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psychiatric principles > Bipolar and Depressive > Flashcards

Bipolar and Depressive Flashcards

1
Q

Diagnostic criteria for Major depressive disorder

A
  • five or more of the following symptoms present at least 2 weeks
    • at least one of the symptoms in either
      1. depressed mood
      2. loss of interest or pleasure
  • impairment
  • never had a manic or hypomanic episode
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2
Q

Major depressive disorder mnemonic

A

Sig -E- Caps

  • Sleep
  • Interest
  • Guilt
  • Energy
  • Concentration
  • Appetite
  • Psychomotor changes
  • Suicidal thoughts
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3
Q

what is the most commonly sed depression screening tool

A

PHQ-9

  • scoring 0-27
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4
Q

diagnostic criteria for Persistent Depressive Disoder (Dysthymia)

A
  • depressed mood for at least 2 years
    • ​has never been without symptoms for > 2 consecutive months
  • never been a manic or hypomanic episode
  • impairment
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5
Q

treatment mild to moderate depression

A
  1. antidepressent
    • SSRI, SNRI
  2. psychotherapy
    • CBT
  3. combination therapy
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6
Q

treatment of severe depression

A
  1. antidepressent
    • SSRI, SNRI
  2. psychotherapy
    • CBT
  3. combination therapy
  4. Electroconvulsive therapy
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7
Q

diagnostic criteria of Bipolar 1

A
  1. at least one manic episode
  2. impairment
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8
Q

What is a manic episode

A
  • period of abnormally and persistently elevated, expansive, or irritable mood lasting at least one week
  • 3+ symptoms (DIGFAST)
  • impairment
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9
Q

Mania mneumonic

A

DIGFAST

  • Distractibility
  • Impulsivitiy
  • Grandiosity
  • Flight of ideas
  • Activity (increased goal-directed)
  • Sleep (decreased need)
  • Talkative
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10
Q

diagnostics for Bipolar II disorder

A
  1. presence of at least 1 hypomanic episode and 1 MDD episode
  2. never been a manic episode
  3. distress/impairment
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11
Q

define hypomania

A
  • persistently elevated, expansive, or irritable mood lasting at least 4 days
  • 3+ symptoms
  • uncharacteristic change in functioning observable by others
  • NO impairment
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12
Q

What is the mood disorder questionnaire

A
  • 17 questions
  • completed by patients
  • screening -> if + needs to be evaluated using DSM
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13
Q

tx bipolar 1

A

first line: lithium or valproate AND atypical neuroleptic

  • aripiprazole
  • risperidone
  • olanzapine
  • quetiapine
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14
Q

first line tx for hypomania

A
  • risperidone or olaznapine
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15
Q

diagnostic criteria of cyclothymic disorder

A
  • at least 2 years of numerous periods with hypomanic symptoms and numerous periods with depressive symptoms
  • not symptom free > 2 consecutive months
  • impairment
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16
Q

first line treatment cyclothymic disorder

A
  • mood stabilizers

psychiatric principles (8 decks)

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