Chapter 16 Flashcards
Symptoms at this level of depression are not necessarily dysfunctional. “The blues”, some crying, some difficulty getting mind off one’s disappointment, and feeling tired and listless
Transient Depression
This type of depression is associated with normal grieving. Anger, anxiety, sadness, tearful, regression, preoccupied with loss; self-blame and blaming of others, anorexia or overeating, sleep disturbances, and somatic symptoms
Mild Depression
This type of depression the pt is helpless, powerless, slowed physical movement, limited verbalization, retarded thinking processes, difficulty with concentration, anorexia or overeating, sleep disturbances, somatic symptoms, and feel better in the morning and worst as the day progresses
Moderate Depression
This type of depression there is feelings of despair, worthlessness, flat affect, apathy, anhedonia, psychomotor retardation, prevalent delusional thinking, with delusions of persecution or somatic delusions; unable to concentrate; confusion, a general slow-down of the entire body, anorexia, insomnia, and feel worse in the morning and best as the day progresses
Severe Depression
Highest risk for suicide:
Marital status: ________
Gender: _______
Age: _________
Single, divorced, or widowed; women attempt suicide more often but men succeed more than women; 50 years of age or older or adolescents
Mood disorders ( _____ and ____ ) are the most common disorders that precede suicide
Major depression and bipolar disorders
Long-term goal for a patient with suicidal thoughts is to _______ when suicidal thoughts occur
Seek assistance
Side effects of ECT
Temporary memory loss and confusion
Light therapy is associated with ______ secretions
Melatonin
Antidepressants increase concentrations of _________, _______, and/or _______, either by blocking their reuptake by the neurons (TCAs, heterocyclines, SSRIs, SNRIs) or by inhibiting the release of monoamine oxidase (MAOIs)
norepinephrine, serotonin, and/or dopamine
What drug has potentially fatal reactions with all other antidepressants?
MAOIs
Depressed mood, impaired for at least 2 years, no history of manic behavior
Major Depressive Disorder
Sad or “down in the dumps”, no evidence of psychotic symptoms, chronically depressed mood for most of the day, more days than not, and for at least 2 years
Dysthymic Disorder
Depressive disorders are deficiency in _______, ______, and _______
norepinephrine, serotonin, and dopamine
Nutritional deficiencies in depression are associated with vitamin ____.
Vitamin B
Most common precipitant to adolescent suicide is ______.
Feelings of abandonment
Depression associated with feeling best early in the morning and worse as the day progresses
Moderate Depression
Depression associated with feeling worse early in the morning and better as the day goes on
Severe Depression
When assessing a suicidal pt assess their: _____; ____; _____; ______; and ________
intent; plan; means; lethality of means; and previous attempts
Therapy that focuses on changing negative thought distortions is ______.
Cognitive Therapy
ECT is used to increase levels of ________.
Biogenic amines
Drug class for Prozac
SSRI
Drug class for Paxil
SSRI
Drug class for Zoloft
SSRI
Drug class for Zyban
Heterocyclics; Wellbutrin/Zyban are the same drug
Drug class for Wellburtrin
Heterocyclics; Wellbutrin/Zyban are the same drug
Drug class for Effexor
SNRIs (Serotonin-Norepinephrine Reuptake Inhibitors)
Antidepressants increase concentrations of _________, ________, and/or _________ by either blocking their reuptake by the neurons or by inhibiting the release of monoamine oxidase
norepinephrine, serotonin, and/or dopamine
______ effects of tricyclics with bupropion, cimetidine, haloperidol, SSRIs, and valporic acid
Increased
______ effects of tricyclics with carbamazepine and barbiturates
Decreased
Interactions with tricyclics: hyperyretic crisis, convulsions, and death can occur with ________
MAO Inhibitors
Most common side effects that occur with ______ and _______ are blurred vision, constipation, urinary retention, orthostatic hypotension, reduction of seizure threshold, tachycardia, arrhythmias, photosensitivity, and weight gain
tricyclics and heterocyclics
Most common side effects that occur with ______ and _____ are insomnia, agitation, headache, weight loss, sexual dysfunction
SSRIs and SNRIs - can cause serotonin syndrome
Side effect that can occur with _____ is hypertensive crisis
MAOIs
