Mood Disorders

Question 0

Mood disorder types

Answer 0

Major depressive- single
Major depressive- recurrent MOST SEVERE
Dysthymic disorder
Depressive disorder not otherwise specified
adjustment disorder w/ depressed mood
mood disorder d/t general medical condition
substance-induced mood disorder

Question 1

what is a mood disorder?

Answer 1

disturbance in mood as primary or predominant feature; loss of control over their mood and loss of control with distress

Question 2

Major depressive disorder presentation

Answer 2

5 in a 2 week period including DEPRESSED MOOD/ANHEDONIA
depressed mood, fatigue, loss of energy, loss of pleasure of interest (anhedonia), increase sense of worthlessness and guilt, significant weight loss or gain, decrease concentration, insomnia or hypersomnia, morbid thoughts w/ suicidal ideation, agitation or retardation

Question 3

ETIOLOGY of Major Depressive Disorder

Answer 3

Biological Factors: serotonin and norepinephrine disregulation, sleep abnormalities
genetics
psychosocial
as pt. ages, they tend to have more frequent episodes that last longer

Question 4

Dysthmia

Answer 4

nonpsychotic symptoms of depression that do no meet major depression criteria. twice as common in women than men. For at least 2 years
2+: poor appetite, overeating, insomnia or hyposomnia, low energy and fatigue, low self-esteem, poor concentration or difficulty making decisions, feelings of hopelessness
The person has never been w/out these symptoms for more than 2 mnths.

Question 5

Antidepressant medications: Tricyclics

Answer 5

common: amytiptaline (Elavil), nortryptyline (Pamelor), imipramine Tofranil, Desipramine (Norpramin)
lots of side effects
seratonin and norepinephrine

Question 6

Antidepressants: SSRIs

Answer 6

much safer in overdose than in tricyclics and MAOIs
most widely prescribed
side effects: GI probs, decreased appetite, insomnia, sexual dysfunction, restlessness/agitation, “serotonin syndrome”-when combine w/ MAOIs

Question 7

Antidepressants: MAOIs

Answer 7

rising number of neurotransmitters in the brain by inhibiting monmine oxidase enzyme
Dietary restrictions: cannot have tyramine it will elevate BP, tyramine low diet could have hypertensive crisis w/ certain foods