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Psych EOR > Depressive Disorders > Flashcards

Depressive Disorders Flashcards

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1
Q

Bipolar I vs. Bipolar II

A

Bipolar I: manic episodes (lasts several weeks)
Bipolar II: hypomanic episodes (lasts 4-8 weeks)

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2
Q

Types of bipolar disorder

A

Anxiety
Catatonic
Mixed
Psychotic
Atypical
Melancholic
Peripartum
Seasonal

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3
Q

Anxiety subtype

A

High levels of associated anxiety

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4
Q

Catatonic subtype

A

Major psychomotor disturbances

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5
Q

Mixed subtype

A

Symptoms of depression

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6
Q

Psychotic subtype

A

Accompanying psychosis

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7
Q

Atypical subtype

A

Associated with hyperphagia and hypersomnia

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8
Q

Melancholic subtype

A

Anhedonia, insomnia, decreased appetite

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9
Q

Peripartum subtype

A

During pregnancy or 4 weeks after birth

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10
Q

Seasonal subtype

A

Associated with particular season

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11
Q

Rapid cycling BPD

A

4+ mood episodes/year

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12
Q

Treatment of bipolar disorder

A

Mild: outpatient management with lithium, antipsychotics, and anticonvulsants
Severe: inpatient treatment

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13
Q

___ does not treat an acute manic episode but can be used for long-term prevention of mania

A

Lamictal (lamotrigine)

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14
Q

Management of acute manic or hypomanic symptoms

A

Mild: mono-therapy with antipsychotic, lithium, or anticonvulsant
Severe: antipsychotic + lithium or valproate

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15
Q

Management of acute depressive symptoms in BPD

A

Antipsychotics, lithium, or anticonvulsants

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16
Q

Management for maintenance of BPD

A

Same med used to control acute episode

17
Q

Side effects of lithium

A

Leukocytosis
Insipidus
Tremor
Hypothyroidism
Parathyroid
Arrhythmia
(LITH PA)

18
Q

Cyclothymic disorder

A

2+ years with hypomanic and depressive episodes

19
Q

Treatment of cyclothymic disorder

A

Combination of mood stabilizer and psychotherapy

20
Q

Major depressive disorder

A

At least 1 episode lasting 2 weeks
Includes depressed mood and anhedonia

21
Q

Diagnosis of MDD

A

PHQ-2 and -9

22
Q

Treatment of MDD

A

Combination of psychotherapy and pharmacotherapy

23
Q

Most effective treatment for severe, refractory depression and severe suicidality

A

Electroconvulsive therapy (ECT)

24
Q

Persistent depressive disorder (dysthymia)

A

Persistently depressed mood for 2 years or longer

25
Q

Treatment of dysthymia

A

SSRIs

Psych EOR (10 decks)

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