Chapter 16 Flashcards
Mental Health
major depressive disorder characteristics
depressed mood, thoughts not based in reality, anhedonia
to be diagnosed with major depressive disorder sx need to be present for?
at least 2 wks
what is melancholic?
more severe form of depression, not speaking, not moving
persistent depressive disorder?
milder illness but more chronic
persistent depressive disorder at least - years?
2
predisposing factors to depression?
hereditary factory 40-50%, dec TSH, elevated cortisol, higher melatonin
what med side effects can have a link to depression?
CNS depressants, anticonvulsants
learning theory?
learned helplessness, repeated failure to control life
age 6-10 s/s of depression?
aggressive behavior, clinging behavior
age 10-13 s/s of depression?
morbid thoughts, excessive worrying
disruptive mood dysregulation disorder?
severe temper outbursts, inconsistent with developmental level
treatment for disruptive mood dysregulation disorder?
SSRIs & psychotherapy
what is the most common precipitant to adolescent suicide?
perception of abandonment by parents or close peer relationship
what is important for senescence?
need to use questionnaires
mild depression interventions?
group therapy, no meds, more common w grief
moderate depression?
mild psychomotor retardation, difficulty with concentration, feeling best early in AM and worse as the day progresses
severe depression?
can have delusional thinking, worse in morning, be more direct w care
ECT side effects?
temp memory loss & confusion
TMS before & after?
have pts eat
MAOIs med?
Nardil (phenelzine)
SSRIs med?
prozac, paxil, zoloft, lexapro - end in “tine”
SNRIs med?
effexor (venlafaxine)
esketamine at risk for?
addiction
interactions with TCAs?
hyper-pyretic crisis, convulsions
