Mood Disorders Flashcards
What is mood?
sustained emotional attitude
What is affect?
the way a patients emotional state is conveyed
What 2 things must be met for adjustment disorder?
Distress is out of proportion with stressor
marked distress and impairement
How long must adjustment disorder
<6mo
What is the txt for adjustment disorder?
CBT, SSRI
What two criteria must be met for MDD?
Depressed mood
loss of interest or pleasure (anhedonia)
SIG E CAPS
Sleep disturbances Interest Decreased in Pleasure Guilty Feelings Energy Decreased Concentration decreased Appetite (increased or decreased) Psychomotor Function (decreased) Suicidal Ideations
Treatment for MDD?
SSRI, CBT, ECT
What did the STAR-D trial prove?
When a SSRI or SNRI is combined with Bupropion had a better outcome for remission
How long does persistent depressive disorder last?
> 2yrs (children>1yr)
What is the treatment for Dysthymia?
SSRI
How long does Bipolar I last?
> 1week
How long does Bipolar II last?
> 4 days < 7days
DIG FAST?
Distractibility
Indiscretion
Grandiosity
Flight of Ideas
Activity Increase
Sleep Deficit
Talkativeness
How long does Cyclothymia last?
> 2yr (>1yr in children)
Bipolar I is most common in what gender?
both males and females
Bipolar II is most common in what gender?
Females > males
Cyclothymic is most common in what gender?
both males and females
When does Bipolar I onset?
18y/o
When does Bipolar II onset?
mid 20’s
When does cyclothymic onset?
adolescence/ early adulthood
What is the risk factor for bipolar/
upper socioeconomic class family hx of bipolar disorder in 2/3
What is the gold standard treatment of bipolar?
Lithium
What is the mechanism of lithium?
increase norepi and serotonin receptor
What things must be monitored in lithium use?
blood plasma levels
What is the 2nd leading cause of death among 15-24yr
Suicide
Suicide is most common in what gender
males
Suicide ranks the highest in what age groups?
45-54
What screening tools are used for suicide?
SAFE-T and SAD PERSONS
What does SAFE-T stand for?
Suicide Assessment Five Step Evaluation Triage
What is the treatment for suicide?
CBT and DBT, SSRI (black box for kiddos)