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NMSP - Exam 3 > Mood Disorders > Flashcards

Mood Disorders Flashcards

1
Q

How long must Major Depressive Episodes last?

A

At least 2 weeks

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2
Q

What are the symptoms of a Major Depressive Episode?

A
  • Depressed mood
  • Loss of interest
  • 3 others – (insomnia, weight changes, fatigue, guilt, etc.)
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3
Q

For a Major Depressive Episode, the feelings they are experiencing must be present for at least 2 weeks and how often in that time frame?

A

Every day!

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4
Q

Major Depressive Disorder

A

Greater than 1 Major Depressive Episodes in the ABSENCE of mania/hypomania/mixed episodes

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5
Q

What must be ABSENT with Major Depressive Disorder?

A

Absent manic/hypomanic/mixed episodes

– Only 1+ Major Depressive Episodes

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6
Q

What are common symptoms of Major Depressive Disorder/Episode?

A 
Depressed mood
Loss of interest
Insomnia
Weight changes
Fatigue
Guilt
Decreased concentration
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7
Q

What are 2 therapies that can be used for treatment-resistant depression?

A 
Electroconvulsive Therapy (ECT)
Transcranial Magnetic Stimulation (TMS)
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8
Q

What does ECT induce and treat?

A

Induces a seizure

– Treats Depression

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9
Q

What does TMS activate and treat?

A

(+) neuronal pathways

– Treats Depression

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10
Q

Persistent Depressive Disorder (Dysthymia)

A

Depressed mood for most of the day for > 2 years that has not been severe enough to meet criteria for Major Depressive Episode

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11
Q

How long must the depressed mood be present for with Persistent Depressive Disorder (Dysthymia)?

A

Adults: >2 years
Children: > 1 year

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12
Q

Depressed mood for most of the day for longer than 2 years

A

Persistent Depressive Disorder (Dysthymia)

– Not severe enough to meet criteria for major depressive disorder

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13
Q

A person with Dysthymia cannot be symptom free for how long in that 2 year time span?

A

More than 2 months

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14
Q

When does Depression with Seasonal Pattern start and remit?

A

Starts: Fall/Winter
Remits: Summer

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15
Q

A person with Depression with a Seasonal Pattern will sleep and eat more. What is a possible solution?

A

Light therapy

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16
Q

When does Premenstrual Dysphoric Disorder occur and what are some symptoms?

A

1 week before menses

= Irritability, sleep issues, anxiety and depression

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17
Q

What are some treatment options for Premenstrual Dysphoric Disorder?

A

Exercise, diet, relaxation therapy

SSRIs during cycle or 2 weeks prior

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18
Q

How long does a Manic Episode have to last?

A

At least 1 week

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19
Q

What are some symptoms of a Manic Episode?

A

Inflated self esteem (grandiosity)
Decreased need for sleep
More talkative with racing thoughts and flights of ideas
Increased goal-oriented behavior
Excessive involvement in pleasurable activities

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20
Q

What are some symptoms of a Manic Episode?

A

Inflated self esteem (grandiosity)
Decreased need for sleep
More talkative with racing thoughts and flight of ideas
Increased goal-oriented behavior
Excessive involvement in pleasurable activities

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21
Q

How long does a Hypomanic Episode last?

A

At least 4 days

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22
Q

What is a Hypomanic Episode?

A

Similar to Manic episode but LESS SEVERE

23
Q

What differentiates a Hypomanic Episode from a Manic Episode?

A
  • No psychotic features

- NO social/occupational impairment

24
Q

What differentiates a Hypomanic Episode from a Manic Episode?

A

Lasts at least 4 days

  • No psychotic features
  • No social/occupational impairment
25
Bipolar 1 Disorder
Must have at least 1 Manic or Mixed Episode
26
Must have had a least 1 Manic or Mixed episode is what type of Bipolar?
Bipolar 1
27
What usually presents before the manic/mixed episode with Bipolar 1 Disorder but is not necessary?
Major Depressive Episode
28
Which type of Bipolar Disorder is more common?
Bipolar 2
29
Bipolar 2 Disorder
Must have at least 1 Major Depressive Episode + 1 Hypomanic Episode -- ABSENCE of manic/mixed episode
30
1 Major Depressive episode + 1 hypomanic episode?
Bipolar 2 Disorder
31
What differentiates Bipolar 2 from Bipolar 1 Disorder?
- NO manic/mixed episode | - (+) Major Depressive Episode
32
What are 1st line treatment options for Bipolar Disorders?
Mood stabilizers | = Lithium, Valproic Acid
33
Lithium and Valproic Acid (mood stabilizers) are first line agents for?
Bipolar Disorders
34
What is another common agent used for Bipolar Disorders?
Carbamazepine
35
What is a Cyclothymic Disorder?
Dysthmyic disorder with intermittent hypomanic periods
36
Dysthmyic disorder with intermittent hypomanic periods is?
Cyclothymic Disorder
37
What are the symptoms of Cyclothymic Disorder?
For at least 2 years, patient has repeated episodes of hypomania and depression -- Not severe enough to meet criteria for Major Depressive Disorder
38
How long do the symptoms have to be present for Cyclothymic Disorder?
At least 2 years for adults | At least 1 year for kids
39
What are 5 Anxiety Disorders?
``` Separation Anxiety Disorder Panic Disorder Agoraphobia Social Anxiety Disorder Generalized Anxiety Disorder ```
40
What defines a Panic Disorder?
Recurrent unexpected panic attacks + 1 month or more of 1 of the following: - Concern about additional attacks - Worry about consequences of attacks - Change in behavior related to attack
41
What defines a Panic Disorder?
Recurrent unexpected panic attacks + 1 month or more of 1 of the following: - Concern about additional attacks - Worry about consequences of attack - Change in behavior related to attack
42
Panic attack is a period of intense ___
Fearr
43
How long does a Panic Attack usually last and when does it peak?
Peaks at 10 minutes | -- Lasts less than 25 minutes
44
What are some symptoms of a Panic Attack?
``` Palpitations Chest pain SOB Sweating/Shaking Dizziness ```
45
Agoraphobia
Anxiety about being in situations from which escape might be difficult or help might not be available
46
Anxiety about being in situations from which escape might be difficult or help might not be available
Agoraphobia
47
Generalized Anxiety Disorder
Excessive worry for most of the day for more days than not > 6 months
48
Excessive worry for most of the day for more days than not for > 6 months
Generalized Anxiety Disorder
49
What are the Obsessions with Obsessive-Compulsive Disorder?
Recurrent intrusive thoughts/images causing distress | -- DOES NOT EQUAL WORRY
50
What are the Compulsions with Obsessive-Compulsive Disorder?
Repetitive behaviors aimed at decreasing distress or preventing dreaded events
51
How long do the obsessions/compulsions occupy in a single day?
Greater than 1 hour of the day | -- Impairs ability to function
52
Do patients with Obsessive-Compulsive Disorder know that their obsessions/compulsions are unreasonable?
YES
53
Do patients with Obsessive-Compulsive Personality Disorder know that their obsessions/compulsions are unreasonable?
NO

NMSP - Exam 3 (22 decks)

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