Depression

Question 1

Common features of all mood disorders?

Answer 1

sad, empty, irritable mood

somatic and cognitive changes

Question 2

Criteria for major depressive disorder?

Answer 2

at least 2 weeks of depression with at least 5 s&s

Question 3

Criteria for persistant depressive disorder (dysthymia)?

Answer 3

at least 2 years of depression with at least 2 s&s (can’t be without s&s for more than 2 months)

Question 4

non pharm tx of depression?

Answer 4

CBT, exercise, psychodynamic therapy, group therapy, support groups, family therapy and ECT

Question 5

What does ECT treat?

Answer 5

chronic depression, acute mania, severe OCD, catatonia and some psychosis

Question 6

Where are the electrodes placed?

Answer 6

unilaterally or bilaterally

Question 7

How long does the seizure need to last in ECT?

Answer 7

at least 25 seconds

Question 8

What is the normal course of tx for ECT?

Answer 8

usually 10-12 times at 3x a week

Question 9

What are the side effects of ECT?

Answer 9

memory loss, muscle soreness, headache and postictal syndrome (post seizure syndrome)

Question 10

Pharm tx for depression?

Answer 10

SSRIs, SNRIs, tricyclic antidepressants, monoamine oxidase inhibitors