Mood and Affect Flashcards
What is mood
What the patient feels “I feel ____”
What is affect
Emotional state we observe
“The nurse observed ____”
The highs in mood disorder
OVer excitement
Restlessness
High sex drive
Decreased need for sleep
Making unrealistic plans
Cecoming more impulsive
Drug and alcohol abuse
The lows in mood
Sadness, Insomnia. Thought os suicide, Uncontrollable crying, Changes in appetite, Loss of energy, Trouble concentrating, Trouble making decisions
Major depressive differences
Symptoms last 2 weeks
History of anhedonia and psychomotor symptoms
Have weight change, excessive guilt and suicide ideation
Dysthymia differences
symptoms last 2 years
Has no history of mania or major depression
Have poor appetite, low self esteem and hopelessness
Similarities between major depression, and dysthamia
decreased mood and energy
disturbed sleep
poor concentration
indecisiveness
Suicicde
11th leading cause of deaths in the US
more common among Caucasians thens African Americans and hispanics
higher rates among the elderly and more likely in women
Depression, emotional symptoms
Sadness, anxiety, guilt, anger
Depression, thought symptoms
self-criticism, impaired memory, indecisiveness, confusion, thought of death or suicicde
Depression, physical symptoms
chronic fatigue, lack of energy, sleeplessness
Depression, behavior symptoms
withdrawal from others, neglect of responsibility, change in personal appearance
Importance in assessment for suicude
The suicidal desire-ideation
Suicide capability- Past attempt
Suicidal intent- Plan
Risk factors for suicide
History of substance abuse, diabilities or illnesses, losing someone from suicide, bullying, mental health, relationship problems, previous suicide attempts
Depressive disorder
The most common type of dual diagnosis that co-occurs with substance abuse
What are some preventative factors to suicide
Parent connectedness, school safety, Caring friends, overall resilience, safe neighborhood, awareness to access go health services, academic achievments
Hypothyroidism
Hair loss, memory problems, constipation, depression, mood swings, high cholesterol, joint and muscle pains, weight gain
Hyperthyroidism
Bulging eyes, heart palpitations, weight loss, diarrhea, anxiety and nervousness, depression and mood swings, shortness of breath
What are the antidepressants to take
Tricyclic, SSRI, MAO inhibitors
Tricyclic’s
For depression
Prevent reuptake of norepinephrine and serotonin
MA Oinhibitors
elevate level of norepinephrine and serotonin by blocking deactivating enzyme
SSRI
blocks the reuptake of seratonin
MANIC EPISODE
Mood swings
Active;aggressive
Nothing is wrong
Irritable
Can’t sit still
Euphoric mood
Poor judgment
Increased sexual interest
Substance abuse
Omnipotent feelings
Decreased need for sleep
Endless energy
Bipolar type 1 parts
All 5
Major depressive to mania
-10-10
Bipolar type 2
All but mania
Major depressive to hypomania
-10-6
Cyclothymia
Doesn’t get too low and doesn’t get too high
Dysthymia toHypomania
Antipsychotics
Block serotonin receptors
EPS
Side effects of antipsychotic medicines
Cause movement and muscle control problems throughout the body
EPS symptoms
Pseudoparkinsonism
Acute dystoria
Tardive dyskinesia
Akathisia
Pseudoparkinsonism
stooped posture, shuffling gait, rigidity, bradykinesia, pill rolling motion of hand
Acute dystoria
Face grimacing, involuntary upward eye movement
muscle spasms tongue
laryngeal spasm
Tardive dyskinesia
sunken/smmacking lips, chewing motion, rolling of tongue, involuntary movements
Akathsisia
Restlessness, trouble standing still, pacing
