Mood Disorders

Question 1

MDE

Answer 1

Five (or more) of the following symptoms have been present during the same 2-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.
S: sadness/depressed mood
I: interest - diminished interest or pleasure
G: guilt (inappropriate) or worthlessness
E. energy- loss of energy or fatigue
C.concentration- diminished ability to concentrate or indecisiveness
A appetite- significant weight loss or weight gain OR decrease or increase in appetite
P psychomotor agitation or retardation
S sleep too much/not enough nearly every day
9. suicide- recurrent thoughts of death (not just fear of dying), recurrent suicidal ideation without a specific plan, or a suicide attempt or a specific plan for committing suicide

B. The symptoms do not meet criteria for a Mixed Episode .

C. cause significant distress or impairment in social, occupational, or other important areas of functioning.

D. Not due to GMC (e.g., hypothyroidism) or substance

E. Not better accounted for by Bereavement- the symptoms persist for longer than 2 months after death

Question 2

MDD, Single episode

Answer 2

Presence of a single Major Depressive Episode
Major Depressive Episode is not better accounted for by a psychotic disorder
There has never been a manic, mixed, or hypomanic episode

Question 3

MDD, recurrent

Answer 3

Presence of two or more Major Depressive Episodes. Note: To be considered separate episodes, there must be an interval of at least 2 consecutive months in which criteria are not met for a Major Depressive Episode
Major Depressive Episode is not better accounted for by a psychotic disorder
There has never been a manic, mixed, or hypomanic episode

Question 4

Dysthymia

Answer 4

Depressed mood for most of the day, for more days than not, as indicated either by subjective account or observation by others, for at least 2 years. 
Presence, while depressed, of two (or more) of the following: 
C concentration- poor or indecisive
A appetite - eat too much or too little 
S sleep- insomnia or hypersomnia
H hopelessness 
E energy- low energy or fatigue
S self-esteem low 

Never without symptoms for more than 2 months during 2 years

No Major Depressive Episode has been present during the first 2 years of the disturbance

Note: There may have been a previous Major Depressive Episode provided there was a full remission (no significant signs or symptoms for 2 months) before development of the Dysthymic Disorder. In addition, after the initial 2 years of Dysthymic Disorder, there may be superimposed episodes of Major Depressive Disorder, in which case both diagnoses may be given when the criteria are met for a Major Depressive Episode.

There has never been a Manic Episode, a Mixed Episode, or a Hypomanic Episode, and criteria have never been met for Cyclothymic Disorder.

The disturbance does not occur exclusively during the course of a chronic Psychotic Disorder, such as Schizophrenia or Delusional Disorder.

Not due to GMC or substance

Cause significant distress or impairment in social, occupational, or other important areas of functioning.

Question 5

partial remission specifier

Answer 5

sitll has more than minimal symptoms or no symptoms, less than 2 months

Question 6

response

Answer 6

remission due to tx intervention

Question 7

recovery

Answer 7

full remission that lasts for a defined period

Question 8

recurrence

Answer 8

new episode occuring afrer recovery from previous episode

Question 9

chronic depression

Answer 9

lasts more than 2 years

Question 10

Beck’s cog behavioral model

Answer 10

core beliefs –> intermediate beliefs –> auto thoughts

core= develop in early childhood, lens through which process info
intermediate= rules, assumptions that tend to be irrational, overgeneralized
auto= result of core and intermediate beliefs

Question 11

hopelessness model (abramson)

Answer 11

neg event + neg cog style –> event specific inferences –> hopelessness –> depression

Question 12

effective psychotherapy tx for depression

Answer 12

CBT, IPT

Question 13

best treatment from chronic depression

Answer 13

Cog behavioral analysis system of psychotherapy + meds

Question 14

full remission specifier

Answer 14

no symptoms, more than 2 months

Question 15

tripartite model

Answer 15

anxious arousal factor- specific to anxiety
low positive affect= specific to depression
negative affect= common to anxiety and depression