Brainscape's Knowledge GenomeTM

Browse over 1 million classes created by top students, professors, publishers, and experts.


See full index

EOR: Behavioral Health > Depressive Disorders and Bipolar Related Disorders > Flashcards

Depressive Disorders and Bipolar Related Disorders Flashcards

1
Q

what do you think when you see a 27 yo m who presents with pressured speech who is squandering savings, destroying relationships, and neglecting work activities

A

bipolar 1

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

definition of bipolar I

A

a manic episode with OR without major depressive episodes

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

according to DSM5, in order for the diagnosis of mania, what characteristics must be met (2)

A

affects occupation or relationships with others
OR
requires hospitalization

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

1st line med for bipolar 1

A

lithium

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

tx options for acute mania (4)

A

lithium - 1st line
valproate
SGA’s
carbamazepine

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

name 2 SGA’s

A

olanzapine
aripiprazole

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

tx for mania maintenance (3)

A

SGA’s
gabapentin
lamotrigine

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

tx for mania w. agitation

A

add antipsychotics (haldol vs risperidone) OR
benzos

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

t/f: family/group/CBT is effective for bipolar I

A

t!

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

what do you think when you see a pt who presents w. bouts of sadness and distractibility plus an episode of decreased need for sleep with a flight of ideas and buying sprees

A

bipolar II

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

definition of bipolar II

A

at least one hypomanic episode
AND
at least one major depressive episode
PLUS
the absenve of manic episodes

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

definition of hypomania

A

not severe enough to cause marked impairment in social or occupational functioning or to necessitate hospitalization

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

1st line tx for bipolar II

A

lithium

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

tx for bipolar II depressive episodes (3)

A

SSRIs
quetiapine
olanzapine + fluoxetine

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

t/f: CBT/fam/group therapy is effective for bipolar II

A

t!

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

what do you think when you see a patient who presents w. episodes of depression alternating with times of increased energy, restlessness, and decreased sleep x 2 years

A

cyclothymic disorder

less intense, but often longer-lasting version of bipolar disorder

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

in order for dx of cyclothymic disorder, symptoms must be present for at least

A

2 years

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
18
Q

what is dysthymia

A

persistent mild dpn

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
19
Q

a person with dysthymia never experiences _ (2)

A

mania
major dpn

20
Q

4 types of depressive disorders

A

major depressive
persistent depressive
premenstrual dysphoric
suicidal/homicidal behaviors

21
Q

mood disorder in which a person experiences (in the absence of drugs or medical condition), two or more weeks of significantly depressed moods, feelings of worthlessness, and diminished interest or pleasure in most activities

A

major depressive disorder

22
Q

mood disorder involving persistently depressed mood w. low self-esteem, withdrawal, pessimism, or despair - present for at least 2 years

A

persistent depressive disorder

23
Q

for dx, persistent depressive disorder must be present for at least _ with no absenve of symptoms for more than _

A

2 years
2 months

24
Q

disorder makred by repeated episodes of significant dpn and related symptoms during the week before menstruation

A

premenstrual dysphoric disorder

25
Q

mood disturbances, somatic complaints, feelings of hopelessness, worthlessness, or helplessness

A

suicidal/homicidal behaviors

26
Q

what do you think when you see a pt who c.o fatigue and decreased interest in the things that used to make her happy - is forcing herself to eat, spending less time w. kids, and feels guilty about lack of energy/enthusiasm

A

major depressive disorder

27
Q

what is SIGECAPS

A

sadness
interest/anhedonia
guilt
energy
concentration
appetite
psychomotor activity
suicidal

28
Q

dsm 5 for mdd

A

5 or more SIGECAPS for 2 weeks or more nearly every day

at least 1 of sx is depressed mood OR anhedonia

29
Q

what is anhedonia

A

inability to feel pleasure

30
Q

first line tx for mdd

A

SSRIs

31
Q

how do you titrate SSRIs

A

continue to increase dose q 3-4 weeks until sx are in remission

32
Q

how long do SSRI’s take to be effective

A

4-6 weeks

33
Q

how long until you see sx improvement w. SSRIs

A

2-4 weeks

34
Q

what do you think when you see a pt who feels down most of the time x 3 years - experiences intrusive thoughts of inadequacy despite success - tries to overcompensate by taking on more than he can handle, which leads to failure and worse feelings of inadequacy

A

persistent depressive disorder

35
Q

dsm 5 for persistent depressive disorder (3)

A

-chronic dpn > 2 years
-pt has never been w.o depressive sx for > 2 mnonths at a time
-there has never been a manic or hypomanic episode

36
Q

tx for persistent depressive disorder (3)

A

SSRI’s
psychotherapy
PA

37
Q

s.e of lithium (7)

A

tremor
sedation
acne
heart block
hypothyroidism
diabetes insipidus
leukocytosis

38
Q

3 contraindications for lithium

A

renal failure
hyponatremia
dehydration

increase risk for toxicity

39
Q

4 conditions frequently associated w. bipolar disorder

A

SAD
ADD/ADHD
anxiety disorders
other mood disorders

40
Q

t/f: dpn in the setting of other comorbid conditions leads to increased mortality

A

t!

41
Q

hypomania w. more dpn

A

bipolar II

42
Q

more manic w. some dpn

A

bipolar I

43
Q

class of medication you never give to bipolar I

A

antidepressants

44
Q

-dpn with a change from previous functioning
-difficult to perform ADLs

A

mdd

45
Q

what condition manifests as a chronically depressed mood for more than 2 years

A

persistent depressive d.o

EOR: Behavioral Health (13 decks)

Brainscape helps you reach your goals faster, through stronger study habits.
© 2024 Bold Learning Solutions. Terms and Conditions