depression

Question 1

RF of rapid cycling 3

Answer 1

female
SUD (and caffien, nicotine, etoh)
hypothyroidism
use of antidepressants
BD2
? adolescents

Question 2

Tx of rapid cycling

Answer 2

Epival
Olanzapine
ECT
Li+ epival

Question 3

RF for postpartum psychosis in order

Answer 3

Hx of post partum psychosis 70%
Hx of PP depression 50%
Hx of BAD 20-50%
Hx of MDD 30%

Question 4

risk of recurrence of depression in
6 m
2 yrs
5 yrs

Answer 4

25%
50%
70%

Question 5

10 RF fr conversion to BAD

Answer 5

early onset
rapid onsett and offset of depressive symptoms
psychotic depression< 25
post partum depression (esp if psychotic features)
PMR
antidepressant induced hypomania
repeated loss of efficaacy of antidepressants
trait mood lability or hyperthymoc personality
fam Hx of BAD
seasonality
reverse vegettive sx (atypical)

Question 6

More likeluy to get this DO if you SES is:

a. bipolar disorder
b. major depressive disorder
c. schizophrenia
d. alcoholism
e. malignant melanoma
f. heart disease

Answer 6

bipolar disorder :high

b. major depressive disorder: no diff
c. schizophrenia: low
d. alcoholism:low?
e. malignant melanoma: high
f. heart disease:low

Question 7

Again, RF for BAD

Answer 7

K&S p549: In general, factors that suggest BAD as opposed to MDD include agitation, cyclicity, episodic sleep dysregulation

P.1262 indicates that in adolescents: delusions, psychomotor retardation, and family history increase risk.