Mood Disorders Flashcards
SIGECAPS
Depressed mood + Sleep Interest Guilt Energy Concentration Appetite Psychomotor Suicide
1 of 2 of the following symptoms must be present for major depressive episode
depressed mood
loss of interest
typical duration of major depressive episode
6-12 months
major depressive episode definition
2+ weeks of 5/9 symptoms
major depressive disorder definition
2+ major depressive episodes with at least 2 months of euthymia separating episodes
common depression presentation in adolescents, elderly
adolescents- irritability
elderly- anhedonia
percentage of patients with MDD that commit suicide
10-15%
biggest risk factor for completing suicide
previous attempt
Depressive disorder with mixed features
major depressive episode + 3 or more symptoms of mania/hypomania at the SAME time as the MDE
Adjustment disorder
less than 6 mo, identifiable stressor, does not meet full criteria for MDE
depression due to a medical condition definition
occurs with major medical condition, goes beyond just adjustment to diagnosis
medical conditions that can lead to depressive symptoms (5)
- Endocrinopathies (thyroid, Cushing)
- Pancreatic CA
- Viral infections - HIV, HCV, EBV, CMV
- Stroke- left sided
- Neuro disease: PD, MS
highest risk of post-CVA depression
first 2 years
substance induced mood disorder can be excluded if substance has not been used in-
One month
classes of substances that can cause substance-induced mood disorder (3)
illicit drugs- alcohol, cocaine, amphetamine w/d
OTC sympathomimetics/caffeine
Rx drugs- corticosteroids, hormones, chemo
definition of grief
lasting less than 2 months, symptoms of declining intensity, feelings centered around loss
treatment approach to grief
antidepressants not effective
counseling is best
dysthymia
depressed mood, more days than not, for 2 years
only 1 year required for children
must have at least 2+ symptoms of MDE
normal sadness
not excessive or out of proportion to the stressor not associated with functions impairment
premenstrual dysphoric disorder
at least 5 symptoms occurring around the onset of menses and not present at any other times in the menstrual cycle
Seasonal affective disorder
MDE that occurs during seasons in at least 2 years
psychotic depression
MDE + psychotic symptoms (always occurring together)
double depression
dysthymia + major depressive episode
