Quiz 5 Flashcards
A) a distinct period of abnormally and persistently elevated, expansive, or irritable mood and abnormally and persistently increased goal-directed activity or energy, lasting at least 1 week and present most of the day, nearly every day.
B)During the period of mood disturbance and increased energy or activity, 3 or more of the following symptoms (4 if the mood is irritable) are present to a significant degree and represent a noticeable change from usual behavior:
1) inflated self-esteem or grandiosity
2) decreased need for sleep
3) more talkative than usual or pressure to keep talking
4) flight of ideas or subjective experience that thoughts are racing
5) Distractibility
6) increase in goal-oriented activity (social, work/school, sexually) or psychomotor agitation
7) excessive involvement in activities that have a high potential for painful consequences
C) The mood disturbance is sufficiently severe to cause marked impairment in social or occupational functioning or to necessitate hospitalization to prevent harm to self or others, or there are psychotic features.
D)the episode is not attributable to the physiological effects of a substance or not another medical condition
Manic Episode
A) a distinct period of abnormally and persistently elevated, expansive, or irritable mood and abnormally and persistently increased activity or energy, lasting at least 4 consecutive days and present most of the day, nearly every day.
B) During the period of mood disturbance and increased energy and activity, 3 or more of the following (4 if the mood is irritable) have persisted, represent a noticeable change from usual behavior and have been present to a significant degree.
1) inflated self-esteem or grandiosity
2) decreased need for sleep
3) more talkative than usual or pressure to keep talking
4) flight of ideas or subjective experience that thoughts are racing
5) distractibility
6) increase in goal-directed activity (socially, school/work, sexually) or psychomotor agitation
7) excessive involvement in activities that have a high potential for painful consequences.
C) The episode if associated with an unequivocal change in functioning that is uncharacteristic of the individual when not symptomatic.
D) The disturbance in mood and the change in functioning are observable by others.
E) The episode is not severe enough to cause marked impairment in social or occupational functioning or to necessitate hospitalization. If there are psychotic features, the episode is, be definition, manic.
F) The episode is not attributable to the physiological effects of a substance.
HYPOmanic episode
A) for at least 2 years (1 in children/adolescents) there have been numerous periods with hypomanic symptoms that do not met criteria for a hypomanic episode and numerous periods with depressive symptoms that do not meet criteria for a major depressive episode.
B) During the 2 year period (1 for kids/adolescents), the hypomanic and depressive periods have been present for at least half the time and the individual has not been without the symptoms for more than 2 months at a time.
C) Criteria for a major depressive, manic, or hypomanic episode have never been met
D) The symptoms in criterion A are not better explained by schizoaffective disorder, schizophrenia, schizophreniform disorder, delusional disorder, or other specified or unspecified schizophrenia spectrum and other psychotic disorder.
E) symptoms are not attributable to the physiological effects of a substance or another medical condition
F) Symptoms cause clinically significant distress or impairment in social, occupational, or other important areas of functioning
Cyclothymic Disorder
essential feature = chronic and fluctuating mood disturbance involving numerous periods of hypomanic symptoms and periods of depressive symptoms that are distinct form each other.
cyclothymic disorder
A) 5 or more of the following symptoms have been present during the same 2-week period and represent a change from previous functioning; at least 1 of the symptoms is either depressed mood or loss of interest or pleasure.
1) depressed mood most of the day, nearly every day, as indicated by either subjective report or observation made by others
2) Markedly diminished interest or pleasure in all, or almost all, activities most of the day, nearly every day by subjective account or observation.
3) significant weight loss when not dieting or weight gain, or decrease or increase in appetite nearly every day.
4) Insomnia or hypersomnia nearly every day
5) psychomotor agitation or impairment nearly every day thats observable by others
6) fatigue or loss of energy nearly every day
7) feelings of worthlessness or excessive or inappropriate guilt nearly every day
8) diminished ability to think or concentrate, or indecisiveness, nearly every day
9) recurrent thought of death, recurrent suicidal ideation without a specific plan, or a suicide attempt or a specific plan for committing suicide.
B) The symptoms cause clinically significant distress or impairment in social, occupational, or other important areas of functioning.
C) the episode is not attributable to the physiological effects of a substance or to another medical condition
D) The occurrence of the major depressive disorder is not better explained by schizoaffective disorder, schizophrenia, schizophreniform disorder, delusional disorder, or other specified and unspecified schizophrenia spectrum and other psychotic disorders.
E) There has never been a manic episode or a hypomanic episode
Major depressive disorder
A) Depressed mood for most of the day, for more days than not, as indicated by subjective account or observation by others, for at least 2 years
B) Presence while depressed, of 2 or more of the following:
1) poor appetite or overeating
2) insomnia or hypersomnia
3) low energy or fatigue
4) low self-esteem
5) poor concentration or difficulty making decisions
6) feelings of hopelessness
C) During the 2-year period (1 for children/adolescents) of the disturbance, the individual has never been without the symptoms in criteria A and B for more than 2 months at a time.
D) Criteria for a major depressive disorder may be continuously present for 2 years
E) There has never been a manic episode or a hypomanic episode and criteria have never been met for cyclothymic disorder
F) The disturbance is not better explained by a persistent schizoaffective disorder, schizophrenia, delusional disorder, or other specified or unspecified schizophrenia spectrum and other psychotic disorder.
G) the symptoms are not attributable to the physiological effects of a substance or another medical condition.
H) the symptoms cause clinically significant distress or impairment in social, occupational, or other important areas of functioning
Persistent Depressive Disorder
