Depression

Question 1

Disruptive mood dysregulation

Answer 1

Before age 10. Persistent irritable & angry mood.
Angry outbursts at least 3X week.
Comorbid: ADHD & MDD
Course: Chronic, risk of progressing to MDD, Dysthymic, Anxiety

Question 2

Disruptive mood dysregulation tx

Answer 2

If resemble…
Unipolar depression/Anxiety: SSRI & Stimulant
Bipolar: Atypical antipsychotics & Mood stabilizer
Plus CBT

Question 3

Major depressive disorder dx/prevalence

Answer 3

Highest lifetime prevalence of any psych d/o
Females, Hispanic/Black, Divorced/no close relt
Dx: 5 sx X 2 weeks including:
1. Depressed mood OR
2. Loss of interest/pleasure
Onset with stressful event

Question 4

MDD Beck’s Cognitive Triad

Answer 4

1. Negative view on self
2. Environment is hostile & demanding
3. Expects suffer & failure in the future

Question 5

Schema

Answer 5

Way of organizing/interpreting experiences

Question 6

Arbitrary inference

Answer 6

Conclusion without evidence

Question 7

Specific abstraction

Answer 7

Focus on one detail & ignore others

Question 8

Overgeneralization

Answer 8

Conclusion based on too little experience

Question 9

Magnification/Minimization

Answer 9

Under/Over value the significance of an event

Question 10

Personalization

Answer 10

Self-reference external events

Question 11

Black/White thinking

Answer 11

All or non categories

Question 12

Learned helplessness theory (MDD)

Answer 12

Depression is connected with experiencing uncontrollable events
Leads to loss of self esteem.
Tx: learn sense of control & master the environment.