Mood Disorders (Bipolar, Depression, Anxiety)

Question 1

any period of time when a patient feels abnormally

happy or sad

Answer 1

Mood episode

Question 2

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 2

Major depressive episode

Question 3

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 3

Manic episode

Question 4

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

Answer 4

Hypomanic episode

Question 5

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

Answer 5

Major depressive disorder

Question 6

There are no high phases, and it lasts 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 6

Persistent depressive disorder (dysthymia)

Question 7

A child’s mood is persistently negative between

frequent, severe explosions of temper

Answer 7

Disruptive mood dysregulation disorder

Question 8

A few days before her menses, a woman experiences

symptoms of depression and anxiety

Answer 8

Premenstrual dysphoric disorder

Question 9

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

Answer 9

Depressive disorder due to another medical condition

Question 10

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

Answer 10

Substance/medication-induced depressive disorder

Question 11

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

Answer 11

Other specified, or unspecified, depressive disorder

Question 12

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

Answer 12

Bipolar I disorder

Question 13

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

Answer 13

Bipolar II disorder

Question 14

These patients have had repeated mood swings, but none that are severe enough to be called major depressive episodes or manic episodes

Answer 14

Cyclothymic disorder

Question 15

Alcohol or other substances (intoxication
or withdrawal) can cause manic or hypomanic symptoms; these need not meet criteria for
any of the conditions above

Answer 15

Substance/medication-induced bipolar disorder

Question 16

Use one of these categories when a patient

has bipolar symptoms that do not meet the criteria for the bipolar diagnoses above

Answer 16

Other specified, or unspecified, bipolar disorder

Question 17

Specifier - 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 17

With atypical features

Question 18

Specifier - 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 18

With melancholic features

Question 19

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

Answer 19

With anxious distress

Question 20

Specifier - There are features of either motor hyperactivity or inactivity in major depressive episodes and manic episodes

Answer 20

With catatonic features

Question 21

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

Answer 21

With mixed features

Question 22

Specifier - 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 22

With peripartum onset

Question 23

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

Answer 23

With psychotic features

Question 24

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

Answer 24

With rapid cycling

Question 25

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

Answer 25

With seasonal pattern

Question 26

These patients experience repeated panic attacks—brief episodes of intense dread accompanied by a variety of physical and other symptoms, together with worry about
having additional attacks and other related mental and behavioral changes

Answer 26

Panic disorder

Question 27

Patients with this condition fear situations or places such as entering a store, where they might have trouble obtaining help if they became anxious

Answer 27

Agoraphobia

Question 28

In this condition, patients fear specific objects or situations. Examples include animals; storms; heights; blood; airplanes; being closed in; or any situation that may lead to vomiting, choking, or developing an illness

Answer 28

Specific phobia

Question 29

These patients imagine themselves embarrassed when they speak, write, or eat in public or use a public urinal

Answer 29

Social anxiety disorder

Question 30

A child elects not to talk, except when alone or with select intimates

Answer 30

Selective mutism

Question 31

Although they experience no episodes of acute panic, these patients feel tense or anxious much of the time and worry about many different issues

Answer 31

Generalized anxiety disorder

Question 32

The patient becomes anxious when separated from a parent or other attachment figure

Answer 32

Separation anxiety disorder

Question 33

These patients are bothered by repeated thoughts or

behaviors that can appear senseless, even to them

Answer 33

Obsessive–compulsive disorder

Question 34

A severely traumatic event, such as combat or a natural disaster, is relived over and over

Answer 34

Posttraumatic stress disorder

Question 35

This condition is much like posttraumatic stress disorder, except that it begins during or immediately after the stressful event and lasts a month or less

Answer 35

Acute stress disorder

Question 36

In this disorder, physically normal patients believe that parts of their bodies are misshapen or ugly

Answer 36

Body dysmorphic disorder

Question 37

An individual accumulates so many objects (perhaps of no value) that they interfere with life and living

Answer 37

Hoarding disorder

Question 38

Pulling hair from various parts of the body is often

accompanied by feelings of “tension and release”

Answer 38

Trichotillomania

Question 39

Patients so persistently pick at their skin that they traumatize it

Answer 39

Excoriation

Question 40

Obsessions and compulsions can be caused by various medical conditions

Answer 40

Obsessive–compulsive and related disorder due to another medical condition

Question 41

Various substances can lead to obsessive–compulsive
symptoms that don’t fulfill criteria for any of the
above-mentioned disorders

Answer 41

Substance/medication-induced obsessive–compulsive

and related disorder

Question 42

Use one of these categories to code disorders with prominent anxiety symptoms that do not fit neatly
into any of the groups above

Answer 42

Other specified, or unspecified, obsessive–compulsive

and related disorder

Question 43

There is evidence of pathogenic care in a child who habitually doesn’t seek comfort from parents or surrogates

Answer 43

Reactive attachment disorder

Question 44

There is evidence of pathogenic care in a child who fails to show normal reticence in the company of strangers

Answer 44

Disinhibited social engagement disorder

Question 45

Following a stressor, an individual develops symptoms that disappear once the cause of stress has subsided

Answer 45

Adjustment disorder

Question 46

Patients whose stress or trauma appears related to other presentations may be classified in one of these categories

Answer 46

Other specified, or unspecified, trauma- and stressor-related disorder