By Monica Ramirez Basco PhD, A. John Rush MD
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Extra resources for Cognitive-behavioral therapy for bipolar disorder
For others, these substances precipitate specific episodes. Thus, the presence or history of substance abuse should not discount the diagnosis of bipolar disorder. On the other hand, if all of the manic or hypomanic episodes are caused by substance abuse and largely end when the abuse stops, the diagnosis of bipolar disorder should not be made. Self-Report: Mood Disorders Questionnaire The Mood Disorders Questionniare (Hirschfeld, 2002) is a brief screening questionnaire that can be completed by patients.
And problems increase stress and exacerbate depressive symptoms. In contrast, the mood changes in mania can be positive, hopeful, excited, euphoric, “on top of the world,” or exhilarated. For few patients are manic episodes always pleasant. Most have had periods of feeling extremely irritable, agitated, anxious, tense, and fearful. For some, the pleasant or euphoric mood evolves into irritability as the mania progresses and worsens. In mania, the cognitive changes also vary greatly across patients but generally consist of changes in cognitive processing, changes in quality of cognitions, and changes in thought content.
It has been found to have good test– retest reliability (Welner, Reich, Herjanic, Jung, & Amado, 1987; De la Osa, Ezpeleta, Oomenech, Navarro, & Losilla, 1997) and shows evidence of construct validity, particularly for children with bipolar disorder (Reich, 2000). , 1986) clinician report (IDS-C), was designed to measure specific signs and symptoms of depression; to include measures of endogenous symptoms, melancholia, and atypicality; and to assess vegetative symptoms, cognitive changes, mood disturbance, endogenous symptoms, and anxiety symptoms.