Mood Disorders

Question 1

the only anti-depressant drug that enhances dopamine. Little wt gain and sexual side effects.

Think seizure risk in what two types of people?

Answer 1

buproprion

seizures in bulemics and alcoholics

Question 2

Three discreet mood episodes.

Answer 2

Major Depressive Episode
Manic Episode
Hypomanic Episode

Question 3

Name the disorder:
• To address concerns about potential over diagnosis and overtreatment of bipolar
disorder in CHILDREN
• Included for children up to age 18 years who exhibit persistent irritability and frequent episodes of extreme behavioral dyscontrol.

Answer 3

Disruptive Mood Dysregulation Disorder

Question 4

Major Depression Episode - how many criteria and time span.

What are the criteria?

Answer 4

5/9 for a 2-week period

see slide nine of ppt for criteria

Question 5

Manic Episode - how many criteria and time span.

What are the criteria?

Answer 5

3/7 for at least 1 week

see slide ten for criteria

Pregnant, bankrupt, and in jail - all in one week.

Question 6

Hypomanic Episode - how many criteria and time span.

What are the criteria?

Answer 6

Episodes similar to main episode that last four days and must NOT include any psychotic features.

(annoying, but not impairing. Can still function. Not hospitalized.)

Question 7

Criteria for Major Depressive Disorder dx?

Answer 7

Must have Major Depressive Episode.

Must have ABSENCE of any manic, hypomanic, or mixed episodes.

Question 8

Criteria for Dysthymic Disorder dx?

CHASE mneumonic

Answer 8

No Major Depressive Episode, main/mixed episodes or hypomanic episodes.
May or may not have mild depression.

CHASE - concentration (poor, ), hopelessness, appetite (poor), insomnia, energy (low), self esteem (low)

Question 9

Criteria for Bipolar I disorder v. Bipolar 2 diagnosis?

Answer 9

B1: Must have manic/mixed episode.
B2: Must have major depressive episode and hypomanic episodes. No manic/mixed episode.

Question 10

Criteria for cyclothymia diagnosis?

Answer 10

Must have mild depression and hypomanic episode.

Must NOT have major depressive episode and manic/mixed episode.

Question 11

neurochemical etiology:

___NT down‐regulates beta‐receptors; adrenergic function abnormal in depression.

Answer 11

norepinepherine

Question 12

neurochemical etiology:
___NT is decreased in depression
• Increased in mania

Answer 12

dopamine

Question 13

this class of neurotransmitter is exemplified by brain‐derived neurotrophic growth factor (BDNF) decreased after chronic stress

Answer 13

neuropeptide

Question 14

The most effective way to treat depression.

Answer 14

Electroconvulsive therapy

Question 15

What is this:
depressed mood for most of the day (>2wk/mo for at least 2 years) that has not been severe enough to meet criteria for major depressive episode.

Answer 15

Dysthymia (persistent depressive disorder)

Question 16

What is this:

at least one manic or mixed episode.

Answer 16

bipolar 1

Question 17

What is this:

at least one major depressive episode and one hypomanic episode in absence of any manic or mixed episodes

Answer 17

bipolar 2

Question 18

Two mood stabilizers used for bipolar disorders

Answer 18

lithium and valproic acid

Question 19

What is this: dysthymic disorder with intermittent hypomanic periods repeatedly for 2 years.

Answer 19

cyclothymic disorder

Question 20

What is this:
recurrent unexpected pain attacks. At least one attack followed by 1 month or more of persistent concern about additional attacks, worry about implications of attack, significant change in behavior related to attacks.

Answer 20

Panic Disorder

Question 21

What is this:
discrete period of intense fear of discomfort in which four or more of the following develop and reach peak WITHIN 10-25 MINUTES. (palpitations, sweat, tremble, SoB, chest pain, chills/hot flash, paresthesia_

Answer 21

panic attack

Question 22

What is this:

anxiety about being in situations from which escape might be difficult or embarrassing.

Answer 22

agoraphobia.

Question 23

Time frame for social anxiety disorder.

Answer 23

lasts for 6+ mo

Question 24

Time frame for generalized anxiety disorder.

Answer 24

Occurring more days than not for at least six months, for most of the day.

Question 25

Describe what obsessive and compulsive means in OCD.

Answer 25

Obsessive = persistent/intrusive thoughts.
Compulsive = repetitive behaviors.

1+hrs/day

Question 26

Difference between OCD and OCPD

Answer 26

OCPD - ego-syntonic - they don’t perceive they have a problem (i.e. CEOs)
OCD - know their compulsions and obsessions are not reasonable

Question 27

time frame for PTSD

Answer 27

more than 1 mo

Question 28

First line treatments for anxiety - psychotherapy, psychopharmacology

Answer 28

Psychotherapy - CBT

Psychopharmacology - SSRIs

Question 29

Define manic with DIG FAST mneumonic.

Answer 29

Distractibility
Inflated self esteem/impulsive
Grandiosity

Flight of Ideas (racing thoughts)
Activity/Agitation
Speech-pressured
Thoughtlessness

Question 30

Define depression with SIG E CAPS mneumonic.

Answer 30

Sleep (lack of)
Interest-anhedonia
Guilt

Energy (lack of)

Concentration (difficulty)
Appetite (decr or incr)
Psychomotor (decr)
Suicidal ideation