Mood disorders Flashcards
What is mood?
Predominant and sustained emotion the colours patients perception of the world. Normal variations in mood (sadness) occur as response to experiences and are time limited/not associated with functional impairment
Impact of mood disorders?
Major depression is one of most common public health concern, females have high level of mood/anxiety diroder
What is labile affect?
Varied, abrupt, rapid shifts in affective expression
What is restricted/constricted affect?
Mildly reduced in range and intensity of emotional expression
Depressive disorder?
5/more of symptoms are present during same 2 week period- depressed mood most of the day, loss of interest/pleasure, feel hopeless/discouraged, disruption in sleep, excessive guilt/feelings of worthlessness, low self esteem, decreased concentration, changes in appetite
Persistent depression disorder?
Depression is more persistent and less severe. Long term form
Depression in kids/teens?
Less likely to experience psychosis, likely to manifest symptoms of anxiety/somatic symptoms, mood may be irritable, suicide risk is real
Depression in elderly?
Most don’t meet criteria for MDD, can be confused with dementia, treatment successful in 60-80% but response is slower, associated with chronic illness, and suicide is a serious risk
Risk factor for depression?
Prior episode of depression, family hx of MDD, substance use, lack social support, economic difficulties, stressful life event, medical combordities
Biological domain?
Systems review, medical hx, medication, use of alcohol/substances, appetite/weight, physical exam, sleep disturbance, decreased energy, loss of interest, difficulty thinking/making decisions.
Interventions biological?
Sleep patterns, healthy nutrition, activity and exercise, ECT, pharmalogic, rTMS, light therapy
Psychological domain?
Mood/afect, thought content, suicidal behaviour, memory, cognition, scales of self report
Interventions for psychological?
Therapeutic relationship (educate about illness, encouragement, realistic goal setting), CBT, BT, interpersonal therapy, family therapy
Social domain and interventions?
Developmental hx, family psych hx, support systems, education, work hx, psychical and sexual abuse, family support, quality of support system
BPAD-I?
1 or more manic episodes with major depression occurrence
BPAD II?
Characterized by periods of major depression and a hypomanic episode
Features of mania?
Overactivity, elevated and irritable mood, grandiose ideas, inflated self esteem, decreased need for sleep, talkative, flight of ideas, and increase in goal directed activity. This will last at least a week to be considered a manic episode.
Aetiology of BPAD?
Men’s at greater risk for manic episodes, many co-morbid disorders (substance use, anxiety), its genetic (has to have a 1st degree relative- parent).
Biological domain?
Evolution of mania symptoms, change in sleep, irritability, physical exhaustion, eating habits, weight loss, alcohol/substance use, pharmacological
Biological interventions?
Physical care (sleep, rest, hydration, nutrition), teaching, sleep routine, lithium carbonate therapy
Psychological domain?
Mood, cognition, thought disturbances, stress/coping factors, risk assessment (suicide, violent behaviours)
Interventions- psychoeducation, psychotherapy, CBT
Social domain?
Assess social and occutpional changes, cultural views of mental illness.
What is a dysthymic disorder?
Less severe form of MDD. Has 2/more of the following symptoms: eating/behaviour changes, loss of energy, difficulty concentrating, low self esteem, feelings of hopelessness in the past 2 years
True or false: MDD is more common among 1st degree relatives and indigenous people have higher rates of suicide
True for both
What is a hypomanic episode?
Period of elevated/irritable mood that lasts 4 consecutive days. It includes same symptoms as mania but is a shorter duration. They have no marked impairments in social/occupational functioning, but they have more fluctuations in the way they present themselves during acute illness (high anxiety, agitation…)
