1. Mood Disorders II
Dr.Noor Alibrahim

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

3. Dysthymia

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

5. Epidemiology

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

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

8. Clinical features

9. 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

10. 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

11. Differential diagnosis

12. Differential diagnosis
Minor depressive disorder
Brief depressive disorder
Double depression

13. Course and prognosis

14. treatment

15. Cyclothymic Disorder

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

17. Epidemiology

18. Epidemiology Lifetime prevalence is 1 %
With borderline personality disorder
Onset years
Female to male ratio is 3 to 2

19. Diagnosis and clinical features

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

21. Might present with :
Marital difficulties
Instability in relationships
substance abuse

22. Course and prognosis

23. treatment

24. Mood disorder due to GMC

25. Mood disorder due to GMC
Tumors
Trauma
Infections
Endocrine
Nutritional
Neurological

26. Substance induced mood disorder

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

28. Thank you
Good luck