Ch 12 Depressive Disorders Flashcards
When is the onset of postpartum depression experienced
Within 4 weeks of childbirth, it may include delusions which may put the newborn in harms way
What are psychotic features of MDD
The presence of auditory hallucinations or the presence of delusions
Dysthymic disorder
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
What is MDD
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
What is premenstrual dysphoric disorder (PMDD)
A depressive disorder assoc with the luteal phase of the menstrual cycle.
What are primary manifestations of PMDD
Emotional lability and persistent severe anger and irritability
Other manifestations include anergia, overeating and difficulty concentrating.
What is the acute phase of depression
Severe clinical findings of depression
What is treatment for the acute phase of depression
Treatment is generally 6–2 weeks in duration
Potential need for hospitalization
What is the continuing phase of depression
Increased ability to function
What is the goal of depression in the continuation phase
Treatment Is generally 9-12 months
Relapse prevention thru education, meds, and psychotherapy
What is the maintenance phase of depression
Remission of manifestations
What is treatment for the maintenance phase of depression
This phase may last for years
Prevention of future depressive episodes is the goal of treatment
Depressive disorders are common in who
Females between ages 15-40
What does a serotonin deficiency affect
Mood
Sexual behavior
Sleep cycles
Hunger and pain perception
What does a norepinephrine deficiency affect
Attention and behavior
Serotonin and norepinephrine deficiencies are a risk factor for what
Depression
What type of eating disorder does MDD usually entail
Anorexia
What type of eating disorder does dysthymic and PMDD usually entail
Increased food intake
What are meds for depressive disorders
SSRIs- citalopram ( celexa), fluoxetine ( prozac), sertraline ( Zoloft)
TCAs- amitriptyline ( elavil)
MAOI- phenelzine ( Nardil)
Atypical Antidepressants- bupropion ( Wellbutrin)
SNRI- venlafaxine ( effexor), duloxetine ( cymbalta)
What are adverse effects of SNRIs
Nausea
Wt gain
Sexual dysfunction
What is pt education for bupropion ( Wellbutrin)
Advise to observe for headache, dry mouth, GI distress, constipation, tachycardia, nausea, restlessness, or,insomnia
Monitor appetite and wt due to appetite suppression
What are foods to avoid while taking MAOI
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
What med should be avoided while SSRI therapy
St. John’s wart
What is CBT
Cognitive behavior therapy which assists clients to identify and change negative behavior and thought patterns
What is IPT therapy
Encourages client to focus on personal relationships that contribute to the depressive disorder
What is at johns wart
Taken by some ppl to relieve mild depression
Derived from a plant
What is true of exercise and depression
30 min of exercise daily for 3-5 days each week improves clinical findings of depression and may help prevent relapse
What does PMDD cause
Rapid mood swings just before the menses
