NSG-322 Topic 2 Questions with Verified
Correct Answers
What is disruptive mood disreputable disorder (DMDD)?
Severe, chronic irritability and anger seen in school aged children and males
Ages of DMDD
6-18, w/ symptom onset before 10 y/o
DMDD diagnosis criteria
Temper outburst > 3 times a week
Symptoms for > 12 months in at least two settings (home, school etc)
Treatment of DMDD
CBT
Parent training
Meds: antidepressants, antipsychotics, ADHD meds (stimulants)
What is parent training?
Supports the parents w/ consistent approaches to reduce aggression and reinforce appropriate
behavior
What is persistent depressive disorder (PDD)?
Aka dysthymia
Chronic low level depression w/ no suicidal ideation
Less severe than major depressive disorder but last longer
Criteria for PDD (Dysthymia)
,> 2 years in adults
> 1 year in children/adolescence
S/S of PDD
Chronic fatigue
Poor appetite or overeating
Sleep disturbances
Low self-esteem
Difficulty making decisions
Persistent feelings of being 'down' or 'not themselves' most days
Functional symptoms of PDD
Impairment is moderate
Hospitalization is rare
Low energy and motivation
First line treatment of PDD
Antidepressants (SSRIs, SNRIs, TCAs)
After that -> CBT
What is Premenstrual Dysphonia Disorder (PMDD)
Symptoms begin 1 week before menstruation and improves after menstruation starts
Significant functional impairment (work, school, relationships)
Mood/cognitive and physical s/s of PMDD
, Mood/cognitive: intense irritability, low mood, anxiety, and difficulty concentrating
Physical: bloating, breast tenderness, appetite changes, and general physical discomfort.
What is a key diagnostic indicator for PMDD?
Timing of symptoms and is linked to hormone fluctuations
Treatment of PMDD
SSRIs, hormones, diet/exercise, CBT
What is Substance/Medication-Induced Depressive Disorder
directly linked to intoxication or withdrawal from substances such as alcohol, sedatives,
opioids, stimulants, or prescribed medications like corticosteroids
What is a key diagnostic feature of Substance/Medication-Induced Depressive
Disorder?
Timing -> symptoms start during or shortly after substance use and improve when the
substance is stopped
If symptoms persist beyond the expected physiological effects, that also supports the
diagnosis.
Depressive Disorder Due to Another Medical Condition
Depressive symptoms result from direct physiological effects of a medical condition, rather
than being a psychological reaction to illness
Common after a stroke
What is Depressive Disorder due to another medical conditions seen in?
Neurologic illness: Parkinson's , Huntington's, and Alzheimer's
Correct Answers
What is disruptive mood disreputable disorder (DMDD)?
Severe, chronic irritability and anger seen in school aged children and males
Ages of DMDD
6-18, w/ symptom onset before 10 y/o
DMDD diagnosis criteria
Temper outburst > 3 times a week
Symptoms for > 12 months in at least two settings (home, school etc)
Treatment of DMDD
CBT
Parent training
Meds: antidepressants, antipsychotics, ADHD meds (stimulants)
What is parent training?
Supports the parents w/ consistent approaches to reduce aggression and reinforce appropriate
behavior
What is persistent depressive disorder (PDD)?
Aka dysthymia
Chronic low level depression w/ no suicidal ideation
Less severe than major depressive disorder but last longer
Criteria for PDD (Dysthymia)
,> 2 years in adults
> 1 year in children/adolescence
S/S of PDD
Chronic fatigue
Poor appetite or overeating
Sleep disturbances
Low self-esteem
Difficulty making decisions
Persistent feelings of being 'down' or 'not themselves' most days
Functional symptoms of PDD
Impairment is moderate
Hospitalization is rare
Low energy and motivation
First line treatment of PDD
Antidepressants (SSRIs, SNRIs, TCAs)
After that -> CBT
What is Premenstrual Dysphonia Disorder (PMDD)
Symptoms begin 1 week before menstruation and improves after menstruation starts
Significant functional impairment (work, school, relationships)
Mood/cognitive and physical s/s of PMDD
, Mood/cognitive: intense irritability, low mood, anxiety, and difficulty concentrating
Physical: bloating, breast tenderness, appetite changes, and general physical discomfort.
What is a key diagnostic indicator for PMDD?
Timing of symptoms and is linked to hormone fluctuations
Treatment of PMDD
SSRIs, hormones, diet/exercise, CBT
What is Substance/Medication-Induced Depressive Disorder
directly linked to intoxication or withdrawal from substances such as alcohol, sedatives,
opioids, stimulants, or prescribed medications like corticosteroids
What is a key diagnostic feature of Substance/Medication-Induced Depressive
Disorder?
Timing -> symptoms start during or shortly after substance use and improve when the
substance is stopped
If symptoms persist beyond the expected physiological effects, that also supports the
diagnosis.
Depressive Disorder Due to Another Medical Condition
Depressive symptoms result from direct physiological effects of a medical condition, rather
than being a psychological reaction to illness
Common after a stroke
What is Depressive Disorder due to another medical conditions seen in?
Neurologic illness: Parkinson's , Huntington's, and Alzheimer's
