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Behavioral science > Mood disorders > Flashcards

Mood disorders Flashcards

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1
Q

what are the mood disorders

A
  • Major Depressive Disorder
  • Bipolar I Disorder
  • Bipolar II Disorder
  • Persistent Depressant Disorder (Dysthymic disorder)
  • Cyclothymic disorder
  • Anxiety disorders
  • Obsessive-Compulsive and related disorders
  • Trauma and Stressor Related Disorders
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2
Q

Gender for depression

A

more females

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3
Q

Neurotransmitters and depression

A
  • NE: down regulated beta receptors; adrenergic function abnormal in depression
  • Dopamine decreased
  • SSRIs proved effective as anti-depressants . . serotonin
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4
Q

Dopamine in Mania?

A

increased

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5
Q

Time frame needed for major depressive disorder?

A

2 week period .. . all criteria on slide 8

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6
Q

criteria for Manic Episode

A
  • Abnormally and persistently elevated, expansive, or irritable mood lasting AT LEAST 1 WEEK with at least 3 of following:
  • Inflated self-esteem and Grandiosity
  • Decreased need for sleep . . don’t feel tired
  • More talkative (pressured/push of speech)
  • Flight of ideas/Racing thoughts
  • Distractibility
  • Increased Goal-oriented behavior
  • Excessive involvement in pleasurable activities
  • Risk taking
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7
Q

Describe a Hypomanic episode

A
  • Similar to manic but less severe
  • only need 4 days and no psychotic features
  • no social/occupational impairment
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8
Q

side effect for ECT

A

short term memory loss

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9
Q

Time frame criteria for persistent depressive disorder (Dysthymia)

A
  • Depressed mood most of day for at least 2 years in adults and 1 year for children but not severe enough for major depressive disorder
  • During 2 years, cannot be w/o sx for >2months at a time
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10
Q

Describe Bipolar I disorder

A
  • single manic episode is necessary to diagnose (patients only need one “pole” of the bipolar for this diagnosis)
  • At least one manic or mixed episode
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11
Q

Describe Bipolar II disorder

A

-Patients have had at least one major depressive and one hypomanic episode in the absence of any manic or mixed episodes

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12
Q

1st line choice for treating bipolar disorder

A

-mood stabilizers: Lithium and valproic acid

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13
Q

what do you need to watch in a pt on lithium

A
  • kidney and thyroid function

- narrow therapeutic index

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14
Q

Describe Cyclothymic disorder

A
  • Characterized as dysthymic disorder with intermittent hypomanic periods
  • Patient who, over the last 2 years (1 year for children), experiences repeated episodes of hypomania and depression (not severe enough to meet criteria for major depressive disorder)
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15
Q

Describe a generalized anxiety disorder

A
  • involves worry about actual circumstances, events, or conflicts
  • often accompanies panic anxiety
  • Symptoms of generalized anxiety fluctuate more than those of panic anxiety
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16
Q

Categories of Anxiety

A
  • Separation anxiety
  • Panic disorder
  • Agoraphobia
  • Generalized anxiety disorder
  • Obsessive-Compulsive disorder
  • Specific phobias/social phobias
  • Posttraumatic stress disorder
17
Q

Criteria for Panic disorder

A
  • Recurrent unexpected panic attacks
  • at least one attack followed by 1 month or more of: persistent concern about additional attacks, Worry about implications of the attack or its consequences (losing control, heart attack), significant change in behavior related to the attacks
18
Q

Definition of Panic attack

A

-a discrete period of intense fear or discomfort, in which four or more of the following developed abruptly and reached peak within 10 minutes and usually last <25 minutes . . . bullet points on slide 31

19
Q

What is Agoraphobia

A
  • Anxiety about being in situations from which escape might be difficult or embarrassing or for which help may not be available
  • Ex: being away from home, sitting in middle row of theater seats, being in elevator, traveling on a plane
  • Associated with panic disorder
20
Q

social Anxiety disorder

A
  • > 6 months
  • persistent fear of one or more social or performance situations . .could be scrutiny
  • they recognize the fear is unreasonable
21
Q

Generalized Anxiety Disorder

A

-Excessive anxiety and worry (apprehensive expectation), occurring more days than not for at least 6 months, for most of the day about a number of event or activities
-hard to control worry
-

22
Q

Obsessive Compulsive disorders

A

-obsessions and compulsions caused marked distress, are time consuming (>1 hour/day) and interfere with functioning

23
Q

what are the different types of obsessive-compulsive disorder?

A
  • Hoarding disorder
  • Trichotillomania (hair pulling)
  • Excoriation Disorder (skin picking)
  • Substance medication induced
24
Q

Difference b/t OCD and OCPD (personality disorder)

A
  • OCPD: ego syntonic . . they don’t perceive they have a problem
  • OCD: ego-dystonic . . they know their compulsions and obsessions are not reasonable
25
Q

time from for posttraumatic stress disorder

A

more than 1 month

26
Q

Treatment for Posttraumatic stress disorder

A
  • SSRIs
  • Cognitive processing therapy
  • Increased risk for substance abuse: avoid Benzos

Behavioral science (18 decks)

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