Depressive Disorders Flashcards
The following diagnoses fall under which group?
- Disruptive Mood Dysregulation Disorder
- Major Depressive Disorder
- Persistent Depressive D. (Dysthymia)
- Premenstrual Dysphoric Disorder
- Unspecified Depressive Disorder
Depressive Disorders
The following criteria meet which diagnosis?
- Severe recurrent temper outbursts that
are out of proportion to situation
- Outbursts inconsistent with dev. level
- Outbursts avg 3 or more x’s/week
- Persistently irritable or angry mood
- 12 month minimum duration
- Multiple settings
- Initial dx between ages 6 and 18.
Disruptive Mood Dysregulation Disorder
The following criteria meet which diagnosis?
- 5 or more of the following over a 2 week period
- Depressed mood (in minors, can be irritable)
- Diminished interest/pleasure
- Significant weight loss (in minors, consider
failure to meet weight gains)
- Insomnia or hypersomnia
- Psychomotor agitation or retardation
Major Depressive Episode (MDE)
The following criteria meet which diagnosis?
- Fatigue
- Feelings of worthlessness/guilt
- Cognitive impairment
- Recurrent thoughts of death/suicide
- SIG-E-CAPS
Major Depressive Episode (MDE)
What is the Major Depressive Episode SIG-E-CAPS?
Sleep = increased or decreased (if decreased, often early morning awakening)
Interest = decreased
Guilt/worthlessness
Energy = decreased or fatigued
Concentration/difficulty making decisions
Appetite and/or weight increase or decrease
Psychomotor activity – increased or decreased
Suicidal ideation
+ Depressed mood
The following criteria meet which diagnosis?
- 1 or more Major Depressive Episodes
- At least 2 weeks
- Can include psychosis
Major Depressive Disorder
The following criteria meet which diagnosis?
Depressed mood for at least 2 yrs (kids at least 1 yr)
Includes 2 or more of the following:
- Poor appetite or overeating
- Insomnia or hypersomnia
- Fatigue
- Low self-esteem
- Cognitive impairment
- Feelings of hopelessness
- No manic or hypomanic episodes during the 2 yr
period
- No Cyclothymic, but can have chronic
depression
Persistent Depressive (Dysthymia)
The following symptoms meet which diagnosis?
- Marked affective lability
- Marked irritability, anger or increased conflicts
- Depressed mood, feelings of hopelessness
- Anxiety, tension, edginess
- Decreased interest in activities
- Difficulty in concentrating
- Lethargy
- Change in appetite, overeating, food cravings
Premenstrual Dysphoric Disorder
The following symptoms meet which diagnosis?
- Hypersomnia or insomnia
- Feeling overwhelmed or out of control
- Physical symptoms such as breast
tenderness, joint or muscle pain,
bloating etc.
- Clinically significant distress
- Most menstrual cycles in past year
Premenstrual Dysphoric Disorder
how many symptoms must be present in Premenstrual Dysphoric Disorder?
At least 5
What is the mnemonic for Persistent Depressive Disorder criteria?
C=concentration issues,
H=hopelessness
A=Appetite issues
F=fatigue
E=esteem issues
S=sleep issues
