8 Major depression,
bipolar
Questions and answers
sometimes called affective disorders - ANSWER disorders
of Mood p.347
unipolar mania" and "pure mania" are sometimes used for
patients who are - ANSWER bipolar but who do not have
depressive episodes. p.347
major depressive episodes are said to have either -
ANSWER major depressive disorder or unipolar
depression p.347
Three additional categories of mood disorders are -
ANSWER hypomania, cyclothymia, and dysthymia p.347
Cyclothymia and dysthymia as disorders that represent -
ANSWER LESS severe forms of bipolar disorder and
major depression, respectively. p.347
, hypomania is a less severe, - ANSWER shorter lasting
form of mania
dysthymia is a less severe, - ANSWER longer lasting
form of depession
In 1854, Jules Falret described a condition called -
ANSWER FOLIE CIRCULAIRE, in which patients
experience alternating moods of depression and mania.
p.347
IN 1882 German psychiatrist Karl Kahlbaum used the
term - ANSWER cyclothymia to described mania and
depression
1899, Emil Kraepelin, building on the knowledge of
previous French and German psychiatrists, - ANSWER
described manic-depressive psychosis using most of the
criteria that psychiatrists now used to establish a diagnosis
of bipolar I disorder
dementia precox - ANSWER schizophrenia was then
called in 1899
Kraepelin also described a depression that came to be
known as involutional melancholia, - ANSWER viewed as
a severe form of mood disorder that begins in late
adulthood. p.347
, A major depressive episode must last at least 2 weeks,
and typically a person with a diagnosis of a major
depressive episode also experiences - ANSWER at least
four symptoms from a list that includes changes in
appetite and weight, changes in sleep and activity, lack of
energy, feelings of guilt, problems thinking and making
decisions, and recurring thoughts of death or suicide p.
347
A hypomanic episode lasts at least 4 days and is -
ANSWER SIMILAR to a manic episode except that it is not
sufficiently severe to cause impairment in social or
occupational functioning, and no psychotic features are
present. p.348
A manic episode is a distinct period of an abnormally and
persistently elevated, expansive, or irritable mood lasting
for - ANSWER at least 1 week or less if a patient must be
hospitalized. p.348
Both mania and hypomania are associated with -
ANSWER inflated self-esteem,
a decreased need for sleep,
distractibility,
great physical and mental activity, and overinvolvement in
pleasurable behavior p.348
A variant of bipolar disorder characterized by episodes of
major depression and HYPOMANIA rather than mania is
known as - ANSWER bipolar II disorder. p.348