Major depressive disorder Flashcards

1
Q

A?

A
  • 5 or more present during 2 week period, at least one is 1. or 2.
  1. Depressed mood most of the day, nearly every day
  2. Diminished interest or pleasure in all or almost all activities (most of…day)
  3. Significant weight loss or weight gain, or change in appetite, nearly every day
  4. Insomnia or hypersomnia nearly every day
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2
Q

B?

A

Symptoms cause significant distress or impairment in social, occupational or other areas of functioning.

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3
Q

C?

A

Not attributable to physiological effects of a substance or another medical condition

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4
Q

D?

A

The occurrence of the episode is not better explained by psychotic disorders

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5
Q

E?

A

Has never been a manic or hypomanic episode

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6
Q

Specifiers:

A
  • Nº of episodes:
    1
    multiple separated by periods of normal mood. Min. 2 months between
  • Severity:
    Mild
    Moderate
    Severe

-Course:
With psychotic features (delusions or hallucinations)
In full remission (at least 2m w/ nothing)
Partial remission (<2m)

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7
Q

Additional specifiers?

A
  • Anxious distress
  • Mixed features
  • Melancholic features
  • Atypical features
  • Psychotic features
  • Catatonia
  • With peripartum onset
  • With seasonal pattern
  • With rapid cycling
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8
Q

Additional specifiers:
Anxious distress?

A

2 or more every day:
- feeling tense
- Feeling restless
- Difficulty concentrating because of worry
- Fear that something awful may happen
- Feeling a loss of control

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9
Q

Additional specifiers:
Mixed features?

A
  • 1 episode + 3 or more symptoms almost every dya
    -Manic/hypomanic episode (3 or more dep symptoms)
    -Major depressive episode (with 3 or more menia/hypomaa
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10
Q

Additional specifiers:
Melancholic features?

A
  • loss of pleasure
    and 3 or more:
  • empty mood
  • depression worse in the morning
  • early morning awakening
  • Psychomotor agitation or weightless
  • Anorexia or wight loss
  • Inappropriate guilt
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11
Q

Additional specifiers:
Atypical features

A

Applied to MDD or just episodio:
- Mood reactivity (brightens in good events)
- weight gain increased appetite
- hypersomnia
- Leaden feelings in arms of legs
- Psychotic features)
- Interpersonal rejection seberity

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12
Q

Additional specifier:
Psychotic features

A

mood-congruent or mood incongruent psychotic features

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13
Q

Additional specifier:
Catatonia?

A

Applies to manic or depressive episode
3 or more:

  • Posturing
  • Mannerism
  • Stereotypy
  • Stupor
  • Catalepsy
  • Waxy flexibility
  • Grimacing
  • Mustism
  • Echolalia
  • Negativism
  • Echopraxia
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14
Q

Additional specifier:
Peripartum onset?

A

Onset during pregnancy of 4 weeks following delivery
80% of women experience this

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15
Q

Additional specifier:
Seasonal pattern

A

At least 2 years, regular pattern
Usually worse in autumn and winter

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16
Q

Additional specifier:
With rapid cycling

A

Applies to bipolar I and II:
4 episodes of mania/hypomania or depression.
At least 2months of partial or full remission or a switch to opposite episode