DEPRESSIVE DISORDERS - FINAL EXAM

Question 1

depressive disorders

Answer 1

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

Question 2

disruptive mood dysregulation disorder is diagnosed

Answer 2

btw 6-18 (after 18 is cyclothymic)

Question 3

symptoms om DMDD

Answer 3

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

Question 4

management of DMDD

Answer 4

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

Question 5

persistent depresive disorder (dysthymia)

Answer 5

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

Question 6

persistent depressive disorder duration

Answer 6

at least 2 yrs in adults, 1 yr in kids

Question 7

symptoms of persistent depressive disorder

Answer 7

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

Question 8

treatment of persistent depressive disorder

Answer 8

CBT, tricyclics

Question 9

premenstrual dysphoric disorder

Answer 9

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

Question 10

duration of premenstrual dysphoric disorder

Answer 10

symptoms decrease or disappear during period

Question 11

substance induced depressive disorder

Answer 11

person doesn’t experience depressive symptoms without alc or drugs

Question 12

depressive disorder from med condition

Answer 12

hypothyroidism, CVA, HIV, diabetes, parkinsons

Question 13

MDD symptoms

Answer 13

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

Question 14

MDD persistent type

Answer 14

lasts btw 2 wks and 6 mon

Question 15

MDD chronic type

Answer 15

lasts more than 2 yrs

Question 16

characteristics of MDD

Answer 16

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

Question 17

comorbidity of depressive disorders

Answer 17

anxiety

Question 18

risk factors for depressive disrders

Answer 18

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

Question 19

acute phase of implementation (6-12 wks)

Answer 19

reduce depressive symptoms and restore functioning, medications

Question 20

continuation phase (4-9 mon)

Answer 20

preventing relapse, pharmaco

Question 21

maintenance phase (over 1 yr)

Answer 21

prevent relapse, outpatient therapy, slowly decreasing meds

Question 22

communication techniques

Answer 22

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

Question 23

esketamine

Answer 23

nasal spray ketamine used with therapy to treat depression

Question 24

electroconvulsive therapy

Answer 24

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

Question 25

ECT treats

Answer 25

depression, severe malnutrition/exhaustion/dehydration, failure of other meds, dementia, schiz w catatonia

Question 26

repetitive transcranial magnetic stimulation

Answer 26

noninvasive MRI that stimulates brain

Question 27

s/s of rTMS

Answer 27

headache, lightheaded, seizures, scalp tingling, discomfort

Question 28

vagus nerve stimulation

Answer 28

improves mood by boosting neurotransmitters

Question 29

s/s of vagus nerve stimulation

Answer 29

voice alteration, neck pain, cough, dyspnea

Question 30

deep brain stimulation

Answer 30

surgically implanted electrodes that stimulate regions of underactive depression

Question 31

light therapy

Answer 31

first line treatment in SAD by increasing melatonin

Question 32

exercise

Answer 32

increases serotonin levels and decrease HPA axis