Week 4 : Mood disorders Flashcards
Bipolar _ disorder: Manic episodes or mixed episodes plus MDE
1
Bipolar _ disorder: Major depressive episodes plus hypomanic episodes
2
________: hypomanic symptoms plus depressive symptoms
Cyclothymia
What is cyclothymia?
Hypomanic symptoms plus depressive symptoms
What is bipolar 1 characterised by?
manic episodes or mixed episodes plus MDE
What is bipolar 2 characterised?
major depressive episodes plus hypomanic episodes
What is the key feature of bipolar disorder?
The tendency for mood to alternate between manic or hypomanic episodes and MDEs
If a patient has:
- Period of abnormally and persistently elevated or irritable mood
- Abnormally and persistently increases goal directed activity or energy
They most likely are having a …..
manic episode
What is a hypomanic in relation to a manic episode?
It is not as severe, does not cause significant impairment or psychotic symptoms, and is shorter
__________ disorders are characterised by sad, empty, or irritable mood accompanied by a range of other features such as feelings of worthlessness and low energy
Depressive
_________ ___________ __________ is characterised by a continuous period of at least two weeks during which the person feels depressed, sad, empty, or hopeless.
Major depressive disorder
What is anhedonia?
Inability to experience pleasure for previously pleasurable activities
Inability to experience pleasure for previously pleasurable activities is called?
anhedonia
A __________ is an extension to the diagnosis that further clarifies the course, severity or special features of the disorder.
Specifier
What are the four specifiers in MDD?
- Severity
- numer of episodes
- degree of recovery between episodes
- whether there are accompanying psychotic features
What does “MDD with peripartum onset” mean?
MDE’s that occur during pregnancy
What increases the risk of MDE permperipartum onset?
Women experiencing psychosocial pressures
__% of people with MDD report significant _______ symptoms
50 ; anxiety
What disorder is characterised by severe temper outbursts and persistent irritability and anger that is out of proportion and developmentally inappropriate?
Disruptive mood dysregulation disorder
What is dysthymia now called?
Persistant mood disorder
What is the difference between MDD and persistent mood disorder?
PMD is less severe but more chronic
What are the five things that Risk Assessment looks for?
- Suicide
- Self Harm
- Violence
- Reputation
- Financial Harm
What is the most commonly assessed type of risk associated with depression and schizophrenia?
Suicide
What is an example of risk of violence that a psychologist would help with?
3rd command hallucinations
What risk to self is most associated with psychotic disorders and particularly mania?
Risk of reputation
Risk of financial harm is associated with ______
Mania
What are the six questions that assess danger to self (suicide)?
- Suicide ideation?
- Suicidal plan?
- Access to plan?
- Preparations made?
- Command hallucinations?
- Family/network history?
Do people with dysthymic disorder (or persistent depressive disorder) normally go on to have depressive episodes?
Yes (it is called the double depression)
If you were depressed for most days for at least 2 years you might have….
Persistent depressive disorder
What are the median onset ages for MDD and PDD?
30 and 20s
What is the average duration of the first Major Depressive episode?
4 - 9 months `
What are the DSM 5 specifiers of Bipolar Disorder?
- Seasonal
- Portpartum (4 weeks after giving birth)
- Catatonic features (physical symptoms)
- Psychotic features (delusions or hallucinations)
Manic episodes are more common in _____ while rapid cycling more common in _____
men; women
What are the negative triad features?
Negative view of:
- self
- World
- Future
What is a negative schema?
Tendency to see the world negatively
Negative schemas can cause cognitive ____
Biases