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Mental Health > Mood Disorders > Flashcards

Mood Disorders Flashcards

1
Q

Describe the etiology of depressive disorders

A
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2
Q

Describe the symptoms for depressive disorders

A
  • S: sleep disturbance
  • I: interest diminished (anhedonia)
  • G: guilt
  • E: energy loss
  • C: concentration difficulty
  • A: appetite/weight change
  • P: psychomotor activity change
  • S: suicidal ideation

+/- catatonia, psychosis, AVH, increased pain

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3
Q

Describe the diagnosis of depressive disorders (criteria, screening, etc.)

A
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4
Q

Describe the treatment of depressive disorders

A
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5
Q

Describe the etiology of adjustment disorder

A

Depressive symptoms occurring in response to a life change

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6
Q

Describe the course/treatment for adjustment disorder

A

Symptoms resolve within 6 mos of the end of the stressor/its consequences

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7
Q

Describe the etiology of seasonal affective disorder

A

Predictable pattern of depressive symptoms with onset & resolution at same time of year FOR AT LEAST 2 YEARS

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8
Q

Describe the presentation of seasonal affective disorder

A
  • SIGECAPS depressive symptoms
  • increase carb cravings, sleep, weight change
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9
Q

Describe the treatment for seasonal affective disorder

A

light therapy +/- meds

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10
Q

Describe the etiology of bereavement

A
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11
Q

Describe the presentation of bereavement

A
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12
Q

Describe the treatment for bereavement

A
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13
Q

Describe the etiology of premenstrual dysphoric disorder

A

Symptoms for several months out of the year in the weeks preceding periods

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14
Q

Describe the presentation of PMDD

A

Depressed mood, anxiety, labile moods, difficulty functioning in personal/professional/social realms, may have physical symptoms

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15
Q

Describe the treatment/course of PMDD

A
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16
Q

Describe the etiology & presentation of postpartum depression

A
17
Q

Describe the etiology of serotonin syndrome

A

Adverse effect of SSRI, potentially life threatening from overload of serotonin

18
Q

Describe the presentation of serotonin syndrome

A

Confusion, restlessness, fever, abnormal muscle movements, hyperreflexia, sweating, diarrhea, shivering

19
Q

Describe the etiology & types of bipolar disorder

A
20
Q

Describe the presentation of bipolar disorder

A
21
Q

Describe the presentation of mania (specifically in bipolar disorder)

A
22
Q

Describe the treatment of bipolar disorder

A
23
Q

Which tool is used for screening of depression and which is used for diagnosing

A

Screening: PHQ-2
Diagnosing: PHQ-9

24
Q

what is the general MOA of antidepressants

A
  • increase neurotransmitters at the synaptic cleft
  • alter receptor sensitivity (desensitization of beta-adrenergic or 6HT receptors)
25
Q

What things are considered to base choice of antidepressant on

A
  • prior treatment response
  • what has worked for family members
  • adverse effects of meds
  • symptoms of depression
26
Q

Describe the time to efficacy of antidepressants

A
  • 1-4 weeks to see some improvement
  • 6-8 weeks to see maximal improvement
27
Q

List the 5 common first line SSRIs for depression

A
  • citalopram (Celexa)
  • escitalopram (Lexapro)
  • fluoxetine (Prozac)
  • paroxetine (Paxil)
  • sertraline (Zoloft)
28
Q

Describe how to use light therapy to treat depressive disorders

A
  • 12-24 inches from face, eyes open
  • use for 15-45 mins/day
  • best response after 1 week
  • adverse effects: photophobia, HA, fatigue, irritability, hypomania, insomnia
29
Q

Describe the use of ECT in depressive disorders

A
  • used in severe refractory MDD +/- psychosis
  • rapidly resolves acute suicidal drive
  • adverse effects: amnesia
  • often requires several treatments
  • used with meds & therapy
  • 80-90% effective
30
Q

What are some alternative methods/supplements to treat depressive disorders

A
  • St. John’s Wort
  • cannabis
  • psilocybin
  • cold water immersion
31
Q

How many depressive episodes until someone is typically on lifelong antidepressants

A

3 episodes

32
Q

Describe some side effects/AEs of SSRIs

A
  • decreased libido
  • weight change
  • increased SI in adolescents

Mental Health (12 decks)

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