CMN 552 Final Exam
MODULE 1: MOOD DISORDERS -ANSWER✅✅✅
Risk Factors for development of bipolar disorder -ANSWER✅✅✅childhood adversity,
cannabis and other substance use, previously married, genetic processes
common differential diagnosis for bipolar disorder -ANSWER✅✅✅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 -
ANSWER✅✅✅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. -ANSWER✅✅✅cyclothymia
symptoms of depression in children -ANSWER✅✅✅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 -ANSWER✅✅✅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 -
ANSWER✅✅✅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 -ANSWER✅✅✅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 -
ANSWER✅✅✅persistent depressive disorder
DIGFAST -ANSWER✅✅✅Manic Episode: distractibility, indiscretion, grandiosity, flight
of ideas, activity increase, sleep deficit, talkativeness
contraindications of bright light therapy -ANSWER✅✅✅patients with glaucoma,
cataracts, macular degeneration, retinal detachment, retinitis pigmentosa or retinopathy,
patients taking photosensitizing medications
indications for bright light therapy -ANSWER✅✅✅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: -ANSWER✅✅✅automatic thoughts, intermediate beliefs,
cognitive schemata
automatic thoughts: -ANSWER✅✅✅the conscious response to stimuli
intermediate beliefs: -ANSWER✅✅✅assumptions about the self, the world, and the
future that led to the automatic thought occurring in response to a particular stimulus
cognitive schema: -ANSWER✅✅✅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 -
ANSWER✅✅✅cognitive distortions
potential functional consequences of disruptive mood dysregulation disorder include -
ANSWER✅✅✅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. -ANSWER✅✅✅insomnia
characterized by either excessive nighttime sleep or excessive sleepiness during the
day -ANSWER✅✅✅hypersomnia
MODULE 1: MOOD DISORDERS -ANSWER✅✅✅
Risk Factors for development of bipolar disorder -ANSWER✅✅✅childhood adversity,
cannabis and other substance use, previously married, genetic processes
common differential diagnosis for bipolar disorder -ANSWER✅✅✅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 -
ANSWER✅✅✅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. -ANSWER✅✅✅cyclothymia
symptoms of depression in children -ANSWER✅✅✅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 -ANSWER✅✅✅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 -
ANSWER✅✅✅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 -ANSWER✅✅✅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 -
ANSWER✅✅✅persistent depressive disorder
DIGFAST -ANSWER✅✅✅Manic Episode: distractibility, indiscretion, grandiosity, flight
of ideas, activity increase, sleep deficit, talkativeness
contraindications of bright light therapy -ANSWER✅✅✅patients with glaucoma,
cataracts, macular degeneration, retinal detachment, retinitis pigmentosa or retinopathy,
patients taking photosensitizing medications
indications for bright light therapy -ANSWER✅✅✅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: -ANSWER✅✅✅automatic thoughts, intermediate beliefs,
cognitive schemata
automatic thoughts: -ANSWER✅✅✅the conscious response to stimuli
intermediate beliefs: -ANSWER✅✅✅assumptions about the self, the world, and the
future that led to the automatic thought occurring in response to a particular stimulus
cognitive schema: -ANSWER✅✅✅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 -
ANSWER✅✅✅cognitive distortions
potential functional consequences of disruptive mood dysregulation disorder include -
ANSWER✅✅✅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. -ANSWER✅✅✅insomnia
characterized by either excessive nighttime sleep or excessive sleepiness during the
day -ANSWER✅✅✅hypersomnia
