MOOD 1

Question 1

Pathological gambling is most highly associated with what other psychiatric disorder?

Answer 1

Mood disorders, particularly MDD.

Question 2

1. Children with depression will often present with what, rather or in conjunction with low mood?
2. What other symptoms suggests that a child is depressed?

Answer 2

1. Irritability

2. somatic complaints, psychomotor agitation and mood congruent hallucinations.

Question 3

What is the treatment of choice for depression following a heart attack?

Answer 3

SSRI

SSRI act on serotonin receptors on platelets to reduce aggregation and decrease risk of another heart attack.

Question 4

What is SAD?

What is the diagnostic criteria for SAD (Seasonal Affective disorder)

Answer 4

SAD = Is a non DSM diagnosis, but rather a specifier of “with seasonal pattern” that gets applied to bipolar or MDD.

SAD criteria = Two depressive episodes in the same season, in the previous 2 years, with complete resolution in between episodes

AND

seasonal depressive episodes must outweigh non-seasonal depressive episodes in lifetime.

Question 5

What is the preferred treatment of Seasonal Affective Disorder?

What type of appetite cravings are typical of SAD episodes?

Answer 5

Light therapy

CARB cravings

Question 6

What adverse outcome can occur in light therapy for SAD?

Answer 6

Can precipitate hypomania or mania.

Question 7

What is LOGORRHEA and in what disease do you commonly see?

Answer 7

Excessive, uncontrolled talking. Commonly seen in mania.

Question 8

Seasonal Affective Disorder is often characterized by what depressive symptoms? (Hint: vitals sense changes)

Answer 8

Hyperphagia (especially carb cravings), hypersomnia, and psychomotor retardation.

Question 9

For SAD light therapy….How long should you do treatment per day?

Answer 9

20-30 min a day during the season you are depressed (fall and/or winter)

Question 10

How does age effect suicide risk?

Answer 10

Increases risk overall. Less likely to attempt but more likely to succeed.