Depression- 18A

Question 1

Definition if significant weight loss

Answer 1

~5% in 1 month

Question 2

Define depression with MELANCHOLIC FEATURES

Answer 2

• severe anhedonia
• lack of pleasure reactivity
• depression worse in the morning
• early morning wakening
• responsive to TCA’s

Question 3

Define depression with ATYPICAL FEATURES

Answer 3

• mood reactivity is present
• leaden paralysis
• hypersomnia
• check for Bipolar Disorder
• responsive to MAOI’s

Question 4

-Depresssion with PSYCHOTIC FEATURES

Answer 4

• delusions more common than hallucinations
• hallucinations are usually auditory
• Antidepressant + antipsychotic, OR
• ECT

Question 5

List the disorders that can have CATATONIA present

Answer 5

• Major Depressive Disorder
• Bipolar Disorder
• Schizophrenia

Question 6

What is CATALEPSY?

Answer 6

• CAT-LEAPING

- passive induction of posture

Question 7

Symptoms of CATATONIA

Answer 7

• stupor or agitation
• catalepsy
• echolalia
• echopraxia

Question 8

Depression with PERIPARTUM on set

Answer 8

• pregnancy DOES NOT protect against depression
• symptoms during pregnancy or within 4 weeks after delivery
• 5% of pregnancies
• anxiety is common
• psychosis is the risk with delusions that can lead to infanticide
• BIPOLAR CONVERSION

Question 9

What is PERSISTING DEPRESSIVE DISORDER?

Answer 9

• 2 years depressed + 2 symptoms
• SUICIDE IDEATION IS NOT NEEDED FOR DIAGNOSIS
• adolescents require symptoms for only 1 y
• DO NOT NEED TO MAKE CRITERIA FOR MDE
• highly co-morbid with Cluster B & Cluster C

Question 10

Pts with persisting depressive disorder may look very different from each other

Answer 10

• people who have never had an MDE
• people chronically meeting criteria for MDE
• wide range of symptoms
• highly co-morbid with Dependent & Avoidant personality disorder

Question 11

Define PREMENSTRUAL DYSPHORIC DISORDER

Answer 11

• pathology: low serotonergic state

- symptoms present daily for at least 2 cycles

Question 12

Risk factors for PMDD

Answer 12

• history of PMDD
• increasing age
• lack of exercise
• diet in low Ca, Mag, Vitamin B6

Question 13

Treatment of PMDD

Answer 13

• SSRI
• MVI, Ca, Mg, B6
• CBT
• sleep deprivation
• complex carbs

Question 14

Define DISRUPTIVE MOOD DYSPHORIC DISORDER

Answer 14

• frequent tantrums
• irritability and anger between tantrums
• reaction grossly out of proportion to provocation
• present in at least 2-3 settings
• DMDD&raquo_space;» ODD

Question 15

Treatment of DMDD

Answer 15

• psychoeducation
• stimulants are often first line
• treat co-morbid disorders