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The Bipolar Disorders are broken down into Bipolar I and Bipolar II. Bipolar I differs from Bipolar II due to __________.
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Manic episodes that are more intense then you would see in someone that has Bipolar II where you have hypomania.
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What are the specifiers for Major Depressive Disorder?
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Mild, Moderate, Severe w/out psychotic features/severe with psychotic features, Chronic, w/ Catatonic Features, w/ Melancholic Features, w/ Atypical Features, w/ Postpartum Onset.
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Name two criteria that have to be met in order to make the diagnosis of Mixed Episode.
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You must meet the criteria for both Manic Episodes and Major Depressive Episodes every day durning at least a 1-week period.
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This mood disorder is defined as a distinct period during which there is an abnormally and persistently elevated, expansive, or irritable mood that last at least 4 days.
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Hypomanic Episode.
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What are the specifiers for Dysthymic Disorder considering age of onset and characteristic pattern of symptoms.
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Early onset-symptoms occur before 21Late onset- symptoms occur at 21 or olderWith Atypical Features- If pattern of symptoms during most recent 2yrs. meets criteria for With Atypical Features
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Depressed mood for most days for at least 2 yrs., insomnia, low energy, never been without symptoms for more than 2 months, no major depressive episode, never manic, mixed, or hypomanic, not due to drugs or alcohol.
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Dysthymic Disorder
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This disorder has the same DSM code as a popular alternative rock group and these individuals are known by their depressive features that do not meet criteria for MDD, Dysthymia, Adjustment Disorder w/ depressed mood etc...
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311: Depressive Disorder Not Otherwise Specified
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If full criteria are not met for Manic, Mixed or Major Depressive Episode what specifiers would you use to describe the current clinical status of the Bipolar I Disorder and to describe features of the most recent episode.
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In Partial Remission/In Full RemissionW/ Catatonic Features W/Postpartum Onset
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What specifiers can be used to indicate the pattern of the Mood Disorder episode.
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Longitudinal Courses Specifiers With Seasonal PatternWith Rapid Cycling
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The lifetime prevalence of Bipolar I Disorder in community samples varied from _____ to______
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0.4%-1.6%
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Bipolar I, Single Manic Episode has the presence of only ______ Manic Episode and no past ________
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1; Major Depressive Episodes
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Diagnostic criteria for 296.89, Bipolar Disorder
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Presence or history of one or more Major Depressive Episode and at least one Hypomanic EpisodeThere has never been a Manic Episode or Mixed Episode Criteria A and B are not better accounted for by Schizoaffective Disorder and are not superimposed on Schizophrenia, etc... Symptoms cause clinically significant distress ya-da, ya-da, ya-da.
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What is the essential Feature of Cyclothymic Disorder?
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Chronic, Fluctuating mood disturbance involving numerous periods of hypomanic symptoms and numerous periods of depressive symptoms. Must be presence for at least 2 yrs.
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You interview a client that has recently had open heart surgery. They have symptoms of depression, does not have a history of mental disorders and hasn't felt like going to works since they have been cleared to do so. What do you suspect?
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293.83; Mood Disorder Due to a General Medical Condition.
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Describe the Rapid-Cycling Specifier applied to Bipolar I and Bipolar II Disorders.
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The occurrence of 4 or more mood episodes durning the previous 12 months, can occur in any combination or order, must meet both the duration and symptoms criteria for a Major Depressive, Manic, Mixed, or Hypomanic Episode and must be demarcated by either a period of full remission or by a switch to an episode of opposite polarity.
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