Depressive Disorders Assignment Help

Depressive Disorders Assignment Help
Depressive Disorders Assignment Help
4.1 How does DSM-5 differ from DSM-IV in its classification of mood disorders?
A. There is no difference between the two editions.
B. DSM-IV separated mood disorders into different sections; DSM-5 consolidates mood disorders into one section.
C. DSM-IV included all mood disorders in a single section; DSM-5 places depressive and bipolar mood disorders in separate sections.
D. DSM-IV placed mood and anxiety disorders in separate sections; DSM-5
consolidates mood and anxiety disorders within a single section.
E. DSM-IV placed mood disorders with psychotic features in the same section
as other mood disorders; DSM-5 places mood disorders with psychosis in a
separate section.
Correct Answer: C. DSM-IV included all mood disorders in a single section;
DSM-5 places depressive and bipolar mood disorders in separate sections.
Explanation: Unlike DSM-IV, DSM-5 separates depressive disorders from bipolar and related disorders, and several new disorders have been added.
“With psychotic features” is a specifier for bipolar and depressive disorders;
there is no separate diagnostic section for mood disorders with psychotic
symptoms.
Depressive Disorders Assignment Help
4.1—chapter intro (p. 155)
4.2 How does DSM-5 differ from DSM-IV in its classification of premenstrual dysphoric disorder (PMDD)?
A. PMDD was in the Appendix in DSM-IV and remains in this location in
DSM-5.
B. PMDD was not included in DSM-IV but is in the Appendix of DSM-5.
C. PMDD is no longer considered a valid psychiatric diagnosis.
D. PMDD is included in the “Depressive Disorders” chapter of DSM-5 but was
not included in the “Mood Disorders” chapter of DSM-IV.
E. PMDD is included in DSM-5 but the name of the diagnosis has been
changed.
Correct Answer: D. PMDD is included in the “Depressive Disorders” chapter
of DSM-5 but was not included in the “Mood Disorders” chapter of DSM-IV.
Depressive Disorders—ANSWER GUIDE | 237
Explanation: After careful scientific review of the evidence, PMDD has been
moved from Appendix B (“Criteria Sets and Axes Provided for Further
Study”) of DSM-IV to Section II of DSM-5. Almost 20 years of additional research on this condition has confirmed a specific and treatment-responsive
form of depressive disorder that begins sometime following ovulation and remits within a few days of menses and has a marked impact on functioning.
4.2—chapter intro (p. 155)
4.3 What DSM-5 diagnostic provision is made for depressive symptoms following
the death of a loved one?
A. Depressive symptoms lasting less than 2 months after the loss of a loved
one are excluded from receiving a diagnosis of major depressive episode.
B. To qualify for a diagnosis of major depressive episode, the depression must
start no less than 12 weeks following the loss.
C. To qualify for a diagnosis of major depressive episode, the depressive
symptoms in such individuals must include suicidal ideation.
D. Depressive symptoms following the loss of a loved one are not excluded
from receiving a major depressive episode diagnosis if the symptoms otherwise fulfill the diagnostic criteria.
E. Depressive symptoms following the loss of a loved one are excluded from
receiving a major depressive episode diagnosis; however, a proposed diagnostic category for postbereavement depression is included in “Conditions
for Further Study” (DSM-5 Appendix) pending further research.
Correct Answer: D. Depressive symptoms following the loss of a loved one
are not excluded from receiving a major depressive episode diagnosis if the
symptoms otherwise fulfill the diagnostic criteria.
Depressive Disorders Assignment Help
Explanation: In DSM-IV, there was an exclusion criterion for a major depressive episode that was applied to depressive symptoms lasting less than
2 months following the death of a loved one (i.e., the bereavement exclusion).
This exclusion is omitted in DSM-5 for several reasons, including the recognition that bereavement is a severe psychosocial stressor that can precipitate a
major depressive episode in a vulnerable individual, generally beginning soon
after the loss, and can add an additional risk of suffering, feelings of worthlessness, suicidal ideation, poorer medical health, and worse interpersonal and
work functioning. It was critical to remove the implication that bereavement
typically lasts only 2 months, when both physicians and grief counselors recognize that the duration is more commonly 1–2 years. A detailed footnote has
replaced the more simplistic DSM-IV exclusion to aid clinicians in making the
critical distinction between the symptoms characteristic of bereavement and
those of a major depressive disorder.
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