DEPRESSIVE DISORDERS - FINAL EXAM Flashcards

1
Q

depressive disorders

A

feelings of sadness, emptiness, irritable, somatic concerns, impaired thinking and decrease ability to function

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2
Q

disruptive mood dysregulation disorder is diagnosed

A

btw 6-18 (after 18 is cyclothymic)

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3
Q

symptoms om DMDD

A

constant irritability/anger, temper tantrums out of proportion for 3 times a week, symptoms present in 2 settings

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4
Q

management of DMDD

A

symptomatic meds, CBT, parent training, facial expression recognition training

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5
Q

persistent depresive disorder (dysthymia)

A

low level depressive feelings through most of the day majority of days

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6
Q

persistent depressive disorder duration

A

at least 2 yrs in adults, 1 yr in kids

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7
Q

symptoms of persistent depressive disorder

A

2 or more of: decrease appetite or over eating, insomnia or hypersomnia, low energy, poor self esteem, hopeless, difficulty thinking

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8
Q

treatment of persistent depressive disorder

A

CBT, tricyclics

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9
Q

premenstrual dysphoric disorder

A

symptoms cluster in last week prior to period with mood swings, irritable, depression, anxiety, overwhelmed, poor concentration

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10
Q

duration of premenstrual dysphoric disorder

A

symptoms decrease or disappear during period

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11
Q

substance induced depressive disorder

A

person doesn’t experience depressive symptoms without alc or drugs

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12
Q

depressive disorder from med condition

A

hypothyroidism, CVA, HIV, diabetes, parkinsons

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13
Q

MDD symptoms

A

5 or more in a 2 week period
weight loss, appetite changes, sleep disturbances, fatigue, worthless/guilt, recurrent thought of death, poor concentration, psychomotor agitation
PLUS at least one symptom is
depressed mood or anhedonia

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14
Q

MDD persistent type

A

lasts btw 2 wks and 6 mon

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15
Q

MDD chronic type

A

lasts more than 2 yrs

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16
Q

characteristics of MDD

A

recurrent episodes that cause distress and poor functioning, not caused by physical illness and no mania/hypomania

17
Q

comorbidity of depressive disorders

18
Q

risk factors for depressive disrders

A

1st degree relatives, stressful life events, poor coping, thyroid changes, nature vs nurture, female, ACEs, neuroticism, substance use, anxiety, personality disorders

19
Q

acute phase of implementation (6-12 wks)

A

reduce depressive symptoms and restore functioning, medications

20
Q

continuation phase (4-9 mon)

A

preventing relapse, pharmaco

21
Q

maintenance phase (over 1 yr)

A

prevent relapse, outpatient therapy, slowly decreasing meds

22
Q

communication techniques

A

simple, concrete words, silence, listen for covert messages, ask about suicide plasn

23
Q

esketamine

A

nasal spray ketamine used with therapy to treat depression

24
Q

electroconvulsive therapy

A

inducing a seizure to reset brain impulses lasting 20 sec for 3 times a wk

25
ECT treats
depression, severe malnutrition/exhaustion/dehydration, failure of other meds, dementia, schiz w catatonia
26
repetitive transcranial magnetic stimulation
noninvasive MRI that stimulates brain
27
s/s of rTMS
headache, lightheaded, seizures, scalp tingling, discomfort
28
vagus nerve stimulation
improves mood by boosting neurotransmitters
29
s/s of vagus nerve stimulation
voice alteration, neck pain, cough, dyspnea
30
deep brain stimulation
surgically implanted electrodes that stimulate regions of underactive depression
31
light therapy
first line treatment in SAD by increasing melatonin
32
exercise
increases serotonin levels and decrease HPA axis