D1. Categories of Mood Disorders & Specifiers

Mood Disorders

Group of disorders characterized by a significant disturbance in a person's predominant mood

Depressive & Bipolar

2 Main Categories of Mood Disorders

Depressive Disorders

Mood disorders characterized by the presence of sadness, emptiness, or irritability, often accompanied by a loss of interest or pleasure in activities 2.

Bipolar Related Disorders

Mood disorders characterized by significant shifts in mood, energy, activity levels, concentration, and the ability to carry out day-to-day tasks

Psychotic Features

Specifier of mood disorders that include psychotic symptoms (hallucinations and delusions). They can be mood-congruent or mood-incongruent

Mood-congruent

Psychotic features directly related to the depression

Mood-incongruent

Psychotic features that does not seem consistent with the depressed mood

Anxious Distress (mild to severe)

Specifier of mood disorders that include the presence and severity of accompanying anxiety which can make suicidal thoughts and completed suicide more likely

Mixed Features

Specifier of mood disorders in which a person has at least 3 symptoms of MANIA

Melancholic Features Specifier

Specifier of mood disorders that applies only if the full criteria for a major depressive episode (MDE) have been met.

It includes some of the more severe somatic (physical) symptoms: early-morning awakenings, weight loss, loss of libido, & excessive guilt

Catatonic Features

Specifier of mood disorders that is a group of neuropsychiatric symptoms primarily involving profound disturbances in movement, responsiveness, and communication.

They an be applied in an MDE, personality disorder, or manic episode

Catalepsy

Specifier of mood disorders that is a catatonic feature that involves the absence of movement (stuporous state) in which muscles are waxy and semirigid

Atypical Features

Specifier of mood disorders that apply to both depressive episodes, whether in the context of PDD or not. Features include oversleeping and overeating = gaining weight, can't react with interest or pleasure to some things

Peripartum Onset

Specifier of mood disorders that applies to both MDE and Manic Episode. Higher incidence of depression is found postpartum

Baby Blues

Normal responses to the stresses of childbirth, and disappear quickly 8

Seasonal Pattern

Temporal specifier of mood disorders that applies to recurrent MDD; begins in the late fall and ends with the beginning of spring

Must have occurred for at least 2 years with no evidence of nonseasonal MDE