Chapter 14: Depressive Disorders Flashcards

1
Q

depression is closely diagnosed with

A

anxitey

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2
Q

disruptive mood dysregulation disorder
diagnosed when

A

childhood

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3
Q

disruptive mood dysregulation disorder
symptoms

A

irratibility
anger
temper tantrums

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4
Q

disruptive mood dysregulation disorder
where does the child have to exhibit these behaviors

A

in at least 2 settings
- home, school, peers

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5
Q

persistent depressive disorder
symptoms

A

low-level depressive feelings through most of each day, for the majority of days

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6
Q

persistent depressive disorder
must have two or more of the following

A

decreased appetite/overeating
insomnia/hypersomina
low energy
poor self esteem
difficulty thinking
hopelessness

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7
Q

premenstrual dysphoric disorder

A

symptom cluster in last week prior to onset of a woman’s period

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8
Q

premenstrual dysphoric disorder
treatment

A

birth control

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9
Q

major depressive disorder
time frame

A

2 weeks

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10
Q

anhedonia

A

loss of interest or pleasure

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11
Q

major depressive disorder
persistent

A

2 weeks-6 months

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12
Q

major depressive disorder
chronic

A

longer than 2 years

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13
Q

major depressive disorder
make sure ____________ issues are causing depression

A

physical (ex: cancer)

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14
Q

major depressive disorder
what do we need absence of

A

manic/hypomanic
(this is bipolar)

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15
Q

first degreee genetic

A

parent or sibling

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16
Q

depression can also be associated with

A

substance use disorder

17
Q

becks cognitive triad

A

negative views about the world
negative views about the future
negative views about oneself

18
Q

depression assessment
SIG E CAPS

A

sleep disturbances
interest decreased in pleasure activities and sex
guilty feeling
energy decreased
concentration
appetite
psychomotor function
suicidal ideations

19
Q

affect

A

objective
outward representation of internal state

20
Q

thought processes

A

assessment of suicidal ideation

21
Q

mood

A

subjective, patient reporting emotions

22
Q

feelings

A

more specific than mood

23
Q

mood
euthymic

A

normal

24
Q

affect
congruent

A

sad face-depressed mood

25
Q

affect
incongruent

A

smiling despite depressed mood

26
Q

physical behavior
anergia

A

lack of energy

27
Q

T/F depression is a normal part of aging

A

false

28
Q

what is first and ongoing

A

self assessment

29
Q

nursing diagnosis

A

risk for suicide

30
Q

what is always the highest priority

A

safety

31
Q

SMART goals

A

short/long term
measurable
attainable/realistic
timed

32
Q

3 phases in treatment and recovery from major depression are
1st stage

A

acute phase (6-12weeks) psychiatric management and initial treatment

33
Q

3 phases in treatment and recovery from major depression are
2nd stage

A

continuation phase (4-9mo) treatment continues to prevent relapse

34
Q

3 phases in treatment and recovery from major depression are
3rd stage

A

maintence stage (1+ year) continuation of antidepressants and therapy to prevent relapse

35
Q

what does sitting in silence communicate

A

caring

36
Q

other treatments for depression

A

ECT
repetitive transcrainal magnetic stimulation
vagus nerve stimulation
deep brain stimulation
light therapy

37
Q

light therapy is first line treatment for

A

season affective disorder

38
Q

what is the gold standard of psychotherapy

A

CBT

39
Q
A