Mood Disorders Flashcards

1
Q

DIGFAST sxs

A
Distractibility
Insomnia/impulsive
Grandiosity
Flight of ideas
Activity/Agitation
Speech (hurried)
Thoughtlessness
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2
Q

DIGFAST sxs describe ________ episodes, and require ____ sxs or more for how long?

A

manic episodes

3 sxs x 1 week

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3
Q

SIG E CAPS sxs…

A
Sleep
Interest
Guilt
Energy
Concentration
Appetite
Psychomotor activity
Suicidal Ideation
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4
Q

SIG E CAPS sxs describe ________ episodes, and require ____ sxs or more for how long?

A

Major Depressive Episodes

5 sxs x 2 weeks

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5
Q

What percent of manic patients have psychotic sxs?

A

50%

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6
Q

is Major Depressive Episodes or Manic Episodes a psychiatric emergency?

A

manic episodes

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7
Q

Hypomania includes _____ DIGFAST sxs lasting for how long?

A

3 sxs x 4 consecutive days

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8
Q

Mania or Hypomania?

Lasts at least 4 days

No marked impairment in social or occupational functioning

Does not require hospitalization

No psychotic features

A

Hypomania

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9
Q

2 MC sleep disturbances with MDD?

A

difficulty falling asleep

early morning awakening

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10
Q

PHQ-9 screens for ______ in the ______ setting

A

depression screening

Primary Care Setting

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11
Q

What percent of MDD patients die via suicide?

A

10%

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12
Q

A response to MDD tx is represented by an improvement in sxs by ____%

A

50%

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13
Q

A remission occurs for MDD when PHQ-9 score is…

A

4 or less

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14
Q

recovery from MDD occurs when remission lasts how long?

A

6 months

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15
Q

What percent of patients who receive pharmacotherapy for MDD experience significant response?

A

60%

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16
Q

4 pharmacotherapeutics for MDD…

A

SSRIs
SSRI/SNRIs
TCAs
MAOIs

17
Q

Why do antidepressant medications take 2-4 weeks to achieve therapeutic effects?

A

depend on post-synaptic receptor downregulation

18
Q

What can be combined with pharmacotherapy for MDD for a 1+1=3 type effect?

A

psychotherapy (CBT)

19
Q

Severe MDD can be treated with…

A

ECT

20
Q

PDD occurs if depressive sxs last ______ for how long

A

most of day on most days x 2 years

21
Q

PDD, sxs cannot cease for greater than…

A

2 mo

22
Q

What are two mood stabilizers that can be prescribed to treat Bipolar I?

A

lithium or vaproate + 1st gen/atypical neuroleptic

23
Q

Ability, risperdal, zyprexa and seroquel are what class of meds?

A

1st gen/atypical neuroleptic

24
Q

Bipolar II is dx by presence of ___ hypomanic and 1 _____ episodes

A

1 hypomanic + 1 depressive episode

25
Q

1st line drugs for hypomania? (2)

A

risperidone

olanzapine

26
Q

CHASES sxs

A
Concentration
Hopelessness
Appetite
Sleep
Energy
Self-esteem
27
Q

2+ CHASES sxs for how long confers a PDD dx?

A

2+ CHASES for 2 years, not asxs for > 2 mo