mood disorders Flashcards
1
Q
Euthymia
A
Regular/normal mood
2
Q
Dysthymia
A
Depressive symptoms for more than 2 years
3
Q
Mania
A
Elevated mood
4
Q
Hypomania
A
Elevated mood, but not to the extent of mania
5
Q
Subsyndromal depression
A
Symptoms of depression, but does not meet criteria for diagnosis of depression
6
Q
MDE (major depressive episode): Criteria
A
- Must meet 5/9 of the symptoms within a 2-week period
- 1 of the symptoms must be symptoms 1 or 2
1. Depressive mood
2. Anhedonia
3. Weight loss
4. Hypersomnia/insomnia
5. Psychomotor agitation/slow
6. Fatigue
7. Feelings of worthestness/guilt
8. Diminished ability to think/concentrate
9. Thoughts of death/suicide attempts
7
Q
MDD (major depressive disorder): Criteria
A
- At least 1 MDE (single/recurrent)
- cannot have any history of mania/hypomania
- cannot be normal response to significant loss
- women 2x more likely than men
- onset = 20s/late teens
8
Q
Persistent Depressive Disorder (dysthymia): Criteria
A
- Must be consistent for 2 years
- Cannot be without symptoms for more than 2 months
- Along with symptoms of MDE, must experience additional 2 or more of:
1. Hypersomnia/insomnia
2. Fatigue
3. Loss of appetite
4. Low self esteem
5. Feeling hopeless
6. Poor concentration - Cannot have history of mania/hypomania
- 2x more liken in women than men
- Onset = early aanthood
9
Q
psychomotor agitation
A
restlessness
10
Q
Mania: Criteria
A
- Elevated, irritable, and or expansive mood
- Individuals experiencing mania may not see it as a problem
- 7 days before diagnosis
- 3/7 symptoms (but if irritability is the main presentation 4/7)
1. Decreased need for sleep
2. More talkative than usual
3. Inflated self esteem
4. Flight of ideas
5. Distractibility
6. Increased goal directed activity/psychomotor agitation
7. Risky behaviour
11
Q
Hypomania: Criteria
A
- Same symptoms as mania
- Does not require 7 days for diagnosis, can be 4 days
- What makes it different:
1. Shorter in duration
2. Not as intense
3. Does not cause significant impairment
4. No psychotic features
12
Q
Bipolar I Disorder: Criteria
A
- Only criteria = manic episode
- Bipolar I individuals have more hypomanic episodes than bipolar II individuals
- Age of onset = 18 (but can occur later)
- Equal in men and women
- 40% have MDE
- 90% of those who experience manic episodes will experience another
13
Q
Bipolar II Disorder: Criteria
A
- Hypomania + MDE
- Commonly begins with MDE
- No history of mania
- Onset = mid to late 20s
- Equal in men and women
- More total episodes than bipolar I disorder
14
Q
Cyclothymic Disorder: Criteria
A
- Bipolar version of dysthymia
- Numerous periods of hypomania and depressive symptoms for 2 years
- Cannot be without symptoms for more than 2 months
- Rapid cycling of States
- 15-50% receive bipolar diagnosis
- Equal in men and women
- Onset = adolescence/young adults
15
Q
Psychotic features
A
Specifier: Hallucinations/delusions
