Now there is another
called Disruptive Mood
And this is really important to
understand that this person has outbreaks.
And it might be verbal,
but it also might be physical.
And it's in any environment
and it is totally inappropriate.
They do not have control over
it, it is a disorder.
And what happens is
that, when this happens,
they also they might harm others,
but they also might be harmed.
And when people see it,
they also might rush away from the person.
This happens usually more than 3 times a
week for a person who has this disorder.
It is very disruptive
to their life.
And when they're not having
their outbursts, right?
They're usually kind
of irritable anyway.
It is this underlying irritability,
and then all of a sudden, it explodes.
This is part of the disruptive
mood dysregulation disorder.
So these are all partially considered
depressive disorders, right?
So we want to think,
how does this happen?
What's happening in the body?
Remember, it's a body problem.
It's a physical as well as
emotional, and mental disorder.
So we might see that they have a lot
of their adrenocorticotropic hormone
or ACTH hormone is depleted.
They might find that
their epinephrine is down,
their serotonin definitely
definitely is depleted.
Their norepinephrine, again, depleted when
we're looking at these different basis.
And then we're going to
look at their hemoglobin,
and even the hemoglobin is showing that
there is a decrease in the hemoglobin.
These are really important
measures that we can look at
that give us a clinical
picture of depression.
So, JJ's partner comes in,
and Elsie is in the clinic
comes in to talk to
you, the nurse.
And Elsie says, "You know,
JJ is usually really euphoric.
I mean, before he was filled
with excitement and usual ideas.
And this is the first time
I've ever seen JJ like this."
"What are you thinking?"
"Just before JJ had depression,
really euphoric, really up."
Elsie goes on to say, "In fact, sometimes
JJ doesn't sleep for days at a time.
Last month, JJ brought a new car
he bought a new car just like that.
He went out on a whim
and got a car for us.
Yeah, so we did have to return it because
we don't have that kind of money."