Major Depressive Disorder

Question 1

DSM Criteria

Answer 1

1. 5 or more of symptoms must be present during the same 2 week period; at least one of the symptoms is either depressed mood or loss of interest or pleasure: depressed mood; diminished interest or pleasure in all or almost all activities; weight loss when not dieting or weight gain; insomnia or hypersomnia nearly everyday; psychomotor agitation or retardation; fatigue or loss of energy nearly everyday; feelings of worthlessness or excessive or inappropriate guilt; diminished ability to think or concentrate, or indecisiveness; thoughts of death, recurrent suicidal ideation w/o a specific plan OR suicide attempt OR a specific plan for suicide
2. impairment in life due to symptoms
3. not attributed to substances or a medical issue
4. not better explained by another mental illness
5. no evidence of manic episode or a hypomania episode

Question 2

Children and adolescents

Answer 2

Instead of sad they may feel irritable!

Question 3

Amotivation

Answer 3

No motivation or ability to carry out necessary tasks of ones life

Question 4

Anhedonia

Answer 4

loss of pleasure

Question 5

Avoidance

Answer 5

Example: calling out to work to avoid the dread of work will make the client feel better momentarily but not long term

Question 6

Rumination

Answer 6

involves self-focused attention accompanied by a repetitive focus on negative emotional causes, symptoms and consequences

Question 7

treatment

Answer 7

Behavioral; CBT; Medications; and apparently shock therapy