Exam

Mood Disorder

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Mood Disorder

  • Definitions
  1. Depressive Disorder
    1. >2 weeks of depressed most of the day or anhedonia
  2. Bipolar 1
    1. Elevated, expansive, or irritable >1 week.
  3. Bipolar 2
    1. Depressive episodes with a hypomanic episode
  4. Cyclothymic
    1. Hypomania for 2 years
  5. Chronic Depression
    1. Major Depressive Episode > 2 years continuously
  • Severity
  1. Mild, Moderate, Severity
  2. With or Without
    1. Mood Incongruent or Congruent
    2. Psychotic Features
    3. Partial or full Remission
  • Additional Features
  1. Catatonic Features
    1. Catalepsy/stupor
    2. Excessive purposeless motor activity
    3. Negativism/mutism
    4. Posturing/stereotyped movements
    5. Grimacing
    6. Prominent mannerisms
    7. Echolalia or Echopraxia.
  2. Melancholic Features
    1. Anhedonia
    2. AM depression
    3. Early AM awakening
    4. Guilt
    5. Marked weight loss/Anorexia
    6. Marked psychomotor Agitation/retardation
  3. Atypical Features
    1. Mood brightens to actual/potential positive events
    2. Significant weight gain/increase in appetite
    3. Hypersomnia
    4. Leaden paralysis
    5. Long pattern of interpersonal rejection sensitivity
    6. Resulting in social/occupational Impairment
  4. Postpartum onset
    1. Within 4 weeks postpartum