Mood Disorders (Bipolar, Depression, Anxiety) Flashcards Preview

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Flashcards in Mood Disorders (Bipolar, Depression, Anxiety) Deck (46)
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any period of time when a patient feels abnormally
happy or sad

Mood episode


For at least 2 weeks, the patient feels depressed (or cannot enjoy life) and has problems with eating and sleeping, guilt feelings, low energy, trouble concentrating, and thoughts about death

Major depressive episode


For at least 1 week, the patient feels elated (or sometimes only irritable) and may be grandiose, talkative, hyperactive, and distractible. Bad judgment leads to marked social or work impairment; often patients must be hospitalized

Manic episode


This is much like a manic episode, but it is briefer and less severe. Hospitalization is not required

Hypomanic episode


These patients have had no manic or hypomanic episodes, but have had one or more major depressive episodes. (will be either recurrent or single episode)

Major depressive disorder


There are no high phases, and it lasts much longer than typical major depressive disorder. This type of depression is not usually severe enough to be called an episode of major depression (though chronic major depression is now included here)

Persistent depressive disorder (dysthymia)


A child’s mood is persistently negative between
frequent, severe explosions of temper

Disruptive mood dysregulation disorder


A few days before her menses, a woman experiences
symptoms of depression and anxiety

Premenstrual dysphoric disorder


A variety of medical and neurological conditions can produce depressive symptoms; these need not meet criteria for any of the conditions above

Depressive disorder due to another medical condition


Alcohol or other substances (intoxication or withdrawal) can cause depressive symptoms; these need not meet criteria for any of the conditions above

Substance/medication-induced depressive disorder


Use one of these categories when a patient has depressive symptoms that do not meet the criteria for the depressive diagnoses above or for any other diagnosis in which depression is a feature

Other specified, or unspecified, depressive disorder


There must be at least one manic episode; most patients with have also had a major depressive episode

Bipolar I disorder


This diagnosis requires at least one hypomanic episode plus at least one major depressive episode

Bipolar II disorder


These patients have had repeated mood swings, but none that are severe enough to be called major depressive episodes or manic episodes

Cyclothymic disorder


Alcohol or other substances (intoxication
or withdrawal) can cause manic or hypomanic symptoms; these need not meet criteria for
any of the conditions above

Substance/medication-induced bipolar disorder


Use one of these categories when a patient
has bipolar symptoms that do not meet the criteria for the bipolar diagnoses above

Other specified, or unspecified, bipolar disorder


Specifier - These depressed patients eat a lot and gain weight, sleep excessively, and have a feeling of being sluggish or paralyzed. They are often excessively sensitive to

With atypical features


Specifier - This term applies to major depressive episodes characterized by some of the “classic” symptoms of severe depression. These patients awaken early, feeling worse than they do later in the day. They lose appetite and weight, feel guilty, are either slowed down or agitated, and do not feel better when something happens that they would normally like

With melancholic features


Specifier - A patient has symptoms of anxiety, tension, restlessness, worry, or fear that accompanies a mood episode

With anxious distress


Specifier - There are features of either motor hyperactivity or inactivity in major depressive episodes and manic episodes

With catatonic features


Specifier - Manic, hypomanic, and major depressive episodes may have mixtures of manic and depressive symptoms

With mixed features


Specifier - A manic, hypomanic, or major depressive episode (or a brief psychotic disorder) can occur in a woman during pregnancy or within a month of having a baby

With peripartum onset


Specifier - Manic and major depressive episodes can be accompanied by delusions, which can be mood-congruent or -incongruent

With psychotic features


Specifier - Within 1 year, the patient has had at least four episodes (in any combination) fulfilling criteria for major depressive, manic, or hypomanic episodes

With rapid cycling


Specifier - These patients regularly become ill at a certain time of the year, such as fall or winter

With seasonal pattern


These patients experience repeated panic attacks—brief episodes of intense dread accompanied by a variety of physical and other symptoms, together with worry about
having additional attacks and other related mental and behavioral changes

Panic disorder


Patients with this condition fear situations or places such as entering a store, where they might have trouble obtaining help if they became anxious



In this condition, patients fear specific objects or situations. Examples include animals; storms; heights; blood; airplanes; being closed in; or any situation that may lead to vomiting, choking, or developing an illness

Specific phobia


These patients imagine themselves embarrassed when they speak, write, or eat in public or use a public urinal

Social anxiety disorder


A child elects not to talk, except when alone or with select intimates

Selective mutism