Mood and Bipolar Disorders (Module 8) Flashcards
Criteria for Major Depressive Episode (Duration)
5 or more in a 2-week period
One must be Depressed mood or loss of interest
Criteria for Major Depressive Episode (symptoms)
Depressed mood for most of the day
Decreased interest
Weight loss or gain (>5%)
Insomnia/hypersomnia
Psychomotor agitation or retardation
Fatigue/loss of energy
Worthlessness
Poor concentration
Thoughts of death
Disruptive Mood Dysregulation Disorder
Time/Age
ages 6-18
Onset before age 10
present for 12 months with no longer than 3 months without all symptoms
Disruptive Mood Dysregulation Disorder
Symptoms
Severe recurrent temper tantrums
Inconsistent with developmental level
Occurs at least 3 x week
Persistent irritable mood most of the day nearly every day
Persistent Depressive Disorder
Chronic depressed mood for at least 2 years more days than not (1 year for children and adolescents)
Premenstrual Dysphoric Disorder
5 or more symptoms present in the final week before menses and improving within a few days after onset
symptoms (criteria) for Premenstrual Dysphoric Disorder
Must be significant: Affective lability, Irritability, depressed mood/hopelessness, anxiety/tension
MDD mnemonic
Suicidal thoughts
Interest
Guilt
Energy
Concentration
Appetite
Psychomotor changes
Sleep disturbance
Mnemonic for Mania
Distractibility
Indiscretion
Grandiosity
Flight of ideas
Activity Increased
Sleep deficit
Talkativeness
Major Depression
# of symptoms/time
5+/2 weeks
Dysthymic # of symptoms/time
2+/2 years
Manic Episode
# of symptoms/time
3+/1 week
Hypomania
# of symptoms/time
3+/4 days
Difference between bipolar I and bipolar II
Bipolar I: Must include manic episode
Bipolar II: Mostly depressive symptoms with occasional hypomania
Who is at risk to develop mania induced by antidepressant therapy?
those with family history of bipolar or manic episodes