Mood Disorders

Sleep disturbances

Interest, pleasure diminished

Guilt, self doubt, loss of self esteem

Energy level is diminished

Concentration or attention is poor

Appetite is impaired

Psychomotor activity is abnormal

Suicidal thoughts

Distractability

Insomnia - decreased NEED for sleep

Grandiosity

Flight of ideas, rapid progression

Activities

Speech (pressured or increased talkativeness)

• Thoughtlessness
• (no judgment, hedonism, recklessness)

• 1. Typical
• 2. Atypical
• 3. Psychotic
• 4. Melancholic

Characterized by decreased sleep and energy and a diurnal variation in mood in which depression worsens as the day progresses.

Characterized by increased sleep, energy, weight gain, and a personality style of rejection sensitivity, and preserved reactivity of mood (the ability to feel better briefly).

Presence of delusions or hallucinations, tend to have severe psychomotor retardation or agitation and marked guilt.

Marked anhedonia, no reactivity of mood, reversed diurnal variation (feeling better as the day progresses). Rather severe version of typical depression.

• 1. Substance abuse
• 2. Grief reaction
• 3. Mania

• 1. Response
• 2. Remission
• 3. Relapse
• 4. Recurrence

1. Increased risk of relapse and recurrence

2. Increased risk of treatment resistance

3. Continued psychosocial limitations

4. Increased likelihood of substance abuse

5. Sustained risk of suicide

6. Increased risk of disability or decrease of productivity at work

• 7. Increased medical/mental health
• expenditures

• 8. Worsened morbidity or mortality of
• other conditions

• ú Increased risk of relapse and
• recurrence

ú Increased risk of treatment resistance

ú Continued psychosocial limitations

ú Increased likelihood of substance abuse

ú Sustained risk of suicide

• ú Increased risk of disability or
• decrease of productivity at work

• ú Increased medical/mental health
• expenditures

• ú Worsened morbidity or mortality of
• other conditions

• ú Increased risk of relapse and
• recurrence

ú Increased risk of treatment resistance

ú Continued psychosocial limitations

ú Increased likelihood of substance abuse

ú Sustained risk of suicide

• ú Increased risk of disability or
• decrease of productivity at work

• ú Increased medical/mental health
• expenditures

• ú Worsened morbidity or mortality of
• other conditions

Clinically significant reduction in baseline symptom severity

Absence or near absence of symptoms and restoration of functioning x 1 year

Return of symptoms of major depressive episode during continuation treatment

New episode of depression following sustained remission of previous episode