Mood 4 Flashcards
Most suicides (95%) are done by individual with psychiatric illness. What psychiatric illness accounts for the most suicides?
MDD (80% of suicides)
Difference between postpartum blues and postpartum depression?
Post partum blues = usually 2 week period of feeling emotional, dysphoric, sad.
Post partum depression = more severe, neurovegetative symptoms, MDD symptoms, and possible SI.
What the the gender prevalence for BPAD and MDD?
BPAD is M = F
MDD is F > M
What percentage of those with MDD receive specific treatment?
About 50%.
Melancholic subtype of MDD presents with what (5) symptoms?
What class of antidepressants are classically shown to be effective in this type of depression?
- Lack of mood reactivity (no improvement with pleasurable stimuli)
- Anhedonia
- Diurnal variation
- Early morning awakening
- Excessive guilt
Classically responds to TCAs.
what are the 5 main Atypical depression features?
What class of antidepressants are classically shown to be effective in this type of depression?
- Hypersomnia
- Weight gain
- Leaden paralysis
- Sensitivity to interpersonal rejection
- Mood reactivity present (improvement with pleasurable stimuli)
MAOI
What is catalepsy vs cataplexy?
Catalepsy = feature of catatonia where you maintain posture.
(think of a cat leaping frozen mid air)
Cataplexy = sudden loss of muscle tone, associated with narcolepsy.
What is the dx criteria for Persistent Depressive disorder?
Chronic depressive disorder that combined chronic MDD and dysthymic disorder.
Depressive mood symptoms for 2 year (1 year in children/adolescence) AND never without symptoms for greater than 2 month period.
Criteria for MDD episode may or may not be met during the two year period.
Early onset Persistent Depressive Disorder is highly comorbid with what personality disorders?
Cluster B and Cluster C
What is the temporal relationship of mood symptoms in premenstrual dysphoric disorder as it relates to Menses?
What is the mainstay treatment for PMDD?
Symptoms present 1 week before menses, improves within few days of menses, and becomes minimal after menses…symptoms present in majority of menstrual cycles.
SSRI - daily dosing preferred
OCP- Inhibit ovulation
Supplement - Calcium, Magnesium, B6 ***
