Mood Disorders Flashcards
define early morning wakening
at least 2 hours before normal
define anhedonia
loss of enjoyment or pleasure
define psychomotor retardations
slowing /objective slowing of thoughts or movements
describe the phramacologcial management of mood disorders
first episode- antidepressant for 6 months after without reducing dose
second episode- antidepressants for 1-2 yrs
describe management of mania or hypomania
stop antidepressants
start/administer mood stabaliser
may require hospital admission
what is the first line management for acute mania
olanzipine or risperidone
what is the best long term management of bipolar disorder
lithium
what is the first line pharmacological therapy for bipolar disorder
olanzapine (antipsychotic)
define bipolar disorder
characterized by 2+ episodes in which mood and activity levels are significantly disturbed consisting or mania, hypomania or depression
describe a signifying presentation of bipolar
first episode of mania on a background of depression
what is the criteria for hypomania
for 4 consecutive days and at least 3 of the following interfering with everyday life:
increased activity
increased talkativeness
difficulty concentrating
decreased need for sleep
decreased libido
mild spending sprees and other reckless behavior
what is the criteria for mania
sustained for 1 week and at least 3 of the follwing:
increased activity, increased talkativeness
flight of ideas, loss of normal social inhibitions
decreased need for sleep, images of grandiosity
distractibilty, marked sexual energy
reckless behavior
mood congruent auditory hallucinations
describe bipolar 1
(mania + depression)
must meet the criteria for mania with previous hypomanic or depressive episodes
describe bipolar 2
(hypomania + depression)
large chronic depressive episodes and has never met the criteria for mania
describe bipolar 2.5
depression superimposed on cyclothymic temperament
