Diagnostic Assessment 1 Flashcards

1
Q

Feelings of excessive guilt is a symptom of…(has qualifier(s))

A

Major Depressive Disorder (if present nearly every day for 2+weeks & represents a change from previous functioning),

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2
Q

Significant weight loss when not dieting is a symptom of…

A

Major Depressive Disorder

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3
Q

Insomnia is a symptom of… (has qualifier(s))

A

Major Depressive Disorder/Episode (if present nearly every day for 2+weeks, OR

Persistent Depressive Disorder (if present while depressed, for more than 2 years)

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4
Q

Psychomotor agitation is a symptom of… (has qualifier(s))

A

Major Depressive Disorder/Episode (if present nearly every day for 2+ weeks, represent a change from previous functioning),

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5
Q

Fatigue or decrease in energy is a symptom of ….(has qualifier(s))

A

Major Depressive Disorder/Episode (if present nearly every day for 2+weeks [loss of energy], OR

Persistent Depressive Disorder (if present while depressed, for more than 2 years) [low energy]

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6
Q

Feelings of worthlessness nearly every day is a symptom of…

A

Major Depressive Disorder/Episode

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7
Q

Diminished ability to think or concentrate is a symptom of (note, may have qualifiers) …

A

Major Depressive Disorder/Episode (if present nearly every day for 2+ weeks & represents a change from previous functioning)

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8
Q

Recurrent thoughts of death is a symptom of…

A

Major Depressive Disorder/Episode

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9
Q

Depressed mood most of day is a symptom of…(note: may have qualifier)

A

Major Depressive Disorder/Episode (if present nearly every day for 2+weeks, OR

Persistent Depressive Disorder (if present while depressed, for more than 2 years)

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10
Q

Recurrent suicidal ideation is a symptom of….

A

Major Depressive Disorder/Episode

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11
Q

A suicide attempt or a specific plan for committing suicide is a symptom of…

A

Major Depressive Disorder/Episode

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12
Q

Indecisiveness is a symptom of…(note, may have qualifier)

A

Major Depressive Disorder/Episode (if present nearly every day for 2+weeks, OR

Persistent Depressive Disorder (if present while depressed, for more than 2 years)

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13
Q

Excessive or inappropriate guilt (which may be delusional) is a symptom of…(note: may have qualifier)

A

Major Depressive Disorder/Episode (if present nearly every day for 2+ weeks)

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14
Q

Increase in appetite is a symptom of (note: may have qualifier)

A

Major Depressive Disorder/Episode (if present nearly every day for 2+weeks, OR

Persistent Depressive Disorder (if present while depressed, for more than 2 years)

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15
Q

Psychomotor retardation is a symptom of…

A

Major Depressive Disorder/Episode (if present nearly every day for 2+weeks & represents a change from previous functioning)

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16
Q

Hypersomnia is a symptom of (note, may have qualifiers)

A

Major Depressive Disorder/Episode (if present nearly every day for 2+weeks, OR

Persistent Depressive Disorder if present more often than not for 2+ years)

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17
Q

What disorder(s) occurrence must exclude the past or present occurrence of a manic or hypomanic episode

A

Major Depressive Disorder AND Persistent Depressive Disorder

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18
Q

What disorder(s) occurrence can’t be better explained by schizophrenia, delusional disorder, or another psychotic disorder in order to meet diagnostic criteria?

A

MDD, Persistent Depressive Disorder, Bipolar Disorder I

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19
Q

What disorder’s symptoms are similar to hypothyroidism

A

MDD and Persistent Depressive Disorder

20
Q

What disorder’s occurrence must exclude (a/any) past history of manic episode(s) [unless substances are involved in episode]?

A

Bipolar II, MDD, Persistent Depressive Disorder

21
Q

What disorder’s occurrence must exclude psychotic features?

A

Bipolar II

22
Q

Poor concentration/diminished ability to concentrate is a symptom of …. (has qualifiers)

A

Major Depressive Disorder/Episode (if present nearly every day for 2+weeks, OR

Persistent Depressive Disorder (if present while depressed, for more than 2 years)

23
Q

Diminished ability to think is a symptom of….(has qualifier(s))

A

Major Depressive Disorder/Episode (if present nearly every day for 2+weeks

24
Q

For major depressive disorder, ___ or more of the symptoms have been present during the same ____ period and represent a change from _________ ________. At least one of the symptoms is either (1) __________ OR (2) ___________.

A

For major depressive disorder, 5 or more of the symptoms have been present during the same two period and represent a change from previous functioning. At least one of the symptoms is either (1) depressed mood OR (2) loss of interest or pleasure.

25
Q

For major depressive disorder, ___ or more of the symptoms have been present during the same ____ period.

A

For major depressive disorder, 5 or more of the symptoms have been present during the same two period.

26
Q

For major depressive disorder symptoms must represent a change from _________ ________.

A

previous functioning

27
Q

For major depressive disorder, least one of the symptoms is either (1) __________ OR (2) __________

A

(1) depressed mood OR (2) loss of interest or pleasure.

28
Q

For persistent depressive disorder, depressed mood must be present for at least ____ ______ [time period]

A

2 years.

29
Q

For persistent depressive disorder, the following symptom MUST be present.

A

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

30
Q

For persistent depressive disorder, the individual has never been without symptoms for more than ___ at a time

A

2 months

31
Q

What is the diagnosis if symptoms of major depressive disorder have been continuously present for 2 years?

A

persistent depressive disorder

32
Q

For persistent depressive disorder, while depressed, _____ or more of the following symptoms must be present.

A

2

33
Q

Symptoms of Persistent depressive disorder (list)

A
  1. Depressed mood for most of day + 2 or more of following while depressed:
  2. poor appetite or overeating
  3. insomnia or hypersomnia
  4. low energy or fatigue
  5. low self-esteem
  6. poor concentration or difficulty making decisions
  7. feelings of hopelessness
34
Q

Feeling of hopelessness is a symptom of ….(has qualifiers)

A

Persistent Depressive Disorder (if present during depression which lasts more days than not, for 2 years)

35
Q

Low self-esteem is a symptom of…(has qualifiers)

A

Persistent Depressive Disorder (if present while depressed, for more than 2 years)

36
Q

Symptoms of Major Depressive Disorder (list)

A

5 or more of the following; one must be either (1) depressed mood most of the day, nearly every day, OR (2) markedly diminished interest or pleasure in all or almost all activities, most of the day, nearly every day:

  1. Significant weight change or change in appetite nearly every day
  2. Insomnia or hypersomnia nearly every day
  3. Fatigue or loss of energy nearly every day
  4. Psychomotor agitation or retardation nearly every day (must be observable by others)
  5. Diminished ability to think or concentrate, or indecisiveness, nearly every day
  6. Feelings of worthlessness or excessive guilt (not just about being sick)
  7. Recurrent thoughts of death, recurrent suicidal ideation without a specific plan, or a suicide attempt or a specific plan for committing suicide
37
Q

When might symptoms of mania/hypomania NOT exclude the diagnosis of major depressive disorder?

A

if the mania- or hypomania-like symptoms were substance-induced.

38
Q

Increased self-esteem or grandiosity is a symptom of…

A

Manic/Hypomanic Episodes

39
Q

Decreased need for sleep (e.g. feels rested after three hours) is a symptom of …

A

Manic/Hypomanic Episodes

40
Q

Feels rested after three hours is an example of what symptom, for what diagnosis?

A

Decreased need for sleep, symptom of manic/hypomanic episodes

41
Q

More talkative than usual or pressure to keep talking is a symptom of….

A

manic episode/hypomanic episode

42
Q

A distinct period of abnormally and persistently elevated, expansive, or irritable mood and abnormally and persistently increased goal-directed activity or energy, lasting at least 1 week and present most of the day, nearly every day (or any duration if hospitalization is necessary) is a criterion of….

A

manic episode

43
Q

A distinct period of abnormally and persistently _______. ______, or _______ mood and abnormally and persistently increased ________ or _______, lasting at least 4 consecutive days and present most of the day, nearly every day (or any duration if hospitalization is necessary) is a criterion of….

A

A distinct period of abnormally and persistently elevated, expansive, or irritable mood and abnormally and persistently increased goal-directed activity or energy, lasting at least 4 consecutive dayes and present most of the day, nearly every day (or any duration if hospitalization is necessary) is a criterion of….

44
Q

a distinct period of abnormally and persistently elevated, expansive, or irritable mood and abnormally and persistently increased goal-directed activity or energy is present in a hypomanic episode for at least ___

A

4 consecutive days

45
Q

what symptom(s) must be present for the diagnosis of major depressive disorder/episode

A

depressed mood OR loss of interest or pleasure in activities

46
Q

which of the following is associated with an unequivocal change in functioning that is uncharacteristic of the individual when not symptomatic?

A

hypomanic episode

47
Q

a distinct period of abnormally and persistently elevated, expansive, or irritable mood and abnormally and persistently increased goal-directed activity or energy is present in a manic episode for at least ___

A

1 week (or any duration if hospitalization necessary)