1. Clinical Competency: Depression 2 Hours Copyright AllCEUs 2011-2020 Unlimited CEUs $99/year

2. Major Depressive Episode Five (or more) of the following have been present nearly every day during the same 2-week period depressed mood most of the day markedly diminished interest or pleasure in all, or almost all, activities significant changes in eating patterns. insomnia or hypersomnia Depression and Dysthymia Copyright AllCEUs 2011-2020 Unlimited CEUs $99/year

3. psychomotor agitation or retardation nearly every day (observable by others, not merely subjective feelings of restlessness or slowing) fatigue or loss of energy feelings of worthlessness or excessive or inappropriate guilt diminished ability to think or concentrate, or indecisiveness, recurrent thoughts of death (not just fear of dying), recurrent suicidal ideation Copyright AllCEUs 2011-2020 Unlimited CEUs $99/year Depression cont…

4. The symptoms do not meet criteria for a Mixed Episode. The symptoms are not due to the direct physiological effects of a substance a general medical condition (e.g., hypothyroidism). Bereavement, i.e., after the loss of a loved one, the symptoms persist for longer than 2 months or are characterized by marked functional impairment, morbid preoccupation with worthlessness, suicidal ideation, psychotic symptoms, or psychomotor retardation Depression cont… Copyright AllCEUs 2011-2020 Unlimited CEUs $99/year

5. Symptoms similar to depression that last for more than 6 months Copyright AllCEUs 2011-2020 Unlimited CEUs $99/year Dysthymia

6. Disorder in which the person experiences both manic and depressive type symptoms Symptoms can alternate, co-occur(mixed) or be present to a greater or lesser degree (hypomania/dysthymia) Bipolar Copyright AllCEUs 2011-2020 Unlimited CEUs $99/year

7. Criteria for Manic Episode (DSM-IV, p. 332) A distinct period of abnormally and persistently elevated, expansive, or irritable mood, lasting at least 1 week During the period of mood disturbance, three (or more) of the following symptoms have been present to a significant degree: inflated self-esteem or grandiosity decreased need for sleep (e.g., feels rested after only 3 hours of sleep) more talkative than usual or pressure to keep talking flight of ideas or subjective experience that thoughts are racing distractibility increase in goal-directed activity (either socially, at work or school, or sexually) or psychomotor agitation excessive involvement in pleasurable activities that have a high potential for painful or negative consequences Mania Copyright AllCEUs 2011-2020 Unlimited CEUs $99/year

8. Criteria for Hypomanic Episode (DSM-IV, p. 338) The manic episode is not severe enough to cause marked impairment in social or occupational functioning, or to necessitate hospitalization, and there are no psychotic features. Hypomania Copyright AllCEUs 2011-2020 Unlimited CEUs $99/year

9. Criteria for Mixed Episode (DSM-IV, p. 335) The criteria are met both for a Manic Episode and for a Major Depressive Episode (except for duration) nearly every day during at least a 1-week period. Mixed Episode Copyright AllCEUs 2011-2020 Unlimited CEUs $99/year

10. Bipolar I: Major Depression and Mania Bipolar II: Major Depression and Hypomania No history of manic or mixed episodes Bipolar I and II Copyright AllCEUs 2011-2020 Unlimited CEUs $99/year

11. Diagnostic Criteria for Cyclothymic Disorder For at least 2 years, the presence of numerous periods of hypomanic symptoms and numerous periods of depressive symptoms that do not meet criteria for a Major Depressive Episode. During the above 2-year period the person has not been without symptoms for more than 2 months The symptoms in Criterion A are not better accounted for by Schizoaffective Disorder and are not superimposed on Schizophrenia, Schizophreniform Disorder, Delusional Disorder, or Psychotic Disorder Not Otherwise Specified. The symptoms are not due to the direct physiological effects of a substance or a general medical condition (e.g., hypothyroidism). The symptoms cause clinically significant distress or impairment in social, occupational, or other important areas of functioning. Cyclothymic Disorder Copyright AllCEUs 2011-2020 Unlimited CEUs $99/year

12. Depressive-Like Symptoms Diabetes Hypothyroid Fibromyalgia Chronic Fatigue Manic-Like Symptoms Hyperthyroid Medical Differential Diagnosis Copyright AllCEUs 2011-2020 Unlimited CEUs $99/year

13. Depression Opiates Anxianxiety/Benzodiazepines Depressants/Barbiturates Inhalants GHB Mania Ecstasy/MDMA Methamphetamine Cocaine Steroids Substances and Symptoms Copyright AllCEUs 2011-2020 Unlimited CEUs $99/year

14. Depression Dysthymia Mania Hypomania Bipolar I Bipolar II Cyclothymia Differential Diagnosis Summary Depressive & Bipolar Disorders Copyright AllCEUs 2011-2020 Unlimited CEUs $99/year