Mood Disorders

Question 1

Hypomania

Answer 1

Elevated mood, increased physical and mental activity, talkative, over friendly and less constrained by social norms.
Social functioning broadly intact

Question 2

Manic episode

Answer 2

Elevated mood, increased physical and mental activity, talkative, over friendly and less constrained by social norms.
No psychotic symptoms but
Increased distractibility and reckless, inappropriate or unpredictable behaviour.

Question 3

Manic episode with psychosis

Answer 3

Elevated mood, increased physical and mental activity, talkative, over friendly and less constrained by social norms.
With Delusions +/ Hallucinations +/ severe communication difficulties.

Question 4

Bipolar Affective Disorder

Answer 4

2 episodes of mania
OR
1 manic episode and 1 depressive episode

Question 5

Depression

Answer 5

1. Subjective lowering of mood
2. Lack of energy
3. Reduced concentration
4. Reduced activity (psycho-motor retardation)
5. Ahedonia
6. Reduced self-esteem, guilt or worthlessness
7. Appetite changes
8. Sleep disruption
9. Loss of libido
   Mild, Moderate, Severe, Severe with psychosis

Question 6

Recurrent depressive episode

Answer 6

2 or more episodes of depression only

Question 7

Persistent mood disorders

Answer 7

Cyclothymia- persistent mood instability not meeting BAD

Dysthymia- chronic depressed mood not severe enough to be major depression

Question 8

Phobic Anxiety Disorder

Answer 8

Anxiety related to a particular, not immediately dangerous, situation.
Avoidance or dread of trigger
Physical symptoms
eg. Agoraphobia, Social Phobia, Isolated phobias

Question 9

Panic Disorder

Answer 9

AKA episodic paroxysmal anxiety

1. palpitations
2. chest pain
3. choking
4. dizzy
5. derealisation

Question 10

Generalised anxiety disorder

Answer 10

persistent anxiety- often focused on a worry such as injury or accident- although it will continue and shift to other foci

Question 11

OCD

Answer 11

Recurrent obsessional thoughts and compulsive acts.
1. OWN thoughts but unpleasant and unwanted
2. Compulsions are not enjoyable but offer temporary relief and serve some - usually illogical - purpose
Can be primarily ruminations or compulsions or mixed type

Question 12

Acute Stress Reaction

Answer 12

Dazed, inattentive, disorientated.
physical anxiety symptoms, disruption of affect, psycho-motor changes and amnesia may all occur
Lasts Hours- Days after event.
Normal varient

Question 13

PTSD

Answer 13

Delayed or protracted maladaptive stress response.

1. Flashbacks / Nightmares
2. Emotional blunting and ahedonia
3. Detachment and avoidance
4. Insomnia
5. Depression and anxiety

Question 14

Adjustment Disorder

Answer 14

Conduct disorder +/- other symptoms following period of upheaval

Question 15

Dissociative Disorder

Answer 15

Loss of control of actions and integrity of self with no organic cause:
Amnesia / Fuge / Stupor / Trance and possession / motor disorder / convulsions / anaesthesia / DID

Question 16

Somatoform disorder

Answer 16

Physical symptom of no organic cause which results in great distress

Question 17

Somatisation disorder

Answer 17

> 2yr Hx frequently changing physical symptoms of non organic origin.

Question 18

Hypochondriasis

Answer 18

Preoccupation with possibility of serious disease perceiving normal sensation as symptom of illness

Question 19

Neurasthesia

Answer 19

Physical / mental fatigue after minimal effort