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GANGGUANGANGGUAN
MOOD/AFEKTIFMOOD/AFEKTIFSUASANA PERASAANSUASANA PERASAANDr. H.MOH.SYAUKI, SpKJDr. H.MOH.SYAUKI, SpKJ
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GANGGUAN MOOD/AFEKTIFGANGGUAN MOOD/AFEKTIF
SUASANA PERASAANSUASANA PERASAAN
►Kelainan fn!a"en#al pa!a $an$$anKelainan fn!a"en#al pa!a $an$$an
ini a!ala% per&a%an 'a'ana pera'aanini a!ala% per&a%an 'a'ana pera'aan
("))!* a#a afe+, &ia'ana +e ara%("))!* a#a afe+, &ia'ana +e ara%
!epre'i (!en$an a#a #anpa an-ie#a'*!epre'i (!en$an a#a #anpa an-ie#a'*a#a +e ara% ela'i ('a'ana pera'aana#a +e ara% ela'i ('a'ana pera'aan
an$ "enin$+a#*.an$ "enin$+a#*.
►Per&a%an 'a'ana pera'aan &ia'anaPer&a%an 'a'ana pera'aan &ia'ana!i'er#ai !en$an per&a%an pa!a!i'er#ai !en$an per&a%an pa!a
+e'elr%an #in$+a# a+#ii#a'.+e'elr%an #in$+a# a+#ii#a'.
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►Ke&ana+an $eala lainna 'e+n!erKe&ana+an $eala lainna 'e+n!er
#er%a!ap per&a%an i#. Se&a$ian &e'ar#er%a!ap per&a%an i#. Se&a$ian &e'ar
$an$$an ini 0en!ern$ &erlan$ !an$an$$an ini 0en!ern$ &erlan$ !an#i"&lna epi')!e #er'en!iri 'erin$#i"&lna epi')!e #er'en!iri 'erin$
&er+ai#an !en$an peri'#ia/'i#a'i an$&er+ai#an !en$an peri'#ia/'i#a'i an$
"ene$an$+an."ene$an$+an.
►A!a $eala an$ !i'ini !i'e&# ')"a#i+A!a $eala an$ !i'ini !i'e&# ')"a#i+
a#a "elan+)li+/i#al/&i)l)$i'/en!)")r2+a#a "elan+)li+/i#al/&i)l)$i'/en!)")r2+
► I'#ila% 3"ania4 !an 3!epre'i &era#4 !ala"I'#ila% 3"ania4 !an 3!epre'i &era#4 !ala"
+la'i2+a'i "enn++an +e!a n$ an$+la'i2+a'i "enn++an +e!a n$ an$&erlaanan !ala" 'pe+#r" afe+#if.&erlaanan !ala" 'pe+#r" afe+#if.
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EPIDEMIO5OGIEPIDEMIO5OGI
1.1. In'i!en !an prealen'iIn'i!en !an prealen'i
$an$$an !epre'i &era# 16 7 8 967$an$$an !epre'i &era# 16 7 8 967
$an$$an &ip)lar 17$an$$an &ip)lar 17
9.9. Jeni' +ela"in Jeni' +ela"in!epre'i &era# ani#a!epre'i &era# ani#a : pria: pria 9;19;1
$an$$an &ip)lar #i!a+ a!a per&e!aan$an$$an &ip)lar #i!a+ a!a per&e!aan
<.<. U'iaU'ia
)n'e# &ip)lar; 6=> #%n 8 6? #%n a#a le&i%,)n'e# &ip)lar; 6=> #%n 8 6? #%n a#a le&i%,!$n ra#a=ra#a!$n ra#a=ra#a ±± <? #%n<? #%n
!epre'i &era# ;!epre'i &era# ; ±± @? #%n (ren#an$ 9? 8 6?@? #%n (ren#an$ 9? 8 6?#%n*#%n*
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@.@. S#a#' per+ainanS#a#' per+ainan
$an$$an !epre'if ; 'in$le, 0erai a#a$an$$an !epre'if ; 'in$le, 0erai a#a&erpi'a% &erpi'a%
$an$$an &ip)lar ; 0erai !an 'in$le$an$$an &ip)lar ; 0erai !an 'in$le
6.6. S)'i)=+l#ralS)'i)=+l#ral
$an$$an &ip)lar ; ')'i) e+)n)"i$an$$an &ip)lar ; ')'i) e+)n)"i
#in$$i#in$$i
$an$$an !epre'i ; !e'a$an$$an !epre'i ; !e'a : +)#a: +)#a
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ETIO5OGIETIO5OGI
1.1. Fa+#)r i)l)$i+.Fa+#)r i)l)$i+.
i)$eni0 A"ine' ; = n)repinep%rinei)$eni0 A"ine' ; = n)repinep%rine
= 'er)#)nin= 'er)#)nin
= ner)0%e"ia lainna= ner)0%e"ia lainna
GAA , $l#a"a#,!llGAA , $l#a"a#,!ll
9.9.
Pen$a#ran Ner)en!)0rine.Pen$a#ran Ner)en!)0rine.
an$ pen#in$ ; A+'i' A!renal (HPA*an$ pen#in$ ; A+'i' A!renal (HPA*
A+'i' T%r)i!A+'i' T%r)i!
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<.<. Fa+#)r p'i+)!ina"i+ pa!a $$n !epre'if.Fa+#)r p'i+)!ina"i+ pa!a $$n !epre'if.
Fre! !an A&ra%a" ; #e)rinaFre! !an A&ra%a" ; #e)rina"eli&a#+an @ +n0i ai# ;"eli&a#+an @ +n0i ai# ;
a*a* G$n pa!a %&n$an &ai=i& (fa'e )ral*G$n pa!a %&n$an &ai=i& (fa'e )ral*
&*&* Ke%ilan$an )&e+ (na#a/i"a$ina'i*Ke%ilan$an )&e+ (na#a/i"a$ina'i*
0*0* In#r)e+'i #er%a!ap )&e+ an$ %ilan$In#r)e+'i #er%a!ap )&e+ an$ %ilan$
!*!* O&e+ an$ %ilan$ !ipan!an$ !en$anO&e+ an$ %ilan$ !ipan!an$ !en$an
0a"pran pera'aan 0in#a !an0a"pran pera'aan 0in#a !an
&en0i/"ara%&en0i/"ara%A!a #e)ri lain ; E!ar! i&rin$, E!i#%A!a #e)ri lain ; E!ar! i&rin$, E!i#%
Ja0)&')n, Silian) Arie#i, !ll. Ja0)&')n, Silian) Arie#i, !ll.
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@. Fa+#)r p'i+)!ina"i+ pa!a "ania.
ana+ #e)ri #en#an$ "ania
"e"an!an$ epi')!e "ania 'e&a$ai!efen' #er%a!ap !epre'i.
A&ra%a" ; epi')!e "ani+ "n$+in"en0er"in+an 'a# +e#i!a+"a"pan
"e"&eri+an #)leran'i #%! 'a# #ra$e!i'eper#i +e"a#ian )ran$ #a.
Kea!aan "ania "n$+in $a %a'il !ari#irani 'per e$), $ "e"&eri+an 'a#+ri#i+ !iri $ #a+ !apa# !i#)leran'i !an%al !$ +epa'an !iri an$ 'ifa#naef)ri+.
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6.6. Te)ri lain n#+ !epre'i. Te)ri lain n#+ !epre'i.
= #e)ri +)$ni#if ;= #e)ri +)$ni#if ; B per'ep'i !iri ne$a#if B per'ep'i !iri ne$a#if
BB !nia lar ; &er"'%an!nia lar ; &er"'%an
!an penn## !an penn##
BB pen!eri#aan !anpen!eri#aan !an +e$a$alan+e$a$alan
"a'a !epan"a'a !epan
= #e)ri learne! %elple''ne''= #e)ri learne! %elple''ne''
+e%ilan$an %ar$a !iri 'e#ela% 'a#+e%ilan$an %ar$a !iri 'e#ela% 'a#
+ea!ian / peri'#ia an$ "er$i+an.+ea!ian / peri'#ia an$ "er$i+an.
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GAMARAN K5INIK GAMARAN K5INIK
►Da p)la !a'ar $eala $$n "))! ;Da p)la !a'ar $eala $$n "))! ;
!epre'i!epre'i !an!an "ania"ania
►
Epi')!e !epre'i !apa# #i"&l p! $$nEpi')!e !epre'i !apa# #i"&l p! $$n
!epre'i "apn $$n &ip)lar ("ani+!epre'i "apn $$n &ip)lar ("ani+
!an !epre'if*!an !epre'if*
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EPISODE DEPRESIFEPISODE DEPRESIF
►Geala +n0i ; 'a'ana pera'aan ("))!*Geala +n0i ; 'a'ana pera'aan ("))!*!epre'i !an %ilan$na per%a#ian!epre'i !an %ilan$na per%a#ian
(in#ere'#* a#a ra'a 'enan$ %ilan$.(in#ere'#* a#a ra'a 'enan$ %ilan$.
33a$)niCin$ e")#i)nal pain4 a#a #i!a+a$)niCin$ e")#i)nal pain4 a#a #i!a+!apa# la$i "enan$i'.!apa# la$i "enan$i'.
►Geala lain ;Geala lain ;
Pi+iran &n% !iri (Pi+iran &n% !iri (
pa'ien pa'ien
),),
1? 8 1671? 8 167
"ela++an &n% !iri"ela++an &n% !iri
Penari+an !iri !ari +elar$a, #e"an !anPenari+an !iri !ari +elar$a, #e"an !an
a+#ii#a' $ "enenan$+ana+#ii#a' $ "enenan$+an
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7 pa'ien "en$el% +e+ran$an #ena$a7 pa'ien "en$el% +e+ran$an #ena$a
(ener$i*, '+ar "enele'ai+an #$a'na.(ener$i*, '+ar "enele'ai+an #$a'na. ?7 pa'ien "en$el% in')"nia #a"ana?7 pa'ien "en$el% in')"nia #a"ana
&an$n #erlal pa$i !an 'erin$ #er&an$n&an$n #erlal pa$i !an 'erin$ #er&an$n
pa!a "ala" %ari.pa!a "ala" %ari. ana+ pa'ien "en$el% an)re+'ia, &era#ana+ pa'ien "en$el% an)re+'ia, &era#
&a!an "enrn, #e#api a!a pa'ien #era!i&a!an "enrn, #e#api a!a pa'ien #era!i
'e&ali+na.'e&ali+na.
An-ie#a' 'erin$ #er!apa# p! pa'ienAn-ie#a' 'erin$ #er!apa# p! pa'ien!epre'i (?7*!epre'i (?7*
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Kel%an ')"a#i+ ; $$n %ai!, )&'#ipa'i !anKel%an ')"a#i+ ; $$n %ai!, )&'#ipa'i !an
'a+i# +epala.'a+i# +epala.
Pa'ien 'erin$ "en$a#a+an &a%a $eala=Pa'ien 'erin$ "en$a#a+an &a%a $eala=
$ealana "en$ala"i per&a%an p! 'ian$$ealana "en$ala"i per&a%an p! 'ian$%ari, $eala &er#a"&a% &era# p! pa$i %ari,%ari, $eala &er#a"&a% &era# p! pa$i %ari,
')re %ari &er+ran$.')re %ari &er+ran$.
Ke#i!a+"a"pan &er+)n'en#ra'i !anKe#i!a+"a"pan &er+)n'en#ra'i !an
&erpi+ir.&erpi+ir.
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EPISODE MANIK EPISODE MANIK
►Geala +n0i ; 'a'ana pera'aanGeala +n0i ; 'a'ana pera'aan
("))!*("))!* "enin$+a#"enin$+a# ef)ria !an 'erin$ef)ria !an 'erin$infe+'i)',infe+'i)', iri#a&eliri#a&el ("!a% "ara%*,("!a% "ara%*,"elap=lap"elap=lap (e-pan'ie*.(e-pan'ie*.
►
Geala lain ; %ipera+#if, &i0ara &ana+,Geala lain ; %ipera+#if, &i0ara &ana+,+a!an$=+a!an$ '+a "el0. Pa'ien+a!an$=+a!an$ '+a "el0. Pa'ien"ani+ #i!a+ !apa# !iin#erp'i +ala"ani+ #i!a+ !apa# !iin#erp'i +ala'e!an$ &i0ara !an 'erin$ &i0arana'e!an$ &i0ara !an 'erin$ &i0arana
(&ila "ania "a+in in#en'e* "a+in(&ila "ania "a+in in#en'e* "a+in&e'ar 'arana, le&i% 0epa# !an '+ar&e'ar 'arana, le&i% 0epa# !an '+ar!i"en$er#i !an i'i'na pen% !en$an!i"en$er#i !an i'i'na pen% !en$anpi'i !an )+e', per"ainan +a#a=+a#a.pi'i !an )+e', per"ainan +a#a=+a#a.
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►Hipera+#if ; pa'ien #a"pa+ 'an$a#Hipera+#if ; pa'ien #a"pa+ 'an$a#
'i&+ #api pe+eraan #a+ 'ele'ai.'i&+ #api pe+eraan #a+ 'ele'ai.
►
Pi+iran ; 'an$a# per0aa !iri !an i!e=Pi+iran ; 'an$a# per0aa !iri !an i!e=
i!e +e&e'aran.i!e +e&e'aran.
► J!$e"en# !an in'i$%# ; 'an$a# ele+ J!$e"en# !an in'i$%# ; 'an$a# ele+
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K5ASIFIKASI GGN SUASANAK5ASIFIKASI GGN SUASANA
PERASAANPERASAAN
1.1. Gan$$an !epre'iGan$$an !epre'i
9.9. Gan$$an &ip)larGan$$an &ip)lar
<.<. Gan$$an !epre'i &erlan$Gan$$an !epre'i &erlan$@.@. Gan$$an !i'#i"i+Gan$$an !i'#i"i+
6.6. Gan$$an 'i+l)#i"iaGan$$an 'i+l)#i"ia
>.>. Gan$$an !epre'i a#a $an$$anGan$$an !epre'i a#a $an$$an&ip)lar !en$an $eala 8 $eala p'i+)#i+&ip)lar !en$an $eala 8 $eala p'i+)#i+
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TATA 5AKSANA TATA 5AKSANA
► Far"a+)#erapi !an P'i+)#erapi, #e#apiFar"a+)#erapi !an P'i+)#erapi, #e#apiperl '#re'')r !i+ran$i/!i%ilan$+anperl '#re'')r !i+ran$i/!i%ilan$+an&ai+ "la%na "apn &era#na.&ai+ "la%na "apn &era#na.
► Epi')!e !epre'i ;Epi')!e !epre'i ;1.1. Far"a+)#erapi ; )&a# an#i!epre'anFar"a+)#erapi ; )&a# an#i!epre'an
a*a* G)l.#ri'i+li+ ; A"i#rip#ilin, I"ipra"ineG)l.#ri'i+li+ ; A"i#rip#ilin, I"ipra"ine
&*&*
G)l.SSRI ; Fl)-e#ine, Par)-e#ine, Ser#ralineG)l.SSRI ; Fl)-e#ine, Par)-e#ine, Ser#raline0*0* G)l.MAOI ; M)0l)&e"i!eG)l.MAOI ; M)0l)&e"i!e
9.9. ET (ele0#r) 0)nl'ie #%erap*ET (ele0#r) 0)nl'ie #%erap*
<.<. P%)#)#%erapP%)#)#%erap
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► Epi')!e "ani+ ;Epi')!e "ani+ ;
1.1. Far"a+)#erapi ; 5i#%i", A'a" alpr)a#Far"a+)#erapi ; 5i#%i", A'a" alpr)a#
(Depa+ene*, Dialpr)e- Na (Depa+)#e*,(Depa+ene*, Dialpr)e- Na (Depa+)#e*,
ar&a"aCepine.ar&a"aCepine.
Un#+ pen$)&a#an epi')!e "ani+ a+#Un#+ pen$)&a#an epi')!e "ani+ a+#
perl )&a# efe+ 'e!a#ifna &e'ar ;perl )&a# efe+ 'e!a#ifna &e'ar ;
0l)naCepa" / l)raCepa"0l)naCepa" / l)raCepa"9.9. ETET
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►Selain far"a+)#erapi, perl !i&eri+anSelain far"a+)#erapi, perl !i&eri+an
#erapi p'i+)')'ial / P'i+)#erapi.#erapi p'i+)')'ial / P'i+)#erapi.►< "a0a" p'i+)#erapi 'in$+a# ;< "a0a" p'i+)#erapi 'in$+a# ;
Terapi +)$ni#if Terapi +)$ni#if
Terapi in#erper')nal Terapi in#erper')nal Terapi &e%ai)r/perila+ Terapi &e%ai)r/perila+
►P'i+)#erapi $ "e"a+an a+# la"a ;P'i+)#erapi $ "e"a+an a+# la"a ;
Terapi p'i+)anali'a Terapi p'i+)anali'a Terapi p'i+)!ina"i+ Terapi p'i+)!ina"i+
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►P'i+)#erapi an$ !i'e&#+an #a!i pa!aP'i+)#erapi an$ !i'e&#+an #a!i pa!a
""na !i#+an p! epi')!e""na !i#+an p! epi')!e
!epre'i +e0ali!epre'i +e0alip'i+)anali'a/p'i+)!ina"i+ !i#+an p!p'i+)anali'a/p'i+)!ina"i+ !i#+an p!
epi')!e !epre'i "apn epi')!eepi')!e !epre'i "apn epi')!e
"ania"ania
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PERJA5ANAN PROGNOSAPERJA5ANAN PROGNOSA
►S#!i #en#an$ peralanan pr)$n)'aS#!i #en#an$ peralanan pr)$n)'a
$an$$an "))! "eni"pl+an &a%a$an$$an "))! "eni"pl+an &a%a$an$$an ini 0en!ern$ &er'ifa# +r)ni'$an$$an ini 0en!ern$ &er'ifa# +r)ni'
!an relap' (+a"&% +e"&ali*!an relap' (+a"&% +e"&ali*
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