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Psych > Mood Disorders - Hill > Flashcards

Mood Disorders - Hill Flashcards

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1
Q

How to diagnose a major depressive episode

A

2 weeks – 5+ of the following, including 1 of the first 2…

  • Depressed mood for most of the day, almost every day
  • Marked diminished interest/pleasure in anything
  • Weight loss or weight gain
  • Insomnia or hypersomnia
  • Psychomotor agitation or retardation
  • Fatigue or energy loss
  • Worthlessness or excessive guilt
  • Poor thinking or concentration
  • Recurrent thoughts of death or suicide

SIG E CAPS (see first aid)

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2
Q

How to diagnose a manic episode

A

1+ week – 3+ of the following, w/ mood disturbance and high energy…

  • Distractability (low concentration)
  • Irresponsibility (pleasure w/o consequences)
  • Grandiosity (high self esteem)
  • Flight of ideas (racing thoughts)
  • Activity/agitation
  • Sleep less
  • Talkative or pressured speech

DIG FAST (see first aid)

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3
Q

Major depressive episodes and manic episodes are both ___ for the patient

A

Very disturbing/distressing/impairing

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4
Q

Hypomanic episode

A

Less severe manic episode, 4+ days, no major impairment in social or occupational functioning, no psychosis, no need for hospitalization

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5
Q

Major depressive disorder - how to diagnose

Treatment?

A

Major depressive episodes lasting 6-12 months WITHOUT any manic, hypomanic, or mixed episodes

CBT, SSRIs

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6
Q

Dysthymic disorder - how to diagnose

A

Depressed mood (milder than major depressive episode) for at least 2 years, where breaks in symptoms are no longer than 2 months. Never met criteria for manic episode, hypomanic episode, or mixed episode.

CHASE – concentration loss, hopelessness, appetite loss, self-esteem loss, energy loss

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7
Q

Bipolar 1 disorder

A

1+ manic or mixed episode, with or without a hypomanic or depressive episode. Mood returns to normal between episodes.

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8
Q

Bipolar 2 disorder

A

1+ major depressive episode + 1+ hypomanic episode, WITHOUT any manic or mixed episodes

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9
Q

Treatment for bipolar disorders

A

Lithium

Valproic acid

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10
Q

Cyclothymic disorder

Treatment

A

Dysthymic disorder w/ intermittent REPEATED hypomanic and depressive (NOT major) periods. At least 2 years. No major depressive, manic, or mixed episodes

Lithium, Valproic acid; psychotherapy

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11
Q

What NOT to give to a bipolar or cyclothymic person? Why?

A

Antidepressants – can precipitate manic symptoms

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12
Q

Symptoms of anxiety (psych and somatic)

A

Psych: Apprehension, worry, sense of doom/panic, hypervigilence, difficulty concentrating, derealization

Somatic: Sympathetic symptoms

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13
Q

Anxiety

A

Inappropriate fear/worry + physical manifestations that are incongruent with the magnitude of the perceived stressor

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14
Q

Panic disorder - define

A

(1) Recurrent panic attacks

(2) 1+ month of concern, worry, or behavioral changes about additional attacks

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15
Q

Panic attack

A

Under 25 minutes, peaking in 10 minutes, 4+ of the following…

PANICS - palpitations, paresthesias, abdominal distress, nausea, intense fears of dying or losing control, chest pain, chills, choking, sweating, shaking, SOB

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16
Q

Generalized anxiety disorder

A

Excessive anxiety and worry for at least 6 months, most of the time, about a variety of events or activities. Symptoms include…

  • Restlessness or feeling on edge
  • Easily fatigued
  • Difficulty concentrating
  • Irritable
  • Muscle tension
  • Sleep disturbance
17
Q

OCD

A

Obsessions = persistent, recurrent thoughts and impulses that are intrusive. Patient attempts to ignore them.

Compulsions = Repetitive behaviors or mental acts that try to prevent or reduce the distress OR prevent a dreaded event

Spends AT LEAST 1 hour per day doing them

18
Q

How is OCD different that OC personality disorder?

A

OCD - ego-dystonic, patient finds it stressful

OC personality - ego-syntonic, more about order, perfectionism, values/beliefs

19
Q

Main obsessions in OCD

A

Contamination, safety/harm, unwanted acts of aggression, unacceptable sexual/religious thought, symmetry/exactness

20
Q

Main compulsions in OCD

A

Cleaning, checking/ordering/arranging, counting, repeating routine activities, mental rituals

21
Q

PTSD - qualifications

What do they tend to do?

A

(1) Person experienced/witnessed the event
(2) Person’s response involved intense fear, helplessness, or horror

1+ month of…

  • Persistently re-living it
  • Persistently avoiding stimuli related to it
  • Persistent hyper-vigilance and increased arousal
22
Q

PTSD - treatment

A

SSRIs, CBT

Psych (15 decks)

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