Depressive Disorders

Question 1

Disruptive Mood Dysregulation Disorder

Answer 1

A. Verbal or physical anger outbursts that are disproportionate to the situation
B. Outbursts are age inappropriate
C. Occur on average 3 or more times per week
D. Irritable or angry mood most of the day, nearly every day
E. Duration 12 or more months; no more than 3 months without all symptoms
F. Criteria present in at least two settings
G. Onset before age 10
H. No diagnosis should be made for the first time before age 6 or after age 18
I. No period lasting more than a day during which criteria (except duration) for manic or hypomanic episode have been met

Question 2

Major Depressive Disorder

Answer 2

A. Meet criteria for Depressive Episode

Question 3

Persistent Depressive Disorder (Dysthymia)

Answer 3

A. Depressed mood most of the day for at least half the days for 2 years (1 year in children/adolescents and with irritable mood)
B. Two or more:
— Over or underrating
— Insomnia or hypersomnia
— Fatigue
— Low self-esteem
— Difficulty concentrating/making decisions
— Hopelessness
C. Not without symptoms more than 2 months

Question 4

Premenstrual Dysphoric Disorder

Answer 4

A. Symptoms must be present in week before onset of menses, improve within a few days after start of menses, and cease in the week after menses
B. Five symptoms total, at least one from each category
C. At least one:
— Affect lability
— Irritability, anger
— Depressed mood
— Anxiety
D. At least one:
— Loss of interest
— Difficulty concentrating
— Fatigue
— Change in appetite
— Hyper or insomnia
— Feeling overwhelmed
— Physical symptoms
E. Symptoms during most periods within previous year