1 Page DSM - Mood Related Disorders
One page summary DSM - Mood Related Disorders
Course
Psychopatholog symp. classif. and diagn. (PSB3E-KP01)
69 Documents
Students shared 69 documents in this course
University
Rijksuniversiteit Groningen
Academic year: 2021/2022
Uploaded by:
0followers
5Uploads
20upvotes
Recommended for you
Preview text
Bipolar
- 1 manic episode (often preceded or followed by hypomania and depressive episodes
- Expansive, or irritable mood AND increase goal-directed activity o either >1 week OR requiring hospitalization
- 3 symptoms of DIGFAST (or 4 if mood is only irritable) o Distractible o Indiscretion o Grandiose o Flight of ideas o Activities o Sleep deficit o Talkative
- Manic episode that emerges during antidepressant treatment but persists beyond the physiological effect is bipolar 1
- Specifiers: See Right Column
Bipolar 2
- Hypomanic episode AND a major depressive episode
- No manic episode
- Specifiers: o current or most recent episode: hypomanic, depressed
- More specifiers: o with anxious distress o with mixed features o with rapid cycling o with mood congruent psychotic features o with mood incongruent psychotic features o with catatonia o with peripartum onset o with seasonal pattern ▪ applies only to the depressive episodes
- More Specifiers: o in partial remission vs in full remission
- More Specifiers
o mild vs moderate vs severe
Substance/Medication Induced
Bipolar and Related Disorder
- bipolar criteria developed during/after intoxication/withdrawal of substance/medication that produces symptoms (not exclusively during delirium)
- Coding: o alcohol, PCP, hallucinogen, sedative, amphetamine, cocaine, other
- Specifiers: o with onset during intoxication vs with onset during withdrawal
Hypomanic Episode
- Elevated, expansive, or irritable mood ≥4 days
- 3 (or 4 if irritable) of DIGFAST
- Disturbance in mood/function is observable by others, is uncharacteristic, but not severe enough to cause marked impairment o if psychosis or requires hospitalization, it's automatically mania without good prognostic features
- More Specifiers: o with catatonia
Cyclothymic Disorder
- 2 years (1 year if <18), hypomanic and depressive symptoms that never meet criteria for hypomania or major depression o symptoms half the time, and never 2 months without symptoms
- Specifiers:
o with anxious distress
Bipolar and Related Disorder Due to Another Medical
Condition
- Bipolar criteria that's the consequence of another medical disorder
- not exclusively during delirium
- Coding
- Specify the medical condition Note: if met prior to onset of schizophrenia, add "premorbid"
Unspecified Bipolar and
Related Disorder
- symptoms characteristic of bipolar, causes distress/impairment, but don't meet full criteria, and don't want to specify the reason
Other Specified Bipolar
and Related
- symptoms characteristic of bipolar, causes distress/impairment, but don't meet full criteria, and you want to specify the reason
Major Depressive Disorder / Episode
- 5 of 9 SIGECAPS for 2 weeks (bereavement exclusion removed) o at least one is 1) depressed mood or 2) loss of pleasure ▪ Depressed mood (in kids: irritable) ▪ sleep ▪ interest ▪ guilt ▪ energy ▪ concentration ▪ appetite ▪ psychomotor activity ▪ suicidal ideation
- Specifiers: See Right Column Depressive Disorder Due to Another
Medical Condition
- Depressed mood or anhedonia secondary to another medical condition
- Not better explained by another disorder o F.: adjustment disorder with depressed mood, in which the stressor is a medical condition
- Not exclusively during delirium
- Specifiers: o With depressive features (full criteria not met) o With major depressive like episode (full criteria met) o With mixed features Other Specified Depressive Disorder
- Depressive symptoms, clinical impairment, don’t meet criteria for another disorder, and you want to communicate the reason Unspecified Depressive Disorder
- Depressive symptoms, clinical impairment, don’t meet criteria for another disorder, and you don’t want to communicate the reason Persistent Depressive Disorder
(Dysthymia)
- Depressed mood more days than not for ≥ 2 years (in kids can be irritable mood), requiring ≥2 of the following, never >2 months without o Appetite o Insomnia o Energy o Self-esteem o Concentration o Hopelessness
- Clinically significant distress or impairment in function
Disruptive Mood
Dysregulation Disorder
- Severe recurrent temper outbursts (verbal/behavior) out of proportion to situation
- Inconsistent with developmental level
- 3 or more times/week
- Mood between outbursts is irritable or angry
- Present ≥ 12 months, never ≥3 months without
- In at least 2 settings
- Can’t be made before 6 or after 18 years old, but onset of criteria before 10 years
- Can’t have >1 day meeting full hypomania/mania criteria, and don’t occur exclusively during MDD or better explained by another disorder (can’t co- exist with ODD, IED, or bipolar)
Premenstrual Dysphoric
Disorder
- In most periods, ≥5 symptoms during last week before starting period, start to improve a few days after starting period, and become minimal week after menses
- ≥1 symptom o Lability o Irritability o Depressed o Anxiety
- ≥1 also present to total five including above o Interest, concentration, energy, appetite, sleep, overwhelmed, physical symptoms Substance / Medication-Induced
Depressive Disorder
- Depressed mood or anhedonia soon after substance intoxication or withdrawal
- Involved substance must be capable of producing depression
- Not exclusively during delirium
- Specifiers: o Alcohol, phencyclidine, other hallucinogen, inhalant, opioid, sedative/hypnotic/anxiolytic, amphetamine, cocaine, other o with onset during intoxication o with onset during withdrawal
Coding Bipolar &
Depression
- Coding o By symptoms: Mild (2) vs moderate (3), moderate severe (4 or 5) vs severe ( with motor agitation) o with psychotic features o in partial remission vs in full remission o unspecified
- Specifiers : o ex: bipolar 1 disorder, type of current or most recent episode, severity/psychotic/remissio n specifier and then: ▪ with anxious distress ▪ with mixed features ▪ full criteria for manic or hypomanic and 3 symptoms of depression ▪ with rapid cycling (bipolar only) ▪ ≥4 episodes in 1 year (either switch of polarity or partial remission of at least 2 months) ▪ with melancholic features ▪ loss of pleasure OR lack of reactivity to pleasurable stimuli ▪ 3 or more of ▪ despair or morose or empty mood ▪ worse in morning ▪ early morning awakening (at least 2 hours) ▪ psychomotor agitation or retardation ▪ anorexia ▪ guilt ▪ with atypical features ▪ with mood congruent psychotic features ▪ with mood incongruent psychotic features ▪ with catatonia ▪ with peripartum onset ▪ with seasonal pattern
DSM-5 Mood Disorders
Was this document helpful?
1 Page DSM - Mood Related Disorders
Course: Psychopatholog symp. classif. and diagn. (PSB3E-KP01)
69 Documents
Students shared 69 documents in this course
University: Rijksuniversiteit Groningen
Was this document helpful?
Bipolar
• 1 manic episode (often preceded or followed
by hypomania and depressive episodes
• Expansive, or irritable mood AND increase
goal-directed activity
o either >1 week OR requiring hospitalization
• 3 symptoms of DIGFAST (or 4 if mood is only
irritable)
o Distractible
o Indiscretion
o Grandiose
o Flight of ideas
o Activities
o Sleep deficit
o Talkative
• Manic episode that emerges during
antidepressant treatment but persists beyond
the physiological effect is bipolar 1
• Specifiers: See Right Column
Bipolar 2
• Hypomanic episode AND a major depressive
episode
• No manic episode
• Specifiers:
o current or most recent episode: hypomanic,
depressed
• More specifiers:
o with anxious distress
o with mixed features
o with rapid cycling
o with mood congruent psychotic features
o with mood incongruent psychotic
features
o with catatonia
o with peripartum onset
o with seasonal pattern
▪ applies only to the depressive episodes
• More Specifiers:
o in partial remission vs in full remission
• More Specifiers
o mild vs moderate vs severe
Substance/Medication Induced
Bipolar and Related Disorder
• bipolar criteria developed during/after
intoxication/withdrawal of
substance/medication that produces
symptoms (not exclusively during delirium)
• Coding:
o alcohol, PCP, hallucinogen, sedative,
amphetamine, cocaine, other
• Specifiers:
o with onset during intoxication vs with onset
during withdrawal
Hypomanic Episode
• Elevated, expansive, or irritable
mood ≥4 days
• 3 (or 4 if irritable) of DIGFAST
• Disturbance in mood/function is
observable by others, is
uncharacteristic, but not severe
enough to cause marked
impairment
o if psychosis or requires
hospitalization, it's
automatically mania without
good prognostic features
• More Specifiers:
o with catatonia
Cyclothymic Disorder
• 2 years (1 year if <18), hypomanic
and depressive symptoms that
never meet criteria for hypomania
or major depression
o symptoms half the time, and
never 2 months without
symptoms
• Specifiers:
o with anxious distress
Bipolar and Related Disorder
Due to Another Medical
Condition
• Bipolar criteria that's the
consequence of another medical
disorder
• not exclusively during delirium
• Coding
• Specify the medical condition
Note: if met prior to onset of
schizophrenia, add "premorbid"
Unspecified Bipolar and
Related Disorder
• symptoms characteristic of
bipolar, causes
distress/impairment, but don't
meet full criteria, and don't want
to specify the reason
Other Specified Bipolar
and Related
• symptoms characteristic of
bipolar, causes
distress/impairment, but don't
meet full criteria, and you want to
specify the reason
Major Depressive Disorder / Episode
• 5 of 9 SIGECAPS for 2 weeks (bereavement
exclusion removed)
o at least one is 1) depressed mood or 2) loss
of pleasure
▪ Depressed mood (in kids: irritable)
▪ sleep
▪ interest
▪ guilt
▪ energy
▪ concentration
▪ appetite
▪ psychomotor activity
▪ suicidal ideation
• Specifiers: See Right Column
Depressive Disorder Due to Another
Medical Condition
• Depressed mood or anhedonia secondary to
another medical condition
• Not better explained by another disorder
o F.e.: adjustment disorder with depressed
mood, in which the stressor is a medical
condition
• Not exclusively during delirium
• Specifiers:
o With depressive features (full criteria not
met)
o With major depressive like episode (full
criteria met)
o With mixed features
Other Specified Depressive Disorder
• Depressive symptoms, clinical impairment,
don’t meet criteria for another disorder, and
you want to communicate the reason
Unspecified Depressive Disorder
• Depressive symptoms, clinical impairment,
don’t meet criteria for another disorder, and
you don’t want to communicate the reason
Persistent Depressive Disorder
(Dysthymia)
• Depressed mood more days than not for ≥2
years (in kids can be irritable mood), requiring
≥2 of the following, never >2 months without
o Appetite
o Insomnia
o Energy
o Self-esteem
o Concentration
o Hopelessness
• Clinically significant distress or impairment in
function
Disruptive Mood
Dysregulation Disorder
• Severe recurrent temper outbursts
(verbal/behavior) out of proportion to
situation
• Inconsistent with developmental level
• 3 or more times/week
• Mood between outbursts is irritable or
angry
• Present ≥12 months, never ≥3 months
without
• In at least 2 settings
• Can’t be made before 6 or after 18 years
old, but onset of criteria before 10 years
• Can’t have >1 day meeting full
hypomania/mania criteria, and don’t
occur exclusively during MDD or better
explained by another disorder (can’t co-
exist with ODD, IED, or bipolar)
Premenstrual Dysphoric
Disorder
• In most periods, ≥5 symptoms during
last week before starting period, start to
improve a few days after starting period,
and become minimal week after menses
• ≥1 symptom
o Lability
o Irritability
o Depressed
o Anxiety
• ≥1 also present to total five including
above
o Interest, concentration, energy,
appetite, sleep, overwhelmed, physical
symptoms
Substance / Medication-Induced
Depressive Disorder
• Depressed mood or anhedonia soon
after substance intoxication or
withdrawal
• Involved substance must be capable of
producing depression
• Not exclusively during delirium
• Specifiers:
o Alcohol, phencyclidine, other
hallucinogen, inhalant, opioid,
sedative/hypnotic/anxiolytic,
amphetamine, cocaine, other
o with onset during intoxication
o with onset during withdrawal
Coding Bipolar &
Depression
• Coding
o By symptoms: Mild (2) vs
moderate (3), moderate
severe (4 or 5) vs severe (5
with motor agitation)
o with psychotic features
o in partial remission vs in full
remission
o unspecified
• Specifiers:
o ex: bipolar 1 disorder, type
of current or most recent
episode,
severity/psychotic/remissio
n specifier and then:
▪ with anxious distress
▪ with mixed features
▪ full criteria for manic or
hypomanic and 3
symptoms of depression
▪ with rapid cycling (bipolar
only)
▪ ≥4 episodes in 1 year
(either switch of polarity
or partial remission of at
least 2 months)
▪ with melancholic features
▪ loss of pleasure OR lack
of reactivity to
pleasurable stimuli
▪ 3 or more of
▪ despair or morose or
empty mood
▪ worse in morning
▪ early morning
awakening (at least 2
hours)
▪ psychomotor agitation
or retardation
▪ anorexia
▪ guilt
▪ with atypical features
▪ with mood congruent
psychotic features
▪ with mood incongruent
psychotic features
▪ with catatonia
▪ with peripartum onset
▪ with seasonal pattern
DSM-5 Mood Disorders
