depression Flashcards
exam 2
major depressive disorder must have at least ____ of the nine symptoms during a ____ period. At least _____ of the symptom is either depressed mood or anhedonia
- at least 5 of the 9 symptoms
- during a 2 week period
- at least 1 symptom of either depressed mood or anhedonia
significantly decreased interest or pleasure in almost all activities.
anhedonia
SIGE CAPS
Sleep Interest Guilt Energy Concentration Appetite Psychomotor agitation Suicidality
sleep difficulties with depression
- terminal insomnia ( more early-morning awakenings)
- increased sleep latency (takes longer to actually fall asleep)
which one is which?Bereavement vs. Major depressive disorder
symptoms wax and wane or persistent symptoms
bereavement: symptoms wax and wane
Major depressive disorder: persistent symptoms
which one is which?Bereavement vs. Major depressive disorder
period can last more than a year vs. last up to a year
Bereavement: last up to a year
Major depressive disorder: last more than a year
Major depressive disorder:
_____ levels of serotonin
_______ levels of cortisol
- decreased levels of serotonin
- high levels of cortisol
things to screen for that might cause depression
- endocrinopathies
- stroke patients
- pancreatic cancer
- substance- induced mood disorders
dysthymia
persistent depressive disorder
what distinguishes dysthymia to MDD
feelings of hopelessness
depression specifiers
- leaden paralysis (atypical)
- lack of reactivity to pleasurable stimuli (melancholic)
tx. for MDD
psychotherapy (cognitive behavioral therapy) combined with meds like SSRIs
SSRIs take up to ______ to achieve results
4-6 weeks
SSRIs:
most common SE
most reported SE
- common: GI disturbance
- reported: sexual dysfunction
