Mood Disorder Flashcards
1
Q
MDD dsm A. At least 5 sx within 2 weeks B. Sign impair C. Not attribute to physio meds D. Exclude schizo, delusional d/o E. No mania or hypomania
A
Depressed mood Enhedonia Psychomotor agitation/retard Rubbish feels Eating low (weight loss) Sleep disturb Sense of concentration Energy low Death thought
2
Q
Specifier for MDD (PADAMM)
A
- Psychotic feature (mood cong/incong)
- Anxious distress
- Atypical
- Melancholic
- Mixed features
3
Q
Indication of Ect
A
- psychosis
- catatonia
- self harm (not eat, suicide attempt)
- severe fx impair (inability to self care)
4
Q
Persistent depression disorder (PDD)
A
Presence of at least 2 yrs of depressive mood but not sufficiently severe to fit the MDE dx
5
Q
Rx of depression
A
- Assess severity based on typical sx and common sx
- Can be divided into pharmacological and non
- Start w SSRI for 1 month ( , Fluoxetine, Sertraline)
- Adjunct with benzodiazapine (2-4weeks)
- Achieve remission, still on continuation phase for 6-9 months
- If relapse >2ep, on continuation phase at least 2 yrs
6
Q
Bipolar type I
At least one manic
A
GST PAID Grandiose Sleep low Talkative Painful consequences Activity (goal directed) Idea Distractibility
7
Q
Lithium SE
A
- GIT upset
- polyuria, polydipsia
- hypothyroidism, hyper parathyroid
- increase wt
8
Q
Mx of BPD
A
- in view if harm to others, i would like to hospitalized this pt.
- In acute manic, i would give combined therapy (MS +AP). since mood stabilizers (T. Epilim 600mg) action is delayed. Thus, i would like to give together with antipsychotic (T. Olanzapine 5mg)
