10. Mood Disorders

Question 1

Differentials:

Answer 1

Know the differences between major depression, Bipolar 1, Bipolar 2, and Cyclothymia

Question 2

Medications:

Answer 2

Lithium (Eskalith and Lithobid) is a mood stabilizer that is commonly used for Bipolar disorder

This medication helps by treating mania and also used on a daily basis to reduce the frequency and severity of manic episodes

Question 3

Treatment Planning:

Answer 3

If it crosses over into their eating and sleeping, then the client requires medication treatment

CBT is the most common practice, but first always rule out suicidal ideation

Question 4

Expressions Across the Lifespan:

Answer 4

Depression in children can come across irritability

Depression in elderly can be the inability to concentrate and forgetfulness

In clients with dementia, they are not aware of their forgetfulness and memory

Question 5

This disorder involves client’s with manic episodes that last at least seven days or are often so severe, that the person needs to be hospitalized immediately

This disorder’s manic episode is that it is so extreme, that it interferes with a person’s day-to-day activities and may not experience a major depressive episode

The manic state of bipolar I includes any or all of the following symptoms:

• Feeling high and euphoric
• Heightened creativity
• Exaggerated sense of self-worth
• Pressured speech
• Sleep problems
• Poor, impulsive, risky choices
• Irritability

Answer 5

Bipolar 1

Question 6

This disorder’s symptoms of mania are generally less severe, which is why these episodes are known as hypomanic instead of manic (“hypo” means “less than”) and do not require hospitalization

Person will experience a major depressive episode and will experience at least three of the symptoms below, lasting four days, nearly every day, for most of the day:

• Decreased need for sleep
• Good mood
• Exaggerated self-confidence
• Increased talkativeness
• Higher activity levels
• Flight of ideas

Answer 6

Bipolar 2

Question 7

A disorder where a client alternates between periods of hypomanic symptoms (irritability, increased happiness, risky behaviors, and racing thoughts) and periods of depressive symptoms

Symptoms are present for at least 1 year in children and 2 years in adolescents

However, the symptoms do not meet the diagnostic requirements for a hypomanic episode and a depressive episode

Answer 7

Cyclothymia

Question 8

Disorder which a client has periods of extreme sadness, hopelessness, or emptiness

It is accompanied by a variety of physical, cognitive, and emotional symptoms

Answer 8

Major Depression