Depressive / Bipolar Related Disorders Flashcards
Difference between…
Major Depressive Disorder (MDD) vs
Unspecified Depressive Disorder (FKA NOS) vs
Persistent Depressive Disorder (FKA Dysthymia)
severity and timeline
Major Depressive Disorder
- symptoms present for at least 2 weeks
Unspecified Depressive Disorder (mild depression)
- don’t meet criteria for MDD
Persistent Depressive Disorder
- adults: symptoms present for at least 2 years
- kids: symptoms present for at least 1 year
Major Depressive Disorder
S - sleep changes I - Interest loss G - Guilt / Worthlessness E - Energy lack C - Concentration loss A - Appetite change P - Pyschomotor Activity change S - Suicidal ideation
BiPolar I
NEED: one full manic episode to be diagnosed
MANIC EPISODE: for at least 1 week or more
- extreme happiness
- hyperactivity
- little need for sleep
- racing thoughts
- rapid speech
- may have psychotic features
- causes difficulty or impairment in occupational or social functioning
- tendency to be misdiagnosed
BiPolar II
NEED: 2 things to diagnose
1) hypomania: persists for 4 days
- similar to manic episode
- elevated mood isn’t as severe
- no psychotic features
- markedly different from normal mood
2) episodes of Major Depressive Disorder
Cyclothymia
2 criteria
1) hypomania - 4 days
2) milder depression
- mild, but noticeable up and down feeling
Bereavement vs Major Depressive Disorder
Bereavement
- occurs in conjunction with dying
- previously had to wait 2 months after someone died to diagnose MDD, not can diagnose Bereavement AND MDD
Adjustment Disorder with Depressed Mood
ONSET: symptoms must appear within 3 months of stressor and cannot exceed 6 months
- never given with the death of someone –> Bereavement
- occurs after a stressor is experienced: moving, fired, divorce
- after 6 months, change diagnosis
- can have other specifiers: anxious mood, conduct disorder
