Mood disorders

Question 1

what is a mood disorder

Answer 1

term used to describe mental illness where mood is disturbed to the point where the person has difficulty functioning

Question 2

how common are depressive disorders in women

Answer 2

1 in 7

Question 3

how common are depressive disorders in men

Answer 3

1 in 10

Question 4

how can a major depressive disorder be diagnosed

Answer 4

must present with 5 of the 9 symptoms within the same 2 week period

Question 5

list the 9 symptoms of a major depressive disorder

Answer 5

depressed mood
diminished interest
weight change
insomnia or hypersonic
pschomotor agitation
physical fatigue
worthlessness or guilt
inability to concentrate
death or suicidal ideation

Question 6

list the 4 main classes of antidepressants

Answer 6

selective serotonin reuptake inhibitors
serotonin noradrenalin reuptake inhibitors
tricyllic antidepressants
mono amine oxidase inhibitors

Question 7

how to SNRI antidepressants work

Answer 7

inhibit the reuptake of noradrenaline and serotonin

Question 8

negative thing about SNRIs

Answer 8

more difficult to withdraw from

Question 9

SE of SNRI

Answer 9

intensified dreaming, nausea, headache, stomach cramps, restlessness, reduced sex drive,

Question 10

list 4 generic names of SNRI

Answer 10

desvenlafaxine, duloxetine, levomulnacipran, venlafaxine

Question 11

how do tricylic antidepressants work

Answer 11

inhibit the reuptake of serotonin and norepinephrine

Question 12

NC for tricylcic antidep

Answer 12

taken at night

Question 13

SE of tricylcic antidep

Answer 13

blurred vision, dry mouth, constipation, weight changes, low BP on standing

Question 14

list 4 classes of antidepressants

Answer 14

selective serotonin reuptake inhibitors
serotonin noradrenalin reuptake inhibitor
tricyclic antidepressants
mono amine oxidase inhibitors

Question 15

how do mono amine oxidase inhibitors work

Answer 15

monoamine oxidase is an enzyme which breaks down monoamines, preventing enzymes action increases levels of monomaines.

Question 16

NCC for mono amine oxidase inhibitors

Answer 16

dietary elimination of tyramine rich foods as it can cause high BP. Limit aged cheese, cured meats, pickles, vegemite and alchohol.

Question 17

possible symptoms with discontinuation syndrome

Answer 17

FINISH
flu, insomnia, nausea, imbalance, sensory disturbance, hyperarousal

Question 18

which bipodar disorder is more prevelent in aus

Answer 18

BPD 2

Question 19

________ episodes more common route of diagnosis in men

Answer 19

_______ episodes more common route of diagnosis in women

Question 20

Symptoms of BPD 1

Answer 20

• inflated self esteem
• decreased need for sleep
• too talkative
• flight of ideas
• distractability
• increase in goal directed activity
• excessive involvement in activities with high potential for painful consequences

Question 21

what does ECT stand for

Answer 21

electroconvulsive therapy

Question 22

what is ECT

Answer 22

small electric current passed through the pain to induce a seizure

Question 23

what is the rationale behind ECT

Answer 23

enhances release of neurotransmitters within the brain, adjusts stress hormone regulation in the brain, changes the patterns of blood flow through areas of brain associated with depression

Question 24

therapeutic interventions of BPD

Answer 24

psychotherapy
CBT
interpersonal therapy
financial counselling

Question 25

suicidal ideas in absence of intention to act

Answer 25

low risk

Question 26

suicidal ideas + intention to act

Answer 26

mod

Question 27

suicidal ideas + intention to act with a specific plan

Answer 27

high risk