NRNP 6675 Mood Disorders Q &A

Major Depressive Disorder Dx Depression with Anxious Distress Feel keyed up Restless Difficulty concentrating due to worry Fear something awful may happen Feeling of potential loss of control Depression with Melancholic Features Loss of pleasure in most activities, lack of reactivity to pleasurable stimuli and 3 of the following: Waking up 2 hours earlier than usual Depression worse in morning Weight loss/anorexia Excessive guilt Postpartum Depression Peaks 4-5 days after delivery and lasts several days. Resolves within first 2 weeks. Rapidly fluctuating moods Tearfulness Irritable Anxiety Seasonal Affective Disorder Depression at specific time of year (winter) with full remission at other times (spring) 2 episodes of depressive disturbance in past 2 years Hypersomnia, increased appetite, craving carbs Rule out psychosis If they are having delusional th