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Psych Shelf > Mood Disorders > Flashcards

Mood Disorders Flashcards

1
Q

description of one’s internal emotional state

A

Mood

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2
Q

distinct period of time in which some abnormal mood is present

A

mood episode

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3
Q

defined by their patters of mood episodes

A

mood disorders

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4
Q

DSM-IV criteria to dx Major Depressive Episode?

A

Must have five of the following sx for at least a 2 week period:
1. depressed mood 2. Anhedonia 3. change in appetite or body weight 4. feelings of worthlessness or guilt 5. Insomnia or hypersomnia 6. diminished concentration 7. psychomotor agitation or retardation ( restlessness or slowness) 8. fatigue or loss of energy 9. recurrent thoughts of death or suicide
SIG E. CAPS (Sleep, Interest, Guilt, Energy, Concentration, Appetite, Psychomotor activity, Suicidal ideation )

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5
Q

criteria for a manic episode?

A

at least 3 of the following lasting at least 1 week:
Distractability, inflated self esteem or grandiosity, increase in goal directed activity, decreased need for sleep, flight of ideas or race of thoughts, more talkative or pressured speech, excessive involvement in pleasurable activities that have a high risk of negative consequences
DIG FAST (Distractibility, Insomnia/impulsive behavior, Grandiosity, Flight of ideas, Activity, speech (pressured)
Thoughtlessness)

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6
Q 
Mania vs. Hypomania:
Duration?
Social or occupational functioning?
Hospitatlization?
Psychotic features?
A

Mania- at least 7 days, hypomania at least 4 days
Mania- severe impairment in social or occupational functioning, hypomania- no marked impairment
Mania- requires hospitalization, hypo does not
Mania may have psychotic features, hypomania does not

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7
Q

? patients are at very high risk for developing depression

A

Stroke patients

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8
Q

has the highest rate of suicide of any disorder

A

major depressive disorder

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9
Q

Sleep problems assoicated with MDD

A

multiple awakenings, initial and terminal insomnia (hard to fall asleep or waking up early), hypersomnia, REM sleep shifted to earlier in night and stage 3 and 4 decreased

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10
Q

Main neurotransmitter change found in depressed patients

A

Decreased brain and CSF levels of serotonin and its main metabolite 5-HIAA

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11
Q

Hormonal changes seen in deprssion

A

High Cortisol

Abnormal thyroid axis

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12
Q

Cancer that has the highest association with depression

A

Pancreatic Cancer

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13
Q

Time it takes for antidepressants to work?

A

4-8 weeks

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14
Q

marked by autonomic instability, hyperthermia, and seizures. Coma or death may result

A

Serotonin Syndrome

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15
Q

Patients that may not be able to tolerate the side effects of antidepressants?

A

Elderly and pregnant women

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16
Q

a type of depression that usually resolves without medication

A

postpartum depression

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17
Q

class of drug that is often useful in ‘atypical’ depression

A

MAOIs

18
Q

unique type of depressive disorder characterized by these unique features: anhedonia, early morning awakening, psychomotor disturbances, excessive guilt and anorexia?

A

Melancholic

19
Q

unique type of depressive disorder characterized by these unique features: hypersomnia, hyperphagia, reactive mood, leaden paralysis and hypersensitivity to interpersonal rejection

A

atypical

20
Q

unique type of depressive disorder characterized by these unique features: catalepsy (immobility), purposeless motor activity, extreme negativism or mutism, bizarre postures, and echolalia. especially responsive to ECT.

A

catatonic

21
Q

catatonic type of major depression is usually treated with?

A

antidepressants and antipsychotics concurrently

22
Q

a reaction to a major loss usually to a person. and include crying spells, problems sleeping, trouble concentrating at work

A

bereavement

23
Q

how long do bereavement sx

usually last?

A

2 months

24
Q

Five stages of Kubler-Ross model of grief

A

1.denial 2. anger 3. bargaining 4. depression 5. acceptance

25
Q

what should always be included in your differential of a psychotic patient

A

bipolar disorder

26
Q

only requirement for the diagnosis of bipolar I disorder?

A

the occurrence of one manic or mixed episode

27
Q

onset of bioplar I disorder is usually before what age?

A

30

28
Q

first degree relatives of a patient with bipolar I disorder are how many times more likely to develop the illness?

A

8-18 times

29
Q

which psych disorder has the highest genetic link ?

A

bipolar I disroder

30
Q

untreated manic episodes generally last how long?

A

3 months

31
Q

what helps decrease the risk of bipolar I manic episodes?

A

lithium prophylaxis

32
Q

what is the best treatment for a manic women in pregnancy

A

ECT

33
Q

Treatment for bipolar disorder includes?

A

Lithium, carbamazepine (for rapid cyclers) and valproic acid

34
Q

A patient with a hx of postpartum mania should be treated with what in subsequent pregnancies as prophylaxis? however, these are relative contraindications to breast feeding

A

antidepressants and lithium

35
Q

Alternatively called recurrent major depressive disorder with hypomania

A

Bipolar II disorder

36
Q

history of one or more major depressive episodes and at least one hypomanic episode and no prior manic episode

A

bipolar II disorder

37
Q

poor Concentration or difficulty making decisions,
feelings of Hopelessness, poor Appetite or overeating, inSomnia or hyperSomnia, low Energy, low Self-esteem
(CHASES)

A

Dysthymic disorder

38
Q

Have chronic, mild depression most of the time with no discrete episodes and rarely need hospitalization.

A

Dysthymic disorder

39
Q

DSM-IV criteria for dysthymic disorder

A
  1. depressed mood for the majority of time most days for at least 2 years (in children or adolescents for at least 1 year)
  2. at least 2 of the following: CHASES
  3. During the 2 year period the person has not been without the above sx for more then 2 months at a time.
40
Q

Most effective tx for dysthymic disorder

A

cognitive therapy and insight oriented psychotherapy

41
Q

numerous period with hypomanic sx and period with depressive sx for at least 2 years, person must never have been sx free for greater then 2 months during those 2 years and no history of major depressive disorder or manic episodes

A

cyclothymic disorder (may coexist with borderline personality disorder)

Psych Shelf (18 decks)

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