Mood Disorders Flashcards
DIGFAST sxs
Distractibility Insomnia/impulsive Grandiosity Flight of ideas Activity/Agitation Speech (hurried) Thoughtlessness
DIGFAST sxs describe ________ episodes, and require ____ sxs or more for how long?
manic episodes
3 sxs x 1 week
SIG E CAPS sxs…
Sleep Interest Guilt Energy Concentration Appetite Psychomotor activity Suicidal Ideation
SIG E CAPS sxs describe ________ episodes, and require ____ sxs or more for how long?
Major Depressive Episodes
5 sxs x 2 weeks
What percent of manic patients have psychotic sxs?
50%
is Major Depressive Episodes or Manic Episodes a psychiatric emergency?
manic episodes
Hypomania includes _____ DIGFAST sxs lasting for how long?
3 sxs x 4 consecutive days
Mania or Hypomania?
Lasts at least 4 days
No marked impairment in social or occupational functioning
Does not require hospitalization
No psychotic features
Hypomania
2 MC sleep disturbances with MDD?
difficulty falling asleep
early morning awakening
PHQ-9 screens for ______ in the ______ setting
depression screening
Primary Care Setting
What percent of MDD patients die via suicide?
10%
A response to MDD tx is represented by an improvement in sxs by ____%
50%
A remission occurs for MDD when PHQ-9 score is…
4 or less
recovery from MDD occurs when remission lasts how long?
6 months
What percent of patients who receive pharmacotherapy for MDD experience significant response?
60%
4 pharmacotherapeutics for MDD…
SSRIs
SSRI/SNRIs
TCAs
MAOIs
Why do antidepressant medications take 2-4 weeks to achieve therapeutic effects?
depend on post-synaptic receptor downregulation
What can be combined with pharmacotherapy for MDD for a 1+1=3 type effect?
psychotherapy (CBT)
Severe MDD can be treated with…
ECT
PDD occurs if depressive sxs last ______ for how long
most of day on most days x 2 years
PDD, sxs cannot cease for greater than…
2 mo
What are two mood stabilizers that can be prescribed to treat Bipolar I?
lithium or vaproate + 1st gen/atypical neuroleptic
Ability, risperdal, zyprexa and seroquel are what class of meds?
1st gen/atypical neuroleptic
Bipolar II is dx by presence of ___ hypomanic and 1 _____ episodes
1 hypomanic + 1 depressive episode
1st line drugs for hypomania? (2)
risperidone
olanzapine
CHASES sxs
Concentration Hopelessness Appetite Sleep Energy Self-esteem
2+ CHASES sxs for how long confers a PDD dx?
2+ CHASES for 2 years, not asxs for > 2 mo
