Differential Diagnosis of Mood Disorders

 

Depressed, elevated, expansive, or irritable mood

          arr-sho.GIF (1072 bytes)

Due to the direct physiological effects of a general medical condition

     Yes
    arr-lon.GIF (354 bytes)

MOOD DISORDER DUE TO A GENERAL MEDICAL CONDITION

           No
         arr-sho.GIF (1072 bytes)

Due to the direct physiological effects of a substance (i.e., a drug of abuse, a medication, or a toxin)

     Yes
    arr-lon.GIF (354 bytes)

SUBSTANCE-INDUCED MOOD DISORDER

           No
         arr-sho.GIF (1072 bytes)

Determine type of present and past mood episodes

           No
         arr-sho.GIF (1072 bytes)

Elevated, expansive, or irritable mood, at least l-week duration; marked impairment or hospitalization

      Yes
     arr-sho1.gif (976 bytes)

MANIC EPISODE

wpe1.jpg (1225 bytes)

           No
         arr-sho.GIF (1072 bytes)

Elevated, expansive. or irritable mood, at least 4-day duration; changes observable by others but less severe than a Manic Episode

      Yes
     arr-sho1.gif (976 bytes)

HYPOMANIC EPISODE

           No
         arr-sho.GIF (1072 bytes)

                         arr-sho.GIF (1072 bytes)

    arr-lon1.GIF (354 bytes)

At least 2 weeks of depressed mood or loss or interest plus associated symptoms, and not better accounted for by Bereavement

      Yes
     arr-sho1.gif (976 bytes)

MAJOR DEPRESSIVE EPISODE

D-dd.jpg (1225 bytes)

           No
         arr-sho.GIF (1072 bytes)


    arr-lon1.GIF (354 bytes)

Criteria met for Manic Episode and Major Depressive Episode nearly every day for at least 1 week

      Yes
     arr-sho1.gif (976 bytes)

MIXED EPISODE

D-dd.jpg (1225 bytes)

           No
         arr-sho.GIF (1072 bytes)



     arr-lon1.GIF (354 bytes)

Has ever had a MANIC EPISODE or a MIXED EPISODE

      Yes
     arr-sho1.gif (976 bytes)

Psychotic symptoms occur at times other than during Manic or Mixed Episodes

      No
     arr-sho1.gif (976 bytes)

BIPOLAR I DISORDER

            No
          arr-sho.GIF (1072 bytes)

              Yes
           arr-sho.GIF (1072 bytes)

Occurred exclusively during Schizoaffective Disorder (review Psychotic l)isorders tree)

      Yes
     arr-sho1.gif (976 bytes)

SCHIZOAFFECTIVE DISORDER, BIPOLAR TYPE

               No
            arr-cro.GIF (679 bytes)

BIPOLAR DISORDER NOS (superimposed on a Psychotic Disorder)

Has ever had a HYPOMANIC EPISODE and at least one MAJOR DEPRESSIVE EPISODE

     Yes
    arr-lon.GIF (354 bytes)

BIPOLAR II DISORDER

           No
         arr-sho.GIF (1072 bytes)

2+ years of hypomanic symptoms and periods of depressed mood

     Yes
    arr-lon.GIF (354 bytes)

CYCLOTHYMIC DISORDER

           No
         arr-sho.GIF (1072 bytes)

Clinically significant manic/hypomanic symptoms that do not meet criteria for a specific Bipolar Disorder

     Yes
    arr-lon.GIF (354 bytes)

BIPOLAR DISORDER NOS

           No
         arr-sho.GIF (1072 bytes)

Has ever had a MAJOR DEPRESSIVE EPISODE

      Yes
     arr-sho1.gif (976 bytes)

Psychotic symptoms occur at times other than during Major Depressive Episodes

      No
     arr-sho1.gif (976 bytes)

MAJOR DEPRESSIVE DISORDER

            No
          arr-sho.GIF (1072 bytes)

            Yes
           arr-sho.GIF (1072 bytes)

Occurred exclusively during Schizoaffective Disorder (review Psychotic Disorders tree)

      Yes
     arr-sho1.gif (976 bytes)

SCHIZOAFFECTIVE DISORDER, DEPRESSIVE TYPE

             No
           arr-cro.GIF (679 bytes)

DEPRESSIVE DISORDER NOS (superimposed on Psychotic Disorder)

Depressed mood, more days than not, for at least 2 years with associated symptoms

     Yes
    arr-lon.GIF (354 bytes)

DYSTHYMIC DISORDER

           No
         arr-sho.GIF (1072 bytes)

Depressed mood not meeting criteria for one of above Mood Disorders that develops in response to a stressor

     Yes
    arr-lon.GIF (354 bytes)

ADJUSTMENT DISORDER WITH DEPRESSED MOOD

           No
         arr-sho.GIF (1072 bytes)

Clinically significant depressive symptoms that do not meet criteria for a specific Mood Disorder

     Yes
    arr-lon.GIF (354 bytes)

DEPRESSIVE DISORDER NOS

           No
         arr-sho.GIF (1072 bytes)

No Mood Disorder (mood symptoms that are not clinically significant)