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Karnataka Board PUCPUC Science 2nd PUC Class 12

Mood Disorders - Depressive Disorders

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Topics

Estimated time: 22 minutes
  • Definition: Depressive Disorder
  • Major Depressive Disorder Symptoms
  • Definition: Manic Depressive or Bipolar Disorder
  • Definition: Cyclic Psychoses
  • Normal vs. Depressive Disorder
  • Bipolar Disorder
  • Bipolar Mania Phase
  • Bipolar Depression Phase
  • Risk Factors
  • Key Points: Depressive Disorders
CBSE: Class 12
Maharashtra State Board: Class 12

Definition: Depressive Disorder

  • The disorder in which the individual experiences extreme feelings of sadness as well as guilt for at least two weeks, is called Depressive Disorder.
  • Major depressive disorder is defined as a period of depressed mood and/or loss of interest or pleasure in most activities, together with other symptoms which may include a change in body weight, constant sleep problems, tiredness, inability to think clearly, agitation, greatly slowed behaviour, and thoughts of death and suicide.
Maharashtra State Board: Class 12
CISCE: Class 12

Major Depressive Disorder Symptoms

  • Diagnosed when 5 or more symptoms last for at least 2 weeks (DSM criteria).
  • Symptoms include persistent sadness, loss of interest, appetite/weight changes, and sleep problems.
  • Also includes fatigue, guilt, poor concentration, indecisiveness, and suicidal thoughts.
  • More common in women than men, often linked to social and economic factors.
CISCE: Class 12

Definition: Manic Depressive or Bipolar Disorder

It is a mood disorder in which an individual experiences very wide swings of mood from deep depression to wild elation.

CISCE: Class 12

Definition: Cyclic Psychoses

In bipolar psychoses, mania and depression usually occur in a circular form. It is therefore called cyclic psychoses.

Maharashtra State Board: Class 12
CISCE: Class 12

Normal vs. Depressive Disorder

  • Normal sadness is temporary and linked to specific events; it improves with time.
  • Depressive disorder lasts two or more weeks and seriously affects daily life.
  • In normal mood, some enjoyment remains; in depression, there is a loss of interest or pleasure.
  • Depression includes symptoms like weight changes, fatigue, and suicidal thoughts, which are not present in normal sadness.
CISCE: Class 12

Bipolar Disorder

  • Involves extreme mood swings between depression and mania (manic-depressive illness).
  • More common in women and may occur in cyclic episodes.
  • Some cases alternate between mania and depression with normal periods in between.
  • Classified by Kraepelin (1911) as one illness with phases of elation and depression.
Maharashtra State Board: Class 12
CISCE: Class 12

Bipolar Mania Phase

  • Extreme excitement, high energy, and rapid speech.
  • Reduced sleep and racing thoughts.
  • Excessive involvement in risky activities (shopping, investments, travel).
  • Irritability, aggression, and increased sexual behaviour.
  • May lead to serious consequences like financial loss.
Maharashtra State Board: Class 12
CISCE: Class 12

Bipolar Depression Phase

  • Intense sadness, fatigue, and feelings of worthlessness.
  • Suicidal thoughts or attempts may occur.
  • Loss of appetite, sleep problems, and slowed thinking or movement.
  • Opposite of mania—shows low energy and lethargy.
  • Episodes may begin with mild mood changes before becoming severe.
CBSE: Class 12
CISCE: Class 12

Risk Factors

  • Genetic factors and heredity increase the risk of depression.
  • Women are at higher risk, often due to social and economic disadvantages.
  • Negative life events (divorce, assault, poor social support) raise vulnerability.
  • Age factor: higher risk in young adult women and middle-aged men.
CBSE: Class 12
Maharashtra State Board: Class 12
CISCE: Class 12

Key Points: Depressive Disorders

  • Depressive Disorder involves extreme sadness and loss of interest lasting at least two weeks.
  • Major Depressive Disorder requires five or more symptoms like sleep/appetite changes, fatigue, guilt, poor concentration, and suicidal thoughts.
  • Normal sadness is temporary, but depression is long-lasting and seriously affects daily life.
  • Bipolar Disorder involves mood swings between mania and depression, often in cycles.
  • Mania shows high energy, less sleep, rapid speech, and risky behaviour.
  • Risk factors include genetics, stressful life events, and higher risk in women.

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