Bipolar Disorder/Major Depression

Question 1

Prev of Bipolar

1) 1
2) .9
3) .5
4) .6

Answer 1

4)

Question 2

Concordance rates of bipolar for mono vs. dizygotic twins

Answer 2

.6-1%: .2%

Question 3

Tx for Bipolar for mania

a) Lithium
b) haloperidol
c) olanzapine
d) SSRIs

Answer 3

a and c but c specifically for mania whereas lithium issues with noncompliancy.
Haloperidol good for psychotic positive symptoms (for schizophrenia) traditional

Question 4

Etiology of Depression

a) Attributions: Exposure to uncontrollable negative events, perceive those events as internal, stable, and global. More recently hopelessness more emphasized
b) low rate of response-contingent reinforcement (e.g. chg in social environment)which results in extinction of behaviors
c) probs Related to self-monitoring, self-evaluating, and self-reinforcement
d) negative, illogical self-statements about oneself, the world, and the future.

Answer 4

b)Lewinsohn’s behavioral theory of depression (based on operant conditioning)

Question 5

a female client is complaining of retarded growth, worsening of symptoms in the morning, and acute and short duration of sxs, best tx?
a)MAOIs
B)TCAs
c)SSRIs
d) all of them

Answer 5

B)TCAs, most effective for classic depressions
Use MAOIs if resistent to other drugs or atypical symptoms (e.g., anxiety, hypoersomnia, interpersonal sensitivity)
SSRIs first line of treatment.
SNRIs also great.

Question 6

Most effective Treatment for Depression?
A) CBT
B) CT
C) Interpersonal Therapy
D) CT&IPT

Answer 6

CT & IPT

Question 7

Beck’s cognitive theory describes depression as involving a cog triad characterized by negative beliefs about:

Answer 7

self, world, and the future

Question 8

1st degree relative vs. gen population and f:m ratio for depression

Answer 8

1.5-3 times greater

Question 9

Highest suicide rates age group

Answer 9

For both males and females 45-54

Separately Female 40-50, and males over 70