Mood Disorders Flashcards

1
Q

What is sadness and what are the benefits and costs of sadness?

A

Sadness is culturally defined as an appropriate response in a given culture
- Sadness improves attention to detail, accuracy of memory, the ability to detect deception, improves interpersonal strategies, and promotes generosity
- Sadness decreases the ability to task switch, decreases motivation, patience, playfulness, and is related to poor financial decisions

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2
Q

What is depression?

A

A response that is prolonged and not expected in a given culture. Depression changes for each individual depending on personal and family values.

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3
Q

What is mania

A

A state of extreme hyperactivity

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4
Q

What is unipolar depression?

A

A state marked by a sad/low state

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5
Q

What is bipolar disorder?

A

A fluctuation between depressive states and manic or hypomanic states on a cyclical basis

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6
Q

Unipolar Depression Features (lifetime prevalence, highest in, onset, likelihood recovery)

A

Lifetime Prevalence: 20-30%
-More likely in females and low SES, chronically ill, under 65, children have same ratio.
-Average onset 19.
-About 85% will recover with treatment, 35-55% will recover without treatment
-If you experience one depressive episode, the likelihood of experiencing another increases by 50%

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7
Q

What is Major Depressive Disorder

A

A severe pattern of disruption that is disabling and impacts someone’s life. A presence of major depressive episode with no pattern of mania and is recurrent.
-seems to have learning component, more likely in people who have close relatives with MDD

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8
Q

Specifiers of Major Depressive Disorder

A

-SAD: seasonal affective disorder (winter)
-Catatonia: Excessive or no motor movement
-Melancholia: don’t experience pressure out of anything
-Peri-partum: during or within 4 weeks of birth
-Post-partum: 4 weeks or longer after birth
-Psychotic-depression: Independent of schizoaffective, but hallucinations and psychosis

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9
Q

Major Depressive Disorder Checklist

A

2 week period where a person displays increased depressed mood for the majority of each day and 3/4 of following symptoms
-weight or appetite change
-insomnia or hyposomnia
-daily agitation or decrease in motor activity
-daily fatigue or lethargy
-feelings of worthlessness or excess guilt
-reduction in concentration or decisiveness
-repeated focus on death or suicide

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10
Q

Persistent depressive disorder

A

symptoms last for at least 2 years and are not absent for more than 2 months at a time
-Dysthymia: persistent low-level mood
-Double depression: major episodes accompanying dsythmia

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11
Q

Mood disorders

A

-Unipolar depression
-Bipolar disorder
-Major depressive disorder

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12
Q

Manic Episode and symptoms

A

For one week or more, person displays a continually abnormal, inflated, unrestrained, or irritable mood as well as continually heightened energy or activity for most of every day with at least 3 of
-grandiosity
-reduced need for sleep
-rapidly shifting ideas
-attention pulled many directions
-heightened activity
-excessive pursuit of risk and problematic activities

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13
Q

Hypomanic episode

A

subthreshold is less severe than a manic episode, tend to be really productive during this time

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14
Q

Bipolar Disorders (4)

A

Bipolar I: full manic and depressive states
Bipolar II: Full depressive state and hypomanic episodes
Cyclothimia: Low levels of depression and low levels of mania
Rapid cycling: four or more mood cycles in a year

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15
Q

MAOI’s (type, effect, side effects)

A

Antidepressant
Blocks monoamine in the synapse. Acts on serotonin, dopamince, epinephrine, and norepinephrine
-limits diet

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16
Q

Tricyclics (type, effect, side effects)

A

Antidepressant
Blocks serotonin and norepinephrine, similar effects to SSRI/SNRI
-Dry mouth, blurred vision, constipation

17
Q

SSRI/SNRI

A

Antidepressant
Blocks reuptake of serotonin and norepinephrine
-Weight gain, sex drive problems, sex problems

18
Q

ECT

A

Electro-shock therapy, used in extreme cases of treatment-resistant depression
-Risk of memory problems
-Based on very few sham studies. However, have found no difference between groups suggesting an extreme form of placebo
-In bipolar, is effective in manic states

19
Q

DBS

A

Electrodes implanted in brain to stimulate brain and become more active

20
Q

Excercise

A

one of the most effective forms of treatment.

21
Q

Best medication for bipolar disorder

A

Mood stabilizers, lithium and atypical antipsychotics

22
Q

Psychodynamic Therapy (depression)

A

Review past events and feelings and figuring out what it is causing the feeling and why they are acting in such a way

23
Q

Focus of CBT (Depression)

A

Get client moving, motivational issues, underlying maladaptive thinking, address erroneous cognitions

24
Q

Behavioural activation (CBT)

A

Reintroduce clients to enjoyable activities, learning theory. Reward non-depressive behaviours and withhold from depressive behaviours.
-Clinician cannot award and withhold, only works in highly controlled environment

25
Q

Beck’s cognitive therapy

A
  1. increase activity and elevate moods
  2. challenge automatic negative thoughts
  3. show how thinking process contributes to thoughts
  4. challenge broad statements
26
Q

Bipolar disorder and psychotherapy

A

Targets depressive state specifically.
-puts a routine in place, but can be difficult with unforseen events

27
Q

Suicide and 4 types

A

self-inflicted death in which one makes an intentional, direct, and conscious effort to end one’s life.
Death seeker: typical case, intention is intermittent or short lived
Death initiator: Intent to end life when death is on the way
Death ignorer: Don’t see a self-inflicted death as means to an end
Death darer: ambivalent towards death, risk-taking

28
Q

How can we study suicide?

A

Retrospective analysis