2 hours clinical competency depression bipolar

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2 hours clinical competency depression bipolar

  1. 1. Clinical Competency: Depression<br />2 Hours<br />Copyright AllCEUs 2011-2020 Unlimited CEUs $99/year<br />
  2. 2. Major Depressive Episode<br />Five (or more) of the following have been present nearly every day during the same 2-week period<br />depressed mood most of the day<br />markedly diminished interest or pleasure in all, or almost all, activities<br />significant changes in eating patterns.<br />insomnia or hypersomnia<br />Depression and Dysthymia<br />Copyright AllCEUs 2011-2020 Unlimited CEUs $99/year<br />
  3. 3. psychomotor agitation or retardation nearly every day (observable by others, not merely subjective feelings of restlessness or slowing)<br />fatigue or loss of energy<br />feelings of worthlessness or excessive or inappropriate guilt<br />diminished ability to think or concentrate, or indecisiveness, <br />recurrent thoughts of death (not just fear of dying), recurrent suicidal ideation<br />Copyright AllCEUs 2011-2020 Unlimited CEUs $99/year<br />Depression cont…<br />
  4. 4. The symptoms do not meet criteria for a Mixed Episode.<br />The symptoms are not due to <br />the direct physiological effects of a substance<br />a general medical condition (e.g., hypothyroidism).<br />Bereavement, i.e., after the loss of a loved one, the symptoms persist for longer than 2 months or are characterized by marked functional impairment, morbid preoccupation with worthlessness, suicidal ideation, psychotic symptoms, or psychomotor retardation<br />Depression cont…<br />Copyright AllCEUs 2011-2020 Unlimited CEUs $99/year<br />
  5. 5. Symptoms similar to depression that last for more than 6 months<br />Copyright AllCEUs 2011-2020 Unlimited CEUs $99/year<br />Dysthymia<br />
  6. 6. Disorder in which the person experiences both manic and depressive type symptoms<br />Symptoms can alternate, co-occur(mixed) or be present to a greater or lesser degree (hypomania/dysthymia)<br />Bipolar<br />Copyright AllCEUs 2011-2020 Unlimited CEUs $99/year<br />
  7. 7. Criteria for Manic Episode (DSM-IV, p. 332)<br />A distinct period of abnormally and persistently elevated, expansive, or irritable mood, lasting at least 1 week<br />During the period of mood disturbance, three (or more) of the following symptoms have been present to a significant degree: <br />inflated self-esteem or grandiosity <br />decreased need for sleep (e.g., feels rested after only 3 hours of sleep) <br />more talkative than usual or pressure to keep talking <br />flight of ideas or subjective experience that thoughts are racing <br />distractibility<br />increase in goal-directed activity (either socially, at work or school, or sexually) or psychomotor agitation <br />excessive involvement in pleasurable activities that have a high potential for painful or negative consequences <br />Mania<br />Copyright AllCEUs 2011-2020 Unlimited CEUs $99/year<br />
  8. 8. Criteria for Hypomanic Episode (DSM-IV, p. 338)<br />The manic episode is not severe enough to cause marked impairment in social or occupational functioning, or to necessitate hospitalization, and there are no psychotic features. <br />Hypomania<br />Copyright AllCEUs 2011-2020 Unlimited CEUs $99/year<br />
  9. 9. Criteria for Mixed Episode (DSM-IV, p. 335)<br />The criteria are met both for a Manic Episode and for a Major Depressive Episode (except for duration) nearly every day during at least a 1-week period. <br />Mixed Episode<br />Copyright AllCEUs 2011-2020 Unlimited CEUs $99/year<br />
  10. 10. Bipolar I: Major Depression and Mania<br />Bipolar II: <br />Major Depression and Hypomania<br />No history of manic or mixed episodes<br />Bipolar I and II<br />Copyright AllCEUs 2011-2020 Unlimited CEUs $99/year<br />
  11. 11. Diagnostic Criteria for Cyclothymic Disorder<br />For at least 2 years, the presence of numerous periods of hypomanic symptoms and numerous periods of depressive symptoms that do not meet criteria for a Major Depressive Episode. <br />During the above 2-year period the person has not been without symptoms for more than 2 months<br />The symptoms in Criterion A are not better accounted for by Schizoaffective Disorder and are not superimposed on Schizophrenia, Schizophreniform Disorder, Delusional Disorder, or Psychotic Disorder Not Otherwise Specified.<br />The symptoms are not due to the direct physiological effects of a substance or a general medical condition (e.g., hypothyroidism).<br />The symptoms cause clinically significant distress or impairment in social, occupational, or other important areas of functioning.<br />Cyclothymic Disorder<br />Copyright AllCEUs 2011-2020 Unlimited CEUs $99/year<br />
  12. 12. Depressive-Like Symptoms<br />Diabetes<br />Hypothyroid<br />Fibromyalgia<br />Chronic Fatigue<br />Manic-Like Symptoms<br />Hyperthyroid<br />Medical Differential Diagnosis <br />Copyright AllCEUs 2011-2020 Unlimited CEUs $99/year<br />
  13. 13. Depression<br />Opiates<br />Anxianxiety/Benzodiazepines<br />Depressants/Barbiturates<br />Inhalants<br />GHB<br />Mania<br />Ecstasy/MDMA<br />Methamphetamine<br />Cocaine<br />Steroids<br />Substances and Symptoms<br />Copyright AllCEUs 2011-2020 Unlimited CEUs $99/year<br />
  14. 14. Depression<br />Dysthymia<br />Mania<br />Hypomania<br />Bipolar I<br />Bipolar II<br />Cyclothymia<br />Differential Diagnosis<br />Summary Depressive & Bipolar Disorders<br />Copyright AllCEUs 2011-2020 Unlimited CEUs $99/year<br />

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