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Behavioral Medicine > Depression > Flashcards

Depression Flashcards

1
Q

what sex is more likely to have depression

A

women

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2
Q

factors for depression

A 
social conditions
age
marital status
social status
"high stress and low support"
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3
Q

screening questions for depression

A

“over the past 2 weeks have you ever felt down, depressed or hopeless?”

“Over the past 2 weeks have you felt little interest or pleasure in doing things?”

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4
Q

what is a loss of interest or pleasure?

A

anhedonia

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5
Q

What does SIG E CAPS pneumonic stand for?

A 
Sleep
Interest
Guilt
Energy
Concentration
Appetite/ anhedonia
Psychomotor retardation
Suicidal ideation
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6
Q

people with under 18 may present with what instead of sadness when depressed.

A

irritability

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7
Q

what is remission for depression

A

no symptoms for 2 months

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8
Q

if depressive criteria is met for 2 full years what is it considered

A

chronic major depression

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9
Q

what is depression w/ melanchonic features?

A

complete loss of pleasure, feel worse in the morning, early morning awakenings, weight loss, inappropriate guilt

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10
Q

what is atypical major depression?

A

weight gain, hypersomnia, leaden paralysis, interpersonal rejection sensitivity

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11
Q

postpartum depression has an onset within how many weeks of giving birth?

A

4 weeks

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12
Q

depression with anxiety is classified as what?

A

depression w/ anxious features

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13
Q

what is depression w/ mixed features?

A

does not meet full criteria for hypomania or mania but has some features of mania

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14
Q

what is dythymic disorder (persistent depressive disorder)?

A

depressed mood for most the day for 2 years
symptoms 2 or more from depressive symptoms list
haven’t gone w/o symptoms for more than 2 months
no major depressive episodes during the first 2 years
never a manic or hypomanic episode
not due to psychosis, medical condition

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15
Q

when is depressive disorder considered early onset?

A

before age 21

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16
Q

Must meet 5 symptoms of depression in the week before menses start, symptoms improve within few days on onset of menses, and become minimal postmenses

A

Premenstrual dysphoric disorder

17
Q

New diagnosis in DSM V-aimed mainly at children
Recurrent temper outbursts that may be verbal or behavioral
Inconsistent with developmental level
Occurring 3 or more times per week
b/w outbursts have irritable or angry mood of of the day observable by others

A

Disruptive mood dysregulation disorder-DMDD

18
Q

How long must DMDD criteria be present for?

A

12 months and had not gone more than 3 months w/o meeting all criteria

19
Q

what are the age restrictions w/ DMDD?

A

not before age 6 or after 18. symptom onset before age 10

20
Q

where must settings w/ DMDD be presents?

A

in at least 2 of 3 settings: home, school, peers

21
Q

What are the names of SSRIs

A 
Prozac (prescribed often) 
Zoloft (sexual ADRs) 
Celexa
Lexapro
Paxil (Increased risk of wt gain, suicidal thoughts)
Luvox (more for anxiety)
22
Q

What are some other meds for depression?

A

Wellbutrin (buproprion)
Remeron (Mirtazapine)
Effexor (Venlafaxine)
Cymbalata (duloxetine)

23
Q

What are some older treatments for depression what have decreased use due to side effects.

A

TCAs and MAOIs

24
Q

what is the BBW for people under 26 with antidepressants?

A

Warn of black box warning of increased risk of suicidal ideation

25
Q

What are common side effects of antidepressants

A

HA, GI upset

26
Q

Good medicine if people have trouble with sleep, anxiety. Increased risk of weight gain and TGs. More sedating in lower doses than higher

A

Remeron (Mirtazapine)

27
Q

what antidepressants is good for people w/ chronic pain, some risk of elevated BP.

A

Cymbalta (duloxetine)

28
Q

what antidepressant has a discontinuation sydnrome?

A

Paxil (SSRI)

29
Q

what antidepressant has a risk for HTN, discontinuation syndrome

A

Effexor (Venlafaxine)

30
Q

antidepressant that shouldn’t be used in people with a seizure risk or bulimia?

A

Wellbutrin (buproprion)

31
Q

what do you need to screen for before initiating an antidepressant?

A

hx of mania or bipolar disorder

32
Q

what can antidepressants w/ bipolar disorder cause?

A

unstable moods and manic episodes

33
Q

Is a treatment option for very severe depression that does not respond to antidepressant treatment
Can be done on an outpatient basis, anesthesia is used, seizure is induced by electric shock
Can be used in pregnant women with severe depression

A

ECT- electro convulsive therapy

34
Q

May become an alternative to medication treatment for some people

A

Transmagnetic stimulation

35
Q

Another alternative to medication, seems less promising than TMS for less severe depression and not as good as ECT for severe, hard to treat depression. Also a more invasive procedure than TMS

A

Vagal Nerve Stimulation

Behavioral Medicine (13 decks)

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