Mood Disorders
The biggest difference between depressive disorders and bipolar disorders
What is the presence or history of a manic or hypomanic episode?
Key feature for social anxiety disorder
What is a fear of negative evaluation?
The presence of at least two weeks of psychotic symptoms without any mood episode.
What is the difference between Schizoaffective disorder and MDD with psychotic features?
What differentiates adjustment disorder from PTSD or other trauma and stressor related d/o's?
-It does not represent normal bereavement
-The pt's distress is in excess to what would be expected.
-The pt's distress cannot last more than 6 months after the stressor or its consequences have ended.
Eating disorders involving behaviors that prevent weight gain
What are anorexia nervosa and bulimia nervosa?
Necessary and sufficient for a diagnosis of bipolar I
What is a manic episode?
What is an important feature of panic disorder that separates it from other anxiety disorders with panic attack specifiers?
What is concern or worry about additional panic attacks or their consequences AND/OR a significant maladaptive change in behavior related to the attacks for at least one month after a panic attack.
Marked psychomotor disturbance including immobility or excessive motor activity
What is catatonia?
The clusters of symptoms required for a diagnosis of PTSD
What is intrusion symptoms, avoidance, negative alterations in mood and cognitions, alterations in arousal and reactivity?
What is the difference between mild and major NCD?
Mild NCD: Modest cognitive decline from a previous level of performance in one or more cognitive domains. The cognitive deficits do not interfere with capacity for independence in everyday activities (i.e., complex IADL's).
Major NCD: Significant cognitive decline from a previous level of performance in one or more cognitive domains. The cognitive deficits interfere with independence in everyday activities (i.e., at a minimum, requiring assistance with complex IADL's)
What is the difference between a hypomanic and manic episode?
Hypomania is lower in severity and impairment on functioning. Hypomania also lasts for at least 4 days while mania lasts for at least a week (or less if hospitalization is required).
What are the 5 criterion A situations in Agoraphobia?
1. Using public transportation (e.g., automobiles, buses, trains).
2. Being in open spaces (e.g., parking lots).
3. Being in enclosed places (e.g., shops, theaters)
4. Standing in line or being in a crowd.
5. Being outside of the home alone.
What are the time differences between brief psychotic disorder, schizophreniform, schizophrenia and schizoaffective?
Brief psychotic d/o = 1 day to 1 mo
Schizophreniform = between 1 mo and 6 mo
Schizophrenia = at least 6 mo
Schizoaffective = Delusions or hallucinations for 2 or more weeks in the absence of a major mood episode during the duration of the illness
The difference between sexual dysfunctions and paraphillic disorders
What is a person's ability to respond sexually or experience sexual pleasure versus the potential of harm to self or others?
What specifiers come with OCD? When might you give these specifiers?
With good or fair insight: individual recognizes that OCD beliefs are definitely or probably not true or that they may or may not be true.
With poor insight: Individual thinks OCD beliefs are probably true.
With absent insight/delusional beliefs: Individual is completely convinced that the OCD beliefs are true.
These symptoms of schizophrenia include reduced emotional expression, limited speech, and low motivation that occur at any time throughout the illness
What is Factitious Disorder?
A. Falsification of physical or psychological signs or symptoms, or induction of injury or disease, associated with identified deception.
B. The individual presents himself or herself to others as ill, impaired, or injured.
C. The deceptive behavior is evident even in the absence of obvious external rewards.
D. The behavior is not better explained by another mental disorder, such as delusional disorder or another psychotic disorder.
Over the last several years, John reports periodically feeling like "fun John" and "sad John." He states that when he feels like "fun John" his mood is abnormally and persistently elevated, and he feels rested after only 2 hours of sleep. When he feels like "sad John," in addition to feeling sad constantly, he barely has an appetite, sleeps for 10+ hours a day, and still has no energy. "Fun John" never sticks around for more than 4 days. "Sad John" sticks around for up to two weeks at a time. John denies experiencing any other symptoms. The most fitting diagnosis of John is
What is cyclothymic disorder?
Maria, a 42-year-old accountant, has spent eight months firmly convinced that a coworker is secretly in love with her and sends hidden messages depending on the color of his shirt he wears each day. She functions well at work and reports no hallucinations or disorganized behavior. She becomes frustrated that others “refuse to see what’s really going on.”
What is delusional disorder?
Kylie's dog was unwell for several months and was euthanised 3 days ago. Since then, she has been unable to stop crying and refused to open her eyes. She was brought to a psychiatric hospital last night after stating that she no longer wants to live in a world without her dog. Her mother indicates that this is not reflective of normal bereavement in their culture. The most fitting diagnosis for Kylie is
What is adjustment disorder?
James, a 68-year-old man, complains of misplacing his keys, repeating questions, and needing written lists to remember errands. He’s still able to manage his finances, drive, and live independently, but tasks take longer. He can still cook his own meals and drive around by himself. What is the most likely diagnosis?
What is mild neurocognitive disorder?