Dozois 8 - Mood Disorders and Suicide

Question 1

Mood disorders in the DSM-5 are classified into what two broad categories

Answer 1

Unipolar and bipolar

Question 2

Involves a change in mood in the direction of depression

Answer 2

Depressive disorder

Question 3

periods of depression cycling with periods of mania

Answer 3

bipolar

Question 4

Is often referred. to as the “common cold” of mental disorders because it is. so prevalent (cost $60 billions a year USA)

Answer 4

MDD-Major depressive disorder

Question 5

A distinct period of elevated, expansive, or irritable mood that lasts at least one week and is accompanied by at least three associated symptoms.

Answer 5

Mania (Bipolar Mood Disorder)

Question 6

Is a less severe form of mania that involves a similar number of symptoms, but those symptoms need to be present for only four days

Answer 6

Hypomania

Question 7

Less severe form of bipolar disorder involving a history of at least two years of alternating hypomanic episodes and episodes of depression that do not meet the full criteria for major depression.

Answer 7

cyclothymia

Question 8

Characterized by recurrent depressive episodes generally tied to the changing seasons.

Answer 8

Seasonal affective disorder (SAD)

Question 9

lead to negative moods-

1. all or nothing thinking
2. Overgeneralization
3. Magnification (catastrophizing)
4. jumping to conclusions (interpret things negatively)

Answer 9

cognitive distortions

Question 10

Hypothetical structures in the mind that contain care beliefs about the self, the world and the future (cognitive triad).

Answer 10

Schemas

Question 11

the tendency to actively seek out criticism and other negative interpersonal feedback (risk factor in depression)

Answer 11

negative feedback seeking (Interpersonal models)

Question 12

the tendency to repeatedly seek assurance about one’s worth and lovability from others

Answer 12

excessive reassurance seeking (interpersonal models)

Question 13

Stress is modulated through this axis. When on encounters stress, of say, an oncoming Mack truck, the brain releases a substance called

Answer 13

hypothalamic -pituitary-adrenal (HPA) axis (fight/flight)

Question 14

When on encounters stress, of say, an oncoming Mack truck, the brain releases a substance called

Answer 14

corticotrophin-releasing hormone (CRH).

Question 15

a device called a pulse generator is surgically implanted in the patient’s chest on the left side
(used as a later resort for treating severe bipolar/depression

Answer 15

vagus nerve stimulation (VNS)

Question 16

Uses magnetic fields to alter brain activity and was approved by Health Canada in 2002. (brain treatment use to treat depression)

Answer 16

Transcranial magnetic Stimulation (TMS

Question 17

thoughts of death and plans for suicide

Answer 17

Suicidal Ideation

Question 18

behaviors that look like a suicide attempt, but clearly not life threatening

Answer 18

Suicidal gestures

Question 19

carrying out of a suicide plan

Answer 19

Suicide attempt

Question 20

Is a successful suicide attempt

Answer 20

Completed Suicide

Question 21

Cutting or burning - often done in private as a way of coping with extreme emotional distress

Answer 21

Self-harm

Question 22

difference between bipolar I disorder and bipolar II disorder

Answer 22

A depressive episode is not required in bipolar I

Question 23

Medication to treat bipolar disorder

Answer 23

*Lithium, anticonvulsants, Antipsychotics, Antidepressants

Question 24

Three Neurostimulation and neurosurgical treatments

Answer 24

Electroconvulsive therapy (ECT), Transcranial magnetic stimulation (TMS), Vagus nerve stimulation (VNS)

Question 25

This population is at a higher risk of suicide

Answer 25

youth, elderly, inmates, mentally ill, Aboriginals, men

Associated risks include failure at school/work, family violence, substance abuse (disinhibition),
poverty