A mental state characterized by shifts in mood or affect and which is comprised of a constellation of affective, cognitive, somatic, and/or psychologic manifestations varying from mild to severe.
Appetite change
Disinhibition
Dysphoria
Excessive guilt
Excessive self-awareness
Excessive self-blame
Flight of thoughts
Impaired attention
Irritable mood
Psychomotor agitation
Psychomotor retardation
Sad effect
Self-blame
Social alienation
Altered sleep-wake pattern
Difficulty functioning socially
External factors influencing self concept
Hypervigilance
Loneliness
Pain
Recurrent thoughts of death
Recurrent thoughts of suicide
Substance misuse
Weight change
Chronic disease
Psychosis
Functional impairment
The top 5 mental illnesses listed as primary diagnoses for hospitalization are mood disorders, substance-related disorders, delirium/dementia, anxiety disorders, and schizophrenia (Halter, 2018). Mood disorders include bipolar disorders and major depressive disorders (APA, 2019). Impaired Mood Regulation as approved by NANDA-I above represents manifestations of individuals with bipolar or major depressive disorders. Some of the related factors represent signs and symptoms of mood disorders, e.g., alteration in sleep pattern, appetite changes, hypervigilance: some are individual's responses to Impaired Mood Regulation as social isolation, weight change, loneliness, substance abuse, recurrent thoughts of death, recurrent thoughts of suicide, impaired social functioning, anxiety. The principle treatment for bipolar or major depressive disorders are medications, which can stabilize the individual's mood fluctuations.
Impaired Mood Regulation is not the focus of nursing interventions. Using a Functional Health Assessment, the nurse, the individual, and family will determine which patterns are disrupted by the individual's mood disorder. Some related nursing diagnoses are Risk for Self-Harm, Risk for Suicidal Behavior, Insomnia, Ineffective Coping, Compromised Family Coping, Defensive Coping, Impaired Social Interaction, Risk for Violence to Others, and Ineffective Denial. Refer to the specific nursing diagnoses throughout this text.