Mood Disorders Flashcards
How long does normal Grief last?
< 12 months
To differentiate Grief from a Major Depressive Disorder, who is the focus on with Grief?
Focus is on the deceased
What is the acronym for symptoms of a Major Depressive Disorder?
SIG E CAPS
SIG E CAPS
Sleep
Interest
Guilt
Energy
Concentration
Appetite
Psychomotor
Suicidal
How many symptoms must be present to diagnose a Major Depressive Disorder?
Depressed mood + > 5 SIG E CAPS
How long must symptoms be present in order to diagnose a Major Depressive Disorder?
GREATER than 2 weeks
How long must symptoms be present in order to diagnose a Major Depressive Disorder?
GREATER than 2 weeks
If a patient has suicidal ideations and has a plan, what is the treatment?
Hospitalization
If a patient has suicidal ideations and no plan, what is the treatment?
Safety contract
If a patient does not have suicidal ideations with a Major Depressive Disorder, what is the treatment?
SSRIs and psychotherapy
What is the treatment for Major Depressive Disorder that is refractory to treatment or has signs of psychosis/catatonia?
ECT
What is Dysthymia?
Depressed mood for > 2 years that is not severe enough to diagnose as another disorder
What is the treatment for Dysthymia?
Psychotherapy/SSRIs or ECT
What is Cyclothymia?
Similar to Bipolar 2 (hypomania + MDE) for > 2 years that is not severe enough to diagnose as another disorder
What are the symptoms of Bipolar 2?
Hypomania + Major Depressive Episode
How long must symptoms be present in order to diagnose a hypomanic episode with Bipolar 2?
> 4 days
What are the symptoms of Bipolar 1?
Mania
- may or may not have history of a major depressive episode
What is the acronym of symptoms that occur with Mania in Bipolar 1?
DIG FAST
DIG FAST
Distractibility
Insomnia
Grandiosity
Flight of ideas
Activities
Sexual exploitations
Talkative with pressured speech
DIG FAST
Distractibility
Insomnia
Grandiosity
Flight of ideas
Activities
Sexual exploitations
Talkative with pressured speech
If a patient is manic with Bipolar 1 in the ED, what are the treatment options?
B52 = haloperidol, lorazepam, diphenhydramine
- or haloperidol alone
- or lorazepam (benzo) alone
Mood stabilizers are the treatment for Bipolar 1. What is the order that 4 of them should be considered?
- Lithium
- Valproic Acid
- Carbamazepine/Lamotrigine
- Quetiapine or another antipsychotic
How long must the manic symptoms be present in order to diagnose Bipolar 1?
> 1 week
If you use an SSRI to treat a Bipolar Disorder, what will occur?
MANIC EPISODE
If you start a patient with depressive symptoms on an SSRI and they develop mania, what is their diagnosis?
Bipolar Disorder
Postpartum Blues usually resolves within how long of delivery?
< 2 weeks
Signs of Postpartum Blues?
Depressed mood but still cares for the baby
Postpartum depression and psychosis usually occur with the first or later kids?
Later children
What are the signs of Postpartum Depression?
Depression symptoms and does not care about the baby
What is the treatment for Postpartum Depression?
SSRIs
What are the signs of Postpartum Psychosis?
Mom fears the baby and wants to kill it
What is the treatment for Postpartum Psychosis?
Anti-psychotics + supervised visits with the baby
