Adam Flashcards
What has a 95% response rate for MDD
ECT (~1 min seizure)
Child presentation of MDD
somatic complaints
irritability
Geriatric MDD risks
misdiagnose (treat MDD to avoid hospice)
High suicide risk
What do you see in CSF of MDD
decreased 5HT
decreases 5-HIAA
Pneumonic for MDD
SIGECAPS
Sleep Interest (dec) Guilt Energy (dec) Concentration (dec) Appetite change Psychomotor retardation Suicidal Ideation
How many symptoms must you need for MDD
5 for at least 2 weeks
How many symptoms must you have for Persistent Depressive Disorder
Depression for 2 years with 2 of the SIGECAPS
Bipolar type 1 diagnosis
Abnormal and persisted elevated, goal-directed activity/energy lasting at least ONE WEEK
with 3 or more DIGFAST
What is the pneumonic for Mania
DIGFAST
Distractibility Irritability Grandiosity Flight of Ideas Activity increased Sleep deficit Talkativeness
What is the most inheritible psychiatric illness
bipolar disorder
What do you see in mania in terms of connections
frontal lobe to amygdala white matter degeneration
reduced gray matter
What causes the toxicity in manic episodes
Glutamate and calcium in excess are neruotoxic
What do you give to rapid cyclers
Valproic acid
When do psychosis episodes occur in bipolar I
during manic episodes
What types of hallucinations do you usually have in mania
auditory hallucinations
What greatly decreases suicide risk
lithium
Bipolar II disorder diagnosis
Abnormal and persisted elevated, goal-directed activity/energy lasting at least 4 days
with hypomanic episode
- hyperactive and talkative
- still can work but just annoying to others
What does bipolar II require
Req a major depressive episode
What is cyclothymic disorder
You don’t quite have full hypomania or full depressive symptoms, but you have multiple periods of each for 2 years
