Mood and Bipolar Disorders (Module 8) Flashcards

1
Q

Criteria for Major Depressive Episode (Duration)

A

5 or more in a 2-week period
One must be Depressed mood or loss of interest

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2
Q

Criteria for Major Depressive Episode (symptoms)

A

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

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3
Q

Disruptive Mood Dysregulation Disorder
Time/Age

A

ages 6-18
Onset before age 10
present for 12 months with no longer than 3 months without all symptoms

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4
Q

Disruptive Mood Dysregulation Disorder
Symptoms

A

Severe recurrent temper tantrums
Inconsistent with developmental level
Occurs at least 3 x week
Persistent irritable mood most of the day nearly every day

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5
Q

Persistent Depressive Disorder

A

Chronic depressed mood for at least 2 years more days than not (1 year for children and adolescents)

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6
Q

Premenstrual Dysphoric Disorder

A

5 or more symptoms present in the final week before menses and improving within a few days after onset

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7
Q

symptoms (criteria) for Premenstrual Dysphoric Disorder

A

Must be significant: Affective lability, Irritability, depressed mood/hopelessness, anxiety/tension

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8
Q

MDD mnemonic

A

Suicidal thoughts
Interest
Guilt
Energy
Concentration
Appetite
Psychomotor changes
Sleep disturbance

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9
Q

Mnemonic for Mania

A

Distractibility
Indiscretion
Grandiosity
Flight of ideas
Activity Increased
Sleep deficit
Talkativeness

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10
Q

Major Depression
# of symptoms/time

A

5+/2 weeks

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11
Q

Dysthymic # of symptoms/time

A

2+/2 years

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12
Q

Manic Episode
# of symptoms/time

A

3+/1 week

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13
Q

Hypomania
# of symptoms/time

A

3+/4 days

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14
Q

Difference between bipolar I and bipolar II

A

Bipolar I: Must include manic episode
Bipolar II: Mostly depressive symptoms with occasional hypomania

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15
Q

Who is at risk to develop mania induced by antidepressant therapy?

A

those with family history of bipolar or manic episodes

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16
Q

Medication for bipolar disorder that is protective against suicide?

A

lithium

17
Q

Differential diagnoses for bipolar

A

substance use disorders, seizure disorders, metabolic, endocrine

18
Q

How are depressive symptoms different in adolescents and children

A

They exhibit more physical complaints such as stomachs. Behavioral changes manifest as social isolation, loss of interest, irritability

19
Q

Pregnancy and bipolar

A

Lithium is considered safer than most meds
Taper slowly
Risk of Ebsteins anomaly (tricuspid insufficiency)

20
Q

goal/treatment for acute mania

A

Physiologic stability: Get labs and VS. Treat any dehydration, treat with SGA or lithium. Short course of sedative may be warranted for insomnia