DSM V Criteria - Depressive Disorders

23 flashcards · Other · by Andrew Watters

1. What the positive symptom requirements of MDD?

   5+ sx, must include (low mood OR anhedonia)

2. What are the potential symptoms of MDD?

   Mood Sleep change Interests, decreased Guilt/worthlessness Energy Concentration, indecisiveness Appetite change, significant weight change (+/- 5% in a month) Psychomotor change Suicidality

3. In determining criteria for MDD, In order to include a symptom, it must...?

   Be a change from previous

4. What are the time limitations for MDD?

   minimum of 2 weeks

5. What are the positive symptom criteria for Persistent Depressive Disorder?

   Low mood + 2 other symptoms

6. What are the other possible symptoms?

   Appetite change Sleep change Low energy Decreased concentration, indecisiveness Low self-worth Hopelessness

7. What are the time requirements for Persistent Depressive Disorder?

   2 yrs, more days than not never without depression+symptoms for >2 months at a time

8. What are some additional specifiers for Persistent Depressive Disorder?

   Early/late onset (<21 yrs vs >21yrs) persistent dysthymic syndrome persistent MDE intermittent MDE, with (or without) current episode

9. What are primary symptoms/requirements for Premenstrual Dysphoric Disorder?

   1+ of: marked affect lability marked irritability marked anxiety (feeling on edge) marked depressed mood

10. What are the additional symptoms/requirements for Premenstrual Dysphoric Disorder?

    1+ of: decreased interests decreased concentration decreased energy appetite change sleep change sense of feeling overwhelmed physical sx (breast pain, muscle pain, feeling bloated/weight gain)

11. What are the total symptom requirements for Premenstrual Dysphoric Disorder?

    5+ total symptoms (required + additional)

12. What are the time requirements/limitations for Premenstrual Dysphoric Disorder?

    Onset of symptoms must be within the week prior to menses Improve within a few days post-menses Minimal/absent in the week post-menses

13. What are the positive symptoms of substance/medication-induced depressive disorder?

    Depressed mood OR anhedonia

14. In considering substance/medication-induced depressive disorder, what needs to be verified regarding the patient's symptoms?

    Onset begins with use/intoxication/withdrawal Substance/medication is capable of causing symptoms

15. What are some examples of Other Specified Depressive Disorders?

    recurrent brief depressive short depressive episodes depressive episodes with insufficient symptoms

16. What are the "with" specifiers for major depressive disorder?

    with: anxious distress mixed features melancholic features atypical features psychotic features catatonia peripartum onset seasonal pattern

17. What differentiates mild/moderate/severe depression?

    Mild: minimal symptoms - manageable, minimal impairment Moderate: in between mild and severe Severe: #/intensity of symptoms, unmanageable, major impairment

18. What are the symptoms for the "with anxious distress" specifier?

    feeling keyed up/tense unusually restless difficulty concentrating b/c of worry fear that awful will happen fear that one will lose control of oneself

19. What are the severity specifiers for "with anxious distress"?

    Mild: 2 sx Moderate: 3 sx Moderate-severe: 4+ sx Severe: 4+ sx and motor agitation

20. What are the requirements/symptoms for the "with mixed features" specifier for depression?

    3 manic/hypomanic symptoms

21. What are the requirements/symptoms for the "with melancholic features" specifier for depression?

    1+ of: loss of pleasure in activities loss of reactivity to pleasurable activities With 3+ of: despair/despondency depression is worse in morning early morning awakening marked psychomotor agitation/retardation significant anorexia/weight loss excessive or inappropriate guilt

22. What are the requirements/symptoms for the "with atypical features" specifier for depression?

    Emotional reactivity with 2+: hypersomnia weight gain, appetite increase leaden paralysis interpersonal rejection sensitivity

23. What are the additional specifiers of "with psychotic features"

    mood-congruent psychotic features mood-incongruent psychotic features