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familial and genetic influence
recurrence of major depression, and earlier age of onset in the proband is associated w/highest rates of depression in relatives > mood disorders are heritable
neurotransmitter systems
low levels of serotonin in the causes of mood disorders, but only in relation to other neurotransmitters, including norepinephrine and dopamine > according to "permissive" hypothesis, when serotonin levels are low, other neurotransmitters are "permitted" to range more widely, become dysregulated, and contribute to mood irregularities, including depression
endocrine system
stress hypothesis - focuses on overactivity in the hypothalamic-pituitary-adrenocortical (HPA) axis > cortisol (stress hormones) levels are elevated in depressed patients
sleep and circadian rhythm
usually short and long term sleep durations were associated w/an increased risk for depression in adults
REM
active phase of sleep
stressful live events
there is strong relationship between stress and depression, and scientists are discovering that the cause-and-effect connection between the two might go both ways
learned helplessness
people become depressed when they believe they have no control over the stress in their lives
negative cognitive style
depression may result from a tendency to interpret everyday events in a negative way
lithium carbonate
mood stabilizing drug > used for treating bipolar
electroconvulsive therapy (ECT)
electrically shocking (mild) the brain
transcranial magnetic stimulation (TMS)
it works by placing a magnetic coil over the individual's head to generate a precisely localized electromagnetic pulse > noninvasive treatment where a magnetic coil briefly delivers pulses of energy through the skull. These pulses create small electrical currents in parts of the brain involved in mood and behavior, helping to regulate brain activity
cognitive therapy - becks method
clients are taught to examine carefully their thought processes while they are depressed and to recognize "depressive" errors in thinking
cognitive behavioral analysis system of psychotherapy
which integrates cognitive, behavioral, and interpersonal strategies and focuses on problem-solving skills, particularly in the context of important relationships > effective for people w/dysthymia
interpersonal therapy (IPT)
focuses on resolving problems in existing relationships and learning to form important new interpersonal relationships
maintenance treatment
preventing relapse of depression
suicidal behavior
suicidal ideation, suicidal plans, suicidal attempts
suicidal ideation
thinking about it
suicidal plans
steps on how to do the deed
suicidal attempts
execution of the plan