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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