Mood Disorders Flashcards
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
2
Q
Depression Criteria
A
Depressed Weight gain/loss insomnia/hyperinsomnia Psychomotor agitation/retardation Fatigue Worthless, guilt Low concentration Recurrent SI/death thoughts
3
Q
Depression Tools
A
MSE
Beck Depression Inventory
Patient Health Questionaire-9
Suicide Assessment
4
Q
Depression Biologic
A
NE and serotonin
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
6
Q
Kindling
A
Sensitization
- less stimuli to produce equal response
- more susceptible to recurrence
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
8
Q
Premenstrual Dysphoric Disorder
A
5 symptoms 1 wk before menses
- improve within a few days after menses onset
- minimal/absent week postmenses
9
Q
Premenstrual Criteria
A
- mood swings
- irritability, anger, conflicts
- marked anxiety, tension
- anhedonia: can’t feel pleasure
- difficulty w/ concentration
10
Q
Premenstrual Criteria
A
- mood swings
- irritability, anger, conflicts
- marked anxiety, tension
- anhedonia: can’t feel pressure
- difficulty w/ concentration
11
Q
Seasonal Affective Disorder
A
- shortened daylight
- abnormal melatonin
- recurring
- lethargy, irritability, depressed, increased appetite
12
Q
Postpartum
A
- Blues: brief, 1-4 days, tx: reassurance/support
- depression: 2 wks-12 mos
- psychosis: 2-3 days
13
Q
Persistent Complex Bereavement Disorder
A
grief beyond 12 mos
14
Q
Disenfranchised Grief
A
“not congruent with socially recognized relationship”
15
Q
Grief
A
- insomnia, poor appetite, depressed
- gradually gets better