 | Term | Definition |
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What are the mood disorders of the DSM-IV-TR |
There are essentially 10: MDD Single or Recurrent, Dysthmic d/o, Depressive d/o NOS, Bipolar I, Bipolar II, Cyclothymic d/o, Bipolar d/o NOS, Mood d/o due to GMC, Substance Induced Mood d/o, Mood d/o NOS |
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What are the diagnostic criteria for depression |
5 of 9 for two weeks with at least one being depressed mood or anhedonia: depressed mood, anhendonia, weight gain/ loss or appetite change, sleep disturbance, psychomotor agitation or retardation, low energy, feelings of guilt or worthlessness, concentration difficulties, recurrent thoughts of death |
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What are the diagnostic criteria for mania |
1 week with 3 of 7: inflated self-esteem, decreased need for sleep, pressured speech, flight of ideas, distractibility, increase in goal directed activity, excessive involvement with pleasurable activity |
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What is the difference between hypomania and mania |
4 days instead of 1 week, not severe enough to impair markedly social or occupational functioning |
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What is a mixed episode |
Criteria for depressive episode and mania met every day for at least 1 week |
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What percentage of people upon Mental Status Examination deny any depressive feelings or sadness |
50% |
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What is the gender ratio for MDD and Bipolar I |
For MDD, 2:1 Women : Men, For Bipolar I, 1:1. However, some data indicate depression is 1:1 for men and women (Amish study) |
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When is medication necessary for MDD |
If the episode is moderate to severe OR if patient has MDD with recurrent episodes |
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What is the difference between Bipolar I and Bipolar II |
Bipolar II is depressive episodes and hypomanic episodes, NO history of mania or mixed episodes |
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How do you differentiate Bipolar II from Borderline Personality Disorder |
First, the two can coexist. Second, people with Borderline PD often have tumultuous relationship histories and work histories (short lived relationships and frequently fired from jobs). Paranoia, self mutilation and dissociative symptoms are absent in Bipolar Disorder (OK, possible for paranoia in severe depression). |
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