Introduction
In this lesson, you will begin to explore mood disorders that can affect patients across the life span. More children and adolescents are currently being diagnosed with a mood disorder than at any other previous time in history. It is critical to understand how this type of condition manifests in younger individuals versus adults, and how to intervene appropriately at the earlier time possible.
A crisis situation is one in which a patient may be experiencing suicidal ideation and/or threatening to hurt themselves. An emergent situation in which the patient is in imminent danger. These topics will be explored from the vantage point of a patient or caregiver who needs information, as well as from the PMHNP perspective.
Learning Outcomes
After completing this module, you will be able to:
Discuss the etiology and epidemiology of mood disorders.
Describe clinical manifestations of mood disorders across the life span.
Identify diagnostic and screening tools that can be used to evaluate patients with mood disorders.
Describe the assessment skills necessary to evaluate a patient with a mood disorder.
Discuss cultural variances that can impact treatment of a patient with mood disorders.
Describe the elements of a behavioral health crisis situation.
Explain how the PMHNP assesses and intervenes in a crisis situation.
Reading & Resources
Chapters 6, Bipolar Disorders and 7, Depressive Disorders in Sadock, B., Sadock, V., & Ruiz, P. (2021). Kaplan & Sadock’s synopsis of psychiatry: Behavioral sciences/clinical psychiatry (12th ed.).
Review criteria for mood disorders in American Psychiatric Association. (2020). Diagnostic and statistical manual of mental disorders (5th ed.).
Chapter 3, Analytical Theory in Neukrug, E., & Hays, D. G. (2023). Counseling theory and practice (3rd ed.).
Digel Vandyk, A., Young, L., MacPhee, C., & Gillis, K. (2018). Exploring the experiences of persons who frequently visit the emergency department for mental health-related reasons. Qualitative Health Research, 28(4), 587-599.’
Read carbamazepine, divalproex sodium, lamotrigine, lithium, valproic acid, and consider how these have been, or may be used, in the treatment of bipolar disorder. Read citalopram, desvenlafaxine, duloxetine, escitalopram, fluoxetine, fluvoxamine, paroxetine, sertraline, venlafaxine, vortioxetine, vilazodone, and consider how these have been, or may be used, in the treatment of major depressive disorder in Stahl, S. (2020).Prescriber’s guide: Stahl’s essential psychopharmacology (7th ed.).
Mccullum-Smith, C., Clark, B., Blair, C., Cropsey, K., & Shelton, R. (2015). Rapid follow-up for patients after psychiatric crisis. Community Mental Health Journal, 51(2), 139-144. doi:http://dx.doi.org.proxy.libraries.uc.edu/10.1007/s10597-014-9782-z
Talks at Google. (2014, January 18). The Autistic Brain: Thinking Across the Spectrum | Dr. Temple Grandin | Talks at Google [Video]. YouTube.
National Alliance on Mental Illness (NAMI). (2018). Navigating a mental health crisis.
PHQ-9 (Patient Health Questionnaire)
Module 3 Lecture Notes
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