Mood Disorders

Question 1

(3) criteria to diagnose mental problems related to mood:

Answer 1

(1) mood episodes, (2) mood disorders, (3) specifiers describing most recent episode and recurrent course

Question 2

Refers to any period of time when a patient feels abnormally happy or sad

Answer 2

Mood episode

Question 3

For at least 2 weeks, the patient feels depressed (or cannot enjoy life) and has problems with eating and sleeping, guilt feelings, low energy, trouble concentrating, and thoughts about death

Answer 3

Major depressive episode

Question 4

For at least 1 week, the patient feels elated (or sometimes only irritable) and may be grandiose, talkative, hyperactive, and distractible. Bad judgment leads to marked social or work impairment; often patients must be hospitalized

Answer 4

Manic episode

Question 5

This is much like a manic episode, but it is briefer and less severe. Hospitalization is not required.

Answer 5

Hypomanic episode

Question 6

A pattern of illness due to an abnormal mood

Answer 6

Mood disorder

Question 7

These patients have had no manic or hypomanic episodes, but have had one or more major depressive episodes. This disorder will be either recurrent or single episode.

Answer 7

Major depressive disorder

Question 8

There are no high phases, and it last much longer than typical major depressive disorder. This type of depression is not usually severe enough to be called an episode of major depression (though chronic major depression is now included here)

Answer 8

Persistent depressive disorder (dysthymia)

Question 9

A child’s mood is persistently negative between frequent, severe explosions of temper

Answer 9

Disruptive mood dysregulation disorder

Question 10

A few days before her menses, a woman experiences symptoms of depression and anxiety

Answer 10

Premenstrual dysphoric disorder

Question 11

A variety of medical and neurological conditions can produce depressive symptoms; these need not meet criteria for any of the depressive disorders

Answer 11

Depressive disorder due to another medical condition

Question 12

Alcohol or other substances (intoxication or withdrawal) can cause depressive symptoms; these need not meet criteria for any of the depressive disorders

Answer 12

Substance/medication-induced depressive disorder

Question 13

Use one of these categories when a patient has depressive symptoms that do not meet the criteria for the depressive diagnoses above for any other diagnosis in which depression is a feature

Answer 13

Other specified, or unspecified, depressive disorder

Question 14

Approximately ___% of patients with mood disorders experience manic or hypomanic episodes.

Answer 14

25%

Question 15

There must be at least one manic episode; most patients with this disorder also have major depressive episode

Answer 15

Bipolar I disorder

Question 16

This diagnosis requires at least one hypomanic episode plus at least one major depressive episode

Answer 16

Bipolar II disorder

Question 17

These patients have had repeated mood swings, but non that are severe enough to be called major depressive episodes or manic episodes

Answer 17

Cyclothymic disorder

Question 18

Alcohol or other substances (intoxication or withdrawal) can cause manic or hypomanic symptoms; these need not meet criteria for any of the bipolar and related disorders.

Answer 18

Substance/medication-induced bipolar disorder

Question 19

A variety of medical and neurological conditions can produce manic or hypomanic symptoms; these need not meet criteria for any of the bipolar and related disorders

Answer 19

Bipolar disorder due to another medical condition

Question 20

Use one of these categories when a patient has bipolar symptoms that do not meet the criteria for the bipolar diagnoses

Answer 20

Other specified, or unspecified, bipolar disorder

Question 21

In these patients, symptoms suggestive of schizophrenia coexist with major depressive or a manic episode

Answer 21

Schizoaffective disorder

Question 22

The qualifier with behavioral disturbance can be coded into the diagnosis of major or mild neurocognitive disorder

Answer 22

Major and mild neurocognitive disorder with behavioral disturbance

Question 23

This term codes one way of adapting to a life stress

Answer 23

Adjustment disorder with depressed mood

Question 24

Dysphoric mood is specifically mentioned in the criteria for borderline personality disorder, but depressed mood commonly accompanies avoidant, dependent, and histrionic personality disorder.

Answer 24

Personality disorders

Question 25

Sadness at the death of a relative or friend is a common experience. Because this is a normal reaction to a particular type of stressor, it is recorded not as a disorder, but as a Z-code [v-code]

Answer 25

Uncomplicated bereavement

Question 26

Depression can accompany many other mental disorders, including schizophrenia, the eating disorders, somatic symptom disorder, sexual dysfunctions, and gender dysphorias. Mood symptoms are likely in patients with an anxiety disorder (especially panic disorder and the phobic disorders), OCD, and PTSD

Answer 26

Other disorders that cause depressive and manic symptoms

Question 27

These depressed patients eat a lot and gain weight, sleep excessively, and have a feeling of being sluggish or paralyzed. They are often excessively sensitive to rejection.

Answer 27

with atypical features

Question 28

This term applies to major depressive episodes characterized by some of the “classic” symptoms of severe depression. These patients awaken early, feeling worse than they do later in the day. They lose appetite and weight, feel guilty, are either slowed down or agitated, and do not feel better when something happens that they would normally like

Answer 28

With melancholic features

Question 29

A patient has symptoms of anxiety, tension, restlessness, worry, or fear that accompanies a mood episode

Answer 29

With anxious distress

Question 30

There are features of either motor hyperactivity or inactivity. This can apply to major depressive episodes and to manic episodes

Answer 30

With catatonic features

Question 31

Manic, hypomanic, and major depressive episodes may have mixtures of manic and depressive symptoms

Answer 31

With mixed features

Question 32

A manic, hypomanic, or major depressive episode (or a brief psychotic disorder) can occur in a woman during pregnancy or within a month of having a baby

Answer 32

With peripartum onset

Question 33

Manic and major depressive episodes can be accompanied by delusions, which can be mood-congruent or -incongruent

Answer 33

With psychotic features

Question 34

Within 1 year, the patient has had at least 4 episodes (in any combination) fulfilling criteria for major depressive, manic, or hypomanic episodes

Answer 34

With rapid cycling

Question 35

These patients regularly become ill at certain time of the year, such as fall or winter

Answer 35

With seasonal pattern

Question 36

(4) Specifiers for severity and remission & # of symptoms

Answer 36

Mild (2 symptoms of anxious distress)
Moderate (3 symptoms)
Moderate-severe (4-5 symptoms)
Severe (4-5 symptoms plus physical agitation)

Question 37

Best Treatment Practices Major Depressive Disorder

Answer 37

CBT, Problem-solving, psychodynamic therapy; develop therapeutic alliance, educate family and patient, complete suicide and psychiatric assessment; anti-depressant;

Question 38

Best Treatment Practices Bipolar

Answer 38

mood-stabilizing drugs like lithium or an antipsychotic; CBT, interpersonal therapy, or family-focused therapy

Question 39

best treatment practices persistent depressive

Answer 39

cbt and antidepressant