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Psych > Mood Disorders > Flashcards

Mood Disorders Flashcards

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1
Q

Major Depressive Disorder

A 
Depressed for 2 wks
Impaired social/occupational functioning
No manic behavior hx
Not attributed to drugs or medical condition
5 or more diagnostics
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2
Q

Depression Criteria

A 
Depressed
Weight gain/loss
insomnia/hyperinsomnia
Psychomotor agitation/retardation
Fatigue
Worthless, guilt
Low concentration
Recurrent SI/death thoughts
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3
Q

Depression Tools

A

MSE
Beck Depression Inventory
Patient Health Questionaire-9
Suicide Assessment

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4
Q

Depression Biologic

A

NE and serotonin

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5
Q

Caring for Depressed Patients

A
  • patience and express belief
  • avoid overaggressive or lighthearted actions
  • step by step reminders
  • time with (even in silence
  • self care
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6
Q

Kindling

A

Sensitization

  • less stimuli to produce equal response
  • more susceptible to recurrence
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7
Q

Persistent Depressive Disorder

A

Milder than major depressive

-chronically depressed mood for most of days, for more days than not, for 2 yrs

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8
Q

Premenstrual Dysphoric Disorder

A

5 symptoms 1 wk before menses

  • improve within a few days after menses onset
  • minimal/absent week postmenses
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9
Q

Premenstrual Criteria

A
  • mood swings
  • irritability, anger, conflicts
  • marked anxiety, tension
  • anhedonia: can’t feel pleasure
  • difficulty w/ concentration
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10
Q

Premenstrual Criteria

A
  • mood swings
  • irritability, anger, conflicts
  • marked anxiety, tension
  • anhedonia: can’t feel pressure
  • difficulty w/ concentration
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11
Q

Seasonal Affective Disorder

A
  • shortened daylight
  • abnormal melatonin
  • recurring
  • lethargy, irritability, depressed, increased appetite
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12
Q

Postpartum

A
  • Blues: brief, 1-4 days, tx: reassurance/support
  • depression: 2 wks-12 mos
  • psychosis: 2-3 days
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13
Q

Persistent Complex Bereavement Disorder

A

grief beyond 12 mos

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14
Q

Disenfranchised Grief

A

“not congruent with socially recognized relationship”

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15
Q

Grief

A
  • insomnia, poor appetite, depressed

- gradually gets better

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16
Q

Psychopharm Depression

A
  • take 1-3 wks to work
  • 3 mos to determine if effective
  • stay on 6-9 mos
17
Q

Post Treatment in ECT

A
  • recovery monitoring
  • frequent reassurance/reorientation
  • criteria for discharge
18
Q

ECT Potential SE

A
  • headache
  • muscle soreness
  • nausea
  • confusion, memory loss
19
Q

Light Therapy

A

decrease melatonin

For SAD

20
Q

St. John’s Wort

A

Homeopathic

-for mild depression

21
Q

Holistic Nursing Care

A
  • Regulate: sleeping, eating, exercise, etc
  • reframe: unhealthy beliefs
  • health teaching/education
  • spiritual
  • family, comorbidity
22
Q

Bipolar

A

2 million americans

  • RF: female, family hx
  • mood swings
  • may or may not have hallucinations/delusions
23
Q

Bipolar 1

A

1 or more episodes of major depression + 1 or more periods of mania

24
Q

Bipolar 2

A

1 or more periods of major depression + periods of hypomania

25
Q

Cyclothymia

A

chronic (at least 2 yrs)

-recurrent sx of hypomania alternating with dysthmic depression

26
Q

Bipolar DSM Criteria

A

4 days for hypomania
1 week for mania
-hypomania: change in functioning
-mania: impairment in functioning

27
Q

Mania DSM-IV Criteria

A

3 or more:

  • increased self-esteem
  • decreased need for sleep
  • increased, pressured speech
  • flight of ideas, racing thoughts
  • destractibility
  • increased activity, agitation
28
Q

Manic interventions

A
  • risk for injury
  • need consistency, limit setting
  • remain neutral
  • high calorie fluids/foods frequently
29
Q

Suicide Assessment

A
  • thoughts/attempts
  • feelings on failing
  • frequency/duration
  • controllability
  • deterrents, reasons
30
Q

Risk Factors for Suicide

A

Sex
Age
Depression

Previous attempts
ETOH
Rational thinking loss
Social support lacking
Organized plan
No spouse
Sickness
31
Q

HIPPA Suicide

A

HIPPA permits a clinician to make contact with friends, family, outpatient treatment providers without consent

32
Q

Suicide Safety Plan

A
  1. List your specific warning signs:
  2. Personal coping strategies to calm and comfort:
  3. Reasons for living:
  4. Activities for distraction:
  5. Professional contacts with phone numbers:
  6. Steps to make environment safe:
  7. Where to go if still needing help

Psych (5 decks)

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