DEPRESSION Flash Cards

1
Q

MDD clinical picture “so I got everything clear and precise sir”

A

Sleep disturbances (too much or less)
Interest diminished in pleasurable activities
Guilt and worthlessness feelings
Energy decreased or fatigue and esteem loss
Concentration diminished and indecisiveness
Appetite changes
Psychomotor retardation or agitation
Suicidal thoughts & behaviors and thoughts of death

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2
Q

Anhedonia

A

The inability to experience pleasure

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3
Q

Anergia

A

Loss of energy

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4
Q

Clinical pic for PDD

A

Less severe symptoms but longer than MDD
Depressive symptoms that have been present for 2 yrs
“Normal behavior”
Does not require hospitalization
Age of onset adolescent or severe stress in adulthood
Day time fatigue
Able to work and be in social setting - not optimal
Chronic low level expressed /irritable mood
Eating too much or too little
Usually has trouble falling asleep than -hypersomnia
Loss of energy , chronictiredness
Decrease ability to experience pleasure , enthusiasm or motivation

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5
Q

MDD ( mild , moderate or severe )

A

Psychotic features
Catatonic features
Peripartum onset
Seasonal affective disorder

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6
Q

Psychotic features

A

Hallucinations , delusions

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7
Q

Catatonic features

A

Non responsive , psychomotor retardation , withdrawal

(Agitated, and physically active as well falls under that category but for depression they become slower)

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8
Q

Peripartum onset

A

During pregnancy and following delivery
May include psychotic features and risk to infant

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9
Q

Seasonal affective disorder SAD

A

Most commonly occurs in fall or winter , remits in spring ( overeating , anergia, hypersomnia)

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10
Q

Disruptive mode dysregulation disorder

A

Children’
Chronic ,severe, persistent irritability w outburst

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11
Q

Premenstrual dysphoric disorder

A

Depressive symptoms are present in the week before the onset of menses and gradually improve after onset of menses

Emotional label
Anger or irritable
Depressed
Lack of energies, overeating , sleep disturbances, physical disturbances

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12
Q

What can induce a depressive disorder

A

Medications or substances

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13
Q

Baby blues

A

Depressed, anxious, crying for no reason, sleep probs

Improvement within 1-2 wks

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14
Q

Post pardum depression

A

Sadness anxiety ,despair , guilt , diffficult coping. Self harm or harm to baby (thoughts)
1-3 wks PP and can go on to a year

They screen 2 years after birth now

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15
Q

Post Padua psychosis

A

Onset rapid within 3 days to a week after delivery
Agitated anxious disorganized

Delusions are baby focused

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16
Q

What we assess for mood disorders depression

A

Homicide , suicide risk
Neuro exam
Triggers that induced depressive episode
Assess for support system
Complete psychosocial assessment

17
Q

CBT

A

Psychotherapy, talk therapy, group therapy , peer support

18
Q

Interpersonal psychotherapy

A

Structure addressing social issues

19
Q

Problem solving therapy

A

Define probs
Develop multiple solutions
Identify best one and implement
Assess effectiveness

20
Q

Mindfulness bases cognitive therapy MBCT

A

Teaching on med
Being present not worried about past or future
Non judge mental attitudes
Combo of cognitive and mindful based stress reduction

21
Q

What do anti depressants target

A

Sleep disturbances
Appetite disturbances
Fatigue
Decreased sex drive
Psychomotor retardation or agitation
Impaired concentration /forgetfulness
Anhedonua
(Takes 1-3 wks to kick in)