D2. Unipolar Mood Disorders

Disruptive Mood Dysregulation Disorder (DMDD

Unipolar mood disorder in children and adolescents characterized by severe and recurrent temper outbursts and persistent irritability or anger most of the day, nearly everyday that is observable to others

3 or more times per week

12 or more months in at least 2 settings; with 1 setting being severe

How often should the outbursts occur, how long should they last, and in how many settings?

Before 10 years

Onset of the symptoms of DMDD

6-18 years

What age should DMDD be diagnosed?

In DMDD…

There has never been a distinct period lasting more than 1 day during which the full symptom criteria for a manic or hypomanic episode have been met

Major Depressive Disorder

Unipolar mood disorder characterized by a period of at least two weeks of persistent sadness or loss of interest, along with other symptoms like changes in appetite and sleep, fatigue, feelings of worthlessness, and difficulty concentrating

At least 5 with at least one being (1) depressed mood or (2) loss of interest/pleasure

How many symptoms to diagnose Major Depressive Disorder?

Mild

Moderate

Severe

With psychotic features

In partial remission

In full remission

Unspecified

Specifiers of Major Depressive Disorder

At least 2 weeks

How long should symptoms of Major Depressive Disorder last?

Persistent Depressive Disorder (PDD) (Dysthymia)

A unipolar mood disorder that is a chronic form of depression with milder symptoms that last for at least two years in adults (one year in children and adolescents)

Early onset: before 21 years

Late onset: 21 years or older

What is the onset of PDD?

In partial remission

In full remission

With pure dysthymic syndrome

With persistent major depressive episode

With intermittent major depressive episodes, with current episode

With intermittent major depressive episodes, without current episode

Mild

Moderate

Severe

Specifiers of PDD

2 symptoms + 1 symptom of being depressed most of the day

How many symptoms to diagnose PDD?

2+ years with symptoms + the individual has never been without symptoms for more than 2 months at a time

How long should symptoms last in PDD?

Double Depression

Occurs when a person suffers from both MDE and PDD with fewer symptoms

Manic or hypomanic

What kind of episodes does Major Depressive Disorder land Persistent Depressive Disorder lack?

Premenstrual Dysphoric Disorder (PMDD)

A unipolar mood disorder related to the menstrual cycle, with significant depressive symptoms, anxiety, and irritability occurring in the week before menstruation

At least five symptoms must be present in the final week before the onset of menses

Criteria for PMDD