Mood Disorders Flashcards
the only anti-depressant drug that enhances dopamine. Little wt gain and sexual side effects.
Think seizure risk in what two types of people?
buproprion
seizures in bulemics and alcoholics
Three discreet mood episodes.
Major Depressive Episode
Manic Episode
Hypomanic Episode
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.
Disruptive Mood Dysregulation Disorder
Major Depression Episode - how many criteria and time span.
What are the criteria?
5/9 for a 2-week period
see slide nine of ppt for criteria
Manic Episode - how many criteria and time span.
What are the criteria?
3/7 for at least 1 week
see slide ten for criteria
Pregnant, bankrupt, and in jail - all in one week.
Hypomanic Episode - how many criteria and time span.
What are the criteria?
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.)
Criteria for Major Depressive Disorder dx?
Must have Major Depressive Episode.
Must have ABSENCE of any manic, hypomanic, or mixed episodes.
Criteria for Dysthymic Disorder dx?
CHASE mneumonic
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)
Criteria for Bipolar I disorder v. Bipolar 2 diagnosis?
B1: Must have manic/mixed episode.
B2: Must have major depressive episode and hypomanic episodes. No manic/mixed episode.
Criteria for cyclothymia diagnosis?
Must have mild depression and hypomanic episode.
Must NOT have major depressive episode and manic/mixed episode.
neurochemical etiology:
___NT down‐regulates beta‐receptors; adrenergic function abnormal in depression.
norepinepherine
neurochemical etiology:
___NT is decreased in depression
• Increased in mania
dopamine
this class of neurotransmitter is exemplified by brain‐derived neurotrophic growth factor (BDNF) decreased after chronic stress
neuropeptide
The most effective way to treat depression.
Electroconvulsive therapy
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.
Dysthymia (persistent depressive disorder)
What is this:
at least one manic or mixed episode.
bipolar 1
What is this:
at least one major depressive episode and one hypomanic episode in absence of any manic or mixed episodes
bipolar 2
Two mood stabilizers used for bipolar disorders
lithium and valproic acid
What is this: dysthymic disorder with intermittent hypomanic periods repeatedly for 2 years.
cyclothymic disorder
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.
Panic Disorder
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_
panic attack
What is this:
anxiety about being in situations from which escape might be difficult or embarrassing.
agoraphobia.
Time frame for social anxiety disorder.
lasts for 6+ mo
Time frame for generalized anxiety disorder.
Occurring more days than not for at least six months, for most of the day.
Describe what obsessive and compulsive means in OCD.
Obsessive = persistent/intrusive thoughts. Compulsive = repetitive behaviors.
1+hrs/day
Difference between OCD and OCPD
OCPD - ego-syntonic - they don’t perceive they have a problem (i.e. CEOs)
OCD - know their compulsions and obsessions are not reasonable
time frame for PTSD
more than 1 mo
First line treatments for anxiety - psychotherapy, psychopharmacology
Psychotherapy - CBT
Psychopharmacology - SSRIs
Define manic with DIG FAST mneumonic.
Distractibility
Inflated self esteem/impulsive
Grandiosity
Flight of Ideas (racing thoughts)
Activity/Agitation
Speech-pressured
Thoughtlessness
Define depression with SIG E CAPS mneumonic.
Sleep (lack of)
Interest-anhedonia
Guilt
Energy (lack of)
Concentration (difficulty)
Appetite (decr or incr)
Psychomotor (decr)
Suicidal ideation
