Ch 12 Depressive Disorders Flashcards

1
Q

When is the onset of postpartum depression experienced

A

Within 4 weeks of childbirth, it may include delusions which may put the newborn in harms way

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2
Q

What are psychotic features of MDD

A

The presence of auditory hallucinations or the presence of delusions

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3
Q

Dysthymic disorder

A

Is a milder form of depression that usually has an early onset, such as in adolescence or childhood and last for 2 yrs in length…. It lasts 1 yr in length for adults.
Contains 3 clinical findings of depression

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4
Q

What is MDD

A

Is a single episode or recurrent episode of unipolar depression resulting in a significant change in a clients normal functioning accompanied by at least 5 criteria which must occur everyday for a minimum of 2 weeks and last most of the day

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5
Q

What is premenstrual dysphoric disorder (PMDD)

A

A depressive disorder assoc with the luteal phase of the menstrual cycle.

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6
Q

What are primary manifestations of PMDD

A

Emotional lability and persistent severe anger and irritability
Other manifestations include anergia, overeating and difficulty concentrating.

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7
Q

What is the acute phase of depression

A

Severe clinical findings of depression

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8
Q

What is treatment for the acute phase of depression

A

Treatment is generally 6–2 weeks in duration

Potential need for hospitalization

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9
Q

What is the continuing phase of depression

A

Increased ability to function

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10
Q

What is the goal of depression in the continuation phase

A

Treatment Is generally 9-12 months

Relapse prevention thru education, meds, and psychotherapy

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11
Q

What is the maintenance phase of depression

A

Remission of manifestations

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12
Q

What is treatment for the maintenance phase of depression

A

This phase may last for years

Prevention of future depressive episodes is the goal of treatment

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13
Q

Depressive disorders are common in who

A

Females between ages 15-40

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14
Q

What does a serotonin deficiency affect

A

Mood
Sexual behavior
Sleep cycles
Hunger and pain perception

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15
Q

What does a norepinephrine deficiency affect

A

Attention and behavior

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16
Q

Serotonin and norepinephrine deficiencies are a risk factor for what

A

Depression

17
Q

What type of eating disorder does MDD usually entail

A

Anorexia

18
Q

What type of eating disorder does dysthymic and PMDD usually entail

A

Increased food intake

19
Q

What are meds for depressive disorders

A

SSRIs- citalopram ( celexa), fluoxetine ( prozac), sertraline ( Zoloft)
TCAs- amitriptyline ( elavil)
MAOI- phenelzine ( Nardil)
Atypical Antidepressants- bupropion ( Wellbutrin)
SNRI- venlafaxine ( effexor), duloxetine ( cymbalta)

20
Q

What are adverse effects of SNRIs

A

Nausea
Wt gain
Sexual dysfunction

21
Q

What is pt education for bupropion ( Wellbutrin)

A

Advise to observe for headache, dry mouth, GI distress, constipation, tachycardia, nausea, restlessness, or,insomnia
Monitor appetite and wt due to appetite suppression

22
Q

What are foods to avoid while taking MAOI

A

Foods that contain tyramine such as ripe avocados or figs

Fermented or smoked meats, liver, dried or cured fish, most cheeses, some beer and wine and protein dietary supplements

23
Q

What med should be avoided while SSRI therapy

A

St. John’s wart

24
Q

What is CBT

A

Cognitive behavior therapy which assists clients to identify and change negative behavior and thought patterns

25
Q

What is IPT therapy

A

Encourages client to focus on personal relationships that contribute to the depressive disorder

26
Q

What is at johns wart

A

Taken by some ppl to relieve mild depression

Derived from a plant

27
Q

What is true of exercise and depression

A

30 min of exercise daily for 3-5 days each week improves clinical findings of depression and may help prevent relapse

28
Q

What does PMDD cause

A

Rapid mood swings just before the menses