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Nur 241 - Psych > Chapter 15 - Unit 2 > Flashcards

Chapter 15 - Unit 2 Flashcards

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1
Q

More episodes of depression = more difficult to treat?

A

Yes!

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2
Q

What is Persistent Depressive Disorder? How long?

A

Also known as dysthymia, is a chronic depression. It’s depression that’s lasted over 2 years.

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3
Q

Major Depression Disorder - depression without ___ symptoms.

A

Manic.

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4
Q

Mixed anxiety-depression - what is it?

A

Having anxiety and depression…together!

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5
Q

What neurotransmitters are thought to be involved in depression?

A

NE/Serotonin

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6
Q

Anergia - def

A

reduction in/lack of energy.

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7
Q

Anhedonia - def

A

inability to find meaning or pleasure in existence.

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8
Q

What’s the Stress-Diathesis model of depression?

A

This is basically that there’s a psychological/environmental part to depression.

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9
Q

What did Aaron T. Beck do for depression?

A

He’s one of the early proponents of CBT for depression treatment.

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10
Q

What’s Beck’s Cognitive triad (for the development of depression)?

A
  1. A negative, self-deprecating view of self.
  2. A pessimistic view of the world.
  3. The belief that negative reinforcement (or no validation for the self) will continue.
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11
Q

Mood disorders can range from mild to severe. T/F?

A

True!

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12
Q

What are some of the common symptoms of depression?

A

Sadness, despair, emptiness, low self-esteem, irritability, emotional sensitivity, suicidal ideation, etc.

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13
Q

Patients with MDD experience substantial pain and suffering as well as psychological, social, and occupational disability. T/F?

A

True! :(

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14
Q

What are some of the areas to assess with depression?

A

Worthlessness, guilt, helplessness, hopelessness, anger and irritability, etc.

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15
Q

Vegetative signs of depression are not universal. T/F?

A

False - they are.

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16
Q

Changes in ___ patterns are a cardinal sign of depression.

A

Sleep Patterns.

17
Q

What else happens with depression? Think of bodily functions..

A

Bowel habits change and so does the desire for sex!

18
Q

Meds + Therapy - Superior to either on their own. T/F?

A

True!

19
Q

Will a depressed person need to be hospitalized?

A

Possibly - it just depends on suicidal risk, etc.

20
Q

CBT for depression treatment - how does it help?

A

It helps people to rethink how they..think!

21
Q

Adults older than 65 taking the new generation of antidepressants (like SSRI’s) are at a higher risk for strokes, fractures, epilepsy and even death. T/F?

A

True! :(

22
Q

What are some of the first line agents for treating depression?

A

TCA’s, SSRI’s and SNRI’s and atypical antidepressants.

23
Q

What do TCA’s do?

A

They inhibit the reuptake of NE and Serotonin by the presynaptic neurons in the CNS.

24
Q

TCA - dosages should be started low and slow. T/F?

A

True!

25
Q

TCA’s - what are some side effects?

A

Anti-cholinergic effects, heart effects, etc.

26
Q

What are some potential side effects of SSRI’s?

A

Serotonin Syndrome - so be careful with drugs that also enhance serotonin. If a patient is switching to say, an MAOI you need to wait about 5 weeks without an SSRI to take the MAOI.

27
Q

ECT - What do we do ? Pre/post

A

Pre - consent, do a neuro check.

After - Vitals, O2, Confusion?

28
Q

ECT - On awakening, might the patient be confused?

A

Yes, and they might also have a sluggish memory for a bit!

29
Q

What are rTMS and DBS?

A

rTMS - Rapid Transcranial Stimulation - this applies electromagnetism to deliver shocks to the brain.

DBS - Deep brain stimulation - Parkinson’s Treatment, also could be helpful for depression.

30
Q

Light therapy - what does it do/treat?

A

Uses full spectrum light. Great for SAD!

31
Q

St John’s Wort - good or bad?

A

It’s comparable to low dose TCA’s, so it’s not too bad…but don’t give it to someone who has MDD or is pregnant.

32
Q

What is SAME?

A

It’s an over the counter dietary supplement that might help people with MDD.

Nur 241 - Psych (22 decks)

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