Clinical Approach to Mood Disorders Flashcards
What objective measure is used to screen for depressive disorders?
PHQ-9
What subtype of major depressive disorder occurs during or after pregnancy?
Major depressive disorder with peripartum onset
How does diagnosis criteria for persistent depressive disorder differ in children and adults?
Adults require at least two years of symptoms, whereas children only need one year of symptoms
This mood disorder requires only 3 symptoms for diagnosis, but they must persist for at least two years.
Persistent Depressive Disorder
True/False. A family history of bipolar disorder increases the risk of developing bipolar disorder.
True
Hypomania of less than four days, with no psychosis or impairment, characterizes what mood disorder?
Bipolar Type 2
What is the most severe subtype of Major Depressive Disorder?
Major Depressive Disorder with melancholic features (poor sleep, issues with ADLs, etc.)
A patient comes to the ER with a 10 day history of mania. They admit to hearing voices and believe someone is chasing after them. The attending admits the patient to the psychiatric unit. What is a possible diagnosis?
Bipolar Type 1 - 7+ days of mania, with psychosis and hospitalization, likely impaired functioning
How many DIG FAST symptoms must be present for a manic episode?
3+ symptoms - hypomania is characterized by the same symptoms, but less severe
What symptoms are associated with Major Depressive Disorder?
Sleep Changes
Interest Loss
Guilt
Energy Loss/Fatigue
Cognitive Impairment
Appetite Loss
Psychomotor/Agitation
Suicidal Ideations
What is cyclothymic disorder?
A mood disorder characterized by episodes that range from mild depression to hypomania. Cyclothymic disorder may progress to Bipolar Type 2
What symptoms characterize a manic state?
Distractability, Inhibition, Grandiosity, Flight of Ideas, Activity Increase, Sleep Disturbances, Talkative
Which type of bipolar disorder is considered more severe?
Bipolar Type 1
True/False. Bipolar Type 2 diagnosis requires a history of at least one manic episode.
False - Diagnosis requires at least one major depressive episode and one hypomanic episode, but NO history of manic or mixed episodes.
True/False. For a diagnosis of Bipolar Type 1, a manic episode must be preceded or followed by a hypomanic or major depressive episode.
True
What criteria must be met for a diagnosis of Major Depressive Disorder?
At least 5 of the following symptoms occur for 2+ weeks (sleep changes, interest loss, guilt, energy loss, concentration issues, weight changes, agitation, suicidal ideations)
At least one symptom of depressed mood or loss of interest
Episode is not attributable to substance use or psychotic disorder
No history of mania
What psychiatric disorders may mimic mania?
Generalized anxiety disorder, panic disorder, PTSD, ADHD, personality disorders, intermittent explosive disorder
What criteria automatically institute a diagnosis of Bipolar Type 1?
Psychotic symptoms, hospitalization, impaired functioning
What is persistent depressive disorder?
A mild type of depression that requires only 3+ symptoms for at least 2 years
What atypical symptoms may present with Major Depressive Disorder?
Hypersomnia, increased eating, leaden paralysis
A mass in the left frontal lobe is most likely to exhibit what type of symptoms (depressive/manic)?
Depressive symptoms
A mass in the right frontal lobe is most likely to exhibit what type of symptoms (depressive/manic)?
Manic symptoms
True/False. The risk of suicide increases in patients with bipolar disorder.
False - Suicidality and self-harm are generally absent in patients with bipolar disorder. Suicides are generally accidental and the result of psychotic symptoms (ex: belief one can fly and jumping from building)
