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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
Q

Bipolar 1 Disorder

A

Must have at least 1 Manic or Mixed Episode

26
Q

Must have had a least 1 Manic or Mixed episode is what type of Bipolar?

A

Bipolar 1

27
Q

What usually presents before the manic/mixed episode with Bipolar 1 Disorder but is not necessary?

A

Major Depressive Episode

28
Q

Which type of Bipolar Disorder is more common?

A

Bipolar 2

29
Q

Bipolar 2 Disorder

A

Must have at least 1 Major Depressive Episode + 1 Hypomanic Episode
– ABSENCE of manic/mixed episode

30
Q

1 Major Depressive episode + 1 hypomanic episode?

A

Bipolar 2 Disorder

31
Q

What differentiates Bipolar 2 from Bipolar 1 Disorder?

A
  • NO manic/mixed episode

- (+) Major Depressive Episode

32
Q

What are 1st line treatment options for Bipolar Disorders?

A

Mood stabilizers

= Lithium, Valproic Acid

33
Q

Lithium and Valproic Acid (mood stabilizers) are first line agents for?

A

Bipolar Disorders

34
Q

What is another common agent used for Bipolar Disorders?

A

Carbamazepine

35
Q

What is a Cyclothymic Disorder?

A

Dysthmyic disorder with intermittent hypomanic periods

36
Q

Dysthmyic disorder with intermittent hypomanic periods is?

A

Cyclothymic Disorder

37
Q

What are the symptoms of Cyclothymic Disorder?

A

For at least 2 years, patient has repeated episodes of hypomania and depression
– Not severe enough to meet criteria for Major Depressive Disorder

38
Q

How long do the symptoms have to be present for Cyclothymic Disorder?

A

At least 2 years for adults

At least 1 year for kids

39
Q

What are 5 Anxiety Disorders?

A 
Separation Anxiety Disorder
Panic Disorder
Agoraphobia 
Social Anxiety Disorder
Generalized Anxiety Disorder
40
Q

What defines a Panic Disorder?

A

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
Q

What defines a Panic Disorder?

A

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
Q

Panic attack is a period of intense ___

A

Fearr

43
Q

How long does a Panic Attack usually last and when does it peak?

A

Peaks at 10 minutes

– Lasts less than 25 minutes

44
Q

What are some symptoms of a Panic Attack?

A 
Palpitations
Chest pain
SOB
Sweating/Shaking
Dizziness
45
Q

Agoraphobia

A

Anxiety about being in situations from which escape might be difficult or help might not be available

46
Q

Anxiety about being in situations from which escape might be difficult or help might not be available

A

Agoraphobia

47
Q

Generalized Anxiety Disorder

A

Excessive worry for most of the day for more days than not > 6 months

48
Q

Excessive worry for most of the day for more days than not for > 6 months

A

Generalized Anxiety Disorder

49
Q

What are the Obsessions with Obsessive-Compulsive Disorder?

A

Recurrent intrusive thoughts/images causing distress

– DOES NOT EQUAL WORRY

50
Q

What are the Compulsions with Obsessive-Compulsive Disorder?

A

Repetitive behaviors aimed at decreasing distress or preventing dreaded events

51
Q

How long do the obsessions/compulsions occupy in a single day?

A

Greater than 1 hour of the day

– Impairs ability to function

52
Q

Do patients with Obsessive-Compulsive Disorder know that their obsessions/compulsions are unreasonable?

A

YES

53
Q

Do patients with Obsessive-Compulsive Personality Disorder know that their obsessions/compulsions are unreasonable?

A

NO

NMSP - Exam 3 (22 decks)

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