extra things for mood disorders Flashcards

1
Q

anxiety subtype MDD

A

high levels of anxiety accompanying MDD

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2
Q

catatonic subtype MDD

A

major psychomotor changes

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3
Q

mixed subtype MDD

A

symptoms of mania (insomnia, racing thoughts, increased energy)

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4
Q

psychotic subtype MDD

A

with accompanying psychosis (hallucinations, delusions)

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5
Q

atypical subtype MDD

A

reactivity to pleasurable stimuli, hyperphagia, hypersomnia

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6
Q

melancholic subtype MDD

A

anhedonia, psychomotor changes, insomnia, decreaed appetite

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7
Q

peripartum subtype MDD

A

during pregnancy or w/i 4 weeks after

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8
Q

seasonal subtype MDD

A

associated with a particular season

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9
Q

what are the genetic/biological risk factors for MDD

A

Neurotransmitter expression / sensitivity
Serotonin, norepinephrine, glutamate, GABA, dopamine
Response to antidepressant drugs
FH of depression or alcoholism

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10
Q

what are the life event risk factors for MDD

A

Adversity or loss of loved one, job, or relationship
Early childhood trauma
Postpartum period

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11
Q

what are the personality risk factors for MDD

A

Low self-esteem
Sensitive to stressors
Insecure or worried
Dependent or unassertive
Introverted

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12
Q

what are the social risk factors for MDD

A

Lack of close relationships
Close individuals with depression
Maladaptive learned behaviors from close individuals

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13
Q

what are the medical condition risk factors for MDD

A

Neurologic, Infectious, Cardiac, Endocrine (adrenal/thyroid), Cancer, Inflammatory

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14
Q

what is the timeline of a major depressive episode

A

episodes develope over days-weeks but have an average resolution time of 20 weeks

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15
Q

what are ways the disease could cary among patients

A

Single major depressive episode that resolves
Multiple episodes with few to no s/s between episodes
Persistent, fluctuating depressive s/s with no clear “remission”

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16
Q

what is mild/moderate depression and outpatient treatment criteria

A

No suicidal/homicidal ideation or behavior
No psychotic features
Minimal to no aggressiveness
Intact judgement
Able to perform basic ADL and maintain adequate nutritional/hydration status

17
Q

what is severe depression and inpatient treatment criteria

A

Suicidal/homicidal ideation or behavior with specific plan or intent
Psychosis
Catatonia
Impaired judgement that puts patient/others at risk for harm
Grossly impaired functioning affecting ability to care for self