per cent—a risk 250 times greater. The main manifestations are manic episodes, psychotic depressive episodes and, quite commonly, mixed states where both manic and depressive features are experienced. Onset is usually sudden, within the first two or three weeks after the birth of the baby. While episode symptoms are commonly bizarre and disturbing at the time, the outcome is usually good, with most women responding well to treatment. There is, however, an increased suicide risk for women during the first year of treatment.
There are exceptions, however. For instance, an individual with bipolar disorder may have a sequence of melancholic depressive episodes and then, when faced with an unusual stressful event (such as a job loss), develop a normal depressed mood, a non-melancholic depressive disorder or a grief state. How, then, can bipolar disorder be diagnosed with any confidence? 1 Mood swings and common clinical states in bipolar disorder • experienced an elevated, euphoric, irritable or more confident mood; • experienced reduced sleep, but without feeling tired the next day; • had more energy or felt ‘wired’; • spent more money than usual or wished to do so; • made frivolous or unnecessary purchases; • talked more and made more phone calls than usual; • experienced increased libido; • dressed more colourfully; • been more verbally or behaviourally indiscreet than usual; • found ‘nature’ more beautiful; • been more creative; • sung more than usual.
I would imagine that my poor battered lobes were rolling about yolklike in my feckless eggshell head’ (pp. 132–3) Coping repertoires in psychotic melancholia In psychotic melancholia, the depressed mood is either extremely severe or, at times, denied. Where depression is denied, the individual may instead describe states of nothingness, of profound enervation, or even of the disturbance being felt at the physical level (with flu-like symptoms, physical agitation or pain). Such a mood state persists throughout and over the days and lacks the latein-the-day lift experienced by many with melancholic depression.
Dealing with Depression: A Commonsense Guide to Mood Disorders by Gordon Parker