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

24
Q

affect
congruent

A

sad face-depressed mood

25
affect incongruent
smiling despite depressed mood
26
physical behavior anergia
lack of energy
27
T/F depression is a normal part of aging
false
28
what is first and ongoing
self assessment
29
nursing diagnosis
risk for suicide
30
what is always the highest priority
safety
31
SMART goals
short/long term measurable attainable/realistic timed
32
3 phases in treatment and recovery from major depression are 1st stage
acute phase (6-12weeks) psychiatric management and initial treatment
33
3 phases in treatment and recovery from major depression are 2nd stage
continuation phase (4-9mo) treatment continues to prevent relapse
34
3 phases in treatment and recovery from major depression are 3rd stage
maintence stage (1+ year) continuation of antidepressants and therapy to prevent relapse
35
what does sitting in silence communicate
caring
36
other treatments for depression
ECT repetitive transcrainal magnetic stimulation vagus nerve stimulation deep brain stimulation light therapy
37
light therapy is first line treatment for
season affective disorder
38
what is the gold standard of psychotherapy
CBT
39