Mood disorders Flashcards
1
Q
MDD- Eti
A
- 12 month prevalence 8%
- Rate increasing
- Highest among 24-44 yrs
- 2-3x more common in females
2
Q
MDD- DSM V criteria
A
- 5+ sx during 2 week period, change from previous fxn
- 1 of sx is depressed mood, loss of interest
- Depressed/ irritable mood
- Anhedonia
- Sig. wt loss/ gain, change in appetite
- insomnia, hypersomnia
- psychomotor agitation/ retardation
- Fatigue, loss of energy
- Worthlessness, guilt
- Can’t think, concentrate, indecisive
- Recurrent thoughts of death, suicide
- Not better accounted for by bereavement, general medical condition, direct physiological effect of substance
3
Q
MDD- Course
A
- Episodes last 3-6 months
- Chronic and recurrent
4
Q
MDD- Tx
A
- SSRIs, SNRI, MAOIs, Tricyclicts
- Electroconvulsive therapy
- Psychotherapy, CBT
5
Q
MDD- Complications
A
- 15% commit suicide
- more likely to die
6
Q
Dysthymic disorder- DSM V
A
- Depressed mood most of day, more days than not for 2 years
- Children = 1 year
- Plus: Poor appetite, overeating
- Insomnia/ hypersomnia
- Low energy
- Low self esteem
- Poor concentration, difficulty making decisions
- Hopelessness
- Has never been w/o sx for > 2 months
- No major episode during first 2 years
7
Q
Dysthymic disorder- Eti
A
- 3.2% population
- Before 45
- biological relationship + personality features
8
Q
Dysthymic disorder- Tx
A
- SSRIs, TCA & MAOIs x 6-12 months
- Psychotherapy
9
Q
Dysthymic disorder- Outcomes
A
- 10% develop MDD
- Interpersonal issues, cluster C personality dx
10
Q
Bipolar Disorders- DSM V
A
- Distinct, abnormal persistently elevated/ irritable mood lasting > 1 week
- 3+ sx
- Grandiosity
- Decreased need for sleep
- More talkative, pressure to keep talking
- Flight of ideas
- Distractibility
- Increased goal directed activity
- Excessive involvement in pleasure without concern for consequences
11
Q
Bipolar I
A
Recurrent, major depressive episodes with manic episodes
12
Q
Bipolar II
A
Recurrent MDD with hypomanic episodes
13
Q
Bipolar disorder- Eti
A
- Female, am hx, upper socioeconomic class
-
14
Q
Bipolar disorder- Tx
A
Avoid TCAs
- Depression- SSRIs
- Mania: Litium
- Maintenance- Lithium, valproic acid, carbamazepine
15
Q
Adjustment disorder- Sx
A
- Anxiety or depression in rxn to stress
- subsequent symptoms elicited by lesser magnitude
- Impairment in function
- Marked distress in excess to expeted
- Alcohol as tx
- Restlessness, irritability, fatigue, startle rxn
- Guilt, shame, fear, rage
