How can we help?

You can also find more resources in our Help Center.

25 terms

Mood Disorders

For Abnormal Midterm
More cheerful and elated than average. Possibly ecstatic. Typical of Bipolar I
Unpleasant feelings like sadness/irritability
Episode Specifiers
-w/melancholic features
-w/atypical features
-w/catatonic features
-w/postpartum onset
Course Specifiers
-rapid cycling
-w/ or w/o full interepisode recovery
Major Depressive Episode Symptoms
-Must have 5 of 9 during two week period
-depressed, sad, weight loss, insomnia, hypersomnia, agitation, fatigue, feelings of worthlessness, diminished ability to think, recurrent thoughts of death, diminished interest in pleasurable activities
-Change in level of functioning
-Depressed Mood
Manic Episode
-Elevated or irritable mood for a week (or any length if hospitalization is necessary)
-3 or more symptoms to a significant degree
-Not "mixed"
-Marked impairment
-Not due to GMC or substance
Hypomanic Episode
-Elevated/irritable mood for 4 days
-3 or more symptoms to a significant degree
-Changes in functioning that are observable to others
-Not severe enough for hospitalization/marked impairment
-Not due to GMC or substance
Mixed Episode
-Criteria met for both manic and major depressive episode (except duration) for almost EVERY day for at least one week
-Marked impairment
-Not due to GMC/substance
Major Depressive Disorder
-Presence of 1 or more depressive episodes
-No history of manic/mixed/hypomanic
-Onset: mid-20's, and more often in women
Dual Depression
Meets criteria for dysthymia and major depressive disorder
Comorbidity and Depression
-25% of patients also have panic disorder
-Med conditions: hypothyrodism, malignancy, brain lesion, parkinsons, stroke
-Hard to diagnose personality disorders
-Substance abuse can have same symptoms
Depression and Sleep
-Reduced continuity
-Increased wakefulness
-Increased REM
Cross-cultural Symptoms of Depression
-dysphoria, lack of energy, and loss of interest
Culture Specific Symptoms of Depression
-Guilt (West)
-Headaches (Latino)
-Tiredness and imbalance (Asian countries)
**Some groups somaticize and others psychologize
Depression and Age
-Kids are irritable and somaticize
-Older adults may experience pseudo-dementia
Dysthymic Disorder Dx Criteria
-Depressed mood present most of the time for 2 years in adults, 1 year in children
-2 out of 6 depression symptoms (overeating, no appetite, fatigue, lack of sleep, sleeping too much, poor self esteem, lack of interest, hopelessness)
-Not severe enough to be MDD
Dysthymic Specifiers
-Early onset (before 21)
-Late onset (after 21)
-Atypical features
Depression and Differential Dx
-MDD or Dysthymia?
-Substance abuse
-Mood disorder due to GMC
-Could be personality disorder comorbidity
Bipolar I Disorder
-One or more manic episodes and maybe depressive episodes
*High suicide rate
Bipolar II Disorder
-One or more major depressive episodes and at least one hypomanic episode
*High suicide rate
Rapid Cyclers
-Less than 15%
-4 to 8 mood episodes in one year
Differential Dx of Bipolar
-I, II, or Cycolthymia
-Due to GMC
-Substance abuse
-Hypomanic, manic, major depressive
Comorbidity and Bipolar
-High level of comorbidity
-Anxiety disorders
-Substance use disorder
-Personality disorders
Cyclothymic Disorder
-Not as intense as bipolar
-Dramatic/recurrent mood shifts
-Hypomania with mild depressive episodes
-Chronic (2yrs +)
-They may feel productive but others call them moody
Charlie Sheen Differential Dx
-Manic episode
-Bipolar I
-Mixed episode
-Substance abuse