Depression, Bipolar, Suicide, & Electroconvulsive Therapy Flashcards
What neuroT’s is more associated with depression
decreased norepi and serotonin, dopamine
What hormone or hormone probs are related to depression
low thy hormone (hypothyroidism)
Addison and Cushing syndrome - bec of steroid use decreasing dopamine lev
High level of glucocorticoid - too much cortisol, depleting dopamine
Beta blockers and antibiotics causing Estrogen and progestrone unbalanced
Symptoms of depression
anhedonia (lack of pleasure) self harm feelings of guilt grief psychomotor retardation - so unmotivated that they dont move
vegitative symps
insomnia
loss of appetite
over activation of stress hormone
With a pat that has depression with signs of anger turned inward, what is a intervention
providing an outlet to be able to express that anger
Depression care
exercise nutrition sleep scheduling help them find a purpose taking showers/saunas vitamin D Folic Acid - ese with mutation that interferes with absoption Assertiveness training
What are the types of depression
Major depressive persistent depressive (dysthymia)
Manis of major depressive
needs at least 5 of the symps for 2 weeks
manis of persistent
down in the dumps
symps are not as severe as major depressive and have been happening for at least 1 yr for children and 2 yrs for adults
Assessment for depression
Analyze risk factors and cardinal signs
PHQ-9 helps to understand the depression but not used to diagnose
Psychotherapies for depression
Cognitive behavior therapy Dialectical Behavior Therapy Group Therapy Family Therapy Interpersonal Therapy Light Therapy
Electroconvulsive therapy (ECT)
Transcranial Magnetic stimulation (TMS)
Vagus Nerve Stimulation (VNS)
Why is bupropion used over SSRI’s sometimes
bec it doesnt have sexual disfunction side effects like SSRI’s do
What type of pat is cymbalta good for
depression with lots of mus aches
What are the phases of bipolar DO
predromal
acute
continuation
maintenance
What happens in predromal phase of bipolar
manic symptoms
depressive symptoms
What is the treatment for the predromal phase of bipolar
protect against self harm calming music relaxation techniques rest regular meals
What happens in the acute phase of bipolar
depressive symptoms
manic symptoms
hypomanic episodes
lasts for 3-8 wks
What is the treatment for acute phase of bipolar
hospitalization
one on one supervision
reduction of manic symptoms
protect against self harm
What is the number one med for bipolar
lithium
Considerations with lithium
lab draw after the first 12 hrs to check level, hold med until lab results are in
What is a key difference between OCD and OCPD
OCPD dont think they have a problem while OCD pats know they do
How long for an OCD diagnosis
6 mo
Would the ID ego or super ego likely be implicated in OCD disorders
super ego
What is an example of a super ego imbalance
perfectionism
What is an example of ID imbalances
not letting go of anger towards something
