depression I Flashcards
Order of depression disorders in DSM:
Disruptive Mood Dysregulation – Major Depressive Disorder – persistent depressive disorder – premenstrual dysphoric disorder
What do all depression disorders in dsm have in common, what differs?
common: presence of sad, empty, irritable mood that affects individuals capacity to function.
difference: duration, timing, severity, presumed etiology
What are the symptoms of disruptive mood dysregulation disorder?
chronic, severe, persistent irritability temper outburst. occurs in kids 12 years or younger
what criteria need to be met for someone to be diagnosed with disruptive mood dysregulation disorder?
Severe recurrent temper outbursts, inconsistent with developmental level, occurs 3 or more times per week, been present for 12 or more months, present in at least two of three setting such as home, at school, or with peers.
Highly transdiagnostic system:
something being present in a lot of different mental disorders
Comorbity:
when an individual has two or more distinct illnesses at the same time
What are cardinal symptoms?
the primary/most important symptoms of a disorder
What are the cardinal symptoms of major depressive disorder?
- depressed mood most of the day, nearly everyday. (feeling sad, empty, hopeless)
- Loss of interest or pleasure in all, or almost all activities most of the day, nearly everyday
What are the two distinct symptoms having to do with reward sensitivity?
loss of interest and loss of pleasure
Anhedonia:
more severe symptom of loss of pleasure, when you really never enjoy things you usually would enjoy
Other than the cardinal symptoms, what are the other symptoms of MDD?
- weight loss, weight gain, or decrease in appetite nearly everyday.
- Insomnia or hypersomnia nearly everyday
- Psychomotor agitation (state of restlessness) or retardation nearly everyday.
- fatigue or loss of energy nearly everyday
- feelings of worthlessness/guilt nearly everyday
- diminished ability to think or concentrate, or indecisiveness nearly everyday
- recurrent thoughts of death, suicidal ideation without a specific plan, or a suicide attempt or plan for committing suicide
Criteria symptoms for diagnosing MDD:
- must be present for most of the day nearly everyday.
- must be present for at least 2 consecutive weeks
- episode must be accompanied by clinically significant distress of impairment in social, occupational, or other important areas of functioning
- 5 or more of the symptoms must be present, with at least one of the symptoms being one of the cardinal symptoms
Bereavement:
period of grief/mourning after a death
What is the idea of bereavement?
to distinguish between depression and normal sadness/grief
Normal grief phases:
- numbing/disbelief
- yearning/searching for dead person
- disorganization/ despair to permanent loss
- reorganization to rebuild
characteristics of grief:
have capacity for positive emotional experiences, dysphoria (general dissatisfaction with life) occurs in waves, fleeting thoughts of being with the person who died
Persistent Depressive disorder is ____ compared to MDD
Less severe and more chronic