MOOD DISORDERS(AFFECTIVE) Flashcards
Are pervasive alterations in emotions that are manifested by depression or mania or both?
MOOD DISORDERS(AFFECTIVE DISORDERS
Are the most common psychiatric diagnoses associated with suicide?
MOOD DISORDERS
major depressive illness lasts at least 2 wks and which a person experoences a depressed mood or loss of pleasure in nearly all activities?
MAJOR DEPRESSIVE DISORDER
What includes primary mood disorders?
MAJOR DEPRESSIVE DISORDER
BIPOLAR DISORDER
Symptoms of major depressive illness:
CHANGES IN APPETITE, WEIGHT, SLEEP OR PSYCHOMOTOR ACTIVITY
DECREASED ENERGY
FEELINGS OF WOTHLESSNESS OR GUILT
DIFFICULTY THINKING, CONCENTRATING OR MAKING DECISIONS
Some people with major depressive disorder with a combination of hallucinations and delusions?
PSYCHOTIC DEPRESSION
Formerly known as manic depressive illness?
BIPOLAR DISORDER
Is diagnosed when person’s mood cycles between extremes of mania and depression?
BIPOLAR DISORDER
Is a distinct period during which mood is abnormally and persistently elevated, expansive, or irritable? Typically last abiut 1 wk
MANIA
Is a period of abnormally and persistently elvated, expansive or irritable mood lasting 4 days and including three or four of the additional symptoms?
HYPOMANIA
The person experiences both mania and depression nearly everyday for atleast 1 week?
MIXED EPISODE
The mixed episode are called?
RAPID CYCLING
Types of Bipolar Disorder?
BIPOLAR I DISORDER
BIPOLAR II DISORDER
One or more manic or mixed episodes usually accompanied by major depressive episodes?
BIPOLAR I DISORDER
One or more major depressjve episodes accompanied by at least one hypomanic episode
BIPOLAR II DISORDER
Is characterized by at least 2 years of depressed mood for more days than not with some additional, less severe symptoms that do not meet the criteria for a major depressive episode?
DYSTHYMIC DISORDER
Characterized by 2 yrs of numerous periods of both hypomanic symptoms that do not meet the criteria for bipolar disorder
CYCLOTHYMIC DISORDER
Is characterized by a prominent and persistent disturbance in mood that is judged to be a direct physiologic consequences of ingested substances such as alcohol, other drugs or toxins?
SUBSTANCE-INDUCES MOOD DISORDER
What are other disorders that involve changes in mood?
SEASONAL AFFECTIVE DISORDER
POSTPARTUM OR MATERNITY BLUES
POSTPARTUM DEPRESSION
POSTPARTUM PSYCHOSIS
Tetracyclic antidepressants?
AMOXAPINE
MAPROTILINE
Are used when the client has an inadequate response to or side effects from SSRIs
Atypical antidepressants
4 atypical antidepressant
VENLAFAXINE
BUROPION
NEFAZODONE
MIRTAZAPINE
Blocks the reuptake of serotonin, norepinephrine and dopamine
VENLAFAXINE
Modestly inhibits the reuptake of norepinephrine; weakly inhibits the reuptake of dopamine and has no effects on serotonin
BUROPION
Inhibits the reuptake of serotonin and norepinephrine and has few side effects
NEFAZODONE
Inhibits the reuptake of sero and nore and it has few sexual side effects however it has a high side effects of weight gain, sedation, and anticholinergic effects?
MIRTAZAPINE
This is used infrequently because of potentially fatal side effects and interactions with numerous drugs both prescriptions and over the counyer preparartions.
MAOIs
Is the most serious side effect of MAOIs. Results when a client taking MAOIs ingest tyramine containing foods and fluids or other medications.
HYPERTENSIVE CRISIS
How many percent risk the 1st degree relatives of people with bipolar disorder have to develop bipolar disorder?
3%-8%
Serotonin deficits can lead to what?
Depression
This catecholamine enerhizes the body to mobiloze diuring syreaa and immobilize during stress and inhibits Kindling process.
NOREPINEPHRINE
Is the process by which seizure activity in a specific area of the brain is initially stimulated by reaching a threshold of the cumulative effects of stress, low amount of electric impulses or chemicals such as cocaine that sensitize nerve cell pathways?
KINDLING
How many percent of clients with depression has evidenced of increased cortisol secretion and elevated glucocorticoid activity?
40%
About how many percent of people with depression have thyroid dysfunction
5-10%
Theorist who looked at the self-appreciation of people with depression and attributed that self reproach to anger turned inward related to either a real or perceived loss?
FREUD
Theorist who believed that one’s ego aspired to be ideal and that to be loved and worthy, one must achieve these high standards?
BIBRING
Theorist who compared the state of depression to a situation in which the ego is powerless, helpless child victimized bty the superego , much lije a powerful and sadistic mother who takes delight in torturing the child?
JACOBSON
Theorist who viewed depression as a reaction to a distressing life experience such as an event with psychic causality?
MEYER
Theorist who believed that children raised by rejecting or unloving parents were prone to feelings of insecurity and loneliness making them susceptible to depression and helplessness?
HORNEY
Is given for hypertensive crisis to dilate blood vessels and decrease vascular resistance.
PHENTOLAMINE MESYLATE
Is used to treat depressive clients in cases where they do not respond to antidepressant or those who experience intolerable side effects.
ECT
What is the minimum number of treatments for ECT is needed to see sustained improvement in depressive symptoms.
6 TREATMENTS
Maximum treatments for ECT to achieve maximum benefit?
12-15 treatments
