CMN 552 EXAM 2 EXAM SCRIPT FINAL PAPER
SOLVED QUESTIONS
◉ What diagnostic criteria are required for a patient to receive a
diagnosis of Major Depressive Disorder?
Answer: *Five (or more) of the following symptoms have been
present during the same 2-week period and represent a change from
previous functioning; at least one of the symptoms is either (1)
depressed mood or (2) loss of interest or pleasure.
Depressed most of the day, nearly every day as indicated by
subjective report (e.g., feels sad, empty, hopeless) or observation
made by others (e.g., appears tearful)
Markedly diminished interest or pleasure in all, or almost all,
activities most of the day, nearly every day (as indicated by
subjective account or observation)
Significant weight loss when not dieting or weight gain (e.g., change
of more than 5% of body weight in a month), or decrease or increase
in appetite nearly every day
Insomnia or hypersomnia nearly every day
,Psychomotor agitation or retardation nearly every day (observable
by others, not merely subjective feelings of restlessness or being
slowed down)
Fatigue or loss of energy nearly every day
Feelings of worthlessness or excessive or inappropriate guilt (which
may be delusional) nearly every day (not merely self-reproach or
guilt about being sick).
Diminished ability to think or concentrate, or indecisiveness, nearly
every day (either by subjective account or as observed by others)
Recurrent thoughts of death (not just fear of dying), recurrent
suicidal ideation without a specific plan, or a suicide attempt or a
specific plan for committing suicide
The symptoms cause clinically significant distress or impairment in
social, occupational, or other important areas of functioning.
The episode is not attributable to the physiological effects of a
substance or to another medical condition.
,The occurrence of the major depressive episode is not better
explained by schizoaffective disorder, schizophrenia,
schizophreniform disorder, delusional disorde
◉ What are some common sleep disturbances experienced by
patients with MDD?
Answer: Insomnia, hypersomnia.
◉ What psychomotor changes would the clinician see when
interviewing a patient with MDD?
Answer: Psychomotor retardation is the most common.
Psychomotor agitation is also seen, especially in older patients.
Agitation: Hair pulling, hand-wringing.
Stooped posture; no spontaneous movements; and a downcast,
averted gaze.
Symptoms of psychomotor retardation may appear identical to
patients with catatonic schizophrenia.
◉ What is the prevalence of MDD? How do sex and age of the patient
impact these rates?
Answer: Prevalence of 5-17%.
, Twofold greater prevalence of major depressive disorder in women
than in men.
The mean age of onset for major depressive disorder is about 40
years, with 50 percent of all patients having an onset between the
ages of 20 and 50 years.
◉ What is the risk of suicide for patients with MDD?
Answer: About 10 to 15 percent of all depressed patients commit
suicide, and about two-thirds have suicidal ideation.
◉ 18. What are the difficulties in recognizing depression in the
elderly population?
Answer: Elderly people often have various co-morbid medical
disorders that may have similar symptoms to depression.
◉ 19. What are some common Differential diagnosis when
considering MDD?
Answer: Table 8.8-1
◉ 20. How does the clinician differentiate MDD from Bipolar
Disorder?
SOLVED QUESTIONS
◉ What diagnostic criteria are required for a patient to receive a
diagnosis of Major Depressive Disorder?
Answer: *Five (or more) of the following symptoms have been
present during the same 2-week period and represent a change from
previous functioning; at least one of the symptoms is either (1)
depressed mood or (2) loss of interest or pleasure.
Depressed most of the day, nearly every day as indicated by
subjective report (e.g., feels sad, empty, hopeless) or observation
made by others (e.g., appears tearful)
Markedly diminished interest or pleasure in all, or almost all,
activities most of the day, nearly every day (as indicated by
subjective account or observation)
Significant weight loss when not dieting or weight gain (e.g., change
of more than 5% of body weight in a month), or decrease or increase
in appetite nearly every day
Insomnia or hypersomnia nearly every day
,Psychomotor agitation or retardation nearly every day (observable
by others, not merely subjective feelings of restlessness or being
slowed down)
Fatigue or loss of energy nearly every day
Feelings of worthlessness or excessive or inappropriate guilt (which
may be delusional) nearly every day (not merely self-reproach or
guilt about being sick).
Diminished ability to think or concentrate, or indecisiveness, nearly
every day (either by subjective account or as observed by others)
Recurrent thoughts of death (not just fear of dying), recurrent
suicidal ideation without a specific plan, or a suicide attempt or a
specific plan for committing suicide
The symptoms cause clinically significant distress or impairment in
social, occupational, or other important areas of functioning.
The episode is not attributable to the physiological effects of a
substance or to another medical condition.
,The occurrence of the major depressive episode is not better
explained by schizoaffective disorder, schizophrenia,
schizophreniform disorder, delusional disorde
◉ What are some common sleep disturbances experienced by
patients with MDD?
Answer: Insomnia, hypersomnia.
◉ What psychomotor changes would the clinician see when
interviewing a patient with MDD?
Answer: Psychomotor retardation is the most common.
Psychomotor agitation is also seen, especially in older patients.
Agitation: Hair pulling, hand-wringing.
Stooped posture; no spontaneous movements; and a downcast,
averted gaze.
Symptoms of psychomotor retardation may appear identical to
patients with catatonic schizophrenia.
◉ What is the prevalence of MDD? How do sex and age of the patient
impact these rates?
Answer: Prevalence of 5-17%.
, Twofold greater prevalence of major depressive disorder in women
than in men.
The mean age of onset for major depressive disorder is about 40
years, with 50 percent of all patients having an onset between the
ages of 20 and 50 years.
◉ What is the risk of suicide for patients with MDD?
Answer: About 10 to 15 percent of all depressed patients commit
suicide, and about two-thirds have suicidal ideation.
◉ 18. What are the difficulties in recognizing depression in the
elderly population?
Answer: Elderly people often have various co-morbid medical
disorders that may have similar symptoms to depression.
◉ 19. What are some common Differential diagnosis when
considering MDD?
Answer: Table 8.8-1
◉ 20. How does the clinician differentiate MDD from Bipolar
Disorder?
