MOOD DISORDERS

Question 1

What are the 2 main types of mood disorders?

Answer 1

Unipolar depression Bipolar disorder

Question 2

What are the 6 classifications of unipolar depression?

Answer 2

•Mild •Moderate •Severe •Severe with psychosis •Recurrent •Dysthymia

Question 3

What are the 5 classifications of bipolar depression?

Answer 3

•Hypomania •Mania •Mania with psychosis •Bipolar • Cyclothymia

Question 4

What are the 3 cardinal signs of depression?

Answer 4

1. Depressed mood.
2. Loss of interest and enjoyment (anhedonia).
3. Reduced energy levels, easy fatigability

Question 5

Give 5 associated symptoms of unipolar depression.

Answer 5

1. Reduced concentration & attention
2. Reduced self-esteem & self-confidence
3. Ideas of guilt & worthlessness
4. Bleak & pessimistic views of life
5. Ideas or acts of self-harm or suicide
6. Disturbed sleep
7. Change in appetite (⁄) with corresponding weight change).
8. Change in psychomotor activity, with agitation or retardation (either subjective or objective)

Question 6

How long do depressive symptoms need to persist before a diagnosis can be made?

Answer 6

2 weeks

Question 7

What has to be excluded from the history to make a diagnosis of unipolar depression?

Answer 7

No history of mania or manic episodes

Question 8

To diagnose somatic depressive syndrome, 4 of 8 symptoms are required. What are these 8 symptoms?

Answer 8

1. Anhedonia
2. Lack of emotional reactivity to normally pleasurable surroundings.
3. Early wakening (2 or more hours before usual time).
4. Depression worse in the mornings. (diurnal variation)
5. Objective evidence of psychomotor retardation or agitation (remarked on or
6. reported by other people).
7. Poor appetite & weight loss (5% of body weight in the past month).
8. Loss of libido

Question 9

What are the diagnostic criteria for:

• mild depression?
• moderate depression?
• severe depression?
• severe depression with psychosis?

Answer 9

Mild –with/without somatic symptoms

• 2 of cardinal symptoms plus two others (2+2)
• Usually able to continue ordinary work and social activities

Moderate symptoms–with/without psychotic

• Two of cardinal symptoms plus three/four other symptoms (2+4)
• Considerable difficulty in continuing with social, work or domestic activities

Severe – without psychotic symptoms

• All three cardinal symptoms plus at least five other symptoms(3+5)
• Unlikely to continue with social, work or domestic activities

Severe , with psychotic symptoms

• • Above criteria , plus
• • Mood congruent/incongruent psychotic symptom: delusions, hallucinations or depressive stupor