Contents
Preface ix
Introduction xi
part i
SYMPTOMS, DIAGNOSIS, AND TREATMENT
1. Mood 3
Mood: What Is It? 3
The Chemistry of Mood 6
An Early Breakthrough in Brain Science 7
Mood Disorders 8
What Is the Biology of Depression? 9
2. Depression 16
The Symptoms of Major Depression 23
“Normal” Depression? 26
The Classifi cation of Depression 29
3. Treatment 38
Medications 38
Electroconvulsive Therapy 58
Other Brain Stimulation Techniques 62
Complicated Depression 64
Tests for Mood Disorders 72


4. Bipolar Disorder 75
What Is Bipolar Disorder? 75
The Hypomanic Syndrome 80
Another Duality 81
“Mood Swings” and Cyclothymia 82
Is There a Spectrum of Mood Disorders? 84
The Chemistry of Bipolar Disorder 85
The Treatment of Bipolar Disorder 86
Length of Treatment in Bipolar Disorders 99
Treating “Soft” Bipolar Disorders 101
part ii
VARIATIONS, CAUSES, AND CONNECTIONS
5. Variations of the Mood Disorders 105
Major Depression in the Elderly 105
Mood Disorders in Children and Adolescents 110
Mood Disorders in Women 114
Depression and Stroke 119
Depression and Pain 123
Seasonal Affective Disorder 127
Schizoaffective Disorder 131
Panic Attacks and Mood Disorders 132
6. Causal Factors and Associations 139
The Heredity of Mood Disorders 139
Alcohol and Drug Abuse and Mood Disorders 141
Medical Causes of Mood Disorders 146
Sleep and Depression 152
part iii
GETTING BETTER
7. Advice for Patients with Mood Disorders and
Their Families 159
Who Can Help? The Mental Health Professionals 160
Living with a Mood Disorder 165
Community Support and National Organizations 185
The Family 186
How to Help with Depression 186
8. Summing Up and Looking Ahead 191
Further Reading 195
Support and Advocacy Organizations 197
Index 201


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