Psychological Aspects ofAdolescent & Climacterium

SANCHAI KULADEE

OUTLINE

• Physical Changes

• Psychological Aspects

• Related Mental Disorders

• Case Study

Physical Changes in Adolescent• General– Growth spurt & Body weight

• Secondary Sex Characteristics–Menarche

Psychological Aspects of Adolescent

• Biological Reactions– Androgen cause irritable & labile mood

• Psychological Reactions– Identity

– Body images

– Intimacy & Sexual behaviors

– Social roles

–Morality

Physical Changes in Climacterium

• General– Degenerations of

multiple organs– Physical diseases– Cognitive changes

• Sexual Functions– Desire– Postmenopausal

syndrome

Psychological Aspects in Climacterium

• Biological Reactions

– Estrogen depletion: depression, irritable,

insomnia

• Psychological Reactions

– Deteriorations : Body images, Physical

disease

– Loss : Retirement, Friends, Relatives

– Intimacy & Sexual behaviors

– Social roles

Related Mental Disorders• A 33-year-old woman presents with

marked irritability, periods of crying, mood swings, severe fatigue, and increased appetite

• Symptoms begin one week before the start of menses and end within three days after the onset of menses

• The symptoms have begun to interfere with her usual social functioning.

Related Mental Disorders

• Normal Reaction

• Adjustment Disorder

• Major Depressive Disorder

• Premenstrual Depressive Disorder

(PMDD)

• Substance Related Disorder

Normal Reaction

• Daily Life Coping Problems

– No functional changes

– Personal-Work-Relationship

• Psychiatric Symptoms

– Anxiety, Depression

– Irritability

– Psychosomatic symptoms

Adjustment Disorder

• Daily Life Coping Problems– Significant functional changes

– Personal-Work-Relationship

• Psychiatric Symptoms– Anxiety, Depression

– Irritability

– Psychosomatic symptoms

Major Depressive Disorder

• Severe depression

• Depressed mood or loss of interest almost all day > 2 weeks

• Associated Symptoms– Neurovegetative : appetite, fatigue,

sleep

– Cognitive change : memory, attention

– Suicide

Premenstrual Dysphoric Disorder“Severe form of premenstrual syndrome”

PMS

PMDD

• Emotional symptoms–Marked depression,

anxiety, lability, irritability

• Physical symptoms– Fatigue, pain, appetite,

sleep

• Impaired Functions

Diagnosis• At least

2 Menstrual cycles

Management

• Change of Life

Style

• Pharmacological :

SSRI (Specific

Serotonin

Reuptake

Inhibitors)

Pharmacological management

CASE STUDY 1• A 33-year-old woman presents with marked

irritability, periods of crying, mood swings,

severe fatigue, and increased appetite

• Symptoms begin one week

before the start of menses and end

within three days after the onset of menses

• The symptoms have begun to interfere

with her usual social functioning

CASE STUDY 2

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Psychological Aspects ofAdolescent & Climacterium