Depressive Disorders Flashcards
Persistant Depressive Disorder
- duration
Greater than 2 years
Greater than 1 year in kids
Persistent Depressive Disorder
- symptoms
Depressed mood for most of the day, for more days than not. At least two of the following symptoms - poor appetite or overeating - insomnia or hypersomnia - low energy or fatigue - low self-esteem - poor concentration - feelings of hopelessness
Persistent Depressive Disorders
- differential Dx
MDD psychotic disorder depressive/bipolar due to medical substance/med induced personality disorder
Persistent Depressive Disorder
- interventions
Refer to psychiatrist group therapy family therapy couples therapy Involvement in community Psychodynamic therapy CBT Active Listening Bibliotherapy Psychoeducation
Major Depressive Disorder
- duration
2 weeks or more
Major Depressive Disorder
- symptoms
5 or more at least one is depressed mood or loss of interest or pleasure
- depressed mood most of the day nearly every day
- markedly diminished interest or pleasure in all or almost activities
- significant weight loss or weight gain (5% change)
- insomnia or hypersomnia
- psychomotor agitation or retardation nearly everyday
- fatigue or loss of energy
- feelings of worthlessness
- diminished ability to think/concentrate
- recurrent thoughts of death/suicide
Major Depressive Disorder
- specifiers
(same as bipolar)
- with anxious distress
- with mixed features
- with melancholic features
- with atypical features
- with mood-congruent psychotic features
- with mood-incongruent psychotic features
- with catatonia
- with peripartum onset
- with seasonal pattern
Major Depressive Disorder
- Differential Dx
Mood D/O due to medical manic episodes w/irritable/mixed episodes
substance/med induced depressive/bipolar adjustment D/O w/ depressed mood
ADHD; sadness
Major Depressive Disorder
- interventions
Behavioral Activation
Role Play
Cognitive Restructuring
active listening
CBT
Behavior Therapy
group therapy
Disruptive Mood Dysregulation
- duration
Greater than 3 times a week for 1 year for individuals older than 6 and younger than 18
Disruptive Mood Dysregulation
- symptoms
severe recurrent temper outbursts manifested verbally and/or behaviorally
persistently irritable or angry mood between temper outbursts
severe recurrent temper outbursts manifested verbally and/or behaviorally
persistently irritable or angry mood between temper outbursts
Disruptive Mood Dysregulation Disorder
Premenstrual Dysphoric Disorder
- duration
occurs during most menstrual cycles in last year
Premenstrual Dysphoric Disorder
- symptoms
affective lability; irritability or anger; depressed mood or self-depricating thoughts or anxiety or tension
At least one symptom must be decreased interest in usual activities
subjective difficulty concentrating
lethargy, marked lack of energy
hypersomnia or insomnia
as sense of being overwhelmed or out of control
physical symptoms (swollen breasts, tenderness, join or muscle pain, weight gain)
Premenstrual Dysphoric Disorder
- interventions
family counseling psychoeducation parent training anger management group behavior plan cognitive behavioral therapy
