B7-068 Mood Disorders Flashcards
mood is typically ascertained by
self report
an immediately expressed and observed emotion
affect
(described as congruent or incongruent with mood)
affect with variability in facial expression, pitch of voice, use of body movement
broad affect
affect characterized by a clear reduction in the expressive range and intensity of affects
restricted affect
a notable reduction in the intensity of affective expression
blunted affect
total lack of signs of affective expression
flat affect
[…] affect is indicated by repeated, rapid, and abrupt shifts
labile
at least one of these two symptoms must be present to diagnose MDD
depressed mood
anhedonia
[…] or more of the diagnostic criteria must be met for MDD
five
diagnostic criteria for MDD
depressed mood
anhedonia
weight change
sleep disturbances
psychomotor agitation/retardation
fatigue
feelings of worthlessness or guilt
diminished concentration
recurrent thoughts of death/suicide
symptoms must cause […] to be diagnosed as MDD
significant distress/impairment in social/occupational areas
most common method of suicide in the US
firearms
[men/women] attempt suicide more often
women
(however, men die by suicide more often)
distinct period of abnormally and persistently elevated, expansive, or irritable mood and increased activity
manic episode
diagnosis of manic episode requires […] symptoms for […] duration
3 or more
1 week
symptoms of manic episode
Distractibility
Impulsivity/indiscretion
Grandiosity
Flight of ideas (racing thoughts)
Activity/agitation
Sleep (less sleep)
Talkativeness
DIG FAST
similar to manic episode, but mood disturbance is not severe enough to cause marked impairment in social/occupational functioning
hypomanic episode
how long does a hypomanic episode last?
4 or more days
one or more manic episode
+/- a hypomanic or depressive episode
Bipolar 1
a hypomanic and depressive episode (no history of manic episodes)
Bipolar 2
presence of a least one manic episode is necessary
depressive episodes are common, but not necessary for diagnosis
Bipolar 1
one or more hypomanic episode and one or more major depressive episode with no full blown manic episodes
bipolar 2
periods of elevated mood and depressive symptoms for at least half the time during the last 2 years for adults (1 year for teens)
cyclothymic disorder
symptoms not severe enough to diagnose bipolar disorder
periods of stable moods only last two months at most
cyclothymic disorder
milder form of bipolar disorder fluctuating between mild depression and hypomanic symptoms
cyclothymic disorder
must last 2 or more years with symptoms present half the time
any remission lasting less than 2 months
cyclothymic disorder
screen for […] in all medically ill patients
depression
most effective treatment for depression
pharmacotherapy in combination with psychotherapy
a period of abnormally and persistently elevated, expansive mood, increased energy and distractibility lasting for 4 days is most likely
hypomanic episode
suicide attempts are more prevalent in […], but suicide completions are more prevalent in […]
suicide attempts are more prevalent in [women], but suicide completions are more prevalent in [men]
in order for a diagnosis of MDD, recurrent to be made, there must be an interval of [….] between two major depressive episodes
2 months
[…] antidepressants are more likely to have cholinergic side effects like dry mouth, blurry vision, and cognitive changes
TCAs
condition characterized by increased heart rate, shivering, sweating, dilated pupils, and myoclonus
serotonin syndrome
significant decline in interest or pleasure in an activity they have enjoyed in the past
anhedonia
patients who respond to CBT have what traits? [2]
good insight
aware of own cognitive distortions
research shows that often the time in which a persons is most vulnerable to suicide attempt is when their depressive symptoms
are in remission
if psychosis persists outside of the depressive or manic episode, what diagnoses should be considered? [2]
schizoaffective disorder
schizophrenia
