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ch 5 text Flashcards

1
Q

mood disorders

A

unable to keep a persistant productive emotional state

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2
Q

depression

A

sad

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3
Q

mania

A

unrealistically happy

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4
Q

bipolar usually starts

A

late teens to early 20s

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5
Q

major depressive disorder more common in

A

women

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6
Q

bipolar disorder risk for the sexes

A

equal

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7
Q

bipolar less often triggered by

A

psychological stressorsl

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8
Q

lifetime risk for bipolar disorder in us is what %

A

over 4%

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9
Q

higher risk for bipolar associated with

A

family history, depression, history of mania

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10
Q

3/4 of people with bipolar qualify for

A

at least 1 other mental disorder

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11
Q

wealthier countries tend to have - with the exception of

A

higher rates of bipolar
japan

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12
Q

DSM 5 depression qualifications

A

at least 5 symptoms for 2+ weeks
sad mood, lack of interest in activities, low energy, eating more/less, sleeping more/less, moving faster/slower, thinking negative thots, indecisive, suicidal thots

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13
Q

manic episodes can develop, unlike depressive episodes

A

rapidly

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14
Q

mania effect on sleep

A

extremely reduced

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15
Q

DSM 5 mana qualifications

A

3/4 symptoms for 1+ week
increased: waking hours, self esteem, rapid talking, rapid thinking, getting distracted, activity, agitation, risky activity

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16
Q

what type of sleep changes indicate an on coming episode

A

changes in 3 hours of sleep

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17
Q

some symptoms

A

rapid speech, poor judgment, rapidly shifting attention

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18
Q

gradiousity

A

inflated sense of self worth

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19
Q

male manic episodes

A

higher motor activity, psychosis, grandiousity

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20
Q

female manic episodes

A

changing mood, guilt, sadness, suicide, and anxitiy, faster mania, higher risk of depressive episode

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21
Q

culture may impact what on bipolar

A

what occurs first, mania or depression
european= depression first

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22
Q

bipolar I

A

full mania with little bits of depression symptoms

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23
Q

bipolar II

A

full depression with little bits of mania
most common in the US

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24
Q

bipolar II average diagnosis age

A

mid 20s
can be late adolescence thru adulthood

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25
bipolar I diagnosis age average
little earlier than II
26
bipolar distrubs
circadian rhythms, mood stability, cognitive impairment, comorbid medical diseases
27
specifier
indicates likely course of symptoms associated with disorders
28
with mixed features
common 3 depressive symptoms durring a manic episode or vise versa
29
with psychotic features
if delusions/hallucinations are present during episode
30
with rapid cycling
when 4+ episodes of either are experienced within a year more common in women
31
with seasonal pattern
episodes follow seasonal patterns
32
cyclothymic disorder/ persisstant depressive disorder
mild bipolar stuff fluctuates over a year/years
33
clycothymic disorder characterized by
irritability, basically mild bipolar
34
bipolar mainly stems from
biological causes
35
bipolar caused by
genetics, nervous system disorders (low serotonin, increased dopamine receptors),
36
bipolar I vs II genetic pathwyas
different
37
bipolar disorder may be comorbid with
alcohol use disorder
38
decreased - and increased -neurotransmitters may lead to bipolar disorder
serotonin, dopamine
39
small (what brain structure) is correlated with bipolar disorder
orbitofrontal cortex
40
abnormal fucntion in limbic system like amygdala is linked to
bipolar disorder
41
41
what psychological characteristic contribute to bipolar
reward sensitivity emotional reactivity
42
primary drug treatment for bipolar
lithium
43
litihum can be toxic for the
liver and kidneys
44
anticonvulsant
used to treat epileptic seizures and bipolar few side effects and can use it for longer periods
45
atypical antipsychotics
drugs that dont have the same biochem effects as neruoleptics block dopamine pathways
46
antipsychotic meds and bipoalr
better for short term treatment than lithium
47
what drug combo is good when no in an active episode
quetiapine with lithium or valproate
48
therapy options for bipolar disorder
CBT, family focused treatment, interpersonal and social rhythem psychotherapy
49
fam focused treatment
fam is trained to help bipolar person when needed
50
interpersonal and social rhythm psychotherapy
help those improve their moods by understanding thier cycles, teaches them to cope basically
51
bipolar intervention main themes
taking meds, providing education, recognizing triggers, reducing negative emotions, basically coping
52
engagement phase of fam treatment objective
connect with client and their care givers and relay info about treatment
53
fam second phase
psychoeducation talks to fam about the nautre, causes, and management of bipolar
54
communication enhancement training fam thera
practice speaking and listening skills
55
probsolving fam therapy
fam implememnts solutions to problems
56
fam treatment length
21 sessions over 9 months
57
most common cuases of suicide
bipolar and depression
58
how many suicides occur in the US
about 50,000 each year might be undercounted
59
attempted suicide is more common in what gender
females
60
parasuicidal behaviors
behaviors suggestive of suicide attempts like drug mixing, drug overdosing, cutting wrist
61
main risk factors for suicide
thwarted belongingness, perception of being a burden, capability to inflict self harm
62
thwarted belonigness
feeling disconnected in social relationships
63
younger suicide is often bc
impulsive reaction to a stressor
64
contagion effect
death of another teen increases chance of commiting
65
bio factors with suicide
genetics i guess, low serotonin? nots rlly known toooooo much
66
interpersonal theories stress
disturbed fam relations cause suicide
67
cognitive perspective on suicide
early negative experience causes suicide
68
altrusitic suicide
suicide bc they place a social goal ahead of survival marytr
69
anomic suicide
suicide bc they feel lost like after losing a job
70
fatalistic suicide
suicide bc little hope due to sever isolation
71
suicide related to
social changes and social mores
72
what reduces the risk of suicide
social support
73
societal aspect of preventing suicide
changing social factors that increase it and public awarness
74
components of prevention
assessing a persons risk, helping them cope, treating any mental disorders

abnorm p (17 decks)

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