Mood Disorders II Dr.Noor Alibrahim

Dysthymia Cyclothymia Mood disorders 2ry to GMC Mood disorders 2ry to Substance abuse

Dysthymia

Dysthymia Persistent depressive disorder Depressive neurosis Low grade chronicity for at lease 2 years Insidious onset

Epidemiology

Epidemiology 5-6% of the general population No gender differences Starts in younger population (children and adolescence) Unmarried Low incomes

Can co-exist with : MDD Anxiety Disorders Substance abuse Personality Disorders

Clinical features

Clinical features 2 years – 1 year in children and adolescents Depressed mood 2 or more of the following : Poor appetite or over eating Insomnia or hypersomnia Low energy or fatigue Low self-esteem Poor concentrating Feelings of hopeleness

Clinical features No manic or hypomanic episodes No other psychiatric illness Not explained by substance abuse or GMC Never symptoms free for more that 2 months Distress , impairment of functioning

Differential diagnosis

Differential diagnosis Minor depressive disorder Brief depressive disorder Double depression

Course and prognosis

treatment

Cyclothymic Disorder

Cyclothymic Disorder Milder form of bipolar disorder Hypomania and mild (minor) depression

Epidemiology

Epidemiology Lifetime prevalence is 1 % With borderline personality disorder Onset 15-25 years Female to male ratio is 3 to 2

Diagnosis and clinical features

Diagnosis For 2 years – 1 year in children and adolescents Hypomanic episodes and minor depressive disorder

Might present with : Marital difficulties Instability in relationships substance abuse

Course and prognosis

treatment

Mood disorder due to GMC

Mood disorder due to GMC Tumors Trauma Infections Endocrine Nutritional Neurological

Substance induced mood disorder

Substance induced mood disorder Alcohol Sedatives Withdrawal (nic , caf , alcohol , coc , amphetamines) Antihypertensive medications Steroids

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