Mood disorders

Question 1

How long must a manic episode last?

Answer 1

AT LEAST 1 WEEK.v

Question 2

Bipolar I vs. bipolar II

Answer 2

bipolar I: presence of at least 1 manic episode with or without a hypomanic or depressive episode.
bipolar II: presence of a hypomanic and a depressive episode.

Question 3

cyclothymic disorder

Answer 3

dysthmia and hypomania. milder form of bipolar lasting at least 2 years.

Question 4

Major depressive disorder: how many criteria must be met?

Answer 4

5 out of 9 symptoms in SIGECAPS (with depressed mood)

must last 6-12 months.

Question 5

persistent depressive disorder

Answer 5

depression, often milder, that lasts at least 2 years; at least 2 but not 5/9 symptoms of depression

Question 6

atypical depression

Answer 6

mood reactivity (being able to experience imporved mood in response to positive events, albeit briefly), hypersomina and weight gain, leaden paralysis (heavy feeling in arms and legs), interpersonal rejection sensitivity.

Question 7

postpartum blues vs. depression vs. psychosis

Answer 7

blues: common, usually resolves within 10 days.
depression: lasts 2 weeks to a year or more.
psychosis: lasts 4-6 weeks.

Question 8

adjustment disorder

Answer 8

emotional symptoms causing impairment following an identifiable psychosocial stressor and lasting less than 6 months (or more than 6 months in the presence of a chronic stressor)

Question 9

acute stress disorder vs. PTSD

Answer 9

acute stress lasts between 3 days and 1 month.
PTSD lasts more than 1 month and ischaracterized by flashbacks, nightmares, fear, helplessness, horror, increased arousal.

Question 10

malingering

Answer 10

patient CONSIOUSLY fakes or exaggerates complaints in order to attain a specific secondary gain (avoiding work, getting compensation). poor copliance with treatment or follow-up tests. complaints cease after gain.

Question 11

factitious disoders

Answer 11

patient consciously creates physical or psychological symptoms in order to assume the sick role and to get medical attention (internal gain).

Question 12

somatic symptom disorder

Answer 12

variety of complaints in one or more organ systems that last months to years. associated with excessive, persistent thoughts and anxiety about symtpoms. may co-occur with a medical illness.

Question 13

conversion disorder:

Answer 13

SUDDEN loss of sensory or motor function, often following an acute stressor. patient is aware of but sometimes indifferent toward symptoms.

Question 14

illness anxiety disorder

Answer 14

pereoccupation with or fear of having a serious illness despite medical evaluation and reassurance.

Question 15

cluster B personality disorders: list them. what are they associated with?

Answer 15

anitsocial, borderline, histrionic, narcissistic.

associated with mood disorders and substance abuse.