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Mood Disorders Flashcards

1
Q

how long must you have symptoms to be diagnosed with MDD?

A

2 weeks

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2
Q

how many symptoms must you have to have MDD?

A

5…

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3
Q

what are the symptoms of MDD?

A 
low mood
weight loss or gain
fatiigue
poor concentration
worthlesness/guilt
insomnia/hypersomnia
suicidal ideation
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4
Q

what is the mnemonic for depressive symptoms?

A

Sleep disturbance
Iinterest/pleasure reduction
Guilt

Energy loss

Concentration impairment
Appetite changes
Psychomotor changes
Suicidal thoughts

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5
Q

name five predisposing environmental factors for mood disorder

A 
low birth weight 
childhood illness/abuse 
unemployment
loss of parent 
social isolation
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6
Q

what is the NT change in depression

A

decrease in dopamine, NE and serotonin

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7
Q

what is the NT change in Mania?

A

increase in dopamine, decrease in GABA

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8
Q

what is the NT change in schizophrenia?

A

increase dopamine and serotonin

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9
Q

what is the NT change in anxiety?

A

decrease GABA and serotonin, increase NE

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10
Q

what is the median duration of MDD?

A

20 weeks

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11
Q

what are sleep changes associated with MDD?

A

difficulty initiating, maintaining sleep or too much sleep

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12
Q

what are EEG changes to sleep with MDD?

A

very little slow wave sleep, longer REM sleep

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13
Q

what is the mnemonic for risk factors for depression?

A

SADPERSONS

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14
Q

what does the S stand for in SADPERSONS?

A

Sex…male

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15
Q

what does the A stand for in SADPERSONS?

A

Age less than 18 and more than 45

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16
Q

what does the D stand for in SADPERSONS?

A

Depression

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17
Q

what does the P stand for in SADPERSONS?

A

Past attempt

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18
Q

what does the E stand for in SADPERSONS?

A

Etoh or illicit substances

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19
Q

what does the R stand for in SADPERSONS?

A

rational thinking loss

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20
Q

what does the S stand for in SADPERSONS?

A

SIngle, widowed, divorced

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21
Q

what does the O stand for in SADPERSONS?

A

Organized plan

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22
Q

what does the N stand for in SADPERSONS?

A

No social support

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23
Q

what does the S stand for in SADPERSONS?

A

Stated intent

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24
Q

what is it called when a mood disorder starts due to substance use?

A

substance induces mood disorder

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25
do Benzos cause depression or mania?
depression
26
do alcohol cause depression or mania?
depression
27
do interferon-alpha cause depression or mania?
depression
28
do corticosteroids cause depression or mania?
both
29
what are the diagnostic criteria for Bipolar I disorder?
``` one week of elevated expansive or irritable mood with increased activity energy with three of these: increased self esteem decreased need for sleep increased talking racing thoughts distractible ```
30
what is the mnemonic for Bipolar I symptoms?
Distracible Impulsive Grandiosity Flight of ideas Activity increased Sleep decreased Talkativeness
31
what is the difficulty with diagnosing bipolar I disorder?
over 50% of patients present in depressed mood on first visit
32
in addition to a manic episode what must you have for bipolar I?
depressive episode
33
what is diagnostic criteria for bipolar II disorder?
Major depressive episode and hypomania...no manic episode allowed
34
what other psych illness is bipolar II disorder associated with most commonly?
anxiety
35
what are people with bipolar at a really elevated risk for compared to general population?
SUICIDE
36
when do mood disorders lead to psychotic features?
only at the highest and lowest points...major depressive and manic episodes
37
what is the diagnostic criteria for PDD?
less symptoms and milder than MDD..but chronic depressive symtpoms
38
is PDD worse or better with symptoms that MDD?
it is not as bad
39
what is double depression?
when a patient with PDD develops a major depressive episode...84% risk of this happening with PDD
40
what is Rx for double depression and PDD?
antidepressants and psychotherapy
41
what is cyclothymia?
changes between levels of hypomania and and periods of depressive symptoms
42
how long does cyclothymia have to last?
for at least 2 years
43
what is bipolar NOS?
rapid alterations between manic symptoms and depressive symptoms that meet symptom threshold criteria but not duration for manic, hypomanic, or major depressive episodes
44
why is bipolar NOS not able to be considered a manic, hypomanic or major depressive episode?
it is short lasting...like a couple days
45
what is the therapy for seasonal affective disorder?
light therapy
46
what is mood reactivity in atypical depression?
they are able to respond with better mood to positive events
47
what are the reversed vegetative symptoms in atypical depression?
hypersomnia and hyperphagia
48
does normal depression feel worse at night or in the morning?
in the morning for normal
49
doe atypical depression feel worse at night or in the morning?
at night for atypical
50
what can PPD cause between mother and child?
difficulty in bonding in the early years...this can lead to negatively impact of a childs emotional and cognitive development
51
what does the presence of PPD have an odd assocations?
PTSD and trauma
52
what are risk factors for PPD during pregnancy>
stressful life event, depression/anxiety symptoms and inadequate social support
53
what is a biological issue that causes risk for PPD?
thyroid dysfunction
54
what is the risk factor for age with PPD?
age under 18 yo
55
what is risk factor for breastfeeding with PPD?
early weening of breastfeeding
56
what are the postpartum blues?
2-3 days of more crying emotional liability and irritability, less sleep and appetite disturbances
57
when does postpartum blues occur? how long does it last?
2-3 days after birth and lasts 2-3 days
58
what is postpartum blues due to?
abrupt hormone withdrawal...progesterone gone
59
what is diagnostic criteria for PPD?
same as MDD but must be within first month post delivery
60
what is Rx for PPD?
antidepressants and CBT
61
is the HPA axis over or underreactive during pregnancy?
overreactive
62
is the HPA axis over or under active during postpartum and PPD?
under active
63
what is postpartum psychosis?
2-4 weeks post delivery...confused thinking, mood swings, delusions, paranoia poor judgement and impaired functioning
64
how soon does postpartum psychosis occur?
2-4 weeks post delivery
65
who is postpartum psychosis most common in?
mothers with bipolar disorder

HBHD (17 decks)

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