Mood Disorders

Question 1

A distinct period of abnormally and persistently elevated, expansive, or irritable mood, activity, or energy, lasting at least one week and present most of the day nearly every day

Answer 1

Criteria A, manic episode

Question 2

Criteria B manic episode

Answer 2

During mood disturbance, 3 or more of the following symptoms are present and are a noticeable change from usual behavior:
1. Inflated self esteem/ grandiosity
2. Decreased need for sleep
3. More talkative
4. Flight of ideas
5. Distract-ability
6. Increase goal-directed activity
7. Engagement in risky activities

Question 3

A distinct period of abnormally and persistently elevated, expansive, or irritable mood, activity, or energy, lasting at least 4 days and present most of the day nearly every day

Answer 3

Criteria A, hypomanic episode

Question 4

During the period of mood disturbance and increased energy and activity three or more of the following symptoms have persisted represented a noticeable change from usual behavior and have been present to a significant degree:
1. Inflated self-esteem or grandiosity
2. Decreased need for sleep
3. More talkative than usual
4. Flight of ideas
5. Distractibility
6. Increase and goal directed activity
7. Excessive involvement in activities that have a high potential for painful consequences

Answer 4

Criteria B for manic and hypomanic episodes

Question 5

Criteria C, hypomanic episode

Answer 5

The episode is associated with an unequivocle change in functioning that is uncharacteristic of the individual when not symptomatic

Question 6

What is one way to differentiate between manic and hypomanic episodes?

Answer 6

Manic episodes persist for at least seven days hypromantic episodes last four. Manic episodes cause market impairments in social or occupational functioning hypomanic episodes do not.

Question 7

Criteria A, major Depressive disorder

Answer 7

Five or more of the following symptoms have been present during the same two week period and represent a change from previous functioning at least one of the symptoms is either (1) depressed mood or (2)loss of interest or pleasure:
1. Depressed mood most of the day nearly every day
2. Markedly diminished interest or pleasure and all are almost all activities most of the day nearly every day
3. Significant weight loss or weight gain when not dieting.
4. Insomnia
5. Psycho motor agitation or retardation
6. Fatigue or loss of energy
7. Feelings of worthlessness or excessive or inappropriate guilt
8. Diminished ability to think or concentrate
9. Recurrent thoughts of death or suicidal ideation without a specific plan


Question 8

What are the two criteria ( A & B)for bipolar 1 disorder?

Answer 8

A. Criteria have been met for at least one manic episode
B. At least one manic episode is not better explained by schizophrenia schizo affective disorder. 

Question 9

For a diagnosis of ___ it is necessary to meet the following criteria for a current or past hypomanic episode in the following criteria for a current or past major depressive episode

Answer 9

Bipolar 2

Question 10

Criteria A, bipolar 2 disorder

Answer 10

A: criteria have been met for at least one hypomanic episode and at least one major depressive episode

Question 11

Criteria B, bipolar 2

Answer 11

There have never been a manic episode

Question 12

For at least two years (at least one year wchildren )there have been numerous periods with hypomanic symptoms that do not meet criteria for a hypo manic episode and numerous periods with depressive symptoms that do not meet criteria for a major depressive episode

Answer 12

Cyclothymic disorder

Question 13

Criteria b, cyclothymic disorder

Answer 13

During the two-year period criteria a symptoms have been present for at least half the time and the individual has not been without the symptoms for more than two months at a time

Question 14

C: criteria for major depressive, manic, or hypo manic, episode have never been met

Answer 14

Cyclothymic disorder

Question 15

Substance/medication induced bipolar and related disorder

Answer 15

A: A prominent and persistent disturbance in the mood that predominates in the clinical picture and is characterized by abnormally elevated expensive or irritable mood and abnormally increased activity or energy
B: there is evidence from the history that the symptoms and I criteria a developed during or after substance intoxication or withdrawal and that the substance is capable of producing the symptoms and criteria a

Question 16

Specifiers for bipolar and related disorders

Answer 16

With anxious distress
with mixed features
with rapid cycling
with melancholic features
with atypical features
with psychotic features
with catatonia
with Peripartum onset
with seasonal pattern

Question 17

Disruptive mood dysregulation disorder

Answer 17

A: Severe reoccurrent temper outburst manifested verbally and or behaviorally that are grossly out of proportion and intensity or duration to the situation
B. The temper outburst are inconsistent with development level
C: The temper outburst occur three or more times per week
D: Criteria a through D have been present for 12 or more months
… etc.

Question 18

MDD specifiers:

Answer 18

Mild
moderate
severe
with psychotic features
partial remission
in full remission
unspecified
with anxious distress
with mixed features
with melancholic features
with atypical features
with mood congruent psychotic features
with mood and congruent psychotic features
with catatonia
with Peri partum on sad
what seasonal pattern

Question 19

A: Depressed mood for most of the day for more days and not as indicated by either subjective or counter observation observations by others for at least two years

Answer 19

Persistent depressive disorder

Question 20

Criteria B, persistent depressive disorder

Answer 20

Presence while depressed of two or more of the following:
Poor appetite or over eating insomnia or hypersomnia
low energy or fatigue
low self-esteem
poor concentration
feelings of hopelessness

Question 21

Criteria C, persistent depressive disorder

Answer 21

During the two-year period the individual has never been without the symptoms and criteria ANB for more than two months

Question 22

Premenstrual dysphoric disorder

Answer 22

A: and the majority of menstrual cycles at least five symptoms must be present in the final week before the onset of menses start to improve within a few days and become minimal in the week post menses
B: One of the following symptoms must be present:
1. Marked affective liability
2. marked irritability
3. marked depressed mood
4. marked anxiety
C. One or more of the following symptoms must additionally be present:
1. Decrease interest in usual activities
2. subjective difficulty in concentration
3.fatigue
4.
change an appetite
5. change and sleep

Question 23

Criteria for anxious distress

Answer 23

The presence of at least two of the following symptoms:
1. Feeling keyed up or tense
2. Feeling unusually restless
3. Difficulty concentrating because of worry
4. Fear that something awful may happen
5. Filling up the individual might lose control

Question 24

Criteria for mixed features (depressive)

Answer 24

At least three of the following manic hypomanic symptoms are present during the majority of the days:
1. Elevated expansive mood
2. Inflated self-esteem
3. More talkative
4. Flight of ideas
5. Increase in energy
6. Risky behavior
7. Decreased need for sleep

Question 25

With melancholic features specifier criteria

Answer 25

One of the following is present:
A:
1. loss of pleasure and activities
2 lack of reactivity to usually pleasurable stimuli
B: Three or more of the following
1. Depressed mood characterized by profound despondency or despair
2. Depression that is worse in the morning
3. Early morning awakening
4. Marked psycho motor agitation or retardation

Question 26

With a typical features specifier criteria

Answer 26

A: mood reactivity
B: Significant weight gain or increase in appetite hypersomnia lead in paralysis

Question 27

With psychotic features specifier criteria (depressive)

Answer 27

With mood congruent psychotic features or with mood and congruent features