Depressive Disorders Flashcards

1
Q

Major Depressive Disorder Diagnosis qualifiers

A
  • 1 major depressive episode (MDE)
  • Cannot have a history of mania or hypomania
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

Major Depressive Episode Diagnosis

9

A

Must have 5+ symptoms (1 being affective)
1. Depressed mood
2. Anhedonia
3. Change in appetite (weight)
4. Insomnia/Hypersomnia
45. Loss of Energy
6. Psychomotor changes
7. Feeling guilty/worthless
8. Decreased concentration
9. Thoughts of death/suicidal ideation

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

MDD with melancholic features

7

A
  1. Severe anhedonia
  2. Lack of mood reactivity
  3. Profound despair
  4. Depression worse in the morning
  5. Early-morning awakening
  6. SIgnificant weight loss
  7. Excessive guilt
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

MDD with atypical features

4

A
  1. Mood reactivity (mood brightens in response to potential/actual +ve events
  2. Significant weight gain
  3. Hypersomnia
  4. Leaden paralysis
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

MDD with psychotic features

A

Delusions or hallucinations

Can be mood congruent or mood incongruent

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

MDD with Catatonia (abnormal movements)

5

A

Characterized by psychomotor symptoms
1. Mutism
2. Immobility
3. Waxy flexibility
4. Stereotypes
5. Odd posturing

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

MDD with Peri-Partum Onset

Time of onset

A

Occurs during pregnancy or within 4 wks post delivery

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

MDD with Seasonal Pattern (SAD)

A

Consistent temporal relationship between time of year and mood episode

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

Common findings in Depression

Theory-genetic or not?

A
  1. Genetic predisposition
  2. Chronic increase activity of the hypothalamus pituitary axis (HPA)-elevated cortisol, chronic activation of immune system
  3. Decreased monoamine transmission
  4. Decreased prefrontal cortex activity
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

Treatment of MDD

5 categories

A
  1. CBT
  2. Antidepressant drugs (1. SSRI/SNRI, 2. TCA/MAOI)
  3. ECT-fastest acting
  4. VNS
  5. rTMS
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

What has a black box warning for treatment of MDD?

A

Antidepressant drugs-increased risk of suicide in people aged less than 25

Other treatments are Esketamine and phototherapy

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

Persisent Depressive Disorder(PDD)

Timeline

A

Depression for 2 years

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

Three subcategories of PDD

A

PDD with persistent MDE
PDD with pure dysthmic syndrome
PDD with intermittent MDEs (cycle between MDE and dysthymia)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

PDD Treatment (dysthymic subtype)

A

CBT and/or antidepressant meds

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

PDD Treatment (MDE subtypes)

A
  1. CBT and/ or antidepressant meds
  2. More invasive techniques such as ECT
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

What are the parameters for diagnosis of Premenstrual Dysphoric Disorder (PMDD)

SYMPTOMS MUST

A
  1. Present in the week before menses onset
  2. Improve a few days after menses
  3. Minimize in the week post-menses
  4. Symptoms must cause clinically significant distress or functional imparement
17
Q

PMDD treatment

A

SSRI’s

18
Q

Dirsuptive Mood Dysregulation Disorder (DMDD)

Timeline

A
  1. Child must be at least 6 yrs old
  2. Symptoms begin before age 10
  3. NOT DIAGNOSED after age 18
19
Q

Mnemonic for MDE

SIG-E-CAPS

A
  1. Sleep change
  2. Interest loss
  3. Guilt
  4. Energy problem
  5. Concentration poor
  6. Appetite change
  7. Psychomotor changes
  8. Suicidal ideation
20
Q

DMDD Core Features

A
  1. Severe temper outbursts 3 x week
  2. Sad/irritable/angry mood almost every day
  3. Reaction is disproportionate to situation
  4. Symptoms are present in multiple settings