W5: Mood Disorders

Question 1

Prevalence of MDD in children and adolescents

Answer 1

3% & 6%

Question 2

The earlier the onset of MDD…

Answer 2

the worse the outcomes

Question 3

MDD in children often presents as (x3)

Answer 3

reduced affect, withdrawal and somatic complaints

Question 4

MDD in adolescents often presents as (x5)

Answer 4

withdrawal, reduced self-maintenance, substance abuse, acting out etc. won’t seek pleasure but will enjoy

Question 5

DSM-5 MDE (5 or more)

Answer 5

depressed, interest, weight, sleep, motor, fatigue, worthlessness, concentration, death thoughts

Question 6

Persistent depressive disorder is

Answer 6

a less severe, chronic depressive episode

Question 7

Adolescent depression differential diagnoses

Answer 7

normal moodiness, substances, adjustment/anxiety/ptsd, bipolar, adhd

Question 8

Distinguish depression from anxiety

Answer 8

dep = related to anhedonia (lack of pleasure); anx = physiological arousal

Question 9

In adolescents, bipolar is characterised by

Answer 9

persistent irritability, uncontrollable outbursts, ADHD

Question 10

Disruptive Mood Dysregulation Disorder is

Answer 10

like ODD or BPD but persistent rather than episodic, externalised, irritable

Question 11

When working with depression, ensure that

Answer 11

symptoms are investigated, theories are gathered, thorough formulation is made

Question 12

When working with families, ensure that

Answer 12

trust is built, biosocial understanding

Question 13

When exploring symptoms

Answer 13

check functional impairment

Question 14

Treatments for depression

Answer 14

CBT, IPT

Question 15

For children and adolescents, demonstrated medications include

Answer 15

Fluoxetine but off script