Depression

Question 1

what is becks cognitive triad

Answer 1

1. negative view of self
2. negative view of the world
3. belief that negative reinforcement will continue in the future

Question 2

what is DMDD

Answer 2

severe and recurrent temper outbursts that are inconsistent with developmental level

Question 3

what timeframe is needed for a diagnosis of MDD

Answer 3

depressed mood for at least 2 weeks
the length of the depressed episode can be 5-6 months

Question 4

what are psychotic features lf MDD

Answer 4

disorganized thinking, delusions/hallucinations

Question 5

what are melancholic features of MDD

Answer 5

severe apathy, weight loss, profound guilt, suicidal ideation

Question 6

atypical features of MDD

Answer 6

vegetative symptoms, slowed psychomotor activities

Question 7

catatonic features of MDD

Answer 7

nonresponsiveness, extreme psychomotor retardation, withdrawal

Question 8

what timeframe is needed for a diagnosis of dysarthia

Answer 8

feel depressed most days for at least 2yrs in adults and 1yr in children and adolescents

Question 9

what is premenstrual dysphoric disorder

Answer 9

a massive shift in mood that disrupts functioning about 1 week before menstrual cycle with symptoms resolving upon menstruation

Question 10

what is the general mechanism of action for antidepressants

Answer 10

increase synaptic levels of norepinephrine and serotonin

Question 11

what adverse effect is highly likely when taking MAOIs

Answer 11

hypertensive crisis

Question 12

how does a hypertensive crisis occur

Answer 12

tyramine is rendered ineffective so if an individual consumes a high amount of tyramine it competes with norepinephrine and displaces it. this leads to high quantities of norepinephrine. this leads to vasoconstriction leading to acute hypertension and high HR leading to an adrenergic crisis (extreme tachycardia and hypertension) leading to possible death

Question 13

what meat are those on MAOIs not allowed to eat

Answer 13

fermented, smoked, aged, liver, bologna, pepperoni, salami

Question 14

what is the only cheese that is okay for someone on MAOIs to eat

Answer 14

cottage, cream cheese

Question 15

what produce items are those on MAOIs not allowed to eat

Answer 15

avocado, soybean, figs, banana

Question 16

what are 6 symptoms of a hypertensive crisis

Answer 16

occipital headache, stiff neck, flushing, palpitations, diaphoresis, nausea

Question 17

6 treatments for a hypertenisve crisis

Answer 17

gastric lavage, charcoal, ice packs, IC, antihypertensive, benzo

Question 18

what is the antidote for a MAOI overdose

Answer 18

calcium channel blocker

Question 19

besides MAOI’s, what are 3 other classes of antidepressants

Answer 19

tricyclic, SSRI, SNRI

Question 20

what are 2 key MAOIs

Answer 20

nardil, parnate

Question 21

3 key tricyclics

Answer 21

amitriptyline, clomipramine, nortriptyline

Question 22

how long does it take to notice effects of tricyclics

Answer 22

2 months

Question 23

6 key SSRIs

Answer 23

citalopram, escitalopram, fluoxetine, fluvoxamine, paroxetine, setraline

Question 24

which antidepressant is used as first line treatement

Answer 24

ssri

Question 25

what is the acronym to remember the symptoms of serotonin syndrome. what does it stand for

Answer 25

FLUSH:
flulike, lightheaded, uneasy, sleep and sensory disturbance, headache

Question 26

what is the treatment for ssri overdose

Answer 26

hold meds, cooling blankets, anticonvulsants, ventilation

Question 27

what it the biggest side effect with ssris

Answer 27

sexual dysfunction

Question 28

what are 2 key snris

Answer 28

venlafaxine, duloxetine

Question 29

which antidepressant requires you to monitor bp

Answer 29

effexor (venlafaxine)