Depressive and Bipolar Disorder Flashcards
Are mood fluctuations considered normal?
Yes, mood fluctuations are considered normal.
What type of moods are associated with periods of time with exaggerated emotion? Also, the patient coping strategies are ineffective.
Abnormal moods
SIGECAPS is the mnemonic that describes an abnormal mood. What does the S mean?
Sleep. Insomnia or hyerpsomina nearly every day.
SIGECAPS is the mnemonic that describes an abnormal mood. What does the I mean?
Interest. Diminished interest or pleausre in nearly all activities.
SIGECAPS is the mnemonic that describes an abnormal mood. What does the G mean?
Guilt. Inappropriate feelings of guilt or worthlessness.
SIGECAPS is the mnemonic that describes an abnormal mood. What does the E mean?
Energy. Loss of energy or fatigue.
SIGECAPS is the mnemonic that describes an abnormal mood. What does the C mean?
Concentration. Diminished ability to think or concentrate, indecisiveness.
SIGECAPS is the mnemonic that describes an abnormal mood. What does the A mean?
Appetite. Increase or decreased.
SIGECAPS is the mnemonic that describes an abnormal mood. What does the P mean?
Psychomotor. Observed psychomotor agitation or retardation.
SIGECAPS is the mnemonic that describes an abnormal mood. What does the S mean?
Suicide. Recurrent thoughts of death or suicidal ideation.
What type of bipolar disorder is associated with a manic episode preceded by or followed by a hypo-manic or major depressive state?
Bipolar I Disorder.
DIGFAST is the mnemonic for manic episode. What does D mean?
Distractibility.
DIGFAST is the mnemonic for manic episode. What does I mean?
Indiscretion
DIGFAST is the mnemonic for manic episode. What does G mean?
Grandiosity
DIGFAST is the mnemonic for manic episode. What does F mean?
Flight of ideas
DIGFAST is the mnemonic for manic episode. What does A mean?
Activity increase
DIGFAST is the mnemonic for manic episode. What does S mean?
Sleep deficit. There is a decrease need for sleep.
DIGFAST is the mnemonic for manic episode. What does T mean?
Talkativeness. There is pressure speech.
What type of bipolar disorder is associated with a hypomanic episode and a major depressive disorder?
Bipolar II disorder
Is Bipolar II disorder a miler form of bipolar disorder?
No, bipolar II disorder is not a milder form of bipolar.
Bipolar II disorder is associated with greater what?
Greater chronicity of illness.
Bipolar II disorder patient spend more time in what phase of their illness?
Depressive phase
What type of disorder is associated with a chronic, fluctuating mood disturbance symptoms that are distinct from each other?
Cyclothymic Disorder
What disorder is associated with chronic, severe persistent irritability?
Disruptive Modd Dysregulation
What disorder is associated with a depressed mood being present on most days, loss of interest in hobbies, not caring anymore, or not feeling enjoyment in activities that were previously considered pleasurable? Patients may experience recurrent thoughts of death or suicidal ideation, plans, or attempts.
Major depressive disorder
What type of disorder is associated with a depressed mood that occurs most days for two years? Patients state that they are “down in the dumps” and that the mood has become a part of the patient’s day to day experience. Some patients may report they have always been this way.
Persistent depressive disorder or Dysthymia.
What disorder is associated with an expression of mood lability, irritability, dysphoria, and anxiety symptoms that occur repeatedly during the pre-menstrual phase of the cycle and remit around the onset of menses? Symptoms peak around the onset of menses. Patients are symptom free in the follicular phase.
Premenstrual Dysphoric Disorder
Severe major depressive episode is best treated with what type of therapy?
Pharmacotherapy with psychotherapy.
What type of syndrome is associated with an excessive amount of serotonin caused by an overdose of serotonergic agents? The symptoms generally go away within a day once seotoinin levels are back to normal.
Serotonin Syndrome
What type of syndrome is associated with patients sometimes experiencing symptoms when medication is removed without tapering?
Serotonin Discontinuation Syndrome
What is the first line treatment when antidepressant medications and psychotherapy are not effective and are too slow?
Electroconvulsive Therapy
Major depressive disorders, bipolar disorders, manic episodes, and schizophrenia can be treated by what therapy?
ECT
Bright light therapy can be used for mood disorders with what type of pattern?
Seasonal pattern
Bright therapy is used to suppress production of what substance from the brain?
Melatonin
What is the measure of the amount of light received at specific distance from a light source?
Lux
