Mod 5 Treatment for Mood and Anxiety

Question 1

What are the four categories of modern treatment for mood disorders?

Answer 1

Psychotherapy
Medication
Neurostimulation
Integrative (complimentary)

Question 2

T or F
Is there one particular model of treatment that stands out for mood disorder treatment?

Answer 2

False

Question 3

Cultural competency in psychotherapy is:

Answer 3

Therapeutic relationship is situated within the social-economic sphere of patient AND clinician

Question 4

The best two psychotherapy treatments for unipolar depression are

Answer 4

IPT (interpersonal) and CBT

Question 5

CBT theory for treatment of mood disorders is:

Answer 5

Cognitive, that our emotional response to a situation is (partly) determined by our thoughts about the situation-(Beck’s take)

Question 6

Goal of CBT is:

Answer 6

Teach people to be aware of the meanings and attributions to life events and examine how those cognitions contribute to their emotional reactions.

Question 7

What is the typical session count for CBT?

Answer 7

16-20

Question 8

Behavioural activation is? And its aim is?

Answer 8

part of CBT: scheduling activities, listing fave 1-10.

Build locus of control over life, improve social schemas, sense of purpose

Question 9

What does IPT indicate as the underlying cause of depression?

Answer 9

Loss and disordered attachment, interpersonal issues in work, friends, family, intimate relationships

Question 10

The most effective treatment for Bi-polar?
What is their biggest issue?

Answer 10

Meds first, high relapse, lingering impairment in work, social, family

Question 11

Interpersonal and Social Rhythm Therapy (IPSRT) posits that:_____ and aims to teach

Answer 11

disruption of daily routines and IP conflict can cause relapse; aims to teach to regulate routine and cope with stressful events.

Question 12

The first anti-depressants were a byproduct of:

Answer 12

tuberculosis medication research

Question 13

the first two types of anti-depressants were:

Answer 13

TCA’s and MAOIs

Question 14

SSRIs came into use in the

Answer 14

1980s

Question 15

SSRIs weren’t much effective, but were better because

Answer 15

they were tolerated better (lower SAs)

Question 16

TCA’s mechanism of action?

Answer 16

• Block reuptake of NE and/or less commonly 5-HT

Question 17

TCAs are contraindicated with

Answer 17

cardiac conditions

Question 18

MAOIs mechanism?

Answer 18

Inhibiting the enzyme monoamine oxidase that breaks down monoaminergic NT’s (DA, NE, 5-HT) in presynaptic cell

Question 19

MAOIs are contraindicated with

Answer 19

foods rich in tyramine (chocolate, aged cheese, red wine), pseudoephedrine and other meds that act on 5-HT

Question 20

SSRIs mechanism?

Answer 20

block reuptake of 5-HT

Question 21

SSRI common side effects?

Answer 21

sexual dys, nausea, insomnia, sedation

Question 22

SNRI stands for?

Answer 22

Serotonin and norepinephrine reuptake inhibitors

Question 23

Mirapaex and modanfinil act on?

Answer 23

DA transmission

Question 24

factors in choosing a drug for a patient with unipolar?

Answer 24

Socio-economic profile, contraindications, family history, cost, depressive-subtype

Question 25

CANMAT is:

Answer 25

an algorithm that aids in speeding up choice and working around Rx issues

Question 26

Lithium acts on

Answer 26

excitatory NT’s: DA and GLUT (lowers)
Increases inhibits like GABA

Question 27

Lithium appears to preserve

Answer 27

brain volumes in PFC, Hippo, Amygdala

Question 28

Lithium is non-effective in about____and becomes ____ within 5 years in most people

Answer 28

40% of patients with Bi-Pol

Ineffective

Question 29

What other drug types are used in Bipolar treatment?

Answer 29

Anti-convulsants
Anti-psychotics (short term for acute or severe episodes)
Anti-depressants (on depressive phase, in conjunction with stabilizer)

Question 30

Seasonal affective disorder (SAD) is treated with

Answer 30

phototherapy and CBT

Question 31

treatment-resistant depression is shown in about___ and is defined as_____

Answer 31

40% of patients

failure to achieve remission after at least two med trials at appropriate dose/duration

Question 32

ECT now uses ____ and ____ to avoid convulsions during seizures

Answer 32

general anesthetic and muscle relaxant, and BP cuff on the ankle

Question 33

ECTs side effects on memory and cognition mean that it should only be considered in the face of

Answer 33

treatment-resistant depression or severe suicidal ideation

Question 34

the proposed mechanism of TMS works on left hypofrontality and aims to

Answer 34

increase activity in the left-dorsolateral PFC

Question 35

only _____ of those suffering from depression seek treatment

Answer 35

about half

Question 36

Early treatment for anxiety disorders

Answer 36

Benzos

Question 37

What is the most common drug for anxiety?

Answer 37

SSSRI

Question 38

psychotherapy for ANX theorizes that

Answer 38

anx and emo disorders are partly due to maladaptive thoughts and patterns

overestimating threats and underestimating their personal resources/ability to cope

Question 39

systematic desensitization works by

Answer 39

having the patient imagine the lowest feared stim and combining the image with a relaxing response

Question 40

The efficacy of psychotherapy depends on

Answer 40

alliance of therapeutic relationship, common factors, development of goal setting