Mental Illness States

Question 1

DMDD

Answer 1

Disruptive Mood Dysregulation Disorder:
mood disorder in children and adolescents characterized by chronic, severe irritability and frequent episodes of extreme temper outbursts

Outbursts are out of proportion in intensity or duration to the situation.

Behavior OBS in home and school; s/s present for 12+ months

Tx: Computer-based training, parent training, CBT

Question 2

PDD vs MDD

Answer 2

Persistent Depressive Disorder (Dysthymia)
Duration:
PDD: persists for at least 2 years.
MDD: Episodes of MDD can last for at least 2 weeks to 5-6 months

Severity:
PDD: milder, dull
MDD: profound sadness/anhedonia; significant func. impair

Symptom count:
PDD: depressed mood +2 other symptoms
MDD: depressed mood/anhedonia +5 other symptoms

Onset:
PDD: starts in childhood, adolescence, or early adulthood, and subtle in beginning
MDD: any age; clear beginning and end

Tx:
PDD: CBT, SSRI, SNRI, TCAs
MDD:

Question 3

PMDD

Answer 3

Premenstrual Dysphoric Disorder
Severe form of PMS; significant premenstrual mood disturbances, often with irritability, tension, and dysphoria (a state of unease or generalized dissatisfaction with life)
All same PMS s/s + MOOD SWINGS, anxiety, depression, in the 2 weeks leading up to menstration, which can interfere with daily life.

Tx: exercise, complex carbs, sleep, light therapy, acupuncture, relaxation therapy, and SSRIs (paroxetine, sertraline, & fluoxetine)

Question 4

Substance/Medically-induced DD

Question 5

DD d/t another disorder

Question 6

Tx Modalities

Question 7

Anhedonia

Answer 7

loss of interest or pleasure in activities

Question 8

Serotonin Syndrome

Answer 8

(box 14.3)

Question 9

SAD

Question 10

SDD

Question 11

GAD

Question 12

OCD