Ch 11-12: Mood Disorders, Anxiety, Worry, Obsession, Fear Flashcards
The following are which category of disorders
Disruptive mood dysregulation disorder
Major depressive disorder
Persistent depressive disorder
Premenstrual dysphoric disorder
Substance/ medication-induced depressive disorder
Depressive disorder due to another medical condition
Depressive Disorders
Depressive Disorders and Bipolar Disorders are often referred to as _____ disorders
Mood
Dysthymia is now know as which depressive disorder?
Persistent Depressive Disorder
T/F
Mood disorders are near the top of the safety hierarchy in the diagnostic process.
True
Morrison says “once you understand ___ disorders, the rest of diagnosis is a relative breeze”
Mood (depressive/ bipolar)
The opposite of depression is known as____.
mania
T/F
Hypomania is a less intense or milder version of mania.
True
T/F
The difference between hypomania and mania is duration, intensity, and functional impairment.
T
The heightened state of mania often resembles what other disorders?
Anxiety
This mood state can be recognized by feelings euphoria, racing thoughts, increased activity level, impulsiveness, disrupted sleep patterns, recklessness, elevated confidence, irritability, and distractibility. Sometimes paired with delusions or psychosis.
Mania
This mood state can be defined as a period of persistently elevated, expansive, or irritable mood that lasts for at least four days, up to a week.
hypomania
Hypomania is typical in the following
Bipolar ___ and _______.
II and Cyclothymia
This group of disorders include periods of elevated mood and/ or symptoms of duration and differ in duration, intensity, and impairment.
Bi polar disorders: BPD I, II, and cyclothymia
____ Disorder is described as a clinically significant psychological response to an identifiable factor.
Adjustment Disorder
T/F
Treatment is relatively similar for most clients with depression.
F
T/F
Bereavement is a symptom of depressive disorder.
F - bereavement automatically discounts a diagnosis of depression (see persistent grief disorder).
Term for when two separate depressive disorders are co-occurrent.
Double Depression
T/F
Double depression has a great comorbidity with other disorders, hypomanic episodes, and low likeliness of recovery.
T
T/F
With depressive disorder diagnosis, it is important to consider comorbidity with disorders in and outside of the depressive category.
T
This disorder includes specifiers such as
melancholic features
atypical features
single or recurrent episode
seasonal patter
peripartum onset
mixed features
major depressive disorder
T/F
Bipolar disorder is historically misdiagnosed as schizophrenia.
T
Bipolar I with depressive episodes is often misdiagnosed as _____ ______ disorder.
Major depressive (unipolar)
T/F
Bipolar disorders are usually diagnoses relatively quickly.
F - can take years after onset symptoms
T/F
Some signs of bipolar depression include hypersomnia, mood liability, or psychomotor retardation.
T
T/F
Past episodes and family history are not important to consider in diagnosing BPD.
F
This bipolar disorder is described as:
Over the course of two years, symptoms of hypomania and depression persist, but do not meet the criteria for a full-blown episode.
Cyclothymia
___diagnosis typically refers to substance use with a non substance use diagnosis.
Dual
T/F
Depressive disorders have a high comorbidity rate with nearly any other disorder, but bipolar disorders have a relatively low comorbidity rate.
F - both are high
Two disorders can begin together or one precedes the other is an example listing ___ and ____ diagnoses.
primary and secondary
T/F
If there are symptoms of past substance use and current major depressive disorder, the substance use should always be listed first on the safety hierarchy.
F - most current/ dire symptoms treated first (depression v. substance use in remission)
T/F
There is a high rate of substance use with mood disorders.
TRUE
T/F
Iatroplastic is a term coined by Morrison that explains the clinician’s influence on the client’s reporting of symptoms to confirm a diagnosis.
T - similar to leading the witness
80% of somatic symptom disorders co-occur with ____ disorders
mood (BPD/ Depressive)
T/F
Depression in patients w/ a somatizing disorder is almost certain to be a secondary type.
TRUE
T/F
Double depression is most common in depressed men with alcoholism and young males with a family history of alcoholism.
T
T/F
Depression secondary to medical illness often develops later in life is typically accompanied by suicidal ideation, guilt, and delusions.
F - suicidal ideation, guilt and delusions are not typical.
T/F
Something to consider when diagnosing mood disorders is whether affect and behavior are typical of the situation.
T
T/F
Minor depressive symptoms are typically not persistent and do not cause much disruption to life.
F
___ is defined as emotional discomfort caused by a sense of approaching danger.
Fear
T/F
Phobias are reasonable though intense ear associated with an identifiable situation or object.
F - they are UNreasonable
A major difference between schizophrenia and OCD is that a person with OCD does/ does not recognize their behavior as irrational.
DOES
____ is a fear caused by something specific that a person can identify.
Anxiety
Somatic symptoms such as muscle tension, fatigue, insomnia, and restlessness are typical of what type of disorder/ condition.
Anxiety/ Worry
____ relates to a concern that something might happen.
Worry
T/F
acute physical symptoms are a diagnostic criteria of panic disorder/ panic attacks.
T
T/F
Pathological symptoms of anxiety, fear, worry, or panic acute marked distress or interferes with life function.
T
T/F
Feelings of worry, fear, panic, or anxiety are not normal.
F
T/F
There is a high rate of depression with anxiety symptoms.
T
T/F
Agoraphobia typical occurs by itself.
F
T/F
If panic and agoraphobia co-occur they there is no need to code them separately.
F
____ phobia includes fears of animals, environment, particular situations, and circumstances that could lead to bodily harm or death.
Specific
T/F
Anxiety symptoms are considered more severe than that of panic/ panic attacks.
F
T/F
It is common for physical conditions to cause anxiety.
F
A condition described as having a sense of impending doom, intense uneasiness, or marked tension.
Anxiety
____ is the key differential between normal and abnormal worry
Impairment
Those with Generalized Anxiety disorder (GAD) have high comorbidity rate and increased likeliness to develop a ____ disorder.
Mood
This condition is complex but based on 5 basic concepts
1) Person experiences or witnesses a seriously traumatic event
2) suffers intrusion symptoms
3) person tries to avoid intrusion symptom
4) intrusion symptoms evoke problems with mood or thinking
5) such symptoms induce arousal symptoms
PTSD
T/F
Acute Stress Disorder (ASD) is a relatively common diagnosis.
F
T/F
PTSD symptoms must be present for more than 1 month.
T
T/F
GAD is more prevalent in women than men.
T
T/F
GAD is typically diagnosed in childhood.
F
____ anxiety (___ phobia) is described as experiencing significant anxiety, self-consciousness, embarrassment, and fear of being scrutinized or judged by others.
Social
T/F
In the presence of somatic symptoms, it is recommended to treat the somatic disorder first.
T
This disorder has characteristics that include rituals, fear, compulsion to act or ruminate in certain thoughts or behaviors.
Obsessive Compulsive Disorder
T/F
The similarity between anxiety disorders and Obsessive-compulsive disorders is the presence of fear.
T
T/F
Compulsions must be physical/ visible to observers.
F
T/F
Both obsessions and compulsions are necessary for an OCD diagnosis.
F - though clinicians disagree
Defined as repetitive behaviors or mental acts that the individual feels driven to perform in response to an obsession or according to rules that must be applied rigidly.
These acts are aimed at reducing distress caused by the obsession, but are not realistically designed to neutralize or prevent what they are designed for or are clearly excessive
Compulsions
Defined by recurrent and persistent thoughts, urges, or images that are experiences as intrusive and unwanted that can cause marked distress.
Individuals’ attempts to suppress, ignore, dismiss, or neutralize such thoughts, urges, or images.
Obsession
