Gero Mood Disorders

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What is the age range for Mood Dysregulation Disorder?

6-18 yo

Depressed mood most of the day, most days for 2 years Minimal of symptoms > full blown depression for 2 years

Persistent Depressive Disorder (Dysthymia)

-5 symptoms week before cycle, improve with onset of menstrual, absent the week after. -Symptoms slightly vary from other DD

Premenstrual Dysphoric Disorder

Mood stabilizer generally safer during ________.

2nd and 3rd trimester

What are the preferred antipsychotics in pregnancy?

Latuda and Seroquel

What SSRI is contraindicated in pregnancy?

Paroxetine

How long does a manic episode need to last and explain the intensity

Lasting at least 1 week, present most of the day, nearly every day (if hospitalized any duration)

What is the duration and intensity of hypomania?

Lasting at least 4 days, present most of the day, nearly every day

Compare and contrast Bipolar I and II

-Bipolar I has mania that lasts at least 7 days once in a lifetime, it is severe enough to be hospitalized, and they may or may not have depressive epidodes. -Bipolar II has hypomania that last at least 4 days once in a lifetime that does not require hospitalization, and has at least one major depressive episode lasting at least 14 days in their lifetime.

What is the criteria of duration for partial or full remission of bipolar I or II?

Symptoms must be partially or fully relieved for at least 2 months

What is the criteria for duration for rapid cycling?

4 or more mood episodes over previous 12 months

Compare mood-congruent with mood-incongruent psychotic features

With mood-congruent, psychoses are in harmony with the mood. In depressive phase, may feel they deserve to die. Whereas with mood-incongruent, psychoses are not related to the episode.

With peripartum onset mania, hypomania, depressive episode what is the onset in pregnancy?

Occurs during pregancy or within 4 weeks of pregnancy

For 2 years, there have been multiple hypomania and depressive episodes do not meet full criteria. Episodes present for most of the time. Never meet full criteria for mania, hypomania, depression.

Cyclothymic Disorder

Focus on conversation drifts (mania), incorporating unnecessary details, returning to main point

Circumstantial thought

Focus of conversation, never return point

Tangential thought

A sudden stop in the middle of a sentence, may or may not be able to continue idea

Thought blocking

Jumping from one topic to another with no apparent connection between the topics

Loose associations

False beliefs that something unrelated pertains to them

Ideas of reference

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