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Why Separating Mood Disorders Into Categories is Pointless

If you work in psychiatry long enough then you will know exactly what I’m talking about here in this video. I see patients every day who do not fit neatly into the DSM-5 diagnostic categories of major depression or bipolar disorder. Some data suggest that 50% of people with major depression have 1 to 3 manic symptom present during depressive epsiodes. You are left to decide just how bipolar the patient is sitting across from you which is no simple task. This makes medication mangement decisions such as should we start lamotrigine, low dose lithium or dopamine blocking medication versus starting one of the SSRIs very difficult. The goal of todays discussion is to offer a dimensional approach to diagnosis, a so called mood spectrum that could eliminate the need to separate people into individual categories. Time stamps Introduction: 00:00 to 02:21 The mood spectrum: 02:22 to 03:45 DSM-5 missed the mark on mixed depression: 03:46 to 05:57 The Mood Spectrum explained: 05:58 to 09:26 Final thoughts on the mood spectrum: 09:27 to 11:55 For additional content see our other social media accounts: https://www.Shrinksinsneakers.com Instagram: @Shrinks_In_Sneakers Facebook: @ShrinksInSneakers Twitter: @AndPsychiatry Disclaimer: This is not medical advice, and the information is provided for educational purposes only. Please consult your doctor for any specific medical questions. All content is created for informational purposes only. The Content is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician or other qualified health provider. If you think you have a medical emergency, call your doctor, go to the emergency department, or call 911. We do not endorse any specific treatment, tests, or procedures. Reliance on this information is solely at your own risk.