Podcast
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?
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?
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?
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?
Which of the following specifiers indicates a near absence of pleasure and a lack of reactivity to pleasurable stimuli?
What is the estimated worldwide lifetime prevalence of Major Depressive Disorder (MDD)?
What is the estimated worldwide lifetime prevalence of Major Depressive Disorder (MDD)?
A patient with Bipolar I Disorder is experiencing a depressive episode. Which of the following symptoms would suggest the presence of 'mixed features'?
A patient with Bipolar I Disorder is experiencing a depressive episode. Which of the following symptoms would suggest the presence of 'mixed features'?
Which of the following is a significant risk factor for the recurrence of Major Depressive Disorder (MDD)?
Which of the following is a significant risk factor for the recurrence of Major Depressive Disorder (MDD)?
What is the average age of onset for Bipolar I Disorder?
What is the average age of onset for Bipolar I Disorder?
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?
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?
Which of the following is a common treatment approach for Premenstrual Dysphoric Disorder (PMDD)?
Which of the following is a common treatment approach for Premenstrual Dysphoric Disorder (PMDD)?
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?
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?
How does the typical age of onset of Dysthymia compare to that of Major Depressive Disorder (MDD)?
How does the typical age of onset of Dysthymia compare to that of Major Depressive Disorder (MDD)?
Which of the following is a diagnostic criterion specific to Persistent Depressive Disorder (Dysthymia) in children and adolescents?
Which of the following is a diagnostic criterion specific to Persistent Depressive Disorder (Dysthymia) in children and adolescents?
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?
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?
What is a key difference between hypomania and mania?
What is a key difference between hypomania and mania?
A new mother experiences a major depressive episode within three weeks of childbirth. Which specifier would be most appropriate to describe this?
A new mother experiences a major depressive episode within three weeks of childbirth. Which specifier would be most appropriate to describe this?
Which of the following is TRUE regarding suicide risk in bipolar disorders?
Which of the following is TRUE regarding suicide risk in bipolar disorders?
What is the minimum duration of mood disturbance required for a diagnosis of Cyclothymic Disorder in adults?
What is the minimum duration of mood disturbance required for a diagnosis of Cyclothymic Disorder in adults?
Which specifier of mood disorders involves symptoms like weight gain or appetite increase, hypersomnia, and sensitivity to rejection?
Which specifier of mood disorders involves symptoms like weight gain or appetite increase, hypersomnia, and sensitivity to rejection?
In Major Depressive Disorder, what is the significance of 'observable psychomotor agitation or retardation'?
In Major Depressive Disorder, what is the significance of 'observable psychomotor agitation or retardation'?
A patient consistently experiences depressive episodes during the winter months and remission during the spring and summer. Which specifier best describes this pattern?
A patient consistently experiences depressive episodes during the winter months and remission during the spring and summer. Which specifier best describes this pattern?
What percentage of individuals with one manic episode will likely experience recurrent mood episodes?
What percentage of individuals with one manic episode will likely experience recurrent mood episodes?
What is the primary focus of Cognitive Behavioral Therapy (CBT) in the treatment of Premenstrual Dysphoric Disorder (PMDD)?
What is the primary focus of Cognitive Behavioral Therapy (CBT) in the treatment of Premenstrual Dysphoric Disorder (PMDD)?
Why is gathering information from informants (e.g., family members) particularly important in diagnosing Bipolar II Disorder?
Why is gathering information from informants (e.g., family members) particularly important in diagnosing Bipolar II Disorder?
Which of the following is NOT a typical symptom of a manic episode?
Which of the following is NOT a typical symptom of a manic episode?
What distinguishes Disruptive Mood Dysregulation Disorder from the other mood disorders?
What distinguishes Disruptive Mood Dysregulation Disorder from the other mood disorders?
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?
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?
What is the primary diagnostic criterion that distinguishes Bipolar II Disorder from Major Depressive Disorder?
What is the primary diagnostic criterion that distinguishes Bipolar II Disorder from Major Depressive Disorder?
How long must manic or depressive mood states be present in Cyclothymic Disorder without remitting to meet diagnostic criteria?
How long must manic or depressive mood states be present in Cyclothymic Disorder without remitting to meet diagnostic criteria?
A patient with Bipolar I Disorder is experiencing significant functional impairment even when their mood symptoms are relatively well-managed. What does this suggest?
A patient with Bipolar I Disorder is experiencing significant functional impairment even when their mood symptoms are relatively well-managed. What does this suggest?
Which of the following is commonly comorbid with Persistent Depressive Disorder (Dysthymia)?
Which of the following is commonly comorbid with Persistent Depressive Disorder (Dysthymia)?
What is the estimated 12-month prevalence of Bipolar Disorder (including both Bipolar I and Bipolar II)?
What is the estimated 12-month prevalence of Bipolar Disorder (including both Bipolar I and Bipolar II)?
Which of the following best describes the 'flight of ideas' symptom seen in mania?
Which of the following best describes the 'flight of ideas' symptom seen in mania?
A patient taking SSRIs for PMDD reports minimal improvement. What other treatment option might be considered?
A patient taking SSRIs for PMDD reports minimal improvement. What other treatment option might be considered?
For an adult to be diagnosed with Major Depressive Disorder, how many symptoms must be present during the same 2-week period?
For an adult to be diagnosed with Major Depressive Disorder, how many symptoms must be present during the same 2-week period?
A patient with depression reports that their symptoms worsen in the morning. Which specifier does this indicate?
A patient with depression reports that their symptoms worsen in the morning. Which specifier does this indicate?
Which of the following is the strongest predictor of Major Depressive Disorder onset?
Which of the following is the strongest predictor of Major Depressive Disorder onset?
What distinguishes Bipolar II disorder from Bipolar I disorder?
What distinguishes Bipolar II disorder from Bipolar I disorder?
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?
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?
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?
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?
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?
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?
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?
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?
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?
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?
Flashcards
Bipolar I Disorder
Bipolar I Disorder
A mood disorder characterized by one or more manic episodes or mixed episodes, often with major depressive episodes.
Bipolar II Disorder
Bipolar II Disorder
A mood disorder involving criteria for a current or past hypomanic episode and a current or past depressive episode.
Cyclothymic Disorder
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)
Mixed Features (in Mood Disorders)
Signup and view all the flashcards
Anxious Distress (in Mood Disorders)
Anxious Distress (in Mood Disorders)
Signup and view all the flashcards
Atypical Features (in Mood Disorders)
Atypical Features (in Mood Disorders)
Signup and view all the flashcards
Melancholic Features (in Mood Disorders)
Melancholic Features (in Mood Disorders)
Signup and view all the flashcards
Peripartum Onset (in Mood Disorders)
Peripartum Onset (in Mood Disorders)
Signup and view all the flashcards
Seasonal Pattern (in Mood Disorders)
Seasonal Pattern (in Mood Disorders)
Signup and view all the flashcards
Catatonic Features (in Mood Disorders)
Catatonic Features (in Mood Disorders)
Signup and view all the flashcards
Psychotic Features (in Mood Disorders)
Psychotic Features (in Mood Disorders)
Signup and view all the flashcards
Persistent Depressive Disorder (Dysthymia)
Persistent Depressive Disorder (Dysthymia)
Signup and view all the flashcards
Major Depressive Disorder (MDD)
Major Depressive Disorder (MDD)
Signup and view all the flashcards
Premenstrual Dysphoric Disorder (PMDD)
Premenstrual Dysphoric Disorder (PMDD)
Signup and view all the flashcards
Disruptive Mood Dysregulation Disorder
Disruptive Mood Dysregulation Disorder
Signup and view all the flashcards
Symptoms of Mania
Symptoms of Mania
Signup and view all the flashcards
Mania
Mania
Signup and view all the flashcards
Hypomania
Hypomania
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 and Related Disorders
- 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.