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Abnormal Psyc > Mood Disorder > Flashcards

Mood Disorder Flashcards

1
Q

mood disorders

A

characterized by sever, enduring disturbances in mood
ranges from extreme elation to extreme depression
unipolar vs. bipolar

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2
Q

Name the of episodes

A

major depressive episode (MDE)
manic episode
hypomanic episode
mixed features

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3
Q

Major depressive episode (MDE)

A

cognitive and physical symptoms
anhedonia - lack of enery or interest
lasts at least 2 weeks
is it related to grief? if so it is not MDE

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4
Q

Manic episode

A 
1 week or less
exaggerated elation, euphoria 
no depression is involved, up 
cognitive symptoms, extreme self esteem, grandiosity 
depressed need for sleep
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5
Q

Hypomanic episode

A

not as high of a mood as manic
less severe
at lest 4 days
never hospitalized

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6
Q

Mixed features

A

not an episode but something to note
feeling both elation and depression at the same time
at least 3 symptoms of another episode (MDE+manic)

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7
Q

Manic depressive disorder (MDD)

A

overwhelming sadness, despair, hopelessness, inability to experience pleasure/loss of interest and anhedonia
absence of manic and hypomanic episodes
85% of people who have one episode have more

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8
Q

MDD differential diagnosis

A

not due to medical condition
substance/medication induced
anxiety disorders

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9
Q

Additional criteria for MDD

A

specify if episode is mild, moderate or severe
is it single or recurrent
specify features of current/most recent episode
-with mixed features

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10
Q

Anxious distress

A

at least 2 anxiety symptoms during the majority of MDE

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11
Q

With melancholic features

A

more severe physical symptoms

ex. weight loss, no sex drive, anhedonia, early morning awakening, guilt with no need for it.

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12
Q

With atypical feautres

A

over sleeping and over eating / weight gain

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13
Q

with psychotic features

A

delusions and/or hallucinations present

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14
Q

with catatonic features

A

absence of movement
muscles and body parts semi rigid
rare

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15
Q

with seasonal pattern

A

in recurrent MDD , episodes only occur at certain times of the year

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16
Q

seasonal affective disorder

A

2+ years of seasonal MDEs w/out any MDEs during any other time

17
Q

Persistent Depressive Disorder (dysthymia) (PDD)

A

Persistent depressed mood w/ low self esteem, withdrawal, pessimism, and/or despair for 2 years
can not be w/our symptoms for more than 2 months typical early onset adolescence
early onset is before 21 w/ greater chronicity
stronger likelihood of family history
may last decades

18
Q

Double Depression

A

MDD+PDD
specify mild, moderate, severe or if there are mixed features
PDD occurs first

19
Q

Specific to PDD

A

w/ pure dysthymic symdrome
full criteria for MDE has not been met in 2 years
w/ persistent MDE, full criteria for MDEs have been met
w/ intermittent MDEs w/ current episode

20
Q

Average onset of MDD

A

30

21
Q

incidence rates by age group

A

5-12 5%
13-17 19%
18-23 24%
24-30 16%

22
Q

risk for developing is

A

low before adolescence

23
Q

World wide prevalence of MDD and PDD

A

MDD 16% lifetime 6% year

PDD 3.5% lifetime + year

24
Q

Sex ratios MDD, PDD, children

A

MDD wome 2-3 times more likely than med at adolescence
PDD 2:1 women to men
Children 1:1

25
Q

age based influences

A

rates increase in elderly populations

late onset of MDD

26
Q

Substance/medication - induced depressive disorder

A

related to substance abuse

differential diagnosis for MDD+PDD

27
Q

Depressive disorder due to medical condition

A

e.g. thyroid gland

28
Q

other specified depressive disorder

A

clinical distress and impairment but does not meet full criteria for depressive disorder; insufficient symptoms for MDE, recurrent brief depression (2-13 days) over 12 month period

29
Q

unspecified depressive disorder

A

clinical distress and impairment but does not meet full criteria for a depressive disorder; insufficient information to make more specific diagnosis

30
Q

Bipolar disorder 1

A 
alternating MDEs and manic episoded 
1% lifetime, 0.8% year 
sex ration 1:1 
average onset 15-18 years
chronic course 
acute onset
31
Q

Bipolar disorder 2

A

alternating MDEs and hypomanic episodes

Abnormal Psyc (17 decks)

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