- Parang kagaya ng depressive

- Bipolar and depressive in transition with one another kasi prevalent sya to both
- Not only major depressive disorder
VIDEO
Sorrow is not an individual failing, we are fragile and sensitive
We can’t just abandon ourselves
Realizing realization
Each one of us has a part to help one another
Stay in the present
“toxic positivity”
There’s a motion when studying this aspect and it is inevitable
There’s no escape but there’s a way

Dysregulation – refrigerator; na kagaya nito nababalance natin ang emotion natin.

A. Parang bumubuga, different sa manic kasi meron ang manic na time –frame and can be
wax and wane na nawawala samantalang DMDD ay walang grandiosity.
B. An outburst (pagsabog ng emosyon) e.g . yung inaact ay hndi consistent sa age nya kagaya
na lang ng panununtok (adult)
C. 3 or more times per week
D. Irritable or angry most of the day. Nearly everyday
E. A-D present for 12 or more months. 3 months dapat may makitang symptoms pag wala
namn hindi mo masasabing disruptive. (3 months na napansin)
F. A and D at least 2 of the three setting.
G. Diagnosis should not be made for the first time before age 6 or after age 18 years. Because
of the glob al developmental delay. 18 (might be a personality disorder)
H. By history or observation, the age at onset A-E is before 10 yrs. old. Different stories na
kapag may manic or hypomanic na.magiging bipolar na ang diagnosis
I.
NOTE: yung naramdaman ay dapat appropriate sa setting. Walang high self-esteem at grandiosity
 J. Inconsistence
Di pedeng mag co-exist sa……
Pwedeng magco exist sa….

Chronic, severe persistent irritability

Two prominent clinical manifestation (A and D)
- frequent temper outburst
- manifestation of severe irritability

Must be before age 10

Extremely high

Bakit kasama sya sa depressive disorder?

Here because there are factors kung bakit nagkakaganun.

Yung asa Bipolar Disorder yun din to

Pinagkaiba tanggalin ang hypomanic meron ka ng major depressive disorder
Depressed mood and lost of interest or pleasure
Criteria A-C major depressive episode. If you would look in the symptoms kahit present
yung a,b,c,d but may reason na appropriate sa situation di kinokonsider na major depressive
disorder.
There’s never a hypomanic or manic

Psychotherapy
CBT – this is not real there’s nothing we can’t control
IPT – you’re not alone
Behavior Therapy – Challenging cognitive restructuring
 MBCT – being aware on what’s happening

First appear at any age; puberty

Borderline personality disorder (di alam nasa guhit ka kumbaga sa piko stepping ka na.)

A. 2 years; bata- 1 year

Poor appetite
Insomnia/hypersomnia
Low energy
Low self esteem
Poor concentration
Hopelessness
- Dapat ay staright na Makita sa 2 years’ period
- Hindi daw nalagay sa symptoms (kakaunti lang nalagay). Hindi talaga nya minsan
mamemeet ang criteria kasi may natanggal na.
- Pweding magdiagnose ng MDD sa course ng dysthymia

Mainly because ang tagal kasi 2 years

A. At least 5 symptoms must be present. Before ka magkamens. dun magmamanifest

e.g October 18 befor neto dun hahanapin
isang delubyo bago ang isang bagyo

B.
 1. Marked affective lability
2. Marked irritability or anger
3. Marked depressed mood, feeling of hopelessness
4. Marked anxiety tension
C. One or more of the ff. symptoms
D. Impairment/disturbance
E. Sometimes pwede itong manifestation ng MDD
F. Tingnan ang symptoms sa dalawang cycle na nakita natin
G. Not attributable to physiological