Major depressive disorder Flashcards
A?
- 5 or more present during 2 week period, at least one is 1. or 2.
- Depressed mood most of the day, nearly every day
- Diminished interest or pleasure in all or almost all activities (most of…day)
- Significant weight loss or weight gain, or change in appetite, nearly every day
- Insomnia or hypersomnia nearly every day
B?
Symptoms cause significant distress or impairment in social, occupational or other areas of functioning.
C?
Not attributable to physiological effects of a substance or another medical condition
D?
The occurrence of the episode is not better explained by psychotic disorders
E?
Has never been a manic or hypomanic episode
Specifiers:
- 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)
Additional specifiers?
- Anxious distress
- Mixed features
- Melancholic features
- Atypical features
- Psychotic features
- Catatonia
- With peripartum onset
- With seasonal pattern
- With rapid cycling
Additional specifiers:
Anxious distress?
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
Additional specifiers:
Mixed features?
- 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
Additional specifiers:
Melancholic features?
- 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
Additional specifiers:
Atypical features
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
Additional specifier:
Psychotic features
mood-congruent or mood incongruent psychotic features
Additional specifier:
Catatonia?
Applies to manic or depressive episode
3 or more:
- Posturing
- Mannerism
- Stereotypy
- Stupor
- Catalepsy
- Waxy flexibility
- Grimacing
- Mustism
- Echolalia
- Negativism
- Echopraxia
Additional specifier:
Peripartum onset?
Onset during pregnancy of 4 weeks following delivery
80% of women experience this
Additional specifier:
Seasonal pattern
At least 2 years, regular pattern
Usually worse in autumn and winter