Major Depressive Episode Analysis

Some signs and symptoms of a manic episode are: increased energy, activity, and restlessness; excessively high, overly good, euphoric mood; racing thoughts and talking fast, jumping from one idea to another; distractibility or lack of concentration; spending sprees; poor judgment; increased sex drive; and denial that anything is wrong (Nevid, Rathus, & Greene, 2006). A manic episode is diagnosed if elevated mood occurs with three or more of the other symptoms most of the day, nearly every day, for one week or longer (Psychology Today, 2011). If the mood is irritable, four additional symptoms must be present.

A major depressive episode is not a disorder in itself, but rather more of a description or symptoms of part of a disorder most often depressive disorder or bipolar. A person suffering from a major depressive episode must have a depressed mood or a loss of interest in daily activities consistently for a minimum of a two-week time span (Psych Central, 2013). In diagnosing the mood must reflect a change from the person’s normal mood. A person’s daily activities and functions, such as work, social routines and friends, education, family, and relationships must also have been negatively impacted by the change in their mood. A major depressive episode is also identified by presence of five or more of the following symptoms. The patient can show signs of significant weight loss or weight gain even not dieting or trying to lose or gain weight. The patient will also display a change in appetite almost everyday, either with an increase or a decrease in their normal eating habits. The weight change is typically set at an increase or decrease in weight of more than 5% per month. The patient will display a depressed mood almost the entire day and this sadness, emptiness, loneliness, crying, and distant is observed by others or indicted by the patient, is typically

Major depressive disorder, we all have probably heard of it, but do we really know what is it is ? Major depressive disorder is “a mood disorder that causes a persistent feeling of sadness and loss of interest… major depressive disorder or clinical depression, affects how you feel, think and behave and can lead to a variety of emotional and physical problems”(Mayo Clinic Staff). Having this disorder puts you in a very unstable position because you are constantly feeling depressed so it affects the way you think and feel and that can be very dangerous. Sometimes this happens to a person for one day, but put yourself in the shoes of someone who experiencing this for more than two weeks? When you have major depressive disorder, the signs of depression disorder can last for two weeks or more(myers646). This dis order must be treated immediately because “depression may make you feel as if life isn 't worth living”(Mayo Clinic Staff). Feeling this way can lead you to doing things that you can not take back such as committing suicide and sadly that can happen when you have major depressive disorder. Kiyohara and Yoshimasu conducted a research that showed that 90% of suicides have were dealing with major depressive disorder(qtd. in The World Health Organization). Throughout this paper I will be discussing the causes, symptoms and treatment when dealing with major depressive disorder.

For an episode to be categorized as manic, the patients’ mood has been irritable or abnormally elevated for at least 1 week. A person must also exhibit at least 3 of the following symptoms (4 if the mood is only irritable): extreme feelings of personal greatness; a decreased need for sleep, marked talkativeness; distractibility; extreme focus on a goal-directed activity; reports of ‘racing’ thoughts or a flight of ideas; or excessive involvement in pleasurable activities that have a high potential for painful consequences (i.e. sexual indiscretions or unintelligent business investments). As in the criteria for a depressed episode, the DSM-IV specifies that these symptoms should not be better explained as being a side effect of a drug or illness to qualify as a manic episode. These symptoms must interfere with the person’s normal functioning and must not meet the criteria for a mixed episode. As with adults, childhood-onset bipolar disorder has many faces. Children with Bipolar I Disorder have episodes of mania and episodes of depression, sometimes there are long periods of normal moods between episodes. Adults usually tend to have more depressed episodes than manic episodes. However, some children will have chronic mania (symptoms of mania lasting for long periods of time or marked by frequent recurrence) and seldom experience a depressed episode.

The main features of Major Depressive Episodes (MDE) include a depressed mood for most days and loss of interest and pleasure in enjoyable activities (also known as ahedonia). For the diagnoses of a MDE to be made, these symptoms must be experienced for at least two weeks and symptoms must cause significant impact on day to day functioning (APA, 2013). Additional symptoms include lack of concentration (e.g unable to focus on everyday tasks, work), lack of

A manic episode is characterized by an abnormality of mood that is euphoric, expansive, and elevated or irritable with increased energy, along with signs and symptoms such as inflated self-esteem or grandiosity, decreased need for sleep. Pressure of speech or being extremely talkative, racing thoughts or flight of ideas, distractibility, an increase in goal-directed behavior, agitation, poor judgment and impulsive decision making are more signs and symptoms of a manic episode. A manic episode can result in unwise and potentially dangerous behavior. Destructive behaviors can often occur with spending money, sexual

Bipolar 1 disorder is when an individual has manic episodes that last at least 7 days with manic symptoms that are so severe that the person sometimes needs immediate hospital care. Depressive episodes occur as well, typically lasting at least 2 weeks. Episodes of depression with mixed features, having depression and manic symptoms at the same time, are also possible. Individuals with this form of bipolar experience the most dramatic transitions from mania to depression, and mood swings can be sudden and severe. The level of functional impairment is high with this form of the disorder, and many of these individuals must be hospitalized in order to protect their safety.

296.32 (F33.1) Major Depressive Disorder, recurrent episode, moderate severity, with anxious distress. Ms. Client meets eight of the nine diagnostic criteria for Major Depressive Disorder (MDD). Specifically, during several periods of time she experienced depressed mood, diminished interest in things she enjoyed to do, hypersomnia, psychomotor agitation, fatigue, feelings of worthlessness, decreased concentration, and suicidal thoughts without intent. Additionally, as Ms. Client expressed, these symptoms are source of continuing distress and interfere with her academics and social functioning. Also, her symptoms started four years prior to the psychological assessment and persisted intermittently since then, lasting for several weeks to several months, with the most recent period of extended length (enduring two weeks) approximately one year ago. Since the last episode she has experienced these symptoms for two to three days at a time. Although the last episode that met the criterion of two weeks duration occurred approximately a year ago, the symptoms have not disappeared, but they occur periodically since then and when they do, they cause considerable distress and impairment in functioning. Thus, the disorder cannot be coded as ‘in partial or full remission’. The specifier ‘with anxious distress’ was given, because Ms. Client reports feelings of difficulty in concentration because of worry and restlessness.

The National Institute of Mental Health describes bipolar I disorder as the occurrence of manic episodes that can last up to seven days, or experiencing a state of mania so severe that one must be hospitalized. With manic episodes, it is common to experience depressive symptoms as well, which can last two weeks or more. The NIMH defines bipolar II disorder as a pattern of depressive episodes with the addition of hypomanic episodes, which are not as intense and distressing as the manic episodes in bipolar I disorder. During a manic episode one might be experiencing feelings of having a lot of energy, feeling jumpy or wired, talking fast about a variety of topics, racing thoughts, and wanting to do risky things. During an episode of depression,

“The essential feature of a manic episode is a distinct period during which there is an abnormally, persistently elevated, expansive irritable mood and persistently increased activity or energy that is present for most of the day, nearly every day, for a period of at least one week (or any duration if hospitalization is necessary), accompanied by at least three additional symptoms from Criterion B. If the mood is irritable rather than elevated or expansive, at least four criterion B symptoms must be present,” states the American Psychiatric Association’s (APA) Diagnostic and Statistical Manual of Mental Disorders, 5th edition (DSM-V) when classifying BD. There are

A major depressive episode is described as having a depressed mood or loss of interest or pleasure along with five (or more) of the following symptoms: (a) significant weight loss, (b) insomnia or hypersomnia, (c) psychomotor agitation or retardation, (d) fatigue or loss of energy, (e) feelings of worthlessness or excessive or inappropriate guilt, (f) diminished ability to think or concentrate, or indecisiveness, and (g) recurrent

A manic episode: is a mood state characterized by period of at least one week where an elevated, expansive or unusually irritable mood exists. A person experiencing a manic episode is usually engaged in significant goal-directed activity beyond their normal activities. People describe a manic mood as feeling very euphoric, “on top of the world,” and being able to do or accomplish anything. The feeling is like extreme optimism — but on steroids.

A manic episode is a period of abnormally and persistently elevated, excitable or irritable mood lasting for at least one week and present most of the day. Other symptoms include inflated self-esteem or grandiosity, more talkative than usual or pressured speech, racing thoughts, decreased need for sleep, distractibility, increased in goal-directed activity and excessive involvement in activities that could have a high potential for painful consequences.

Manic disorder, also known as bipolar disorder, is an illness classified by extreme mood swings from energetic to fatigue, or agitated to happy (vice versa). These occurrences of mood swings can last from a few hours to a few months. Some may even feel happy but depressed at the same time (Watson, 2016). Over 5 million people in the United States struggle with this disorder while symptoms of mania and bipolar I or II cannot be easily diagnosed (Watson, 2016). Most people tend to become diagnosed with this disorder around the age of 25 years old (National Institute of Mental Health). Manic disorder is not constrained to a certain group of people. It can impact any age, race, or gender however, ⅔ of people who have this disorder has a close

Major Depressive Disorder is marked by sadness and any four of the following seven criteria: weight loss or weight gain, insomnia or hypersomnia, motor slowing or agitation, fatigue, worthlessness or guilt, impaired concentration, and thoughts of suicide or suicide attempt. Those with Major Depressive Disorder have never had mania or hypomania and may also have anxiety symptoms. When the Major Depressive Disorder is combined with melancholic features, then the person has a “loss of pleasure in all, or almost all, activities [and has a] lack of reactivity to usually pleasurable stimuli (does not feel better, even temporarily, when something good happens” (American Psychiatric Association, p. 185). Observations made by others, such as being tearful, is also a criterion of this disorder (American