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13 Cards in this Set
- Front
- Back
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Please define a Major Depressive Episode (sx and time)
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2 week period of either depressed mood or anhedonia plus 5 of the following:
Significant weight loss Insomnia or hypersomnia Psychomotor retardation or agitation Fatigue Worthlessness or guilt Decreased concentration or indecisiveness Suicidal ideation D SIDGECAPS Depressed mood Sleep disturbance Interest decreased Guilt Energy diminished Concentration (down) Appetite change Psychomotor or (down or up) Suicidal ideation |
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Distinguish mood from affect
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Mood-relatively sustained emotional disposition. What a person feels. Patient’s subjective experience. Ask “How are you feeling emotionally today? How is your mood?”
Affect-How a person’s emotional state is perceived by someone else. Behavioral manifestation of a person’s feelings. Objective observed indicators of someone else’s emotional state. |
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DSM-IV-TR Criteria for Manic Episode? (time and sx)
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Elevated, expansive or irritable mood for at least 1 week
3 or more of the following (4 if only irritable mood) Inflated self-esteem or grandiosity Decreased need for sleep More talkative or pressured speech Flight of ideas or racing thoughts Distractibility Increased goal-directed activity or psychomotor agitation Excessive involvement in pleasurable activities with a high potential for negative consequences Mnemonic for Mania – “DIGFAST” Distractibility – poorly focused, multitasking Insomnia – decreased need for sleep Grandiosity – inflated self esteem Flight of ideas – racing thoughts Activities - Increased goal-directed actions Speech – pressured or more talkative Thoughtlessness – “risk-taking” behaviors (e.g., sexual, financial, travel, driving) |
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DSM-IV-TR Criteria for Hypomanic Episode? (time and sx, 2 key differences from Manic)
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*Elevated, expansive or irritable mood for at least 4 days (full blown was a week)
3 or more of the following (4 if only irritable mood) Inflated self-esteem or grandiosity Decreased need for sleep More talkative or pressured speech Flight of ideas or racing thoughts Distractibility Increased goal-directed activity or psychomotor agitation Excessive involvement in pleasurable activities with a high potential for negative consequences Episode associated with an unequivocal change in function uncharacteristic of the person and is observable by others *Does NOT cause marked impairment in social or occupational functioning, require hospitalization, and not associated with psychotic symptoms |
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DSM-IV-TR Criteria for Mixed Episode?
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Criteria for both a Manic Episode and a Major Depressive Episode are met nearly every day during at least a 1 week period
The mood disturbance causes significant social or occupational impairment, requires hospitalization or has psychotic symptoms |
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Define dysthymic disorder (time, sx)
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Depressed mood > 2 years
Has not met criteria for MDD At least 2 of the following: Change in appetite Change in sleep Fatigue, loss energy Low self esteem Poor concentration Hopelessness Not without sx for more than 2 weeks at a time |
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WHAT MUST YOU HAVE to diagnose bipolar I
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MUST HAVE A MANIC EPISODE-without it, you can't be bipolar I
other findings: 1 Manic or mixed episode OR Manic + depressive episodes May also have hypomanic episodes |
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What must you have to be diagnosed with Bipolar II
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Pt has at least one 1 hypomanic + at least 1 MDE but no manic or mixed episodes
(remember in bipolar one, you will have a manic episode) |
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Describe a cyclothymic disorder
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Dysthymia + intermittent hypomanic episodes over a period of 2 or more years
Never meet criteria for MDE or manic episode during first 2 years After 2 years, there may be superimposed manic, mixed or MDE |
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2 big differences btw hypomania and mania?
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hypo: 4 days, doesn't affect social
mania: 1 week, affects social |
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What is a Seasonal Pattern Specifier?
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Can be applied to Major depressive episodes in Bipolar I, Bipolar II, or Major Depressive Disorder, Recurrent
Onset and remission of MDE at characteristic times of the year. Most begin in fall or winter and remit in spring. May be recurrent summer episodes Pattern of onset and remission must have occurred during the last two years, without any nonseasonal episodes occurring during this period. |
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please describe Adjustment Disorder with Depressed Mood (make sure to indicate how long symptoms persist)
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Depressive symptoms develop in response to an identifiable stressor(s) within 3 months
Symptoms cause marked distress or significant impairment in social or occupational functioning Not due another Axis 1 disorder or bereavement **Symptoms do not persist beyond 6 months once the stressor or its consequences has been terminated** |
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Severe depressive episode(s)=
Minor depressive episodes with symptoms for > 2yrs= Minor depression > 2 yrs with 1 major depressive episode= At least 1 manic episode= At least 1 major depression and 1 hypomanic episode= Minor depression and hypomania for > 2 yrs= |
Severe depressive episode(s)= MAJOR DEPRESSIVE DISORDER
Minor depressive episodes with symptoms for > 2yrs= DYSTHYMIC DISORDER Minor depression > 2 yrs with 1 major depressive episode= "DOUBLE DEPRESSION" At least 1 manic episode= BIPOLAR 1 DISORDER At least 1 major depression and 1 hypomanic episode= BIPOLAR II DISORDER Minor depression and hypomania for > 2 yrs= CYCLOTHYMIC DISORDER |
