Major Depressive Disorder
One of two symptoms that must be present to diagnosis Major Depressive Disorder.
What is either depressed mood OR loss of interest/pleasure?
Criteria for a ________ episode must have been met at least once in a lifetime to diagnose Bipolar I Disorder.
What is manic?
Name an essential mood expression feature of premenstrual dysphoric disorder:
What is?
Mood lability OR
Irritability OR
Depressed mood OR
Anxiety symptoms
The duration of symptoms for a PDD diagnosis is:
What is "most of the day, more days than not for at least 2 years"?
Presence of at least four mood episodes in the previous 12 months that meet criteria for manic, hypomanic, or major depressive disorder.
What is "with rapid cycling"?
The time-frame (duration of symptoms) required for criteria to be met for a major depressive disorder:
What is 2 weeks?
Duration of abnormally and persistently elevated mood or energy most of the day, nearly every day to meet criteria of a Manic Episode:
What is one week (or any duration if hospitalized)?
Number of menstrual cycles for which you must have daily prospective symptom ratings in order to confirm the diagnosis.
What is "for at least two symptomatic cycles"?
Over the course of the preceding year
The duration of symptoms for a cyclothymic diagnosis (in adults) is:
What is "at least 2 years with numerous periods of hypomanic symptoms that do not meet critieria for hypomanic episode and numerous periods with depressive symptoms that do not meet criteria for major depressive episode"
In bipolar disorders, in order to say "Severe," one characteristic is:
Number of symptoms are in excess of those required to meet criteria AND
Intensity of symptoms is seriously distressing and unmanageable AND
Symptoms markedly interfere with social/occupational functioning
A risk factor for developing Major Depressive Disorder is:
What is:
Adverse childhood experiences (trauma)
Stressful life events
Having first degree family members w/ hx of MDD
Other mental health disorders (esp. SUD, anxiety, borderline PD)
Chronic or disabling medical conditions
Duration of abnormally and persistently elevated mood and/or energy most of the day, nearly every day to meet criteria of a Hypomanic Episode:
What is 4 days?
Age of onset for the disorder is:
What is "can occur at any point after menarche"?
The diagnosis of cyclothymic disorder is not made if criteria are met for:
What is:
major depressive, hypomanic or manic episodes?
When there is a regular temporal relationship between the onset of major depressive episodes and a particular time of the year, you would say it is this specifier "with _________"
What is "seasonal pattern"?
Name an important rule out when considering a MDD diagnosis:
What is:
General medical condition
OR
SUD
OR
Bipolar D/O
OR
Schizoaffective d/o
When considering "decreased need for sleep" in hypomanic and manic episode criteria, the amount of sleep suggested is:
What is "feels rested after only 3 hours of sleep"?
Most frequently reported previous disorder:
What is major depressive disorder?
The two diagnoses that should be diagnosed if individuals meet major depressive disorder criteria for 2 years:
What are:
Major depressive disorder AND Persistent Depressive Disorder (Or can use specifiers as described on pg 171)
Length of time without significant signs/symptoms of the disorder in order to say "in full remission"
What is 2 months?
One characteristic distinguishing a major depressive episode from grief.
What is:
In grief, predominant mood is loss/emptiness - in MDE, it is persistent depressed mood and inability to feel pleasure. OR
Dysphoria in grief is likely to decrease in intensity over days/weeks and related to the loss, in MDE more persistent and related to pervasive unhappiness. OR
In grief, thought content includes preoccupation with thoughts/memories of deceased, in MDE thoughts are self-critical OR
In grief, self-esteem preserved, in MDE feelings of worthlessness or self-loathing are common OR
In grief, thoughts of death/dying are focused on deceased and possibly "joining" them, in MDE thoughts of death are focused on ending life because of feelings of worthlessness/underserving of living, burden on others or inability to cope with emotional pain.
Lifetime risk of suicide in individuals with bipolar disorder is ________ times that of the general population.
What is 15?
Example of impairment in social functioning in the week prior to menses:
What is:
marital discord OR
problems with children or other family members/friends OR
job problems?
Typical age of onset for cyclothymic disorder is:
What is adolescence or early adult?
"With mood-congruent psychotic features" in bipolar disorder is defined as:
What is: in mania the "content of all delusions and hallucinations is consistent with typical manic themes of grandiosity, invulnerability, etc"?