Depressive Disorders Flashcards
Bipolar I vs. Bipolar II
Bipolar I: manic episodes (lasts several weeks)
Bipolar II: hypomanic episodes (lasts 4-8 weeks)
Types of bipolar disorder
Anxiety
Catatonic
Mixed
Psychotic
Atypical
Melancholic
Peripartum
Seasonal
Anxiety subtype
High levels of associated anxiety
Catatonic subtype
Major psychomotor disturbances
Mixed subtype
Symptoms of depression
Psychotic subtype
Accompanying psychosis
Atypical subtype
Associated with hyperphagia and hypersomnia
Melancholic subtype
Anhedonia, insomnia, decreased appetite
Peripartum subtype
During pregnancy or 4 weeks after birth
Seasonal subtype
Associated with particular season
Rapid cycling BPD
4+ mood episodes/year
Treatment of bipolar disorder
Mild: outpatient management with lithium, antipsychotics, and anticonvulsants
Severe: inpatient treatment
___ does not treat an acute manic episode but can be used for long-term prevention of mania
Lamictal (lamotrigine)
Management of acute manic or hypomanic symptoms
Mild: mono-therapy with antipsychotic, lithium, or anticonvulsant
Severe: antipsychotic + lithium or valproate
Management of acute depressive symptoms in BPD
Antipsychotics, lithium, or anticonvulsants
Management for maintenance of BPD
Same med used to control acute episode
Side effects of lithium
Leukocytosis
Insipidus
Tremor
Hypothyroidism
Parathyroid
Arrhythmia
(LITH PA)
Cyclothymic disorder
2+ years with hypomanic and depressive episodes
Treatment of cyclothymic disorder
Combination of mood stabilizer and psychotherapy
Major depressive disorder
At least 1 episode lasting 2 weeks
Includes depressed mood and anhedonia
Diagnosis of MDD
PHQ-2 and -9
Treatment of MDD
Combination of psychotherapy and pharmacotherapy
Most effective treatment for severe, refractory depression and severe suicidality
Electroconvulsive therapy (ECT)
Persistent depressive disorder (dysthymia)
Persistently depressed mood for 2 years or longer
Treatment of dysthymia
SSRIs
