Mood and Bipolar Disorders (Module 8) Flashcards
Criteria for Major Depressive Episode (Duration)
5 or more in a 2-week period
One must be Depressed mood or loss of interest
Criteria for Major Depressive Episode (symptoms)
Depressed mood for most of the day
Decreased interest
Weight loss or gain (>5%)
Insomnia/hypersomnia
Psychomotor agitation or retardation
Fatigue/loss of energy
Worthlessness
Poor concentration
Thoughts of death
Disruptive Mood Dysregulation Disorder
Time/Age
ages 6-18
Onset before age 10
present for 12 months with no longer than 3 months without all symptoms
Disruptive Mood Dysregulation Disorder
Symptoms
Severe recurrent temper tantrums
Inconsistent with developmental level
Occurs at least 3 x week
Persistent irritable mood most of the day nearly every day
Persistent Depressive Disorder
Chronic depressed mood for at least 2 years more days than not (1 year for children and adolescents)
Premenstrual Dysphoric Disorder
5 or more symptoms present in the final week before menses and improving within a few days after onset
symptoms (criteria) for Premenstrual Dysphoric Disorder
Must be significant: Affective lability, Irritability, depressed mood/hopelessness, anxiety/tension
MDD mnemonic
Suicidal thoughts
Interest
Guilt
Energy
Concentration
Appetite
Psychomotor changes
Sleep disturbance
Mnemonic for Mania
Distractibility
Indiscretion
Grandiosity
Flight of ideas
Activity Increased
Sleep deficit
Talkativeness
Major Depression
# of symptoms/time
5+/2 weeks
Dysthymic # of symptoms/time
2+/2 years
Manic Episode
# of symptoms/time
3+/1 week
Hypomania
# of symptoms/time
3+/4 days
Difference between bipolar I and bipolar II
Bipolar I: Must include manic episode
Bipolar II: Mostly depressive symptoms with occasional hypomania
Who is at risk to develop mania induced by antidepressant therapy?
those with family history of bipolar or manic episodes
Medication for bipolar disorder that is protective against suicide?
lithium
Differential diagnoses for bipolar
substance use disorders, seizure disorders, metabolic, endocrine
How are depressive symptoms different in adolescents and children
They exhibit more physical complaints such as stomachs. Behavioral changes manifest as social isolation, loss of interest, irritability
Pregnancy and bipolar
Lithium is considered safer than most meds
Taper slowly
Risk of Ebsteins anomaly (tricuspid insufficiency)
goal/treatment for acute mania
Physiologic stability: Get labs and VS. Treat any dehydration, treat with SGA or lithium. Short course of sedative may be warranted for insomnia
