week 7

Question 1

what are mood disorders

Answer 1

recurrent disturbances or mood changes that cause psychological stress & behavioral impairment

ex: unipolar depression (major depressive episode) & bipolar disorder

Question 1

continuum of mood disorders (from low to high)

Answer 1

• depression *extremely LOW mood
• mild-mod depression
• normal/balanced mood (euthymia)
• hypomania
• mania *extremely ELEVATED mood

Question 2

T/F: A Suicide Risk Assessment (SRA) is done for EVERY pt. no matter what they’re at the hospital for

Answer 2

true

Question 3

key DSM-5 diagnostic criteria for Major Depressive Disorder (MDD)

Answer 3

1. At least a 2 week history of 5 or more of these symptoms:
   - Depressed mood most of the day, nearly every day**
   - Markedly diminished interest/pleasure in activities most of the day, nearly every day**
   - Significant weight loss or weight gain/decreased appetite
   - Difficulty sleeping (insomnia or hypersomnia)
   - Psychomotor agitation or retardation
   - Fatigue/loss of energy *moving slowly
   - Feelings of worthlessness or inappropriate guilt *feel a lot of regret for no reason
   - Inability to concentrate or indecisiveness
   - Recurrent thoughts of death/suicide

at least 1 of either ** [depressed mood or loss of interest/pleasure] MUST BE PRESENT

2. Symptoms represent a change from baseline
3. Symptoms cause significant distress/impairment in functioning

Question 4

manifestations of youth/teen depression (compared to adults)

Answer 4

• irritable/angry mood
• “acting out” behaviors *outbursts
• unexplained aches & pains
• extreme sensitivity to criticism
• withdrawing from some, but not all people!

Question 5

what does untreated youth/teen depression lead to?

Answer 5

• low self-esteem
• problems at school/running away
• substance abuse
• eating disorders
• violence
• self-harm/injury
• suicide
• comorbid diagnosis – with ADD (attention deficit disorder); anxiety

Question 6

manifestations of depression in older adults

Answer 6

common complaints:
- focus on physical health symptoms (ex: bowels, joint pain)
- weight loss
- poor appetite
- anhedonia: loss of ability to experience pleasure, happiness, enjoyment
- social isolation

less common complaints:
- depressed mood/sadness/crying
- weight gain