Mood Disorders Overview and Classification
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Questions and Answers

What characteristic described Jane during her entrance into the office?

  • Resigned and indifferent
  • Dressed poorly and disorganized
  • Quiet and reserved
  • Vivacious and personable (correct)
  • What behavior is indicative of Mike compared to Jane?

  • Optimistic and cheerful
  • Talkative and enthusiastic
  • Expressive and outgoing
  • Quiet and reserved (correct)
  • Which of the following is NOT a criterion mentioned for symptom evaluation?

  • Symptoms should not occur exclusively during a depressive episode
  • Symptoms must not be attributed to a neurological condition
  • Symptoms must be attributable to a physiological effect of a substance (correct)
  • Symptoms must not be better explained by another mental disorder
  • What was one of the topics Jane discussed enthusiastically before sitting down?

    <p>The achievements of her children (D)</p> Signup and view all the answers

    Which statement accurately reflects the context of the observed behaviors?

    <p>The behaviors occurred outside of any depressive episode. (D)</p> Signup and view all the answers

    What is a significant risk factor for the development of complicated grief?

    <p>Past depressive episodes (A)</p> Signup and view all the answers

    After what time period is the chance of recovering from severe grief without treatment significantly reduced?

    <p>6 months to 1 year (B)</p> Signup and view all the answers

    What emotional state may increase substantially in individuals experiencing complicated grief?

    <p>Suicidal thoughts focusing on joining the deceased (D)</p> Signup and view all the answers

    What characteristic often describes the emotional regulation of individuals enduring complicated grief?

    <p>Rigid and inflexible emotions (A)</p> Signup and view all the answers

    What should be encouraged for individuals experiencing acute grief in the initial 6-12 months?

    <p>Talk about the loved one and the loss (D)</p> Signup and view all the answers

    What typically happens to the ability to imagine future events for those experiencing complicated grief?

    <p>It becomes impaired (D)</p> Signup and view all the answers

    Which of the following is NOT a common symptom of acute grief within the first year?

    <p>Clear acceptance of reality (C)</p> Signup and view all the answers

    What percentage of bereaved individuals may develop a disorder from normal grief after 6 months to a year?

    <p>7% (D)</p> Signup and view all the answers

    What is a common response of new mothers following childbirth?

    <p>Tearfulness and temporary mood swings (B)</p> Signup and view all the answers

    How do most people perceive the emotional state of new mothers after childbirth?

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

    What factor may contribute to peripartum depression in women?

    <p>Elevated corticotrophin-releasing hormone in the placenta (B)</p> Signup and view all the answers

    What is a defining criterion for seasonal affective disorder (SAD)?

    <p>Episodes must occur for at least two years (C)</p> Signup and view all the answers

    Which of the following is NOT associated with normal responses in new mothers after childbirth?

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

    What is a key emotional experience associated with grief mentioned in the content?

    <p>Recurrent strong feelings of yearning (D)</p> Signup and view all the answers

    What hormonal change occurs after delivery that affects new mothers?

    <p>Gradual decline in reproductive hormones (C)</p> Signup and view all the answers

    Which symptom is NOT associated with the somatic distress mentioned in the content?

    <p>Feelings of extreme happiness (B)</p> Signup and view all the answers

    What term is used to describe the state of integrating grief into life?

    <p>Integrated grief (D)</p> Signup and view all the answers

    In individuals with bipolar disorder, what seasonal pattern is typically observed?

    <p>Depression in winter and mania in summer (C)</p> Signup and view all the answers

    What conclusion can be drawn about hormonal levels and peripartum depression?

    <p>All women experience hormonal changes but only some develop depressive disorders (A)</p> Signup and view all the answers

    Which disorder has been added to the DSM-5 related to depressive disorders?

    <p>Premenstrual dysphoric disorder (PMDD) (A)</p> Signup and view all the answers

    What is the emotional reaction related to the acceptance of death mentioned in the content?

    <p>Struggle to accept the reality (D)</p> Signup and view all the answers

    What characterizes major depressive disorder?

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

    What defines recurrent major depressive disorder?

    <p>Two or more episodes separated by at least 2 months (B)</p> Signup and view all the answers

    What psychological treatment approach is mentioned as being more successful than others for coping with grief?

    <p>Integrated grief approach (D)</p> Signup and view all the answers

    What is the median lifetime number of major depressive episodes typically observed?

    <p>4 to 7 (D)</p> Signup and view all the answers

    Which of the following is a common symptom of grief as noted in the content?

    <p>Episodes of crying or sobbing (C)</p> Signup and view all the answers

    How long must a depressed mood persist for a diagnosis of persistent depressive disorder (dysthymia)?

    <p>At least 2 years (C)</p> Signup and view all the answers

    Feeling disconnected from the world is described within which context?

    <p>In the experience of grief and loss (B)</p> Signup and view all the answers

    Which of the following statements is true concerning dysthymia?

    <p>It may last for exceptionally long periods without symptom relief (C)</p> Signup and view all the answers

    What is the characteristic duration of recurrent major depressive episodes?

    <p>4 to 5 months (B)</p> Signup and view all the answers

    What is double depression?

    <p>Presence of both major depressive episodes and persistent depressive disorder (C)</p> Signup and view all the answers

    What does unipolar depression often result in regarding its course?

    <p>It can become chronic with intermittent episodes (C)</p> Signup and view all the answers

    What percentage of women are identified as suffering from severe incapacitating emotional reactions during the premenstrual period?

    <p>2% to 5% (D)</p> Signup and view all the answers

    Which of the following is NOT a symptom of integrated grief within normal limits?

    <p>Dominant thoughts of the deceased (A)</p> Signup and view all the answers

    What is a major concern regarding the classification of premenstrual emotional reactions as a disorder?

    <p>It could stigmatize women during a normal physiological cycle (A)</p> Signup and view all the answers

    What was established about the small group of women experiencing severe emotional reactions compared to the larger group with premenstrual symptoms?

    <p>They differ in several ways from those experiencing PMS (D)</p> Signup and view all the answers

    Which symptom is associated with incapacity during the premenstrual period in women identified with PMDD?

    <p>Severe mood swings (A)</p> Signup and view all the answers

    Which statement about occasional hallucinatory experiences of the deceased is accurate?

    <p>They are typical in integrated grief situations (D)</p> Signup and view all the answers

    What emotional reaction may persist despite adjusting to the loss?

    <p>Feelings of emotional loneliness (A)</p> Signup and view all the answers

    Surges of grief can occur in response to which types of triggers?

    <p>Calendar days or reminders of the loss (A)</p> Signup and view all the answers

    Flashcards

    Yearning for Reunion

    An intense longing to be reunited with the deceased loved one, sometimes even wishing to die to be with them.

    Pangs of Deep Sadness

    Periods of intense sadness, crying, or sobbing, interspersed with moments of respite and potentially even positive emotions.

    Intrusive Thoughts & Images

    Frequent and vivid thoughts or images of the deceased, possibly including hallucinatory experiences of seeing or hearing them.

    Denial & Resistance

    Difficulty accepting the reality of the death, resisting or protesting against it, sometimes accompanied by bitterness or anger.

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    Somatic Distress in Grief

    Physical symptoms like uncontrollable sighing, digestive issues, loss of appetite, sleep disturbances, exhaustion, and difficulty concentrating.

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    Emotional Disconnection

    Feeling disconnected from the world and others, experiencing indifference, lack of interest, or irritability.

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    Integrated Grief

    A process involving integrating positive memories and emotions with the pain of loss, leading to coping and acceptance.

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    Premenstrual Dysphoric Disorder (PMDD)

    A type of depression characterized by severe mood swings, irritability, and other symptoms, primarily occurring during the premenstrual phase.

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    Major Depressive Disorder

    A mental health condition characterized by periods of intense sadness, loss of interest, and feelings of worthlessness, lasting for at least two weeks.

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    Persistent Depressive Disorder (Dysthymia)

    A type of depression that is less severe than major depressive disorder but lasts for a longer period. It's characterized by persistent low-grade depression for at least two years.

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    Recurrent Major Depressive Disorder

    The repeated occurrence of major depressive episodes in an individual's lifetime.

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    Duration of Recurrent Major Depressive Episodes

    The average duration of a recurrent major depressive episode is typically 4 to 5 months, which is shorter than the first episode.

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    Double Depression

    A condition where an individual experiences both major depressive episodes and dysthymia.

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    Unipolar Depression

    A chronic condition characterized by recurring episodes of depression, typically lasting several months.

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    Lifetime Number of Major Depressive Episodes

    The number of major depressive episodes someone might experience in their lifetime.

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    Duration of a Major Depressive Episode

    The time period between the onset and resolution of a single major depressive episode.

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    Complicated Grief

    A type of grief that lasts beyond the expected time period, often characterized by intense emotional distress and difficulty moving on.

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    Acute Grief

    The period within the first 6 to 12 months following a loss, during which individuals experience a range of emotional and behavioral responses.

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    Grief

    A state of intense emotional and psychological distress that arises in response to a significant loss, such as the death of a loved one.

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    Prolonged Grief

    When grief symptoms persist longer than expected and significantly disrupt daily life, impacting functioning and well-being.

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    Imagining the Future

    The ability to imagine and contemplate future events, often impaired during grief, making it difficult to envision a future without the deceased.

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    Grief Resolution

    The process of coming to terms with loss and adapting to a life without the deceased, involving emotional healing and acceptance.

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    Emotional Regulation in Grief

    Emotional responses and behaviors during grief tend to become rigid and inflexible, making it challenging to navigate everyday life.

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    Factors Contributing to Complicated Grief

    The psychological and social factors that increase the risk of experiencing complicated grief, such as a history of depression or challenging life events.

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    Depression

    The state of feeling sad, hopeless, and losing interest in activities, often experienced alongside complicated grief.

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    Postpartum mood changes

    Temporary mood swings and tearfulness after childbirth are normal and expected. They usually disappear quickly and don't indicate depression.

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    Peripartum Depression: Misunderstanding

    Many new mothers find it difficult to recognize depression in themselves because they assume this time should be joyful. Even though the period is often associated with happiness, it can also be extremely stressful.

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    Narcissistic Personality Disorder

    A mental health disorder where a person exhibits persistent and pervasive patterns of grandiosity, need for admiration, and lack of empathy. This can affect interpersonal relationships and daily life.

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    Peripartum Depression: Causes

    Physical exhaustion, adjusting to new schedules, breastfeeding challenges, and other changes post-delivery can trigger extreme stress, which can lead to Peripartum Depression.

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    Narcissism

    A pattern of behavior in which an individual shows exaggerated feelings of self-importance, a need for constant admiration, and lack of empathy for others. This can lead to difficulties in personal and professional relationships.

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    Hormonal Connection to Peripartum Depression

    Some evidence suggests that women with a history of peripartum depression may be affected differently by hormone changes after childbirth, possibly contributing to depression. However, this requires further study.

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    Seasonal Pattern Specifier

    A depressive episode that occurs during specific seasons, often starting in late fall and ending in spring. It must have occurred for at least two years without any non-seasonal depressive episodes during that time.

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    Grandiosity

    A key feature of Narcissistic Personality Disorder, where individuals have an inflated sense of their own importance, talents, and achievements. They may believe they are unique or special, deserving of special treatment, and often exaggerate their accomplishments.

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    SAD: Seasonal Affective Disorder Pattern

    Individuals with Seasonal Affective Disorder (SAD) might experience depression during winter and mania during summer, exhibiting a cyclical pattern linked to the seasons.

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    Need for Admiration

    A characteristic of Narcissistic Personality Disorder in which individuals crave admiration and approval from others. They seek constant validation for their self-image and may feel entitled to special treatment.

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    Lack of Empathy

    A prominent feature of Narcissistic Personality Disorder, where individuals lack the ability to understand or share the feelings of others. They may be inconsiderate of others' needs and emotions.

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    SAD: Diagnostic Criteria

    If a person experiences seasonal depressive episodes for two years, without any non-seasonal depressive episodes during that period, it's considered Seasonal Affective Disorder (SAD).

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    Adjusted to the loss

    A state where a person feels they have adapted to the loss of someone, their sense of purpose returns, and they are able to experience joy and satisfaction again.

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    Premenstrual Syndrome (PMS)

    The experience of uncomfortable premenstrual symptoms, commonly referred to as PMS, affecting a significant portion of women, but without significantly impacting daily functioning.

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    Normal Grief

    The symptoms experienced by individuals who are grieving a loss typically involve sadness, longing, and difficulty focusing, but these symptoms gradually lessen over time, allowing for an eventual return to a sense of normalcy.

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    Impairment from PMDD

    The emotional and physical symptoms associated with PMDD are severe enough to cause significant impairment in daily functioning, impacting a woman's social, work, and personal life.

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    Hallucinatory Experiences

    The term used to describe any unusual sensory experience of a deceased person, such as seeing, hearing, or sensing their presence, often associated with grief.

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    Triggers of Grief

    Triggered memories of the deceased, triggered by certain dates, places, or specific events, bringing back intense feelings of grief during the grieving process.

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    PMDD symptoms

    Similar to PMS, but with more severe mood swings and anxiety, affecting physical and mental well-being, often leading to significant daily life challenges.

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    Study Notes

    Mood Disorders Overview

    • Major depressive episode is the most common and severe form of depression
    • Lasts at least 2 weeks
    • Includes symptoms like depressed mood, feelings of worthlessness, disturbed physical functions (e.g., sleep, appetite), and loss of interest
    • Anhedonia (loss of pleasure) is a key indicator
    • Duration of untreated major depressive episodes is roughly 4-9 months

    Overview of Depression and Mania

    • Mania is characterized by abnormally exaggerated elation, joy, or euphoria
    • Individuals experience extreme pleasure in activities, become hyperactive, need little sleep, and have grandiose plans
    • Speech is rapid and possibly incoherent
    • Manic episodes can last 1 week if severe, or 3 to 4 months untreated
    • DSM-5 defines hypomania as a less severe form of mania, lasting 4 days and causing less impairment

    Structure of Mood Disorders

    • Unipolar mood disorder is when mood remains at one "pole" (e.g., consistently depressed)
    • Bipolar mood disorder involves alternating between depression and mania
    • Individuals can experience both manic and depressive symptoms at the same time (mixed features)
    • Manic episodes are more common in adolescents than generally thought

    Depressive Disorders- Clinical Descriptions

    • Major depressive disorder lacks manic or hypomanic episodes before or during the disorder
    • Recurrence of major depressive episodes, separated by at least 2 months without depression, is considered "recurrent"
    • Unipolar depression is often a chronic condition with waxing and waning symptoms
    • Median lifetime number of depressive episodes is 4-7
    • Median duration of recurrent depressive episodes is 4-5 months

    Persistent Depressive Disorder (Dysthymia)

    • Shares symptoms of major depressive disorder but differs in its course
    • Symptoms are less severe but persist for longer periods (e.g., 20-30+ years)
    • It's characterized by depressed mood lasting 2+ years, with no symptom-free periods longer than 2 months

    Psychotic Features in Depressive Disorders

    • Some individuals experience psychotic symptoms (hallucinations, delusions) during a major depressive/manic episode
    • Mood-congruent delusions are related to mood (e.g., believing one is evil)
    • Mood-incongruent delusions are not related to mood (e.g., delusions of grandeur)

    Other Defining Criteria for Depressive Disorders

    • Anxious distress - presence of accompanying anxiety worsens the condition and predicts a poorer prognosis
    • Mixed features - presence of multiple manic symptoms in a predominantly depressive episode
    • Melancholic features - severe somatic symptoms (e.g., early-morning awakening, weight loss, loss of libido)
    • Catatonic features - absence of movement or excessive, purposeless movement
    • Atypical features - oversleeping, overeating, hypersensitivity to rejection.

    Peripartum Onset

    • Period just before and after childbirth
    • Peripartum depression (13-19% of women)
    • Can include depressive and/or manic episodes
    • Fathers can experience depression postpartum

    Seasonal Pattern

    • Episodes occurring during specific seasons
    • Often linked to light exposure and melatonin production
    • Winter depression (seasonal affective disorder-SAD) is common in high latitudes

    Other Depressive Disorders (Premenstrual Dysphoric Disorder and Disruptive Mood Dysregulation Disorder)

    • Additional conditions that share characteristics with mood disorders but are distinct
    • Premenstrual Dysphoric Disorder (PMDD): Symptoms related to the menstrual cycle
    • Disruptive Mood Dysregulation Disorder (DMDD): Childhood-onset condition with severe and frequent temper outbursts

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    Mood Disorders PDF

    Description

    This quiz covers the key concepts of mood disorders, including major depression and mania. It explores their symptoms, duration, and classifications such as unipolar and bipolar mood disorders. Test your understanding of these mental health challenges and their implications.

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