Depressive Disorders

Question 1

Depressive Disorders Include

Answer 1

• Disruptive Mood Dysregulation
• Major Depressive D/O
• Persistent Depressive D/O
• Premenstrual Dysphoric D/O
• Substance/Medication-Induced Depressive D/O

Question 2

Major Depressive Disorder: Criteria A requires 5 or more of the following symptoms

Answer 2

1. Depressed mood most of day, nearly every day, as indicated by either subjective report or observation by others
2. Markedly diminished interest or pleasure in all or almost all activities most of day, nearly every day
3. Significant weight loss when no dieting or weight gain, or decrease in appetite nearly every day
4. Insomnia or hypersomnia nearly every day
5. Psychomotor agitation nearly every day
6. Fatigue or loss of energy nearly every day
7. Feelings of worthlessness or excessive or inappropriate guilt nearly every day
8. Diminished ability to think or concentrate, or indecisiveness, nearly every day
9. Recurrent thoughts of death, recurrent suicidal ideation without a specific plan, or a suicide attempt or a specific plan for killing self

Question 3

Major Depressive Disorder: Criteria A symptoms must be present…

Answer 3

During same 2 week period

Question 4

Major Depressive Disorder: Criteria A symptoms must represent…

Answer 4

A change from previous functioning

Question 5

Major Depressive Disorder: Of the Criteria A symptoms, 1 must be either…

Answer 5

1. Depressed mood
   or
2. Loss of interest or pleasure

Question 6

Major Depressive Disorder: Criteria B

Answer 6

Symptoms cause clinically significant distress or impairment in functioning

Question 7

Major Depressive Disorder: Criteria C

Answer 7

Episode does not attribute to physiological effects of a substance or another medical condition

Question 8

Major Depressive Disorder: Criteria D

Answer 8

Not better explained by a psychotic D/O

Question 9

Major Depressive Disorder: Criteria E

Answer 9

Never been a manic or hypomanic episode

Question 10

A large proportion of individuals who initially appear to have Major Depressive Disorder will prove in time to have…

Answer 10

Bipolar Disorder

Question 11

Persistent Depressive Disorder: Criteria A

Answer 11

Depressed mood for most of day, for more days than not, for at least 2 years

Question 12

Persistent Major Depressive Disorder: Criteria B includes presence, while depressed, of 2 or more of the following…

Answer 12

1. Poor appetite or overeating
2. Insomnia or hypersomnia
3. Low energy or fatigue
4. Low self-esteem
5. Poor concentration or difficulty making decisions
6. Feelings of hopelessness

Question 13

Persistent Major Depressive Disorder: Criteria C during 2 year period of disturbance, individual has never been…

Answer 13

Without symptoms in criteria A and B for more than 2 months at a time

Question 14

Persistent Major Depressive Disorder is not

Answer 14

• Consistent of a manic or hypomanic episode
• Better explained by a psychotic D/O
• Attributed to physiological effects of a substance or another medical condition

Question 15

Biological causes of Depression

Answer 15

• Genetic: family history is a strong predictor
• Kindling effect: once you have a depressive or manic episode, likely to have another because episode may cause changes in the brain
• Chronic medical issues may cause depression (AIDS, Arthritis, Lupus, MS, etc.)

Question 16

Social Considerations of Depression

Answer 16

• Family, relationship stressors
• School or employment stress
• Unemployment or underemployment
• Gender
• Oppression related to race, class, sexual orientation

Question 17

Trauma/Grief considerations of Depression

Answer 17

• Abuse
• Loss
• Divorce
• Medical Illness
• Military
• Natural Disaster
• Loss of control/fear