Mood Disorders Flashcards

1
Q

Adjustment Disorder

A
  • development of emotional or behavioral sx’s within 3 months of a stressful event
  • Not bereavement
  • stressors resolve within 6 months after stressor has been terminated
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2
Q

Major Depressive Disorder

A
-DSIGECAPS
D= depressed mood
S= sleep (insomnia or hypersomnia)
I= interest or pleasure (decrease in all or almost all)
G =guilt
E - Energy or fatigue 
C= concentration or indecisiveness
A= appetite (decreased) 
P= psychomotor agitation or retardation 
S= suicide ideation or attempt
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3
Q

Dysthymia

A
  • chronic MILD depression
  • sx’s of depression are present for most days x 2 yrs
  • NO major depressive disorder
  • habitual gloom, brooding, lack of joy and preoccupation with inadequacy
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4
Q

Bipolar Disorder I

A

only requires 1 manic or mixed episode

  • typically involves mania and major depression
  • most likely comorbid with substance abuse
  • 10-15 % commit suicide
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5
Q

Mania

A

-persistently elevated, expansive or irritable mood lasting at least 1 week with 3 sx’s
-DIGFAST:
D=distractibility
I= indiscretion/involvement in pleasurable acitivities
G=grandiosity or inflated self esteem
F= FOT, subjective racing thoughts
A= activity increase or psychomotor agitation
S= sleep deficit
T=talkativeness, pressured

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6
Q

Hypomania

A
  • lasts at least 4 days
  • 3 ax’s from manic criteria
  • No impairment in fxn, no hospitalization, no psychotic features
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7
Q

Adjustment disorder tx

A

psychotherapy is best

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8
Q

Dysthymia

A

-antidepressant (SSRIs, MAOIs), cognitive/behavior/insight-oriented/group therapy

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9
Q

Major Depressant Disorder tx

A
  • SSRIs (fluoxetine, sertraline, paroxetine, citalopram, escitalopram)
  • TCAs (elavil, tofranil, norpamin, sinequan)
  • Other (venlafaxine, mirtazapine, buproprion, MAOIs)
  • Need adequate trial on given med (6-8 weeks), don’t stop taking w/out consulting m ed professional
  • Avoid benzos
  • ECT with failure of several meds
  • Pyschotherapy
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10
Q

Bipolar Disorders tx

A
  • Lithium, Lamotrogine, Quietiapine, Olanzapine/fluoxetine combo, VPA + lithium
  • ECT, therapy
  • chronic and recurrent tx, must be tailored over lifespan
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11
Q

Acute mania

A

lithium, valproic acid, atypical antipsychotics, ECT, carbamezapine, clonazepam, lorazepam

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