Depressive Disorders

Question 1

Persistent depressive disorder (dysthymic disorder) is characterized by BRIEF episodes of depressed mood, insomnia, poor concentration, and hopelessness.
True OR False.

Answer 1

False.

Question 2

You can diagnose your client with major depressive disorder even if he/she is not experiencing clinically significant distress or impairment in one or more areas of life.

Answer 2

False.

Question 3

Symptoms of disruptive mood dysregulation disorder typically emerges in late adolescence (15 yrs. & older). True OR False.

Answer 3

False. The diagnosis should not be made before 6 yo or after 18 yo. (p. 156).

Question 4

One symptom of major depressive d/o is insomnia more days than not for at least two week period.
True OR False.

Answer 4

True.

Question 5

Having a history of a manic episode is typical among people with major depressive d/o. True OR False.

Answer 5

False. Major depressive d/o never had a manic or hypomanic episode, according to the diagnostic criteria (p. 156).

Question 6

Camila is your new client. She is 32 years old, works full-time, and is in a relationship with her partner, Kimmy. Kimmy called you and shared that Camila is “depressed all the time.” She said Camila “gets by” but struggles due to having low energy, poor appetite, and low self-esteem. Kimmy says Camila “mopes around the house all day” and has been like that ever since Camila’s mother passed away 5 years ago. Based solely on this information, which diagnosis would you give Camila?

• Persistent Depressive D/O (dysthymia)
• Major Depressive D/O
• Generalized Anxiety D/O
• No diagnosis b/c Camila is able to work thus is not experiencing significant distress and impairment

Answer 6

Persistent Depressive D/O (dysthymia)

Question 7

All the following are symptoms of premenstrual dysphoric d/o as listed in the DSM-5 EXCEPT:

• Significant weight gain or loss
• Irritability, anger, or conflict
• Easily fatigued or lacking in energy
• Anxiety, tension, or feeling on edge

Answer 7

Significant weight gain or loss

Question 8

Which of the following is NOT a part of the diagnostic criteria for Disruptive Mood Dysregulation D/O?

• Labile (ex. easily altered or changed) mood where the child fluctuates between mania and depression)
• Severe & recurrent temper outbursts that exceed the situation in intensity & duration
• Diagnosis should not be made after the age of 18 yo
• Temper outbursts occur 3 or more times per week

Answer 8

Labile (ex. easily altered or changed) mood where the child fluctuates between mania and depression)

Question 9

Your co-worker presents a case about her client during a staff meeting. She reports her client has Disruptive Mood Dysregulation D/O (DMDD). He is 24 yo and has never been diagnosed with a mental disorder before. He has frequent outbursts where he swears at his co-workers. He has been written up multiple times at work for tardiness & unprofessional behavior. Which of the following statements is true?

• DMDD should be not diagnosed after the age of 18 & thus the diagnosis is wrong.
• You have no concerns about your co-worker’s diagnosis for her client.
• DMDD is much more common in women & thus the client is likely not to have DMDD.
• If this client is working, he does not have a mental disorder at all.

Answer 9

DMDD should be not diagnosed after the age of 18 & thus the diagnosis is wrong.

Question 10

Which of the following symptoms are characteristic of a a major depressive episode?

• Loss of interest or pleasure in activities that were once found to be enjoyable
• Rapid shifts in mood
• Flight of ideas
• Decreased need for sleep

Answer 10

Loss of interest or pleasure in activities that were once found to be enjoyable