04bb_Depressive Disorders: DMDD, PDD, PMDD

Question 1

Disruptive Mood Dysregulation Disorder:

Symptoms

Answer 1

Severe recurrent temper outbursts
(verbal and/or behavioral)

Irritable or angry mood between temper outbursts on most days

Outbursts are inconsistent with developmental level

Question 2

Disruptive Mood Dysregulation Disorder:

Duration Criteria

Answer 2

3+ times each week

12+ months

Exhibited in at least two of three settings (home/school/peers)

Question 3

Disruptive Mood Dysregulation Disorder:

Age criteria

Answer 3

Onset before age 10

Diagnosis age range: 6-18

Question 4

Persistent Depressive Disorder (Dysthymia):

Duration Criteria

Answer 4

2 years: Adults

1 year: children and adolescents

Depressed mood on most days

Cannot be symptom-free for more than two months

Question 5

Persistent Depressive Disorder (Dysthymia):

Characteristic Symptoms

[2+ are needed for diagnosis]

Answer 5

Poor appetite or overeating

Insomnia or hypersomnia

Low energy or fatigue

Low self-esteem

Poor concentration or difficulty making decisions

Feelings of hopelessness

Question 6

Premenstrual Dysphoric Disorder (PMDD):

Duration criteria

Answer 6

5+ characteristic symptoms during the week before the onset of menses

Improvement in symptoms within a few days

Absence/minimal symptoms during the week postmenses

Question 7

Premenstrual Dysphoric Disorder (PMDD):

1+ symptom from each of two categories

Answer 7

Affective lability
Irritability or anger
Depressed mood
Self-deprecating thoughts
Anxiety or tension

Decreased interest in usual activities
Impaired concentration
Lethargy
Marked change in appetite
Hypersomnia or insomnia
A sense of being overwhelmed or out of control
Physical symptoms