exam 3 classnotes 10-12 Flashcards
What are the differences between episodes of depression and MDD?
time and it impairs their functions
What are the symptoms of MDD
1 sadness, 2 emptiness 3 hopelessness, 4 diminished interest in most activities, 5 weight change more than 5% gain or loss in a month, 6 change in sleeping pattern, 7 anxiety, 8 more irritability, 9 worthlessness,10 diminish capacity to think, 11 suicidal thoughts must have 7 for about 2 weeks
- What is emotional reactivity
the tendency to experience frequent and intense emotional arousal to something that reminded you of the persons death
Prolonged grief disorder
incapacitates people after the death of a loved one. the death must occur about 12 months ago. the person can not move on from their life.
- true or false bereavement disorder is in all dsm 1-5
false it is only in dsm 1-4, if a person has bereavement disorder traits it is now diagnosed as MDD
symptoms of prolonged grief disorder 7 symtomps
intense emotional pain, does not improve with time, difficulty integrating emotional numbness, rarely experience happiness, intense loneliness, and intense emotional reactivity
MDD melancholic features
depressive feelings in the morning psychomotor functions are affected, they are very slow they lose weight fast
MDD psychotic features
have hallucinations and delusions it is not that common 10-15 percent of the cases
MDD atypical features
mood reactivity something positive happens and the person smiles. the mood brightens with positive events
MDD catatonic features
very rigid immobile can be caused by trauma
MDD with seasonal pattern
lack of sunshine gets them to be depressed. Must have 2 more episodes in a 2 year time period. Light therapy helps them improve being around the sun elevates the mood
Depressive disorder with peripartum onset
episodes of depression while they are pregnant or the first four weeks after giving birth
- why was the disorder changed from post peripartum to just peripartum
the disorder occurs mostly when women are pregnant and not after post peripartum
Persistent depressive disorder
mild form of depression does not experience suicidal thoughts must have episodes for two or more years more days than not
symptoms of depressive disorder with peripartum
1 sadness 2 teariness, 3 irritability,4 overwhelmed,5 detached, or uninterested in baby, 6 lack of energy, 7 fatigue
Premenstrual dysphoric disorder (new disorder)
Has mood swings, increased periods of rage or anger, more irritability, feelings overwhelmed easily, and increased conflict with close people must happen 1 week before the menstrual cycle and have improvements 1 week after the menstrual cycle.
What is the advantage of being diagnosed with a mental disorder?
You could get reimbursed by the insurance company.
What are some of the antidepressant medications?
Selective serotonin inhibitor reuptake (SSRI) SNRI
MAOI tricyclic
- What does MAIO function
Chemicals are in vesicles and then get released into the synapse. These chemicals try to attach themselves to the dendrites receptors. The ones not connected to the dendrite receptors get killed off by enzymes. Maio destroys the enzymes.
What are the problems with MAIO
You can not eat certain foods because of significant blood pressure increases.
Tricyclic
Block reuptake if chemicals go back into the vesicles, has many side effects can not swallow, excessive sweating, drowsiness, and dry mouth
SSIR
It is the same as tricyclic blocks off serotonin neurotransmitters for reuptake.
- What is the difference between SSRI and tricyclic medications
Tricyclic medications have many side effects, and SSRIs have fewer side effects.
What is electro-compulsive therapy?
Used to treat severe depression must have had medications and psychotherapy. It is the last resort. Increases Serotonin, norepinephrine , and dopamine levels
What are the symptoms of mania
Very excessive-high mood, risky behaviors, rapid speech, more irritability, very little need for sleep, false sense of well-being, must have every day for 7 days most of the day
Hypomania
A mild form of mania must last only 4 days.
- true or false mania is a diagnosis
False mania are symptom that lead to the diagnosis bipolar.
- What is the difference between bipolar I and Bipolar II
Bipolar I has full-blown episodes of mania with MDD episodes. Often are accompanied by hallucinations and delusions. Bipolar II is more common, has hypo mania episodes that last 4 days and mild forms of depressive episodes.
What type of medication do you prescribe for bipolar disorder?
Mood stabilizers like lithium and Depakote
- What is the difference between generic and brand medications?
They have the same strength & effectiveness. also have same ingredients. Brand medication gets patrons for 20 years, and takes over 8 years to get approval whole generic brands take 2-3 years.
What is the placebo effect?
When a person’s physical or mental health appears to improve after taking a placebo or ‘dummy’ treatment. Increases your expectations, and hope produces more dopamine.
What is the medication prescribed of label?
This is when medication is prescribed for uses other than the original intent.
- 80-125%
The percentage of effectiveness needed to get approved by the FDA
stats of suicide
Men age 65 and higher are more prone to it
2nd most frequent cause of death among high schoolers and college students
female attempt suicide 3-4 times more than men
men suicide 3-4 times more than women
Symptoms of suicide
Talk about death, feel they have no purpose in life, give away prized possessions, and have a plan to commit it.
