- Mood disorders are a category of diseases in which everyday emotional states are persistently affected, including depressive disorders and bipolar disorder.
- The cause is not determined to a single factor; genetic vulnerability, brain function and stress, sleep, physical illness, and medications can mutually influence each other.
- In mood disorders, biological processes involved in mood regulation and reward/stress response, as well as psychological and environmental factors, act in a complex manner.
- Representative manifestations include persistent feelings of depression or loss of interest, or abnormally elevated or irritable mood and increased activity, varying depending on the form.
- Family history, previous episodes, chronic stress, sleep changes, the postpartum period, and certain physical illnesses can affect risk or course, but there is great individual variation.
- Symptoms may be accompanied by declines in sleep, appetite, energy, concentration, and functioning, and episodes may repeat or become prolonged.
- Diagnosis is made by comprehensively assessing mood, duration, functional changes, history of mania/hypomania, and the impact of substances or physical illnesses through interviews.
- It is not a disease that can be definitively diagnosed by a single blood test or imaging study alone, nor should bipolar disorder status be determined solely by depressive symptoms.
- Management is conducted by simultaneously evaluating symptoms, safety, and sleep/daily functioning, while considering pharmacotherapy, psychotherapy, or a combination of both approaches.
- Treatment can help many people recover from symptoms and regain function, but the appropriate choice and duration of maintenance vary depending on the diagnostic subtype and individual response.