Chapter 6 in class notes Flashcards
Mood disorder
A) marked by …
B) How long?
A) a gross deviation in mood - depression and mania
B) Last days, weeks, months and years
Mixed features
Classic depression with mania or vice versa
DSM-5 Depressive Disorders (list them) A) B) C) new to DSM-5 > >
A) Major depressive disorder B) persistent depressive disorder C) New > Premenstrual > Disruptive mood
DSM-5 Bipolar Disorders (list them)
A)
B)
C)
A) Bipolar I
B) Bipolar II
C) Cyclothymic Disorder
Types of Mood Episodes - 4 potential 1. 2. 3. 4.
- Major depressive episode
- Manic episode
- Hypomanic episode
- Mixed features
Major depressive episodes A) Extremely \_\_\_ B) Anhedonia C) Duration D) At least ...
A) depressed mood - required
B) little or no pleasure in life - required
C) 2+ weeks - required
D) 4 additional physical or cognitive symptoms (poor sleep, poor diet, body aches, poor concentration, motivation, suicidal)
Define Anhedonia
little or no pleasure in life
Manic episode - severe A) \_\_\_ mood B) duration C) additional symptoms D) I\_\_\_\_
A) elevated expansive mood. Intense, over the top. Extreme euphoria and/or irritabilitiy. mixture
B) 1+ week
C) hypersexual. Impulsive and reckless. Energy. Significant decrease need for sleep. Quick flip to irritability.
D) impairment
Hypomanic episode A) describe B) duration C) \_\_\_\_ \_\_\_\_ than a manic episode D) \_\_\_ poblematic
A) less severe and fewer symptoms than mania
B) about four days (usually less than a week)
C) less impairment than a manic episode
D) may or may not be
Mixed features – episode with ___
i.e. __ OR ___
opposite valence of mood -
i.e. they have symptoms of depression but their mood is manic.
OR
symptoms of mania but their mood is depressed.
Major depressive disorder - Diagnosis:
A) time
B) mood
C) A___
A) Nearly all day every day for at least 2 weeks
B) depressed mood or irritability (child irritability for 1 week)
C) Anhedonia - no pleasure in life
Clinical Features - Major Depressive Disorder
A) Episodes ___ or ___
B) also known as
C) Frequency and duration
A) single or recurrent - both diagnosed with same
B) Unipolar depression
C) left untreated BAD. Untreated major depressive episode - 75% chance of 2nd episode. 98% chance of 3rd episode. 100% chance of fourth episode.
Major Depressive Disorder
if untreated - course
after 1st untreated episode
75% chance of 2nd episode
98% chance of 3rd episode
100% chance of 4th episode (chronic)
“normal” time gets shorter, episodes increase in length. The depression increases in magnitude.
From grief to depression - grief follows ____
a different pattern
[exam] Persistent Depressive Disorder by itself is called
Pure dysthymic syndrome
[exam] Define Persistent Depressive Disorder
Low grade sadness/irritability for at least 2+ years
Persistent Depressive Disorder
A) Not by itself - can be ___
B) By itself is called
C) Length
A) applied to any depressive mood disorder
B) Pure dysthymic syndrome
C) 2+ years
Double Depression
Double depression refers to the co-existence of major depressive disorder and persistent depressive disorder. Double depression tends to be more severe than either MDD or PDD alone and individuals with double depression experience relapse more often than those with either MDD or PDD alone
Premenstrual Dysphoric Disorder (PMDD)
Premenstrual dysphoric disorder (PMDD) is a health problem that is similar to premenstrual syndrome (PMS) but is more serious. PMDD causes severe irritability, depression, or anxiety in the week or two before your period starts. Symptoms usually go away two to three days after your period starts.
Controversial diagnosis - gets into medical/bodily issues
Disruptive Mood Dysregulation Disorder DMDD
diagnosed only from 6-18 yrs old.
difficulty controlling moods and behavior.
is a condition in which a child is chronically irritable and experiences frequent, severe temper outbursts that seem out of proportion to the situation at hand. Children diagnosed with DMDD struggle to regulate their emotions in an age-appropriate way. In between outbursts they are irritable most of the time.
[exam] Bipolar I Disorder requires what?
A manic episode - the only thing needed for diagnosis
Bipolar I Disorder:
A) Onset
B) Prognosis
C) Suicide
A) bimodal - like OCD. Men around 16-22 years old. Women 27-35 years old.
B) Chronic - for life. Cyclical
C) highly associated - moreso than MDD - on upswing of mania and on upswing of depression.
Bipolar II Disorder
A) Cannot have __
B) Presence of at least ____
C) ______ required
A) mania. otherwise is BP1.
B) One hypomanic episode
C) Major depressive episode required
Bipolar II Disorder:
A) Onset
B) Prognosis
C) if they have ____ diagnosis changes to ____
A) bimodal - like OCD. Men around 16-22 years old. Women 27-35 years old. (same as BP1)
B) Chronic
C) Mania, Bipolar I.
