4. Mood disorders

Question 1

Premedication for ECT

Answer 1

Atropine

Question 2

Melancholic features of depression

Answer 2

Anhedonia
Early morning awakenings
Depression worse in morning
Guilt
Anorexia

Question 3

Atypical depression features

Answer 3

hypersomnia
hyperphagia
Leaden paralysis
Hypersensitivity to interpersonal rejection

Question 4

Catatonia

Answer 4

Catalepsy (immobility)
Purposeless motor activity
Extreme negativism or mutism
bizarre postures
Echolalia
*Especially responsive to ECT

Question 5

Triad for seasonal affective disorder

Answer 5

Irritability
Carbohydrate craving
Hypersomnia

Question 6

Treatment for major depression with psychotic features

Answer 6

Antidepressant + Antipsychotic or ECT

Question 7

Bereavement

Answer 7

Grief…the reaction to a major loss

NOT a mental illness

Question 8

Episodes of major depression are not required for this diagnosis

Answer 8

Bipolar I

*The only requirement is the occurrence of a manic episode

Question 9

This disorder has the highest genetic link of all major psychiatric disorders

Answer 9

Bipolar I

Question 10

“Rapid cycling”

Answer 10

The occurrence of 4 or more mood episodes in 1 year

major depressive, hypomanic, or manic

Question 11

Long-term use of this mood stabilizer reduces suicide risk

Answer 11

Lithium

Question 12

Percent of people with bipolar disorder that attempt suicide

Answer 12

25-50 %

Question 13

Best treatment for a pregnant woman who is having a manic episode

Answer 13

ECT

Question 14

Treatment for Bipolar rapid cyclers

Answer 14

Carbamazepine

Question 15

Gold standard for Bipolar disorder treatment

Answer 15

Lithium

Question 16

Persistent depressive disorder

Answer 16

2D’s
2 years of depression
never asymptomatic for >2 months

Question 17

Persistent depressive disorder (Dysthymia) symptoms

Answer 17

Concentration is poor
Hoplessness
Appetite is poor or overeats
inSomnia or hypersomnia
low Energy or fatigue
low Self-esteem

“CHASES”
*Need at least 2 of them

Question 18

Cyclothymic disorder

Answer 18

Alternating periods of hypomania and periods with mild-to-moderate depressive symptoms

*Hypomanic symptoms (but not fully hypomanic) and depressive symptoms (but not fully MDE) for at least 2 years

Question 19

Chronic course of Cyclothymic disorder

Answer 19

Approximately 1/3 of patients eventually develop bipolar I/II disorder

Question 20

Treatment of cyclothymic disorder

Answer 20

Mood stabilizers or 2nd generation antipsychotics

both are antimanic agents

Question 21

Disruptive Mood Dysregulation Disorder

Answer 21

Chronic, severe, persistent irritability occurring in childhood and adolescence (must occur prior to 10 years of age)