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Current News | PN Archives | News Alert | News Update SEPTEMBER 16, 2016

TEST YOUR KNOWLEDGE

Congratulations! Your answer was correct.
It's A. Marked affective lability.

Explanation: Of the 11 symptoms listed in the DSM-5 premenstrual dysphoric disorder diagnostic criteria, the patient must have a total of at least five symptoms. One of the five must be one of the following symptoms: 1) marked affective lability (option A); 2) marked irritability or anger or increased interpersonal conflicts; 3) marked depressed mood, feelings of hopelessness, or self-deprecating thoughts; and 4) marked anxiety, tension, and/or feelings of being keyed up or on edge.

Decreased interest in usual activities (option B); subjective difficulty in concentration; lethargy, easy fatigability, or marked lack of energy; marked change in appetite (option D); hypersomnia or insomnia; a sense of being overwhelmed or out of control (option E); and physical symptoms such as breast tenderness (option C) may also be included among the five symptoms but are not among the core symptoms required to make the diagnosis.

Muskin PR and Dickerman AL, eds. Study Guide for the Psychiatry Board Examination. Arlington, VA: American Psychiatric Association Publishing; 2016: 61, 283-284. Click here to purchase.