Mood Disorders

Question 1

How long does normal Grief last?

Answer 1

< 12 months

Question 2

To differentiate Grief from a Major Depressive Disorder, who is the focus on with Grief?

Answer 2

Focus is on the deceased

Question 3

What is the acronym for symptoms of a Major Depressive Disorder?

Answer 3

SIG E CAPS

Question 4

SIG E CAPS

Answer 4

Sleep
Interest
Guilt
Energy
Concentration
Appetite
Psychomotor
Suicidal

Question 5

How many symptoms must be present to diagnose a Major Depressive Disorder?

Answer 5

Depressed mood + > 5 SIG E CAPS

Question 6

How long must symptoms be present in order to diagnose a Major Depressive Disorder?

Answer 6

GREATER than 2 weeks

Question 7

How long must symptoms be present in order to diagnose a Major Depressive Disorder?

Answer 7

GREATER than 2 weeks

Question 8

If a patient has suicidal ideations and has a plan, what is the treatment?

Answer 8

Hospitalization

Question 9

If a patient has suicidal ideations and no plan, what is the treatment?

Answer 9

Safety contract

Question 10

If a patient does not have suicidal ideations with a Major Depressive Disorder, what is the treatment?

Answer 10

SSRIs and psychotherapy

Question 11

What is the treatment for Major Depressive Disorder that is refractory to treatment or has signs of psychosis/catatonia?

Answer 11

ECT

Question 12

What is Dysthymia?

Answer 12

Depressed mood for > 2 years that is not severe enough to diagnose as another disorder

Question 13

What is the treatment for Dysthymia?

Answer 13

Psychotherapy/SSRIs or ECT

Question 14

What is Cyclothymia?

Answer 14

Similar to Bipolar 2 (hypomania + MDE) for > 2 years that is not severe enough to diagnose as another disorder

Question 15

What are the symptoms of Bipolar 2?

Answer 15

Hypomania + Major Depressive Episode

Question 16

How long must symptoms be present in order to diagnose a hypomanic episode with Bipolar 2?

Answer 16

> 4 days

Question 17

What are the symptoms of Bipolar 1?

Answer 17

Mania
- may or may not have history of a major depressive episode

Question 18

What is the acronym of symptoms that occur with Mania in Bipolar 1?

Answer 18

DIG FAST

Question 19

DIG FAST

Answer 19

Distractibility
Insomnia
Grandiosity
Flight of ideas
Activities
Sexual exploitations
Talkative with pressured speech

Question 20

DIG FAST

Answer 20

Distractibility
Insomnia
Grandiosity
Flight of ideas
Activities
Sexual exploitations
Talkative with pressured speech

Question 21

If a patient is manic with Bipolar 1 in the ED, what are the treatment options?

Answer 21

B52 = haloperidol, lorazepam, diphenhydramine
- or haloperidol alone
- or lorazepam (benzo) alone

Question 22

Mood stabilizers are the treatment for Bipolar 1. What is the order that 4 of them should be considered?

Answer 22

1. Lithium
2. Valproic Acid
3. Carbamazepine/Lamotrigine
4. Quetiapine or another antipsychotic

Question 23

How long must the manic symptoms be present in order to diagnose Bipolar 1?

Answer 23

> 1 week

Question 24

If you use an SSRI to treat a Bipolar Disorder, what will occur?

Answer 24

MANIC EPISODE

Question 25

If you start a patient with depressive symptoms on an SSRI and they develop mania, what is their diagnosis?

Answer 25

Bipolar Disorder

Question 26

Postpartum Blues usually resolves within how long of delivery?

Answer 26

< 2 weeks

Question 27

Signs of Postpartum Blues?

Answer 27

Depressed mood but still cares for the baby

Question 28

Postpartum depression and psychosis usually occur with the first or later kids?

Answer 28

Later children

Question 29

What are the signs of Postpartum Depression?

Answer 29

Depression symptoms and does not care about the baby

Question 30

What is the treatment for Postpartum Depression?

Answer 30

SSRIs

Question 31

What are the signs of Postpartum Psychosis?

Answer 31

Mom fears the baby and wants to kill it

Question 32

What is the treatment for Postpartum Psychosis?

Answer 32

Anti-psychotics + supervised visits with the baby