Depression

Question 1

Mood

Answer 1

pervasive and sustained emotion that colors one’s perception of the world and how one functions in it

Question 2

Affect

Answer 2

the expansion of mood

Question 3

Major depressive disorder (MDD)

Answer 3

one or more moods (depressed mood, loss of interest, loss of pleasure) in nearly all activities for at least 2 weeks

Question 4

How many symptoms do you need to have to be diagnosed with MDD

Answer 4

4 to 7

Question 5

Symptoms of MDD

Answer 5

disruption in sleep/appetite/weight/concentration/energy, psychomotor agitation/retardation, excessive guilt/feelings of worthlessness, suicidal ideation

Question 6

Etiologic theories

Answer 6

biologic, psychosocial, social

Question 7

labile effect

Answer 7

varied, rapid, and abrupt shifts in affective expression

Question 8

Anhedonia

Answer 8

loss of interest or pleasure

Question 9

Biological domain assessment

Answer 9

physical assessment, medical history, medication history, neurovegetative symptoms

Question 9

Biological domain interventions

Answer 9

teaching physical care, electroconvulsive therapy, light therapy, medication, managing side effects

Question 10

Psychological domain assessment

Answer 10

mood and affect, thought content, cognition, memory, suicidal behavior

Question 11

Psychological domain interventions

Answer 11

cognitive and interpersonal therapies, psychotherapy, alternative therapies, focus on individual strengths, medications, lifestyle changes, sleep changes, weight gain

Question 12

Social domain assessment

Answer 12

developmental history, family psychiatric history, relationship patterns, quality of support system, education/work history, impact of abuse on interpersonal function, spiritual dimension, religious background

Question 13

Social domain interventions

Answer 13

milieu therapy, family education and support, consumer-oriented support groups

Question 14

What medications are often used to treat depression

Answer 14

Selective serotonin-norepinephrine reuptake inhibitors (SSRIs) and Serotonin norepinephrine reuptake inhibitors (SNRIs)

Question 15

What should we be mindful when a patient is just starting SSRI therapy

Answer 15

optimal therapeutic techniques take 6-8 weeks, increased suicidal risk when starting due to an increase in energy

Question 16

Serotonin syndrome

Answer 16

a drug reaction caused by overstimulation of dopamine receptors in the CNS

Question 17

Serotonin syndrome clinical manifestations

Answer 17

mental status changes, agitation, diaphoresis, diarrhea, myoclonus, hyperreflexia, fever, shivering

Question 18

Children/adolescent depression behavior

Answer 18

more irritable than sad, decreased interaction with peers, anxiety/somatic symptoms are likely

Question 19

Older adults depression behavior

Answer 19

commonly associated with chronic illness, symptoms are confused with dementia/stroke, suicide peaks in middle age and 75+

Question 20

Goals of treatment (depression)

Answer 20

reduce/control symptoms, improve psychosocial function, reduce likelihood of relapse and recurrence through recovery oriented strategies

Question 21

What is often the ending to SSRI medications

Answer 21

“ine” or “pram”