BIPOLAR & RELATED DISORDERS AND DEPRESSIVE DISORDERS Flashcards
what are the disorders under BIPOLAR & RELATED DISORDERS AND DEPRESSIVE DISORDERS
- Bipolar I Disorder
- Bipolar II Disorder
- Cyclothymic Disorder
- Substance/Medication-Induced Bipolar and Related Disorder
these disorders are characterized by prominent and prolonged disturbances of mood generally inappropriate to the individual’s life situation
mood disorders
what is the difference between manic and hypomanic?
duration and psychotic features
manic - w psychotic features (1 week)
hypomanic - no psychotic features (4 days)
give me a summary of either major depressive episode, a manic episode, and/or a hypomanic episode
MDE: for at least 2 weeks, the patient feels depressed (or cannot enjoy life) and has problems with eating and sleeping, guilt feelings, low energy, trouble concentrating and thoughts about death
Manic: for at least 1 week, the patient feels elated (or sometimes only irritable) and may be grandiose, talkative, hyperactive, and distractible; bad judgment leads to marked social or work impairment; often patients must be hospitalized
Hypomanic: This is much like a manic episode, but it is briefer and less severe; hospitalization is not required
what is cyclothymic disorder?
symptoms for MDE and Hypomanic but not enough
duration is 2 years for adults and 1 year for children and adolescents
what are the disorders under depressive disorders?
- Disruptive Mood Dysregulation Disorder
- Major Depressive Disorder
- Persistent Depressive Disorder
- Premenstrual Dysphoric Disorders
what is disruptive mood dysregulation disorder?
FREQUENT TEMPER OUTBURSTS
Three or more times per week x 1 year in at least 2 settings
SEVERE IRRITABILITY
Between the severe temper outbursts, most of the day, nearly everyday
NOT EPISODIC BUT PERSISTENT
what are benzodiazepines?
depressants that produce sedation and hypnosis, relieve anxiety and muscle spasms and reduce seizures
what is persistent depressive disorder?
Depressed mood for most of the day, for more days than not, as indicated by either subjective account or observation by others, for at least 2 years.
Presence, while depressed, of two (or more) of the following:
Poor appetite or overeating
Insomnia or hypersomnia
Low energy or fatigue
Low self-esteem
Poor concentration
Feelings of hopelessness
what is major depressive disorder?
Five or more of the following symptoms (at least one of which is either DEPRESSED MOOD or LOSS OF INTEREST OR PLEASURE) during the same 2 WEEK PERIOD
Depressed mood
Diminished interest in activities
Significant weight loss or gain
Insomnia or hypersomnia
Psychomotor agitation or retardation
Fatigue/loss of energy
Feelings of worthlessness/inappropriate guilt
Diminished ability to think or concentrate/indecisiveness
Suicidal ideation or suicide attempt
what is serotonin for?
serotonin regulates our emotions
what is norepinephrine do?
it is associated with suicidal tendencies
how is dopamine involved?
dopamine is involved in manic episodes, atypical features, or depression with psychotic features
what is in beck’s model of depression
negative triad
- negative view of the self
- negative view of the world
- negative view of the future
what are some of the biological treatment for mood disorders?
ssri - selective serotonin reuptake inhibitors
MAOi - monoamine oxidase inhibitors
TCA - tricyclic antidepressants
St. John’s Wort
