Mood Disorders
The Term “Depression” is often used to describe general sadness or unhappiness.
This loose use of the term confuses a normal mood swing with a clinical syndrome
Depressive disorders can bring sever and long-lasting psychological pain that may intensify as time goes by.
Major depressive episodes – exist in both Major Depressive Disorder and Bipolar disorders
Extremely sad mood or anhedonia (loss of interest or pleasure in life’s activities)
Symptoms last for > 2 weeks
Cognitive symptoms (loss of concentration, feelings of guilt, worthlessness)
Physical dysfunction (sleep disturbance, appetite disturbance, psychomotor slowing or agitation, fatigue, pain in some)
Duration – 4-9 months, untreated.
Manic Episode- exist only in Bipolar 1 dosroder
Elevated or expansive or irritable mood (exaggerated elation, joy, euphoria)
1 week, or less if it requires hospitalization cognitive symptoms (racing thoughts, pressured speech, grandiose ideas, distractibility, sometimes hallucinations and delusions)
Behavioral- focusing on pleasurable activities with high potential for negative consequences
Physical dysfunction- hyperactivity, sleep disturbance
Duration- 3 to 6 months, untreated
Hypomaniac episodes- less severe version that doesn’t cause marked impairment or require hospitalization.
Unipolar disorders
Depression
Dysthymic disorder
New to DSM 5
Premenstrual dysphoric disorder
A diagnosis given to women who repeatedly experience clinically significant depressive symptoms during the week before menstruation
Disruptive mood regulation disorder
Characterized by a combo of persistent depressive symptoms and recurrent outbursts of severe temper
Bipolar disorders
Bipolar 1
Bipolar 2
Cyclothymia
Diagnostic considerations
Accompanying symptoms
Overlap between disorders
Severity
Mild
Moderate
Severe without psychotic features
Severe with psychotic features
Course
Recurrent
Alternating
Seasonal
Major Depressive Disorder, single episode
No
This loose use of the term confuses a normal mood swing with a clinical syndrome
Depressive disorders can bring sever and long-lasting psychological pain that may intensify as time goes by.
Major depressive episodes – exist in both Major Depressive Disorder and Bipolar disorders
Extremely sad mood or anhedonia (loss of interest or pleasure in life’s activities)
Symptoms last for > 2 weeks
Cognitive symptoms (loss of concentration, feelings of guilt, worthlessness)
Physical dysfunction (sleep disturbance, appetite disturbance, psychomotor slowing or agitation, fatigue, pain in some)
Duration – 4-9 months, untreated.
Manic Episode- exist only in Bipolar 1 dosroder
Elevated or expansive or irritable mood (exaggerated elation, joy, euphoria)
1 week, or less if it requires hospitalization cognitive symptoms (racing thoughts, pressured speech, grandiose ideas, distractibility, sometimes hallucinations and delusions)
Behavioral- focusing on pleasurable activities with high potential for negative consequences
Physical dysfunction- hyperactivity, sleep disturbance
Duration- 3 to 6 months, untreated
Hypomaniac episodes- less severe version that doesn’t cause marked impairment or require hospitalization.
Unipolar disorders
Depression
Dysthymic disorder
New to DSM 5
Premenstrual dysphoric disorder
A diagnosis given to women who repeatedly experience clinically significant depressive symptoms during the week before menstruation
Disruptive mood regulation disorder
Characterized by a combo of persistent depressive symptoms and recurrent outbursts of severe temper
Bipolar disorders
Bipolar 1
Bipolar 2
Cyclothymia
Diagnostic considerations
Accompanying symptoms
Overlap between disorders
Severity
Mild
Moderate
Severe without psychotic features
Severe with psychotic features
Course
Recurrent
Alternating
Seasonal
Major Depressive Disorder, single episode
No