The document provides a comprehensive review of various mental disorders as classified in DSM-5, including types of depressive disorders and disruptive mood conditions. It details assessment tools, pharmacological treatments like SSRIs and therapies such as cognitive behavioral therapy, as well as diagnostic criteria for these disorders. Additional information on comorbidities, treatment evaluations, and specific symptoms for conditions like premenstrual dysphoric disorder and substance-induced depression is also included.

1. Review of DSM5 Mental Disorders for NCMHCE Study

2. 1. Disruptive Mood Dysregulation Disorder
2. Major Depressive Disorder
3. Persistent Depressive Disorder (Dysthymia)
4. Premenstrual Dysphoric Disorder
5. Substance/Medication-Induced Depressive Disorder
6. Depressive Disorder Due to Another Medical
Condition
7. Other Specified Depressive Disorder
8. Unspecified Depressive Disorder

3. S2. Assessments
1. BDI Beck Depression Inventory
2. Hamilton Rating Scale
3. SCID Structured Clinical Intervew
4. Patient Health Questionnaire-9
5. HAM-D
6. Zung Self Rating Depression Scale
7. Geriatric Depression Scale
8. Mood Disorder Questionnaire
9. MMSE
10. Physical exam
11. Steen Happiness Index

4. Treatments
1. Medications
 Antidepressants usually
SSRI’s or SNRI’s
 TCA’s (Tricyclic
antidepressant)
 MAOI’s (Monoamine
oxidase inhibitor)
2.Therapies
 BAT BehavioralActivation
Therapy
 CBT Cognitive Behavioral
Therapy
 MindfulnessTherapy
 Electroconvulsive therapy
 Vagal nerve stimulation
 Transcranial magnetic
stimulation
 IPP Interpersonal
psychotherapy
 Social skills and
assertiveness training

5. Major Depression
 5 criteria
 For 2 weeks
 Lower
functioning
Persistent Depression
 3 criteria
 For 2 years
▪ 1 year for youth
 Milder, higher
functioning
Criteria
 Sleep problems
 Disinterest
 Low self-esteem
 Energy problems
 Poor
concentration
 Appetite change
 Agitated or slow
 Suicidal ideation

7. Diagnosis
Severe recurrent temper outbursts, grossly
out of proportion in intensity or duration
 Inconsistent with maturity level
 Verbal and/or physical rages, against
people or property
 Persistently irritable or angry most of the
day between outbursts
 Frequent, 2-3 times weekly
 For 12 or more months
 Onset must be between ages 6-10, until
age 18
Rule Out
 ODD:
More
severe

8. Disruptive Mood
Dysregulation
 2-3 times weekly
 For 12 or more
months
 ages 6-10, until
age 18
 Persistently
irritable or angry
 Verbal and/or
physical rages
Oppositional Defiant
 Difficult behavior
for 6 months
 Verbal rages
 Argumentative
 Aggressive
 More severe
Intermittent
Explosive
 3 times yearly
 Verbal aggression
 Assaults
 Outbursts causing
damage
 Ages 6-adult
 Remorseful

9. S1. Find Out
 Medical evaluation
 Affective functioning
 Cognitive functioning
 Symptomology development
 Family history
 Past trauma
 Substance use history
 Work/school history
 Family meeting
S2. Assess & Refer

10. S5.Treatments
Medications
 Antidepressants usually SSRI’s or SNRI’s
Therapies
 Psychoeducation
 Individual psychotherapy
 Family therapy

12. Diagnosis
5 or more
symptoms
during the same
2 week period
 Must include
depressed
mood or loss
of interest or
pleasure
1. Depressed mood most of the day,
most days
2. Decreased pleasure in activities
3. Weight loss or gain; loss of energy
4. Insomnia or sleeping too much
5. Psychomotor agitation or retardation
6. Feelings of worthlessness and guilt
7. Harder to think or make decisions
8. Recurrent thoughts of death and
suicide, and/or plans or attempt
9. More likely after puberty

13. Diagnosis II
Specifiers
 Mild, moderate, severe
 With psychotic features
 In partial remission, in full remission,
unspecified
 Anxious distress, melancholic features
 Mixed features, atypical features
 Mood-congruent psychotic features,
mood-incongruent features
 Catatonia
 Peri-partum onset
 Seasonal pattern
Comorbidity
 Substance abuse
 Panic disorders
 OCD
Anorexia Nervosa
 Bulimia Nervosa
 Borderline
Personality

14. S1. Find Out
 Medical evaluation
 Affective functioning
 Cognitive functioning
 Symptomology development
 Family history
 Past trauma
 Substance use history
 Work history
 Family meeting

15. S2. Assessments
1. Beck Depression Inventory
2. Hamilton Rating Scale
3. SCID
4. Patient Health Questionnaire-9
5. HAM-D
6. Zung Self Rating Depression Scale
7. Geriatric Depression Scale
8. Mood Disorder Questionnaire
9. MMSE
10. Physical exam

16. S5.Treatments
Medications
 Antidepressants usually
SSRI’s or SNRI’s
 TCA’s (Tricyclic
antidepressant)
 MAOI’s (Monoamine
oxidase inhibitor)
Therapies
 Behavioral Activation
Therapy BAT
 Cognitive Behavioral
Therapy
 MindfulnessTherapy
 Exercise
 Electroconvulsive
therapy
 Vagal nerve stimulation
 Transcranial magnetic
stimulation

17. S5. Monitoring
 Medication compliance
 Interactions with family
 Use of leisure time
 Weight gain or loss
 Sleep quality
 Social activities
S6.Termination
 Medication
 Support group

19. Diagnosis I
Depressed mood, most of the day, most days
 For at least 2 years (or 1 year for youth)
 During this period, symptoms ceased for
less than 2 months
While depressed, 2 or more symptoms:
 Poor appetite or overeating
 Insomnia or hypersomnia
 Low energy or fatigue
 Low self esteem
 Poor concentration and indecisive
 Feelings of hopelessness
 No manic or
hypomanic
episodes
 Milder and
higher
functioning
than MDD
Comorbidity
 Anxiety
 Substance
abuse

20. S1. Find Out
 Medical evaluation
 Affective functioning
 Cognitive functioning
 Symptomology development
 Family history
 Past trauma
 Substance use history
 Work/school history
 Family meeting
S2. Assess & Refer
Psych testing
 Beck Depression
Inventory (BDI)
 Steen Happiness Index

21. S5.Treatments
Medications
 Antidepressants usually SSRI’s or SNRI’s
 TCA’s (Tricyclic antidepressant)
 MAOI’s (Monoamine oxidase inhibitor)
Therapies
 CBT Cognitive BehavioralTherapy
 IPP Interpersonal psychotherapy
 Social skills and assertiveness training
 Decisionmaking training

23. S1. Diagnosis
At least 5 symptoms in the
final week before onset of
menses
 With improvement a
few days after the onset
 Minimal or absent in the
week after menses
 Same symptoms in
most menstrual cycles
in the past year
2 months of symptoms
1 or more of these:
 Mood swings
 Irritability, anger, or
increased interpersonal
conflicts
In addition, 1 or more
symptoms to make 5 total
 Decreased interest in
activities
 Difficulty concentrating
 Lethargy
 Changes in appetite;
 Hypersomnia/insomnia
 Feeling overwhelmed or
out of control
 Bloating or weight gain

24. S1. Find Out
 Medical evaluation
 Affective functioning
 Cognitive functioning
 Symptomology
development
 Family history
 Past trauma
 Substance use history
 Work history
 Family meeting
S2. Assess & Refer
Psych testing
 Beck Depression
Inventory (BDI)
 Patient Health
Questionnaire-9

26. Diagnosis
1. Symptoms start
anytime during
pregnancy or up
to 12 months
following
delivery
2. Five of the following nine symptoms,
within a two week period:
 Feelings of sadness, emptiness, or
hopelessness, nearly every day, for
most of the day
 Loss of interest or pleasure in
activities
 Weight loss or decreased appetite
 Changes in sleep patterns
 Feelings of restlessness
 Loss of energy
 Feelings of worthlessness or guilt
 Loss of concentration or increased
indecisiveness
 Recurrent thoughts of death

28. Diagnosis
Depressive symptoms associated with the ingestion,
injection or inhalation of a substance
 Persist beyond the anticipated length of physiological
effects, intoxication or withdrawal period

29. Diagnosis
Depressive symptoms
directly related to the start or
progression of disease
 Not delirium
 Not psychological
response to the condition
 No other stressor or
evidence of tendency
towards depression
Conditions causing
depression
1.Thyroid dysfunction
2. Cancer
3. Poorly-controlled diabetes
4. Chemotherapy
5. Endocrine problems
6. Post-partum
7. Parkinson’s disease