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6 Cards in this Set

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  • Back
What is the DSM IV for Major Depressive Episode
5 or more of the following symptoms present during the same two week period; at least one being depressed mood or loss of interest or pleasure
Sleep Disturbances
Loss of Interests
Feelings of Guilt
Loss of Energy
Loss of Concentration
Change in Appetite
Psychomotor Retardation
Suicidal Ideation
Depressed Mood
What defines Dysthymic Disorder?
2 years of symptoms including more days than not of depressed mood.
While depressed at least 2 of the following:
Feelings of hopelessness, Impairment in cognitive functioning (diffculty concentrating, making decisions), Change in appetite, loss of energy, low self esteem, sleep disturbance
There is no symptom free period from above lasting greater than two months in the past two years.
What are the depression specifiers for melancholic features?
Loss of pleasure in activities or lack of reactivity to usual pleasurable stimuli
3 or more of the following in addition to 1 of the previous
Distinct quality of depressed mood (different from bereavement)
Depression worse in the morning
Early morning awakening
Marked retardation or agitation
Weight loss
Excessive guilt
What are the depression specifiers with atypical features?
Mood reactivity (mood brightens in response to positive events)
2 or more of the following:
Significant weight gain or increase in appetite
Leaden paralysis
Long standing pattern of interpersonal rejection sensitivity resulting in significant social or occupational impairment
What is the DSM IV criteria for Premenstrual Dysphoric Disorder (PMDD)
5 or more of the following symptoms present during last week of luteal phase and absence in the week post menses:
Depressed mood, feeling of hopelessness
marked anxiety, tension feeling "on edge"
Marked affective lability
Persistent anger or irritability (very common)
Decreased interest in usual activities
Subjective difficulty in concentration
Lethargy, easy fatigability
Marked change in appetite
Hypersomnia or insomnia
Subjective sense of being overwhelmed or out of control
Physical symptoms such as breast tenderness, headaches, joint or muscle pain, sensation of bloating
What are some of the associations of suicide assessment?
90-95% of suicides, an axis I disorder is present
75% involve a mood disorder and substance abuse
Lack of physical health
Stressful life events
Previous attempts (Severity of attempts)
Access to firearms
Family history of suicide
Substance abuse
Severity of risk
Hallucinations (command hallucinations)