week 7 - mental health pt.2 Flashcards
depression
syndrome of depressed mood, accompanied by other symptoms, such as fatigue, loss of energy, difficulty sleeping, changes in appetite
8 types of depressive disorders
- disruptive mood dysregulation disorder
- major depressive disorder (including major depressive episodes)
- persistent depressive disorder (dysthymia)
- premenstrual dysphoric disorder
- substance/medication-induced depressive disorder
- depressive disorder due to another medical condition
- other specified depressive disorder
- unspecified depressive disorder
major depressive disorder
the diagnosis of major depression requires the presence of at least one major depressive episode, which must
1. Last at least two weeks
2. Represent a change from previous functioning
3. Cause clinically significant distress or impairment in social, occupational, or other important areas of functioning.
4. Not be attributable to physiological effects of a substance or another medical condition
diagnosis for major depressive disorder also requires five or more symptoms, one of which must be either a depressed mood or a loss if interest in previously enjoyable activities
- A depressed mood daily
- Loss of interest or pleasure in all /almost all activities
- Significant weight change (not dieting)
- Insomnia or hypersomnia
- Psychomotor agitation or retardation
- Fatigue or malaise
- Feelings of worthlessness or inappropriate guilt
- Decreased ability to think or concentrate, make decisions
- Recurrent thoughts of death, suicidal ideation, suicidal plans, or attempts
persistent depressive disorder (dysthymia or minor depression)
chronic low-level depression, lasting minimum 2 years
6 signs and symptoms (while depressed) – 2 or more for Dx for persistent depressive disorder
- Poor appetite or overeating.
- Insomnia or hypersomnia.
- Low energy or fatigue.
- Low self-esteem.
- Poor concentration or difficulty making decisions.
- Feelings of hopelessness.
premenstrual dysphoric disorder
symptoms are associated with clinically significant distress and interfere with school, work, social activities, or relationships.
substance and medication-induced depressive disorder
disturbance in mood that predominates and is characterized by depressed mood or markedly diminished interest or pleasure in all / almost all activities. The disturbance causes clinically significant distress or impairment in social, occupational, or other important areas of functioning
2 evidence suggested pieces of information related to substance and medication-induced DD
- Symptoms developed during / soon after substance intoxication or withdrawal or
after exposure to a medication. - The involved substance/medication can produce those symptoms
depressive disorder due to another medical condition
prominent, persistent period of depressed mood or markedly diminished interest /
pleasure in activities and direct pathophysiological consequence of another medical condition
specifiers for most depressive disorders (can vary for each one)
With anxious distress
With mixed features
With melancholic features
With atypical features
With psychotic features (mood-congruent or mood-incongruent)
With catatonia
With peripartum onset
With seasonal pattern (recurrent episode only)