Mood Disorders Flashcards
1
Q
2 Types of Mood Disorders
A
- bipolar disorders
- depressive disorders
2
Q
Disruptive Mood Dysregulation Disorder (DMDD)
A
- created for kids who don’t fit into bipolar
- these kids tend not to progress on to bipolar as often as once thougt
3
Q
Major Depressive Disorder: epidemiology, risks, etiology
A
- 50% of pts are treated in US, less in rest of world
- median age of onset is 30 years (highest rates between 18 and 44)
- risks: female, unemployed, divorced, urban setting
- etiology: involves alterations in neural circuitry, not a chemical imbalance
- neuroendocrine dysfunction: hippocampal neurons shrink, cannot suppress cortisol
4
Q
Persistent Depressive Disorder
A
-dysthymia
5
Q
Bipolar Disorder Genetics
A
- accumulation of many risk alleles
- offset by protective alleles in some cases
- some environmental components
6
Q
Depression Symptoms
A
- SIGECAPS
- Sleep
- Interest in activities dec.
- Guilt
- Energy
- Concentration dec.
- Appetite disruption
- Psychomotor activity
- Suicidal Ideation
- 5 or more sxs have persisted for 2 weeks or more, and are a change from previous function, and pt experiences sad mood or anhedonia
- typical episodes last between 6 months and two years
7
Q
Depression Recurrence
A
- highly recurrent
- if you have one episode of depression, lifetime risk of having another is 50%
8
Q
Secondary Manias
A
-caused by another illness
9
Q
Mania Symptoms
A
- DIGFAST
- Distractibility
- Insomnia
- Grandiosity
- Flight of Ideas
- Activity inc.
- Speech inc.
- Thoughlessness
- at least 1 weeks and present most of the day nearly every day
10
Q
Hypomania Symtpoms
A
- similar to mania, but to a lesser degree
- DIGFAST
11
Q
Suicid Epidemiology
A
- 1.4% of all deaths in US
- 2nd leading cause of death 25-34 yos
- 4:1 :: male:female
- more women attempt suicide than men
- attempts are very lethal in elderly
