Mood Disorders 2 Flashcards
Lack of social support predicts
late onset depression
substantial support predicts
recovery from depression, not mania
Depression in women prevalence
females > males
Stigma around mental health is higher in communities of
color
Tricyclics (trofranil, elavil)
Block re-uptake of NE and serotonin, lethal
Monoamine Oxidase (MAO) inhibitors
Block MAI, fewer side effects but risky
Selective serotonin re-uptake inhibitors (SSRI)
First choice, blocks presynaptic uptake, side effects
Mixed re-uptake inhibitors
blocking re-uptake of norepinephrine and serotonin
Lithium
mood-stabilizing, bipolar, narrow therapeutic window, too little (ineffective), to much (lethal)
Electroconvulsive therapy (ECT)
Brief electrical current, temporary seizures, high efficacy for depression
Transcranial magnetic stimulation (TMS)
Localized electromagnetic pulse, low side effects, efficacy is good, but not as good as ECT
Cognitive therapy - depression
identify errors in thinking, correct errors and negative schemas, substitute adaptive thoughts
Behavioral therapy
increased therapy, exercise
Psychological treatment - bipolar
Management of interpersonal problems
increase medication
interpersonal/social rhythm therapy
family-focused
Suicide gender differences
males complete more
women try more
men use more lethal methods