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Psychosocial > Mood Disorders > Flashcards

Mood Disorders Flashcards

1
Q

Mood disorders

A
  • a serious disturbance in mood or internal state

- mood is doctored or inconsistent with everyday functioning and interferes with it

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2
Q

2 categories of mood disorders

A
  1. depressive disorders

2. bipolar and related disorders

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3
Q

criteria for major depressive episode

A
  • 5+ symptoms in the same 2 week period
  • sleep: insomnia or hypersomnia
  • anhedonia
  • guilt
  • fatigue
  • decreased concentration
  • weight change
  • psychomotor retardation or agitation
  • suicidal thoughts
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4
Q

Major Depressive Disorder (MDD)

A
  • presence of a major depressive episode
  • not better explained by another diagnosis
  • no history of mania/hypomania/mixed episode
  • significant distress to daily life

average onset mid 20s
often comorbid with anxiety

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5
Q

Disruptive Mood Dysregulation Disorder

A

Children between 6-18yrs (onset before 10yrs)
•Persistent irritability and frequent episodes of out of control behavior
•Added to address concerns that bipolar was being over diagnosed

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6
Q

Persistent Depressive Disorder

A

Dysthymia (mild symptoms but longer period of time -2 yrs)

Includes chronic major depression

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7
Q

Premenstrual Dysphoric Disorder

A

more severe form of premenstrual syndrome (PMS)

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8
Q

other depressive disorders

A

Substance/Medication Induced depressive disorder
depressive disorder due to another medical condition
other specified or unspecified depressive disorder

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9
Q

Bipolar I Disorder

A

manic-depressive disorder that can exist both with and without psychotic features

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10
Q

Bipolar II Disorder

A

Depressive and manic episodes which alternate, are typically less severe, and do not inhibit function

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11
Q

Cyclothymic Disorder

A

Cyclic disorder that causes brief episodes of hypomania and depression that are recurrent >2 years but not severe to meet other criteria

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12
Q

other bipolar disorders

A

Substance/Medication-Induced Bipolar and Related Disorder •Bipolar and Related Disorder Due to Another Medical Condition •Other Specified Bipolar and Related Disorder •Unspecified Bipolar and Related Disorder

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13
Q

Manic episode

A 
- Elevated (or irritable) mood for >1 week for most of the day 
3+ of:
- Grandiosity 
- Decreased need for sleep 
- Pressured speech 
- Flight of ideas, racing thoughts
- Distractibility 
- Increased goal-directed activity 
- Excessive involvement in pleasurable activities with high risk
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14
Q

Bipolar I Disorder criteria

A
  • ***more severe
  • 1+ manic or mixed episode lasting at least a week OR mania so severe it requires hospitalization
  • no need for prior depressive episode
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15
Q

Bipolar II Disorder criteria

A
  • 1+ hypomanic episode
  • 1+ previous major depressive episode
  • less severe, but more difficult to diagnose
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16
Q

Assessment and Evaluation

A
  • intensity, severity, and duration of symptoms are obtained by observation, interview, and history
  • life events inventory can be helpful to identify triggering/significant events
  • mania easily observed
17
Q

Scales

A
  • Beck Depression Inventory-II (BDI-II)
  • Geriatric Depression Scale
  • Patient Health Questionnaire (PHQ-2, PHQ-9)
  • Mini Mental Status Exam (MSE)
  • Self-Rating Scales
  • OT Interview and Occupational Profile - Occupational Performance History Interview-2 (OPHI-2, COPM)
18
Q

Interventions - psychopharmacology

A

Antidepressants
•Selective Serotonin Reuptake Inhibitors (SSRIs) •Serotonin and Norepinephrine Reuptake Inhibitors (SNRIs)

Mood Stabilizers
•Used to treat hypomanic and manic episodes

Antipsychotics
•Lithium is the most used to treat bipolar disorder when mood stabilizers are not effective

19
Q

Interventions - non pharmacological

A

Psychotherapy

Cognitive-Behavioral Therapy (CBT)
•Focuses on the identification and management of negative thoughts, beliefs, and behaviors

Interpersonal Psychotherapy (IPT) 
•Learn to improve relationships with others by accurately communicating their feelings
20
Q

Brain stimulation techniques

A
  • Transcranial Magnetic Stimulation (TMS)
  • Electroconvulsive Therapy (ECT)
  • Deep Brain Stimulation

Psychosocial (16 decks)

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