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Diagnosis (DSM-5 and beyond) > Depressive Disorders > Flashcards

Depressive Disorders Flashcards

1
Q

How often must temper outbursts occur in disruptive mood dysregulation disorder?

A

Three or more times a week.

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2
Q

And disruptive mood dysregulation disorder the mood between temper outbursts is what?

A

Irritable or angry.

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3
Q

In disruptive mood dysregulation disorder symptoms must be present for how long?

A

12 or more months.

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4
Q

In disruptive mood dysregulation disorder symptoms must be present for 12 or more months but the individual cannot go how many consecutive months without symptomology?

A

Three.

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5
Q

How many settings must the criteria for disruptive mood dysregulation disorder be met in?

A

At least two or three settings.

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6
Q

What is the age of onset for disruptive mood dysregulation disorder?

A

Prior to age 10.

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7
Q

What disorders can’t disruptive mood dysregulation disorder coexist with?

A

Oppositional defiant disorder, intermittent explosive disorder or, or bipolar disorder.

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8
Q

Why isn’t disruptive mood dysregulation disorder included with bipolar related disorders?

A

Bipolar disorder is explicitly reserved for episodic presentations.

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9
Q

What are the age requirements for disruptive mood dysregulation disorder?

A

Must be before age ten but not less than a developmental age of six.

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10
Q

True or false. Rates of conversion from disruptive mood dysregulation disorder to bipolar disorders is high.

A

False.

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11
Q

How can bipolar be differentiated from disruptive mood dysregulation disorder?

A

Bipolar disorders manifest as episodic with discrete periods of mood perturbation.

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12
Q

True or false. Someone with can have a manic or hypomanic episode and be diagnosed with disruptive mood dysregulation disorder?

A

False.

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13
Q

How can disruptive mood dysregulation disorder be differentiated from intermittent explosive disorder?

A

Intermittent explosive disorder does not require persistent disruption in mood between episodes.

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14
Q

How long must symptoms be present for in major depressive disorder?

A

Two weeks.

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15
Q

What are the primary characteristics of major depressive disorders?

A

Depressed mood most of the day. Diminished interest or pleasure in all activities. Significant weight lost when not dieting or weight gain/decrease or increase in appetite. Insomnia or hypersomnia. Psychomotor agitation or retardation. Fatigue or loss of energy. Worthlessness or excessive or inappropriate guilt. Diminished ability to think or concentrate, or indecisiveness. Re-current thoughts of death.

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16
Q

True or false. Any individual with major depressive disorders can never have a manic or hypomanic episode?

A

True.

17
Q

True or false. Individuals with major depressive disorders ya appear distracted or complain of memory difficulties.

A

True.

18
Q

What does major depressive disorders look like biologically and genetically?

A

Genetic variants in neurotrophic factors and pro-inflammatory cytokines.

19
Q

Individuals with major depressive disorders may have neural deficits affecting what area areas of functioning?

A

Emotion processing, reward seeking, emotional regulation.

20
Q

Recovered from major depressive disorders occurs when?

A

Typically begins within three months of onset.

21
Q

What age differences exist in symptom expression for major depressive disorders?

A

Younger individuals experience more hypersomnia and hyperphagia. Older individuals experience more psychomotor disturbances and melancholic symptoms.

22
Q

True or false. There are periods during major depressive disorders when suicide risk or more likely?

A

False.

23
Q

Define Persistent depressive disorder (dysthymia)?

A

Depressed mood for most of the day, for more days than not.

24
Q

How long must individuals have symptoms to qualify for a Persistent depressive disorder (dysthymia) diagnosis?

A

Two years.

25
Q

What are the main symptoms present in Persistent depressive disorder (dysthymia)?

A

Poor appetite for overeating. Insomnia or hypersomnia. Low-energy or fatigue. Low self-esteem. Poor concentration or difficulty making decisions. Feelings of hopelessness.

26
Q

During the two years of Persistent depressive disorder (dysthymia) a person has never been how many months with symptoms?

A

Two months.

27
Q

What kind of onset does Persistent depressive disorder (dysthymia) have?

A

Early and insidious with a chronic course.

28
Q

How can Persistent depressive disorder (dysthymia) be differentiated from major depressive disorder?

A

Major depressive episodes do not last for two years.

29
Q

True or false. Persistent depressive disorder (dysthymia) cannot be diagnosed along with a personality disorder.

A

False.

30
Q

What is the main criteria for premenstrual Dysphoria disorder.

A

Major symptoms are present in the Final week before menses onset and improve within a few days after onset.

31
Q

What are the major symptoms of premenstrual Dysphoria disorder?

A

Marked affective lability. Irritability or anger, or increased interpersonal conflicts. Depressed mood, feelings of hopelessness or self-deprecating thoughts. Anxiety, tension, being keyed up or on edge. Decreased interest in usual activities. Difficulty concentrating. Lethargy, easy fatigability. Change in appetite. Hypersomnia or insomnia. Overwhelmed are out of control. Physical symptoms.

32
Q

All together how many symptoms must be present in premenstrual Dysphoria disorder?

A

Five or more.

33
Q

How is premenstrual Dysphoria disorder confirmed?

A

Prospective daily ratings.

34
Q

Prospective daily ratings used in premenstrual Dysphoria disorder must occur during how many cycles?

A

Two cycles.

35
Q

Individuals with premenstrual Dysphoria disorder must be symptom free during phase of the menses cycle?

A

Follicular.

36
Q

Although rare, hallucinations and delusions can occur during which phase In premenstrual Dysphoria disorder?

A

Late luteal phase.

37
Q

True or false. Aging women have worse symptoms premenstrual Dysphoria disorder?

A

True. However, symptoms cease after menopause.

38
Q

What is the main criteria for disruptive mood dysregulation disorder?

A

Current temper outburst manifested verbally and behaviorally that are grossly out of proportion in intensity or duration to the situation or provocation.

Diagnosis (DSM-5 and beyond) (5 decks)

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