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DSM5 > Depressive disorders > Flashcards

Depressive disorders Flashcards

1
Q

diagnostic criteria for disruptive mood dysregulation disorder

A

-verbal/severe temper outbursts
-outbursts inconsistent w/ developmental level
-outbursts occur 3x/weekly
-mood between outbursts in mostly angry/irritable

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2
Q

how long must symptoms be present for a diagnosis of disruptive mood dysregulation

A

12+ months w/ no period of 3+ months where all criteria are not met

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3
Q

what age range can be diagnosed with disruptive mood dysregulation

A

6-18

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4
Q

when is the onset of disruptive mood dysregulation

A

must be before 10

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5
Q

differences between disruptive mood dysregulation and pediatric bipolar disorder

A

-bipolar has episodic issues that are different from regular mood
-irritability is not persistent in bipolar

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6
Q

what is dx if criteria is met for both ODD and disruptive mood dysregulation disorder

A

only dx disruptive mood dysregulation disoreder

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7
Q

how severe do temper outbursts and persistent irritability have to be for dx of disruptive mood dysregulation disorder

A

must be present in at least 2 settings and severe in at least 1

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8
Q

difference between disruptive mood dysregulation disorder and intermittent explosive disorder

A

irritability in intermittent explosive disorder does not have to be persistent between episodes

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9
Q

how many and often do symptoms have to be present for dx of major depressive disorder

A

5+ symptoms occurring during the same 2 week time period

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10
Q

9 potential symptoms for major depressive disorder

A

-depressed mood
-loss of interest/pleasure
-sig weight loss/gain or change in appetite
-insomnia/hypersomnia
-psychomotor agitation/retardation
-fatigue/loss of energy
-feelings of worthless or excessive guilt
-decreased concentration/indecisiveness
-SI or attempt

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11
Q

how can depressed mood present in children different than adults

A

may present as irritability

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12
Q

what constitutes significant weight loss

A

5% in one month

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13
Q

what are exclusions for dx of MDD

A

-if there has ever been a manic/hypomanic episode
-if it is better explained by a substance or medical/mental disorder

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14
Q

when is it more likely MDD will transition to bipolar

A

-if onset in adolescence
-if there are psychotic features
-family hx of bipolar

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15
Q

what is the biggest risk factor for likelihood of suicide attempt

A

past hx of suicide attempts

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16
Q

what is diagnosed if MDD has a history of hypomanic but not manic episodes

A

bipolar 2

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17
Q

what is dx if MDD has hx of manic episodes

A

bipolar 1

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18
Q

diagnostic criteria for persistent depressive disorder

A

-depressed mood for at least 2 years
-never had a manic/hypomanic episode
-2+:
-appetite change
-insomnia/hypersomnia
-fatigue/low energy poor
-concentration/indecisive
-feeling hopeless

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19
Q

how long do symptoms have to present for a dx of persistent depressive disorder

A

at least 2 years w/ no symptom-free periods lasting longer than 2 months. 1 year in children

20
Q

can MDD dx be comorbid w/ persistent depressive disorder

A

yes

21
Q

how many symptoms must be present and when for dx of premenstrual dysphoric disorder

A

5+ (at least 1 from each category) in the final week prior to period, improve within a few days of onset and remit by 1st week after period (for at least 2 cycles)

22
Q

category 1 of symptoms for premenstrual dysphoric disorder

A

-marked affective lability
-marked irritability/anger
-marked depressed mood or self-deprecating thoughts
-marked anxiety/tension

23
Q

7possible sx for category 2 of symptoms for premenstrual dysphoric disorder

A

-decreased interest in activities
-difficulty concentrating
-lethargy/lack of energy
-change in appetite
-hypersomnia/insomnia
-feeling overwhelmed
-physical symptoms

24
Q

possible physical symptoms of premenstrual dysphoric disorder

A

breast tenderness/swelling
joint/muscle pain
bloating or weight gain

25
Q

what is the difference between premenstrual dysphoric disorder and premenstrual syndrome

A

syndrome is less severe and does not require 5 symptoms

26
Q

recording procedures for substance/medication induced depressive disorder

A

-name of disorder begins with name of substance
-if comorbid substance abuse disorder it is listed first followed by “with” substance induced depressive disorder and specifier of onset
-if more than one substance, list all separately

27
Q

medications likely to cause depressive disorders

A

steroids
antihypertensives
reserpine
interferon
L-dopa

28
Q

coding specifiers for depressive disorder d/t another medical condition

A

-with depressive features (criteria not met for MDD)
-with major depressive-like episode (criteria met for MDD)
-with mixed features (manic/hypomanic features but don’t predominate clinical picture)

29
Q

medical conditions that often cause depressive disorder

A

cerebrovascular disease
Huntington’s
Parkinson’s
TBI
hypothyroidism

30
Q

diagnostic criteria for other specified depressive disorder

A

when depressive symptoms cause clinically significant distress/impairment but do not meet full criteria for disorder and clinician wants to specify why

31
Q

diagnostic criteria for unspecified depressive disorder

A

when depressive symptoms cause clinically significant distress/impairment but do not meet full criteria for disorder and clinician does not want to specify why

32
Q

criteria for ‘with anxious distress’ specifier

A

2+
-feeling tense
-feeling restless
-difficulty concentrating because of worry
-fear that something awful will happen
-feel might lose control or their mind

33
Q

mild ‘with anxious distress’

A

2 symptoms

34
Q

moderate ‘with anxious distress’

A

3 symptoms

35
Q

moderate-severe ‘with anxious distress’

A

4-5 symptoms

36
Q

severe ‘with anxious distress

A

4-5 symptoms and psychomotor agitation

37
Q

criteria for MDD ‘with mixed features’ specifier

A

3+
-elevated/expansive mood
-grandiosity/inflated self-esteem
-more talkative/pressured speech
-flight of ideas/racing thoughts
-increased energy/goal-directed activity
-decreased need for sleep

38
Q

criteria for ‘melancholic features’ specifier categories

A

1+ symptoms from category 1 and 3+ symptoms from category 2

39
Q

category 1 symptoms for melancholic features (must have 1)

A

-loss of pleasure in most/all activities
-lack of reactivity to pleasurable stimuli

40
Q

category 2 for melancholic features (must have 3)

A

-depressed mood characterized by profound sadness/emptiness
-depression worse in morning
-early morning awakening
-marked psychomotor agitation/retardation
-anorexia/weight loss
-excessive/inappropriate guilt

41
Q

what symptoms have to predominate most of the days to get specifier of atypical features

A

mood reactivity
2+
-weight gain/increased appetite
-hypersomnia
-leaden paralysis
-long-standing pattern of interpersonal rejection sensitivity

42
Q

criteria for ‘with psychotic features’ specifier

A

delusions/hallucinations present at any time

43
Q

if psychotic features are present what else has to be specified

A

if mood-congruent or mood-incongruent

44
Q

criteria for peri-partum onset specifier

A

begins during pregnancy or within 4 weeks postpartum

45
Q

criteria for with seasonal pattern specifier

A

temporal relationship between onset/remission of symptoms and seasons
assess for period of at leat 2 years to establish pattern

DSM5 (18 decks)

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