Depressed or Elevated Mood Rule out depressed or elevated mood disorder due to substances and/or general medical conditionElevated Mood +/- Depressed Mood2 week period, depressed mood nearly everyday Depressed mood more days than not for > 2 years Depressed mood in context of specific stressor < 6 months Depressed mood in context of personal loss< 2 months Depressed Mood OnlyDepressed Mood Sleep changes Interest - anhedonia GuiltEnergy - anergia Concentration - decrease Appetite +/- 5% body weight in one month Psychomotor agitation or retardation Suicidal thoughts Adjustment Disorder with Depressed Mood Bereavement2 or more:1) Decreased appetite2) Insomnia3) Anergia4) Poor concentration 5) Hopelessness 6) Low self-esteem Medical Conditions: Neurological C.V.A, Parkinson's, MSViral Mononucleosis, HIV, Hepatitis Endocrine Cushing's, Hyper/hypothyroid Other Cancer, B12 deficiency Drugs of Abuse: Amphetamines Alcohol Cocaine Medications: Corticosteroids Antihypertensives Antipsychotics Oral contraceptives Suicide = 15% over lifetime Prevalence = 3% over lifetime Prevalence = 5% Hospitalized patients None of:1) Suicidal ideation2) Psychosis (except hallucinations of deceased)3) Guilt (except deceased) MOOD DISORDERS: Depressed Mood Persistent Depressive Disorder Major Depressive Disorder

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