depressive diorder

Question 1

What are the key features of disruptive mood dysregulation disorder?

Answer 1

• Sever recurrent temper outbursts manifested verbally and/or behaviourally, response to frustration
• Inconsistent with developmental level
• In average 3-4 times a week
• Chronic, persistently irritable or angry mood present between outbursts
• 12 months or more, in more than 2 settings
• Often seen in children

Question 2

What are the key features for Major Depressive Disorder?

Answer 2

• Having 5 or more symptoms present during a 2 week-period
• Either depressed mood or anhedonia
• Never signs of hypomania or manic episodes

Question 3

What are some of the symptoms one can have for MDD?

Answer 3

• Significant weightloss (rare cases increase weight)
• Insomnia or hypersomnia nearly every day
• Psychomotor agitation or retardation
• Fatigue/Loss of energy
• Feelings of worthlessness and guilt
• Cognitive difficulties
• Suicidal thoughts

Question 4

What are the key features of Persistent Depressive Disorder?

Answer 4

• Depressed mood most of time during a 2 year period
• Presence of 2, or more, symptoms
• ## No more than 2 months remission at one time

Question 5

What are some common symptoms in PDD?

Answer 5

• Poor appetite or overeating
• Insomnia or hypersomnia
• Low energy or fatigue
• Low self-esteem
• Hopelessness
• Poor concentration or difficulty making decisions

Question 6

What are the key features for Premenstrual Dysphoric Disorder?

Answer 6

Mood changes that follow the menstrual cycle, with at least 5 symptoms present in the week before onset of menses

Question 7

What are the symptoms in criteria B for PreDD?

Answer 7

• Affective lability
• Irritability/Anger
• Depressed mood, hopelessness
• Anxiety, tension

Question 8

What are the symptoms in criteria C for preDD?

Answer 8

• Decreased interest in usual activity
• Difficulty in concentration
• Lethargy
• Change in appetite
• Sleep issues

Question 9

What are some common specifier for both bipolar and depressive disorders?

Answer 9

• Anxious Distress
• Mixed features
• Melancholic features
• Atypical features
• Mood congruent/incongruent psychotic features
• Catatonia

Question 10

Anxious Distress

Answer 10

• Associated with increased risk of suicide
• At least two of the following
  1. Keyed up/tense
  2. Feeling unusually restless
  3. Difficulty concentrating due to worry
  4. Something awful may happen
  5. Feelings of loss of control
  –

Question 11

Mixed Features

Answer 11

• Unstable mood, contradicting symptoms and quick changes
• 3 or more symptoms of hypomanic episode

Question 12

Melancholic Features

Answer 12

• One of the following present during the acute phase
  1. Loss of pleasure in all, or almost all, activities
  2. Lack of reactivity to usually pleasurable stimuli
• Often psychotic features
• 3 or more of the following symptoms
  1. Feelings of emptiness
  2. Worse in the morning
  3. Wakes up early
  4. Psychomotor agitation or retardation
  5. Anorexia or weight loss
  6. Distortion of feelings of guilt