Depressive disorder and Bipolar Related Disorders

Question 1

History of more mania than depression

Answer 1

bipolar 1 disorder

Question 2

History of more depression than mania

Answer 2

bipolar 2 disorder

Question 3

Alternating hypomanic episodes with a long-standing low mood state (dysthymia) for at least two years

Answer 3

cyclothymic disorders

Question 4

Patient will present as → a 27-year-old man accompanied by his girlfriend. In the office, he seems to be running from topic to topic without a clear message. His speech is pressured.

Answer 4

bipolar 1 disorder

Question 5

Patient who is squandering savings, destroying relationships, neglecting work activities, etc. etc.

Answer 5

bipolar 1 disorder

Question 6

lithium is first-line tx for these disorders

Answer 6

bipolar 1 & 2

Question 7

Patient will present as → a 19-year-old male who has had bouts of sadness for a course of 1 year in which he says that often he cannot even get out of bed so he tells his parents he is ill. Jim states that he recently felt so energized that he could not keep his thoughts straight and jumped from one idea to another.

Answer 7

bipolar 2 disorder

Question 8

A patient with bouts of sadness and distractibility and an episode of decreased need for sleep, a flight of ideas, and buying sprees

Answer 8

bipolar 2 disorders

Question 9

At least one hypomanic episode and at least one major depressive episode. There has never been a manic episode

Answer 9

bipolar 2 disorders

Question 10

Patient will present as → a 24-year-old male with c/o episodes of depression alternating with times of increased energy, restlessness, and decreased sleep for 2 years

Answer 10

cyclothymic disorder

Question 11

A chronic mood disorder characterized by episodes of depression and hypomania for at least 2 years

Answer 11

cyclothymic disorder

Question 12

Patient will present as →a 33-year-old woman complaining of fatigue and decreased interest in “the things that used to make me happy.”

Answer 12

Major Depressive Disorder

Question 13

Five or more SIEGECAPS for ≥ 2 weeks nearly every day and at least one of the symptoms is depressed mood or anhedonia

Answer 13

Major Depressive Disorder

Question 14

SIGECAPS

Answer 14

Sadness
Interest/anhedonia
Guilt
Energy
Concentration
Appetite
Psychomotor activity
Suicidal

Question 15

SSRIs are first-line tx

Answer 15

Major depressive disorder/ persistent depressive disorder

Question 16

Patient will present as → a 30-year-old married male who feels down most of the time for the past three years. He experiences frequent, intrusive thoughts that he is not good enough, despite personal and professional successes.

Answer 16

Persistent depressive disorder

Question 17

A patient with chronic depression for two years or more

Answer 17

Persistent depressive disorder