Mood disorders and suicide Flashcards

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1
Q

What percent of patients with depression will die by suicide

A

15%

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2
Q

Which gender is mood disorders most common

A

Female

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3
Q

What causes “learned helplessness”

A

Uncontrollable bad events which leads to a perceived lack of control… resulting in generalized helplessness

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4
Q

What is Major depression also known as

A

unipolar or clinical depression

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5
Q

What mood alteration occurs with major depression

A

persistent evere sadness and low mood

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6
Q

What is Anhedonia

A

Loss of ability to experience pleasure

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7
Q

What is the assessment tool used to asses for major depression

A

PHQ-9

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8
Q

What is the first line medication for major depression

A

SSRIs
-Should try 4-8 weeks before changing the agent or increasing the dose

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9
Q

What is dysthymia

A

Chronic, persistent low mood
*Lows aren’t as low as MDD

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10
Q

What is the DSM-5 dysthymia criteria

A

2 of 6 symptoms
present for 2+ years and present consistently

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11
Q

What is bipolar disorder characterized by

A

significant mood swings

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12
Q

What is the DSM-5 criteria for bipolar disorder

A

Increased mood ect for over a week (change in baseline behavior)

3 different personality changes

Not from medical condition or substance

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13
Q

What are the types of bipolar disorder

A

Type 1
Type 2

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14
Q

What is bipolar 1

A

Mania and depression
+psychotic symptoms

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15
Q

What is bipolar 2

A

Hypomania and depression
Usually no psychotic symptoms

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16
Q

What are some treatments for bipolar disorder

A

mood stabilizers or second generation antipsychotics (clozapine, Aripiprazole, Risperidone)

17
Q

What are the first line mood stabilizers for bipolar disorder

A

Lithium
Valproate
Carbamazepine

18
Q

Why is clozapine a dangerous drug choice

A

Can cause agranulocytosis

19
Q

What is ECT

A

Electroconvulsive therapy

20
Q

When is ECT used

A

In patients that have failed pharmacological treatment
OR
Patients at high risk for suicide that need urgent treatment

21
Q

What conditions can ECT be used for

A

MDD
Bipolar disorder
Schizophrenia
Catatonia

22
Q

What is TMS

A

Transmagnetic stimulation

23
Q

What is TMS used for

A

treatment of resistant depression

24
Q

What is Cyclothymia

A

Milder form of bipolar disorder

25
Q

What is the first line treatment for premenstrual dysphoric disorder

A

SSRI

26
Q

Which gender has a higher risk of committing suicide

A

Males

27
Q

What is the suicide and crisis lifeline

A

988