191 -10 Common Errors in the Diagnosis of Mood Disorders and PTSD – Addiction Counselor Training Series




Counselor Toolbox Podcast show

Summary: <p>Mood Disorders and PTSD<br> Instructor: Dr. Dawn-Elise Snipes, PhD<br> Executive Director: AllCEUs.com, Counselor Education and Training<br> Podcast Host: Counselor Toolbox &amp; Happiness Isn’t Brain Surgery</p> <p>Objectives<br> ~ Bipolar 1 &amp; 2<br> ~ Cyclothymic Disorder<br> ~ Depressive Disorder<br> ~ Persistent Depressive Disorder<br> ~ Premenstrual Dysphoric Disorder<br> ~ Circadian Rhythm Sleep Disorder<br> ~ Generalized Anxiety<br> ~ Social Anxiety<br> ~ Panic Disorder<br> ~ Agoraphobia<br> ~ Acute Stress Disorder<br> ~ PTSD<br> Manic<br> ~ A. (Often ego-syntonic) A distinct period of abnormally and persistently elevated, expansive, or irritable mood and increased activity or energy, lasting at least one week (or any duration if hospitalized).<br> ~ Often the mood is irritable if due to the use of a substance or if the person’s wishes are denied<br> ~ High mood liability is possible<br> ~ In children, happiness, silliness inappropriate to context and developmental age<br> ~ Depressive symptoms can occur during a manic episode lasting hours or a couple of days<br> Manic<br> ~ B. During the period of mood disturbance and increased energy or activity, 3+ of the following symptoms (four if the mood is only irritable) are present to a significant degree and represent a noticeable change from usual behavior:<br> ~ 1) Inflated self-esteem (uncritical self-confidence) or grandiosity.<br> ~ Despite no prior experience, person may undertake a grandiose task like writing a novel<br> ~ Delusions of grandeur are possible<br> ~ Children overestimate abilities and may think themselves better at things than they are<br> ~ 2) Decreased need for sleep (eg, feels rested after only three hours of sleep).</p> <p>Manic<br> ~ 3) More talkative than usual or pressure to keep talking.<br> ~ 4) Flight of ideas or subjective experience that thoughts are racing.<br> ~ 5) Distractibility (ie, attention too easily drawn to unimportant or irrelevant external stimuli), as reported or observed.<br> ~ Heightened sense of smell hearing or vision may be reported<br> ~ 6) Increase in goal-directed activity (either socially, at work or school, or sexually) or psychomotor agitation (ie, purposeless non-goal-directed activity).<br> ~ Marked increase in sociability including talking to strangers is common<br> ~ Dress may become markedly more seductive or flambouyant<br> ~ Person may become aggressive or hostile<br> Manic<br> ~ 7) Excessive involvement in activities that have a high potential for painful consequences (eg, unrestrained buying sprees, sexual indiscretions, or foolish investments).<br> ~ In children, developmentally inappropriate sexual preoccupations or taking on many tasks simultaneously<br> ~ C. Causes marked impairment in social or occupational functioning or to necessitate hospitalization to prevent harm to self or others, or there are psychotic features.<br> ~ D. The episode is not attributable to the physiological effects of a substance (eg, a drug of abuse, a medication, other treatment) or to another medical condition.<br> ~ Cocaine, amphetamines; Medications: steroids, L-Dopa, antidepressants, stimulants (ADHD, weight, decongestants); Light therapy, ECT, MS, Stroke, lupus, AIDS, encephalitis<br> Manic/Hypomania<br> ~ Hypomania:<br> ~ A. A distinct period of abnormally and persistently elevated, expansive, or irritable mood increased activity or energy, lasting at least four consecutive days (4 days vs. 1 week)<br> ~ The episode is not severe enough to cause marked impairment in social or occupational functioning<br> ~ Do not confuse with euthymia —elevated mood that occurs for a couple days following remission of major depression<br> Major Depressive Disorder<br> ~ A. 5 (or more) (2 or more for PDD) of the following symptoms have been present during the same 2-week period (2 years for PDD (1 in children) and represent a change from pre</p>