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 DSM5 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
DSM5 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

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