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BM: Unit 2 > Mood Disorders > Flashcards

Mood Disorders Flashcards

1
Q

True/false: childhood mood disorders do not influence adult mood disorders.

A

False. Increases risk for mood disorders as adults

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2
Q

What factors make childhood depression worse?

A 
Chronic illness
Abuse
Poverty
Parental discord
Parental psychiatric disorders
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3
Q

What is the age range most likely for suicide?

A 
1. TEN times more likely in 15-19 years old
A. Boys: 3rd leading cause of death 
B. Girls: 4th leading cause of death
2. Elderly
A. Frequently do not complain
B. Often misdiagnosed as dementia
C. Suicide Risk  50% inc
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4
Q

What are the theories of etiology for mood disorders?

A
  1. Genetic Theories
  2. Neurochemical Theories
  3. Psychodynamic Theories
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5
Q

What is involved in the genetic theory of mood disorder etiology?

A
  1. Transmission of MDD in first person relatives
  2. Twice the risk to develop depression
  3. Correlation between early onset bipolar disorders and early onset alcoholism
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6
Q

What is involved in the neurochemical theory of mood disorder etiology?

A
  • Depression: dec serotonin and NE

* Mania: dec serotonin, inc NE

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7
Q

What is involved in the npsychodynamic theory of mood disorder etiology?

A 
1. Depression
A. Anger turned inward
B. Cognitive distortions
C. Reaction to distressing experiences
2. Mania 	
A. Defense against depression
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8
Q

define mood

A

Persistent emotional state that affects how the person sees the world

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9
Q

Define mood disorder

A 
1. Persistent altercation in emotions 
A. Depression
B. Mania
C. Both 
2. Disrupt life in one or more ways
A. Drastic
B. Long Term
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10
Q

How does mood disorder impair a person;s ability to function?

A
  1. Socially
  2. Vocationally
  3. Interpersonally
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11
Q

What are the categories of mood disoriders?

A
  1. Major Depressive Disorder
  2. Bipolar Disorder
    A. Bipolar I
    B. Bipolar II
  3. Related Disorders
    A. Persistent Depressive Disorder (Dysthymia)
    B. Substance induced disorder
    C. Mood disorder due to medical conditions
    D. Seasonal affective disorder (SAD)
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12
Q

What are the criteria for major depressive disorder?

A
  1. Major Depressive Disorder
    A. 2 or more weeks
    B. Sad mood
    C. Lack of interest in activities

AND at least five other symptoms
SIGECAPS

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13
Q

What does SIGECAPS stand for?

A 
Sleep
Interest (reduced)
Guilt
Energy (low)
Concentration (poor)
Appetite (increased or decreased)
Psychomotor retardation
Suicidality
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14
Q

When is ECT performed?

A

Electrical induction of modified grand mal seizure for purpose of producing therapeutic change

Believed to alter brain chemistry

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15
Q

What are the types of Psychotherapy?

A
  1. Interpersonal
  2. Behavioral
  3. Cognitive behavior Therapy
  4. Group Therapy
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16
Q

What is involved in interpersonal therapy?

A

Focus on difficulties in relationships
Finds ways to accomplish developmental tasks
Adult relationships cannot be formed
Never learned to make friends outside the family structure

17
Q

What is involved in behavior therapy?

A

Focus on increased positive reinforcement
Decrease negative reinforcement
Improve social skills

18
Q

What is involved in cognitive behavior therapy?

A

Focus on distorted thoughts
Thoughts influence feelings, behavior, functioning
Improve social skills

19
Q

What is involved in group therapy?

A 
Socialization
Increased coping skills
Vent feelings
Establish personal relationships
Realize you are not alone
20
Q

What are the interventions for depression/

A
  1. Safety
  2. Physical Needs
  3. Activity Needs
  4. Promote socialization
  5. Psychoeducation
21
Q

Define Dysthymia

A
  1. Two years of depressed mood
  2. Depressed more days than not
  3. While depressed have two (or more) of the following:
    A. Poor appetite or overeating
    B. Insomnia or hypersomnia
    C. Low energy or fatigue
    D. Low self-esteem
    E. Poor concentration or difficulty making decisions
    F. Feelings of hopelessness
22
Q

Define Induced Depressive behavior

A
  1. Disturbance in mood
  2. Direct physiologic consequence of ingested substance
    A. Alcohol
    B. Toxins
    C. Drugs
    -Interferon
    -Antihypertensives
    -Hormones
    -Anticonvulsants
    -Steroids
    -Digitalis
    -Antiparkinsonian agents
    -Antineoplastic agents
23
Q

What diseases can cause depression?

A 
Lewy Body disease
End-stage renal failure
Parkinson disease
Stroke
Cancer or AIDS
Chronic fatigue
DM
Chronic pain
Heart disease
Chronic lung disease
Following CABG surgery
Hypo/Hyperthyroidism
24
Q

What is involved in seasonal affective disorder?

A
  1. Increased sleep
  2. Increased appetite
  3. Crave carbs
  4. Weight gain
  5. Heaviness in extremities
25
Q

How is SAD treated?

A
  1. Full spectrum lights
  2. Expose to light for ½ to 2 hour/day
  3. Response in 1-4 days
26
Q

What are the high risk demogrpahics for suicide?

A 
Native Americans
Caucasians
Male
Single, divorced, widowed
Highest/lowest socioeconomic class
Protestants
Family history
27
Q

What are risk factors for suicide?

A 
Family History
Poor problems solving skills
Troubled emotional lives
Most suicides have diagnosis of depression 
Decreased threshold for emotional pain
Decreased threshold = Decreased resiliency
Poor social supports
Alcohol/drug use
Depression
Elderly in poor health
Elderly with financial problems
Separated, divorced, widowed

Gun in the home

Isolated

Or underlying emotional proble

28
Q

How is suicide assessed?

A
  1. Be direct
  2. Ask Specific Questions
  3. Focus on suicide potential
    A. Do you have a plan in mind?
    B. Have you ever tried to harm yourself?
    C. Do you have medication or weapons at home that you could harm yourself with?
29
Q

What is a high risk suicide pt?

A 
Definite plan 
Time
Place
Means
Rescue unlikely
30
Q

What is a low risk suicide pt?

A

Considering suicide

Hasn’t thought about when, where or how

31
Q

What is a high risk method for successful suicide?

A 
Gun
Jumping
Hanging
Carbon monoxide poisoning
Staging car crash
32
Q

What is a low risk method for successful suicide?

A

Cutting wrists
Inhaling house gas
Ingesting pills

33
Q

What are the interventions for a suicide pt?

A 
1. Establish Therapeutic Relationship
A. Stay with client
B. Accept
C. Listen
2. Communicate potential for suicide to team
3. Closer Observation
4. Frequent Checks
5. Remove dangerous items from the milieu
6. Search patient and his room for dangerous items
7. Count silverware
8. Remove:
A. Belts
B. Shoelaces
C. Razors
D. Cords
E. Plastic bags
F. Glass
G. Observe visitors

BM: Unit 2 (7 decks)

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