Flashcards in Mood Disorders Deck (23):
Loss of enjoyment and pleasure
Lack of energy
What is euthymia?
What is the difference between mood and affect?
Mood: patient's description of their state (subjective)
Affect: how mood changes to surroundings (objective)
List general features of low mood
Low, miserable, unhappy
Reduced facial expression
Reduced eye contact
Limited gesturing and reactivity
Difficult to establish rapport
List features of speech in low mood
Reduced intonation (monotonous)
List features of thought in low mood
Slow flow, ponderous
List features of paranoia in low mood
Depression (increased sensitivity to criticism)
Hallucinations in low mood typically make someone depressed. True/False?
Typically, the hallucinations reflect a person's depression rather than making them depressed
What aspect of insight is typically affected in low mood?
Attribution - patients blame experience on their sins, personal failings or weakness
How long should a depressive episode last to be classified as depression?
List criteria for diagnosing depression
2 of core features
- depressed mood
- loss of interest/pleasure
- decreased energy
Some additional features
- low confidence
- self-reproach, guilt
- suicidal thoughts
- diminished concentration
- sleep disturbance
- change in appetite
Moderate depression involves _ core features and _ additional features
Moderate depression involves 2 core features and 4 additional features
Severe depression involves _ core features and _ additional features
Moderate depression involves all core features and 5 additional features
DSM-10 classifies bipolar into 3 categories. Describe bipolar I
Meets criteria for mania at least once
Previous depressive or hypomanic episodes
DSM-10 classifies bipolar into 3 categories. Describe bipolar II
Current or past hypomanic episodes + current or past depressive episodes
Never met criteria for mania
DSM-10 classifies bipolar into 3 categories. Describe bipolar III
Hypomania following use of antidepressants
Which form of bipolar - I, II or III - is most common?
Depression changes to bipolar disorder once you have a manic episode. True/False?
How long should an episode last to be classified as hypomania?
4 consecutive days
List features of hypomania
Decreased need for sleep
Increased sexual energy
How long should an episode last to be classified as mania?