VERIFIED ANSWERS 2025/2026
Motivation and energy increase before mood does. Should see the patient prior to
three months after starting meds. - CORRECT ANSWER Why does suicide increase
when depression is treated?
Increased - CORRECT ANSWER Depressed individuals admitted to nursing home
have a markedly _____ likelihood of death is the first year after admission.
higher - CORRECT ANSWER Females and people ages 18-29 have _____
prevalence of depression.
-sad, empty or irritable mood
-somatic or cognitive changes
-symptoms SIGNIFICANTLY affect function - CORRECT ANSWER Common features
of depression
Duration
Timing
Presumed etiology - CORRECT ANSWER Differences btw specific depressive
disorders in DSM-5
doesn't meet full criteria - CORRECT ANSWER "other specified"
,not stated explicitly or in detail by the clinician - CORRECT ANSWER unspecified
Ages 1-3; prior to adequate communication. Extended if hearing/speech/language
issues. - CORRECT ANSWER When are temper tantrums developmentally
appropriate?
Not Episodic - CORRECT ANSWER Difference between Disruptive Mood
Dysregulations Disorder vs Bipolar?
You need severity and specifier - CORRECT ANSWER Why is there no DSM-5 code
for major depressive disorder?
anxiety and depression - CORRECT ANSWER What is major depressive disorder,
mixed?
1.Neuroticism [negative affectivity]
2. Adverse childhood experiences
3. Genetics: first degree family members have a two to four fold higher incidence
than the general population. Relative risk is higher for early onset and recurrent
depression.
4. Gender: increase risk in women. Higher suicide attempts but lower completion
rates. - CORRECT ANSWER Prognostic factors for MDD?
Not.
,Patient will come in due to concerns for dementia and it's depression. - CORRECT
ANSWER MDD onset in life is _____ uncommon?
2 weeks vs 2 years
5 symptoms in two weeks vs 2 symptoms in two years
Neither have mania - CORRECT ANSWER MDD vs persistent depressive disorder
At least 5 six present in the final week before the onset of menses, start to
improve within a few days after the onset of menses, and become minimal or
absent in the week post-menses. The six have been met for MOST menstrual
cycles in the past year. - CORRECT ANSWER PMDD (premenstrual dysphoric
disorder)
a cellular genetic malfunction in response to hormone changes, and it should be
treated as the serious medical condition it is. - CORRECT ANSWER PMDD is rare
and ____
- At least one MDE and at least one hypomanic episode. (Cannot have past Manic
episode if so then Bipolar 1) - CORRECT ANSWER Bipolar 2 criteria
4+ manic episodes per year
More common in females
Possible triggers: Stress, Drug Treatment
More common in females. Again, keep this in mind when we talk about
personality disorder differentials! - CORRECT ANSWER Bipolar with rapid cycling
features
, - Elevated mood, depression, impaired functioning, & must have at least one
manic episode in the past.
ASSUMED will have at least had one depressive episode but not necessary. -
CORRECT ANSWER Bipolar 1 criteria****
•Similar to unipolar depression presentation
•Possible differences in hex and and risk factors (helpful for your differential
decision-making): hypersomnia, psychomotor retardation, psychosis, history of
postpartum depression, family history of bipolar I, history of antidepressant-
induced hypomania
•Patients often will report a "crash" in mood - clarifying what they mean and time
frames is important! We will consider why when we look at personality disorders
especially! - CORRECT ANSWER Depressive Episodes in Bipolar Disorder--->See
Kaplan & Saddock p. 366, Table 6-1
-a mood disorder marked by a hyperactive, wildly optimistic state
•Excited
•Talkative
•Hyperactive
•Humorous
•Rapid, loud, pressured speech
•Elevated, expansive, or irritable mood
•Euphoric (can be "contagious" due to countertransference)
•Irritable