Mood Disorders and Depressive Disorders

Choose a study mode

Play Quiz
Study Flashcards
Spaced Repetition
Chat to Lesson

Podcast

Play an AI-generated podcast conversation about this lesson

Questions and Answers

A patient reports experiencing a depressed mood for most of the day, more days than not, for the past two years, along with low energy and poor concentration. These symptoms do not meet the full criteria for major depression. Which disorder is most likely?

  • Persistent Depressive Disorder (Dysthymia) (correct)
  • Major Depressive Disorder, recurrent
  • Cyclothymic Disorder
  • Bipolar II Disorder

Which of the following is the primary differentiating factor between Bipolar I and Bipolar II disorders?

  • The presence or absence of psychotic features.
  • The duration of depressive episodes.
  • The severity of manic episodes; Bipolar I involves full manic episodes, while Bipolar II involves hypomanic episodes. (correct)
  • The number of lifetime depressive episodes.

A woman experiences significant mood swings, irritability, and anxiety in the week before her menstrual period, which improve after menstruation begins. Which condition is most likely?

  • Cyclothymic Disorder
  • Major Depressive Disorder
  • Premenstrual Dysphoric Disorder (correct)
  • Generalized Anxiety Disorder

Which of the following specifiers indicates a near absence of pleasure and a lack of reactivity to pleasurable stimuli?

<p>Melancholic Features (C)</p> Signup and view all the answers

What is the estimated worldwide lifetime prevalence of Major Depressive Disorder (MDD)?

<p>16.1% (C)</p> Signup and view all the answers

A patient with Bipolar I Disorder is experiencing a depressive episode. Which of the following symptoms would suggest the presence of 'mixed features'?

<p>Inflated self-esteem and increased talkativeness. (C)</p> Signup and view all the answers

Which of the following is a significant risk factor for the recurrence of Major Depressive Disorder (MDD)?

<p>Having experienced multiple previous episodes. (C)</p> Signup and view all the answers

What is the average age of onset for Bipolar I Disorder?

<p>18 years (A)</p> Signup and view all the answers

A clinician is evaluating a patient who has experienced several periods of hypomanic symptoms and depressive symptoms that do not meet the full criteria for major depression, but these mood states have been present for over two years. Which diagnosis is most appropriate?

<p>Cyclothymic Disorder (B)</p> Signup and view all the answers

Which of the following is a common treatment approach for Premenstrual Dysphoric Disorder (PMDD)?

<p>SSRIs (Selective Serotonin Reuptake Inhibitors) (A)</p> Signup and view all the answers

A patient presents with symptoms of inflated self-esteem, decreased need for sleep, pressured speech, and racing thoughts that have lasted for five days. These symptoms are causing significant impairment in their social and occupational functioning. Which condition is most likely?

<p>Manic Episode (B)</p> Signup and view all the answers

How does the typical age of onset of Dysthymia compare to that of Major Depressive Disorder (MDD)?

<p>Dysthymia typically has an earlier onset than MDD. (B)</p> Signup and view all the answers

Which of the following is a diagnostic criterion specific to Persistent Depressive Disorder (Dysthymia) in children and adolescents?

<p>Symptoms must be present for at least 1 year. (D)</p> Signup and view all the answers

A patient with Major Depressive Disorder presents with significant anxiety symptoms, including feeling tense, restless, and having catastrophic thoughts. Which specifier would be most appropriate to describe this presentation?

<p>Anxious Distress (C)</p> Signup and view all the answers

What is a key difference between hypomania and mania?

<p>Hypomania does not cause significant impairment in social or occupational functioning, while mania does. (C)</p> Signup and view all the answers

A new mother experiences a major depressive episode within three weeks of childbirth. Which specifier would be most appropriate to describe this?

<p>Peripartum Onset (C)</p> Signup and view all the answers

Which of the following is TRUE regarding suicide risk in bipolar disorders?

<p>Suicide risk is equally high in both Bipolar I and Bipolar II disorders. (B)</p> Signup and view all the answers

What is the minimum duration of mood disturbance required for a diagnosis of Cyclothymic Disorder in adults?

<p>2 years (B)</p> Signup and view all the answers

Which specifier of mood disorders involves symptoms like weight gain or appetite increase, hypersomnia, and sensitivity to rejection?

<p>Atypical (B)</p> Signup and view all the answers

In Major Depressive Disorder, what is the significance of 'observable psychomotor agitation or retardation'?

<p>It must be observed by others to meet diagnostic criteria. (C)</p> Signup and view all the answers

A patient consistently experiences depressive episodes during the winter months and remission during the spring and summer. Which specifier best describes this pattern?

<p>Seasonal (A)</p> Signup and view all the answers

What percentage of individuals with one manic episode will likely experience recurrent mood episodes?

<p>90% or more (B)</p> Signup and view all the answers

What is the primary focus of Cognitive Behavioral Therapy (CBT) in the treatment of Premenstrual Dysphoric Disorder (PMDD)?

<p>Identifying and changing negative thought patterns and behaviors. (C)</p> Signup and view all the answers

Why is gathering information from informants (e.g., family members) particularly important in diagnosing Bipolar II Disorder?

<p>Patients are often unaware of their hypomanic episodes. (C)</p> Signup and view all the answers

Which of the following is NOT a typical symptom of a manic episode?

<p>Feelings of worthlessness or guilt (B)</p> Signup and view all the answers

What distinguishes Disruptive Mood Dysregulation Disorder from the other mood disorders?

<p>It involves severe, recurrent temper outbursts and persistent irritability and/or anger. (D)</p> Signup and view all the answers

A researcher is studying the impact of life events on the onset of Major Depressive Disorder (MDD). Which type of life events are considered the strongest predictors of MDD onset?

<p>Highly threatening or severe life events (D)</p> Signup and view all the answers

What is the primary diagnostic criterion that distinguishes Bipolar II Disorder from Major Depressive Disorder?

<p>History of hypomanic episodes (B)</p> Signup and view all the answers

How long must manic or depressive mood states be present in Cyclothymic Disorder without remitting to meet diagnostic criteria?

<p>At least half the time (D)</p> Signup and view all the answers

A patient with Bipolar I Disorder is experiencing significant functional impairment even when their mood symptoms are relatively well-managed. What does this suggest?

<p>Functional recovery often lags behind symptom recovery in Bipolar I Disorder. (A)</p> Signup and view all the answers

Which of the following is commonly comorbid with Persistent Depressive Disorder (Dysthymia)?

<p>Personality Disorders (B)</p> Signup and view all the answers

What is the estimated 12-month prevalence of Bipolar Disorder (including both Bipolar I and Bipolar II)?

<p>0.6% (A)</p> Signup and view all the answers

Which of the following best describes the 'flight of ideas' symptom seen in mania?

<p>A rapid shifting of ideas from one topic to another. (A)</p> Signup and view all the answers

A patient taking SSRIs for PMDD reports minimal improvement. What other treatment option might be considered?

<p>Birth control pills (D)</p> Signup and view all the answers

For an adult to be diagnosed with Major Depressive Disorder, how many symptoms must be present during the same 2-week period?

<p>5 or more (D)</p> Signup and view all the answers

A patient with depression reports that their symptoms worsen in the morning. Which specifier does this indicate?

<p>Melancholic (B)</p> Signup and view all the answers

Which of the following is the strongest predictor of Major Depressive Disorder onset?

<p>Highly threatening or severe life events (C)</p> Signup and view all the answers

What distinguishes Bipolar II disorder from Bipolar I disorder?

<p>Bipolar II includes hypomanic episodes. (D)</p> Signup and view all the answers

An individual experiences inflated self-esteem, decreased need for sleep, pressured speech, and racing thoughts for four days. While these symptoms represent a noticeable change, they don't significantly impair social or occupational functioning. Which condition is most likely?

<p>Bipolar II Disorder, hypomanic episode (C)</p> Signup and view all the answers

A patient has experienced depressive episodes for the past three years, interspersed with periods of normal mood lasting no more than one month. While the depressive symptoms do not meet the full criteria for major depression, they cause significant distress and impact daily functioning. Which diagnosis is most likely?

<p>Persistent Depressive Disorder (Dysthymia) (D)</p> Signup and view all the answers

A woman reports significant mood swings, increased irritability, and anxiety during the week leading up to her menstrual period, which causes notable distress and some functional impairment. She has tried over-the-counter remedies with little success. Which of the following would be the MOST appropriate next step in managing her symptoms?

<p>Initiation of SSRI medication (B)</p> Signup and view all the answers

A patient presents with symptoms of a major depressive episode, including significant weight loss, insomnia, and feelings of worthlessness. Additionally, they report a complete loss of pleasure in activities they previously enjoyed and demonstrate a lack of reactivity to potentially pleasurable stimuli. Which specifier would be MOST appropriate to add to their diagnosis?

<p>With melancholic features (B)</p> Signup and view all the answers

A 25-year-old patient is diagnosed with Bipolar II disorder. What is the significance of understanding the patient's history through interviews with family members or close friends?

<p>To help identify past hypomanic episodes the patient may not fully recognize or report (D)</p> Signup and view all the answers

Flashcards

Bipolar I Disorder

A mood disorder characterized by one or more manic episodes or mixed episodes, often with major depressive episodes.

Bipolar II Disorder

A mood disorder involving criteria for a current or past hypomanic episode and a current or past depressive episode.

Cyclothymic Disorder

A more chronic but milder form of bipolar disorder with hypomanic and depressive symptoms that don't meet full diagnostic criteria.

Mixed Features (in Mood Disorders)

A mood disorder with symptoms of mania or hypomania during depressive episodes.

Signup and view all the flashcards

Anxious Distress (in Mood Disorders)

Symptoms include tense, restless, worry, and catastrophic thoughts.

Signup and view all the flashcards

Atypical Features (in Mood Disorders)

Symptoms include significant weight gain/appetite increase, hypersomnia, and sensitivity to rejection.

Signup and view all the flashcards

Melancholic Features (in Mood Disorders)

Symptoms include near absence of pleasure, lack of reactivity to pleasurable stimuli, and profound despair.

Signup and view all the flashcards

Peripartum Onset (in Mood Disorders)

A mood disorder with depressive episodes occurring during pregnancy or within 4 weeks of childbirth.

Signup and view all the flashcards

Seasonal Pattern (in Mood Disorders)

A mood disorder with a pattern of relationships between the onset of depressive episodes and specific seasons.

Signup and view all the flashcards

Catatonic Features (in Mood Disorders)

A state of immobility and unresponsiveness, often associated with severe mental disorders.

Signup and view all the flashcards

Psychotic Features (in Mood Disorders)

Hallucinations or delusions that may or may not be consistent with the predominant mood.

Signup and view all the flashcards

Persistent Depressive Disorder (Dysthymia)

Depressed mood for most of the day, more days than not, for at least 2 years (1 year for children/adolescents).

Signup and view all the flashcards

Major Depressive Disorder (MDD)

A mood disorder characterized by a depressed mood or loss of interest/pleasure along with other symptoms.

Signup and view all the flashcards

Premenstrual Dysphoric Disorder (PMDD)

Severe mood swings, irritability, depressed mood, and anxiety.

Signup and view all the flashcards

Disruptive Mood Dysregulation Disorder

Severe recurrent temper outbursts manifested verbally and/or behaviorally that are grossly out of proportion to the situation or provocation.

Signup and view all the flashcards

Symptoms of Mania

Inflated self-esteem or grandiosity, decreased need for sleep, pressured speech, flight of ideas.

Signup and view all the flashcards

Mania

Distinct period of elevated, expansive, or irritable mood and abnormally increased goal directed activity or energy.

Signup and view all the flashcards

Hypomania

Symptoms are not severe enough to cause serious impairment or hospitalization.

Signup and view all the flashcards

Study Notes

  • Mood disorders encompass various conditions characterized by disturbances in mood regulation.

Depressive Disorders

  • Major Depressive Disorder
  • Persistent Depressive Disorder (Dysthymia)
  • Premenstrual Dysphoric Disorder
  • Disruptive Mood Dysregulation Disorder
  • Bipolar I Disorder
  • Bipolar II Disorder
  • Cyclothymic Disorder

Major Depressive Disorder (MDD)

  • Requires five or more symptoms present during a 2-week period, representing a change from previous functioning; one symptom must be depressed mood or loss of interest/pleasure.
  • Symptoms include:
    • Depressed mood most of the day, nearly every day.
    • Markedly diminished interest or pleasure in all, or most, activities.
    • Significant weight loss when not dieting, weight gain, or decrease/increase in appetite.
    • Insomnia or hypersomnia nearly every day.
    • Psychomotor agitation or retardation observable by others.
    • Fatigue or loss of energy.
    • Feelings of worthlessness or excessive/inappropriate guilt.
    • Diminished ability to think or concentrate; indecisiveness.
    • Recurrent thoughts of death, suicidal ideation, or attempt.
  • A single episode occurs in 50% of cases.
  • Recurrence is higher in younger individuals, those with severe last episodes, and those with multiple previous episodes.
  • Most individuals recover within 1 year.
  • Highly threatening/severe life events are the strongest predictors of MDD onset.

Persistent Depressive Disorder (Dysthymia)

  • Requires depressed mood for most of the day, more days than not, for at least 2 years (1 year for children/adolescents).
  • It involves milder or fewer symptoms than MDD.
  • Two or more of the following symptoms must be present:
    • Poor appetite or overeating.
    • Insomnia or hypersomnia.
    • Low energy/fatigue.
    • Low self-esteem.
    • Poor concentration/difficulty making decisions.
    • Feelings of hopelessness.
  • It can persist unchanged over long periods, exceeding 20 years.
  • Early onset, before age 21 is typical.
  • Associated with greater chronicity, poor prognosis, and more comorbid diagnoses like personality disorders or substance use.

Premenstrual Dysphoric Disorder (PMDD)

  • In most menstrual cycles, 5 symptoms occur in the final week before menses, improve after menses onset, and are minimal/absent postmenses.
  • Symptoms include:
    • Affective lability (mood swings).
    • Irritability, anger, interpersonal conflict.
    • Depressed mood, hopelessness.
    • Anxiety, tension.
    • Decreased interest in activities.
    • Poorer concentration.
    • Lethargy, lack of energy.
    • Changes in appetite and sleep.
    • Feeling overwhelmed or out of control.
    • Physical symptoms like bloating or tenderness.
  • Prevalence is 2-6% over 12 months.
  • Symptoms may worsen with age up until menopause.
  • Found across cultures with significant heritability (30-50%).
  • Treatments include SSRIs, CBT, and birth control pills.

Bipolar I Disorder

  • Requires occurrence of one or more manic episodes or mixed episodes (depression and mania).
  • Individuals typically have or will experience a major depressive episode.
  • Mania involves a distinct period of elevated, expansive, or irritable mood and abnormally increased goal-directed activity or energy lasting one week.
  • Three or more of the following symptoms are required for a manic episode:
    • Inflated self-esteem or grandiosity.
    • Decreased need for sleep.
    • More talkative; pressured speech.
    • Flight of ideas; racing thoughts.
    • Distractibility.
    • Increase in goal-directed behavior.
    • Excessive involvement in pleasurable activities.
  • Average age of onset is 18 years.
  • 90% or more of individuals with 1 manic episode have recurrent mood episodes.
  • Tends to be chronic; functional recovery lags behind symptom recovery.
  • Suicide is a common consequence (15x higher than the general population).

Bipolar II Disorder

  • Requires meeting criteria for a current or past hypomanic episode and a current or past depressive episode.
  • Hypomania differs from mania as its symptoms are not severe enough to cause serious impairment or hospitalization.
  • People usually seek treatment for depression and learn of hypomania later, often from informants. Many are not diagnosed with BP-II until after multiple depressive episodes.
  • Average age of onset is in the mid-20s, but can begin in childhood.
  • Most people do not progress to full Bipolar-I disorder.
  • Tends to be chronic and impairing.
  • Suicide risk is equally high to BP-I; 32% vs 36% report a lifetime suicide attempt.

Cyclothymic Disorder

  • A more chronic version of bipolar disorder lasting 2 years or more (1 year if a child/adolescent).
  • Involves numerous periods of hypomanic symptoms (not meeting full hypomania criteria) and depressive symptoms (not meeting full major depression criteria).
  • Manic or depressive mood states are present for at least half the time, without remitting for greater than 2 months.

Symptom Specifiers for Mood Disorders

  • Anxious Distress: tense, restless, worry, catastrophic thoughts, concerns about losing control.
  • Mixed Features: symptoms of mania or hypomania during depressive episodes, such as grandiosity, increased talkativeness, or increased energy.
  • Atypical: mood reactivity, weight gain/appetite increase, hypersomnia, sensitivity to rejection.
  • Melancholic: near absence of pleasure, not reactive to pleasurable stimuli, profound despair, symptoms worsen in the morning, EMAs (early morning awakenings), anorexia or weight loss, guilt.
  • Catatonic: absence of movement (very serious).
  • Psychotic: mood-congruent or mood-incongruent hallucinations/delusions.
  • Peripartum: depressive episodes during pregnancy or within 4 weeks of childbirth.
  • Seasonal Pattern: a pattern of relationships between the onset of depressive episodes and seasons.

Additional Facts and Statistics on Mood Disorders

  • Worldwide Lifetime Prevalence:
    • 16.1% for Major Depression (7% for 12-month prevalence).
    • 3.6% for Dysthymia.
    • 1.3% for Bipolar (0.6% for 12-month; 0.8% for BP-II).

Studying That Suits You

Use AI to generate personalized quizzes and flashcards to suit your learning preferences.

Quiz Team

More Like This

Use Quizgecko on...
Browser
Browser