Depressive Disorders

Question 1

A. Severe recurrent temper outbursts that are grossly out of proportion in intensity or duration to the situation or provocation.
B. outbursts are inconsistent with developmental level.
C. occur, on average, three or more times per week.
D. persistently irritable or angry most of the day, nearly every day, and is observable by others
present for 12 or more months. Throughout that time,
the individual has not had a period lasting 3 or more consecutive months without all of the symptoms in Criteria A–D.
F. present in at least two of three settings and are severe in at least one of these.
G. The diagnosis should not be made for the first time before age 6 years or after age 18 years.
H. before 10 years.
I. never been a distinct period lasting more than 1 day during which the full symptom criteria, except duration, for a manic or hypomanic episode have been met.

Answer 1

Disruptive Mood Dysregulation Disorder

Question 2

The onset of disruptive mood dysregulation disorder must be

Answer 2

before age 10 years, and the diagnosis should not be applied to children with a developmental age of younger than 6 years.

Question 3

Data suggest that a family history of ___ may be a risk factor for disruptive mood dysregulation disorder.

Answer 3

depression

Question 4

while bipolar disorders are ___ conditions, disruptive mood dysregulation disorder is not.

Answer 4

episodic

Question 5

Moreover, even for children in whom criteria for both disorders are met, only the diagnosis of ___ should be made.

Answer 5

disruptive mood dysregulation disorder

Question 6

unlike ____,____ does not require the individual’s mood to be persistently irritable or angry between outbursts

Answer 6

disruptive mood dysregulation disorder, intermittent explosive disorder

Question 7

In addition, a diagnosis of ___ involving verbal aggression or physical aggression that does not result in damage to property or physical injury to animals or other individuals occurring at least 2x weekly can be made after only 3 months of symptoms, in contrast to the 12-month requirement for ___.

Answer 7

intermittent explosive disorder ; disruptive mood dysregulation disorder

Question 8

Rates of comorbidity in disruptive mood dysregulation disorder are __.

Answer 8

extremely high; It is rare to find individuals whose symptoms meet criteria for disruptive mood dysregulation disorder alone.

the strongest overlap is with oppositional defiant disorder

Question 9

Major Depressive Disorder “Do All Worries Stay And Feel Tiring”

Answer 9

5 or more (at least one of the symptoms is either (1) depressed mood or (2) loss of interest or pleasure)

Depressed mood
Avolition
Weight loss or gain
Sleep
Agitation
Fatigue
Thoughs (Guilt, Indecisiveness, and Suicide)

Question 10

In MDD, Specify if:

Answer 10

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

Question 11

___well-established risk factor for the onset of major depressive disorder, and high levels appear to render individuals more likely to develop depressive episodes in response to stressful life events.

Answer 11

Negative affectivity (neuroticism)

Question 12

depressed mood that occurs for most of the day, for more days than not, for at least 2 years, or at least 1 year for children and adolescents

Answer 12

Persistent Depressive Disorder

Question 13

Persistent depressive disorder often has an ___ onset

Answer 13

early and insidious

Question 14

a particularly robust risk factor for persistent depressive disorder

Answer 14

Borderline personality disorder

Question 15

For Persistent Depressive Disorder, Factors predictive of poorer long-term outcome include

Answer 15

higher levels of negative affectivity (neuroticism), greater symptom severity, poorer global functioning, and presence of anxiety disorders or conduct disorder.

Question 16

If there is a depressed mood for more days than not plus two or more persistent depressive disorder Criterion B symptoms for 2 years or more, then the diagnosis of ___ is made.

Answer 16

persistent depressive disorder

If the symptom criteria are sufficient for a diagnosis of a major depressive episode at any time during this period, then the additional diagnosis of major depression should be made.

Question 17

In PDD, If the individual has not experienced an episode of major depression in the last 2 years, then the specifier ___ is used.

Answer 17

“with pure dysthymic syndrome”

Question 18

expression of mood lability,
irritability, dysphoria, and anxiety symptoms that occur repeatedly during the premenstrual phase of the cycle and remit around the onset of menses or shortly thereafter.

Answer 18

Premenstrual Dysphoric Disorder

Question 19

Premenstrual syndrome differs from premenstrual dysphoric disorder in that premenstrual syndrome

Answer 19

does not require a minimum of five symptoms nor mood-related symptomatology, and it is generally considered to be less severe than premenstrual dysphoric disorder.

Question 20

Specifier: Concurrent presence of depressed mood and at least four other symptoms of depression for 2–13 days at least once per month (not associated with the menstrual cycle) for at least 12 consecutive months

Answer 20

Recurrent brief depression

Question 21

Specifier: Depressed affect and at least four of the other eight symptoms of a major depressive episode associated with clinically significant distress or impairment that persists for more than 4 days, but less than 14 days

Answer 21

Short-duration depressive episode (4–13 days)

Question 22

Specifier: Depressed affect and at least one of the other eight symptoms of a major depressive episode associated with clinically significant distress or impairment that persist for at least 2 weeks

Answer 22

Depressive episode with insufficient symptom

Question 23

Specifier: on schizophrenia, schizophreniform disorder, delusional disorder, or other specified and unspecified schizophrenia spectrum and other psychotic disorder. Note: Major depressive episodes that are part of schizoaffective disorder do not merit an additional diagnosis of other specified depressive disorder.

Answer 23

Major depressive episode superimposed