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It can also occur with a mood disorder. Keltner, N., Steele, D. (2019). Psychiatric Nursing (8 edition). St. Louis, Missouri. Elsevier. Pg. 140. Blunted affect. th. Irritability is more commonly associated with a mood disorder ...Dysthymic disorder A less severe but chronic depressed mood for most of the day, more days than not, lasting for at least 2 years. Mood is not a change from usual behavior. Do not need hospitalization unless they become suicidal. Major depressive disorder - a patient presents with a history of one or more major depressive episodes and no history of manic or hypomanic episodes.Major Depressive Disorder Hesi Case Study. We value every paper writer working for us, therefore we ask our clients to put funds on their balance as proof of having payment capability. Would be a pity for our writers not to get fair pay. 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