Mood Disorders

Question 1

What is the first line of treatment for Bipolar Disorder?

Answer 1

Pharmacology

Question 2

Rhea is experiencing anhedonia as part of her diagnosis of major depressive disorder. Based on the case information provided, which occupation many be MOST impacted by this symptom?
a) Multi-tasking at work
b) Socializing with her friends
c) Sleep
d) Financial management

Answer 2

Socializing with her friends

Question 3

Rhea has gone through a contentious divorce and while she used to be outgoing and upbeat, over the last several months increasingly feels sad,
empty and hopeless nearly every day, most of the day. She is having
difficulty concentrating on her work tasks as an executive assistant and
frequently takes long pauses to respond and cannot type as quickly as
usual. She no longer finds pleasure in walking with friends and is
becoming increasingly socially isolated- which is making her feelings of
hopelessness worse.
Rhea’s symptoms are most consistent with what health condition:
a) Bipolar Disorder II
b) Major Depressive Disorder
c) Social Isolation
d) Cyclothymia

Answer 3

Major depressive disorder

Question 4

A person must experience 5 of the following symptoms for diagnosis of what disorder?
* Depressed mood
* Feeling hopeless
* Feeling sad
* Feeling emotionally empty
* Anhedonia
* Loss of body weight without dieting
* Gain in body weight (can be a side effect of medication)
* Altered sleep
* Change in psychomotor behavior
* Fatigue/loss of energy
* Feelings of worthlessness or guilt
* Impaired cognition
* Thoughts of death or suicide

Answer 4

Major depressive disorder

Question 5

Symptoms of major depressive order persist for most of the day, nearly everyday

True or False?

Answer 5

True

Question 6

Despite ongoing research, there is still no one known cause of mood disorders, both major depressive disorder and bipolar disorder are widely believed to result from

Answer 6

A complex combination of biological, genetic and psychosocial factors

Question 7

Major depressive disorder in children may exhibit different symptoms than those of adults, these symptoms may include:

Answer 7

Irritability, negativity, acting clingy or overly needy, behavioral problems in school, refusing to attend school, and fear of a parent’s death

Question 8

In older adults the risk of major depressive disorder may increase with…

Answer 8

Physical and/or chronic illness, disease, or disability

Question 9

Pharmacology for major depressive disorder often involves what type of medication?

Answer 9

Antidepressant medications which work to regulate neurotransmitters (Particularly serotonin and norepinephrine)

Question 10

Side effects for antidepressant medications may include:

Answer 10

Sedation, nausea, headache, agitation, sexual dysfunction, dry mouth, constipation, blurred vision, increased risk of stroke

Question 11

Side effects of all antidepressants can range from minor to life-threatening depending on the individual, this can result in ____________

Answer 11

Medication non-compliance

Question 12

Side effects for mood stabilizer medications may include:

Answer 12

Sedation, weight gain, tremors, dry mouth, excessive thirst, restlessness, acne, gastric irritation, kidney malfunction

Question 13

The first-line of treatment for major depressive disorder involves…

Answer 13

Psychological treatment (CBT and mindfulness based CBT)

Question 14

Major depressive disorder has a highly variable course with 1 in 3 becoming chronic

True or false?

Answer 14

True

Question 15

SSRIs, SNRIs, MAOIs are all which type of medication

Answer 15

Antidepressants

Question 16

Name some activities of daily living that may be affected by a mood disorder such as bipolar disorder or major depressive disorder

Answer 16

The ability to care for personal health such as eating well, following a healthy diet, sleeping regularly and exercising may be impaired.

Previously maintained routines may be disrupted.

Question 17

Symptoms of avolition and anhedonia seen in depressive episodes may affect activities of daily living in what way?

Answer 17

Decrease motivation for exercise, proper nutrition, grooming, and hygiene

Question 18

Symptoms of distractibility, impulsivity, and psychomotor disturbances that are characteristics of a manic or hypomanic episode can interfere with…

Answer 18

Quality of self-care, sleep patterns, sleep quality

Question 19

For individuals who continue to experience residual symptoms between episodes it can be even more difficult to re-engage in meaningful life roles. The individual dealing with recurring depressed, manic, or cycling moods has great difficulty managing daily tasks that involve…

Answer 19

Work, school, parenting/caregiving, home maintenance and healthy leisure.

Question 20

Involvement in healthy leisure activities is usually limited in those with a mood disorder. Those with major depressive disorder are likely to …

Answer 20

Socially isolate and cease participation in activities due to symptoms of anhedonia (inability to feel pleasure) and avolition (lack of motivation)

Question 21

During a ______ or _______ episode, individuals may experience an initial burst of creative, goal-directed energy, but they are more likely to engage in risky or dangerous activities and, over time, to become more unable to organize time and activities.

Answer 21

Manic or hypomanic

Question 22

What is the main difference between bipolar I and bipolar II disorders?

Answer 22

The main difference between bipolar I and bipolar II disorders lies in the severity of the manic episodes caused by each type.

A person with bipolar I will experience a full manic episode, while a person with bipolar II will experience only a hypomanic episode (a period that’s less severe than a full manic episode)

Question 23

Dysthymia is also known as…

Answer 23

Persistent depressive disorder

Question 24

Bipolar disorder I may present with hallucinations or delusions

True or False?

Answer 24

True

Question 25

In children, ______ may present as: happiness, silliness, ‘goofiness’ but is inappropriate to context, beyond what is expected at developmental level; inappropriately recurrent outside of special occasions

Answer 25

Mania

Question 26

______________ is the first-line of recommended treatment for bipolar disorder

Answer 26

Pharmacology