Flashcards in Mood disorders Deck (10)
Disturbance in mood that is characterized by one or more major Depressive, Manic, Hypomanic and or mixed episodes.
Major depressive episode
Persists 2 weeks
5 symptoms must be present
-depressed mood loss of interest in activities.
-Depressed mood most of the day nearly every day
-diminished interest or pleasure in almost all activities. feelings of worthlessness or inappropriate guilt.
-psychomotor agitation or retardation,
-loos or increase in appetitie , significant weight loss or gain, fatigue or loss of energy, insominia or hypersomnia, reduced ability to think or concnetrate, indecisiiiiveness, suicidal ideation
1 week or longer which the mood is abnormally and persistently elevated, expansive or irritable.
At least three symptoms(four if mood is only irritable)
-increased goal-directed activity or psychomotor agitation, flight of ideas, decreased need for sleep, grandiosity, restlessness, distractibility, involvement in pleasurable activities with high risk. impairment in occupational functioning, or need to be hospitalized to prevent self harm or the presence of psychotic features
symptoms of manic episode last for at least four days. The episode represents a clear change in mood and functioning but is not sufficiently severe to cause marked impairment or require hospitalization and an absence of psychotic symptoms.
Rapidly alternating symptoms of manic and depressive episodes that last at least 1 week. Causes marked impairment, may require hospitalization and may include psychotic symptoms.
Major dpressive disorder
Dx in the presence of one or more episodes with a history of no manic, hypomanic or mixed episodes. When only 1 episode appropriate disagnosis is MDD, SIngle episode. 2 + is MDD recurrent. The psychotic episodes occur exclusively during mood disturbance.
Chronically depressed mood most of the time for 2 years. Never a period of more than 2 months symptom free. Depressive symptoms not sever enough to meet Major depressive episode (in adolescence need only last a year).
Bipolar I Disorder
The occurrence of 1 or more manic episodes without a history of one or more major depressive episodes, 6 types of Bipolar I disorders (check DSM IV).
Bipolar II disorder
At least one major depressive episode and one hypomanic episode. The individual has never had a manic or mixed episode.