CMN 552 Final Exam
MODULE 1: MOOD DISORDERS
Risk Factors for development of bipolar disorder ANS: childhood adversity, cannabis and other
substance use, previously married, genetic processes
common differential diagnosis for bipolar disorder ANS: major depressive disorder, other bipolar
disorders, GAD, Panic disorder, PTSD, bipolar, substance/medication induced bipolar disorder,
schizoaffective disorder, adhd, disruptive mood dysregulation disorder, personality disorders
differentiate depressive episodes in bipolar 1 disorder vs bipolar II disorder ANS: past episodes of
mania, bipolar 1 accompanied by manic episodes bipolar II no manic just hypomanic
For at least 2 years (at least 1 year in children and adolescents) there have been numerous periods with
hypomanic symptoms that do not meet criteria for a hypomanic episode and numerous periods with
depressive symptoms that do not meet criteria for a major depressive episode. ANS: cyclothymia
symptoms of depression in children ANS: 2 week duration of depressed or irritable mood and/or loss of
interest or pleasure
usually irritable rather than depressed
weight or appetite change
sleep disturbance
psychomotor retardation or agitation
fatigue or loss of energy
feelings of worthlessness or guilt
diminished concentration
suicidal ideations, intent, or plan
IMPAIRMENT in child's functioning critical to diagnosis in youth
,mood disturbance symptoms in depression ANS: mood change: painful arousal, hypersensitivity to
unpleasant events, insensitivity to pleasant events, insensitivity to unpleasant events, reduced
anticipatory pleasure, anhedonia affecting blunting, apathy
severe recurrent temper outbursts manifested verbally (verbal rages) and/or behaviorally (physical
aggression toward people or property) that are grossly out of proportion in intensity or duration to the
situation or provocation ANS: disruptive mood dysregulation disorder
family and twin data collectively suggest that genes explain approximately what percent of bipolar
disorder and what percent of major depression ANS: 75%, 37%
depressed mood for most of the day, for most days than not, as indicated by either subjective account
or observation by others, for at least 2 years ANS: persistent depressive disorder
DIGFAST ANS: Manic Episode: distractibility, indiscretion, grandiosity, flight of ideas, activity increase,
sleep deficit, talkativeness
contraindications of bright light therapy ANS: patients with glaucoma, cataracts, macular degeneration,
retinal detachment, retinitis pigmentosa or retinopathy, patients taking photosensitizing medications
indications for bright light therapy ANS: seasonal affective disorder, circadian rhythm sleep disorders,
insomnia, postpartum depression, nonseasonal depression, bipolar depression, parkinson's disease,
adhd, dementia, fibromyalgia, delirium
3 levels of CBT therapy: ANS: automatic thoughts, intermediate beliefs, cognitive schemata
automatic thoughts: ANS: the conscious response to stimuli
intermediate beliefs: ANS: assumptions about the self, the world, and the future that led to the
automatic thought occurring in response to a particular stimulus
, cognitive schema: ANS: the content (the beliefs) and the organization of that content, an individual
schema determines which stimuli are most likely noticed and encoded in memory, which stimuli are
ignored or discounted, how encoded information is linked to associated in memory, and which
memories are most easily recalled
probability overestimation, catastrophic thinking, all-or-nothing thinking, overgeneralization, only
considering evidence that is consistent with existing beliefs ANS: cognitive distortions
potential functional consequences of disruptive mood dysregulation disorder include ANS: chronic
severe irritability, marked disruption in child's family and peer relationships, school performance,
friendships, dangerous behavior, suicidal ideations or attempts, severe aggression, psychiatric
hospitalization
usually defined by its subjective component as the sensation of not sleeping well or enough. ANS:
insomnia
characterized by either excessive nighttime sleep or excessive sleepiness during the day ANS:
hypersomnia
form of therapy focused more on identifying the negatively valanced automatic thoughts associated
with depressed moods and using strategies to both test the accuracy of the negative thoughts and
consider more rational alternatives ANS: Cognitive Therapy
therapy that develops a time-limited approach to address the common problematic patterns in
relationships that plague the lives of people with depression, including unresolved grief, role disputes,
role transitions, and interpersonal deficits. elicits an interpersonal inventory and identifies the area or
areas of interpersonal difficulty of greatest relevance to a particular patient ANS: interpersonal
psychotherapy
emphasizes two skills: observing one's perceived sensations and accepting and experiencing those
sensations nonjudgmentally ANS: mindfulness meditation therapy
MODULE 1: MOOD DISORDERS
Risk Factors for development of bipolar disorder ANS: childhood adversity, cannabis and other
substance use, previously married, genetic processes
common differential diagnosis for bipolar disorder ANS: major depressive disorder, other bipolar
disorders, GAD, Panic disorder, PTSD, bipolar, substance/medication induced bipolar disorder,
schizoaffective disorder, adhd, disruptive mood dysregulation disorder, personality disorders
differentiate depressive episodes in bipolar 1 disorder vs bipolar II disorder ANS: past episodes of
mania, bipolar 1 accompanied by manic episodes bipolar II no manic just hypomanic
For at least 2 years (at least 1 year in children and adolescents) there have been numerous periods with
hypomanic symptoms that do not meet criteria for a hypomanic episode and numerous periods with
depressive symptoms that do not meet criteria for a major depressive episode. ANS: cyclothymia
symptoms of depression in children ANS: 2 week duration of depressed or irritable mood and/or loss of
interest or pleasure
usually irritable rather than depressed
weight or appetite change
sleep disturbance
psychomotor retardation or agitation
fatigue or loss of energy
feelings of worthlessness or guilt
diminished concentration
suicidal ideations, intent, or plan
IMPAIRMENT in child's functioning critical to diagnosis in youth
,mood disturbance symptoms in depression ANS: mood change: painful arousal, hypersensitivity to
unpleasant events, insensitivity to pleasant events, insensitivity to unpleasant events, reduced
anticipatory pleasure, anhedonia affecting blunting, apathy
severe recurrent temper outbursts manifested verbally (verbal rages) and/or behaviorally (physical
aggression toward people or property) that are grossly out of proportion in intensity or duration to the
situation or provocation ANS: disruptive mood dysregulation disorder
family and twin data collectively suggest that genes explain approximately what percent of bipolar
disorder and what percent of major depression ANS: 75%, 37%
depressed mood for most of the day, for most days than not, as indicated by either subjective account
or observation by others, for at least 2 years ANS: persistent depressive disorder
DIGFAST ANS: Manic Episode: distractibility, indiscretion, grandiosity, flight of ideas, activity increase,
sleep deficit, talkativeness
contraindications of bright light therapy ANS: patients with glaucoma, cataracts, macular degeneration,
retinal detachment, retinitis pigmentosa or retinopathy, patients taking photosensitizing medications
indications for bright light therapy ANS: seasonal affective disorder, circadian rhythm sleep disorders,
insomnia, postpartum depression, nonseasonal depression, bipolar depression, parkinson's disease,
adhd, dementia, fibromyalgia, delirium
3 levels of CBT therapy: ANS: automatic thoughts, intermediate beliefs, cognitive schemata
automatic thoughts: ANS: the conscious response to stimuli
intermediate beliefs: ANS: assumptions about the self, the world, and the future that led to the
automatic thought occurring in response to a particular stimulus
, cognitive schema: ANS: the content (the beliefs) and the organization of that content, an individual
schema determines which stimuli are most likely noticed and encoded in memory, which stimuli are
ignored or discounted, how encoded information is linked to associated in memory, and which
memories are most easily recalled
probability overestimation, catastrophic thinking, all-or-nothing thinking, overgeneralization, only
considering evidence that is consistent with existing beliefs ANS: cognitive distortions
potential functional consequences of disruptive mood dysregulation disorder include ANS: chronic
severe irritability, marked disruption in child's family and peer relationships, school performance,
friendships, dangerous behavior, suicidal ideations or attempts, severe aggression, psychiatric
hospitalization
usually defined by its subjective component as the sensation of not sleeping well or enough. ANS:
insomnia
characterized by either excessive nighttime sleep or excessive sleepiness during the day ANS:
hypersomnia
form of therapy focused more on identifying the negatively valanced automatic thoughts associated
with depressed moods and using strategies to both test the accuracy of the negative thoughts and
consider more rational alternatives ANS: Cognitive Therapy
therapy that develops a time-limited approach to address the common problematic patterns in
relationships that plague the lives of people with depression, including unresolved grief, role disputes,
role transitions, and interpersonal deficits. elicits an interpersonal inventory and identifies the area or
areas of interpersonal difficulty of greatest relevance to a particular patient ANS: interpersonal
psychotherapy
emphasizes two skills: observing one's perceived sensations and accepting and experiencing those
sensations nonjudgmentally ANS: mindfulness meditation therapy
