Mood Disorders - Ordinary People, Silver Linings Playbook Flashcards

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1
Q

Emotion

A
  • arousal defined by subjective states of feeling

* interpretations of somatic sensations

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2
Q

Affect

A

• pattern of observable behaviors

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3
Q

Mood

A

• pervasive and sustained emotional response that can color perception

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4
Q

Clinical Depression

A

• depressed mood accompanied by other symptoms such as loss of energy, loss of pleasure, fatigue, and change in sleep and appetite

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5
Q

Dysthymia

A
  • persistent depressive disorder
  • a chronic state of depression, with similar but less severe symptoms of major depression
  • persistent, lasting more than 2 years
  • leads to severe outcomes such as social isolation, high suicide risk, and being mislabeled
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6
Q

Learned Helplessness

A

• when there is no more effort made to try to get oneself out of a bad situation

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7
Q

Ruminating Styles

A
  • dwelling on negative thoughts
  • expressive
  • more common in women
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8
Q

Distracting Style

A
  • doing other things to stop unpleasant thoughts

* more frequent in men

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9
Q

Antidepressants

A
  • tricyclics
  • SSRIs
  • MAOIs
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10
Q

Tricyclics

A
  • imipramine and amitriptyline
  • more side effects than SSRI, like constipation, drowsiness, drop in BP, blurred vision
  • equal in efficacy to SSRIs
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11
Q

SSRIs

A
  • most frequently used antidepressant
  • easier to use than other antidepressants
  • fewer side effects
  • less dangerous in overdose
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12
Q

MAOIs

A
  • phenelzine (nardil)
  • not as effective
  • side effects: consuming foods with tyramine increases BP
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13
Q

Emotional Symptoms of Depression

A
  • depressed or dysphoric mood
  • irritability
  • anxiety
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14
Q

Cognitive Symptoms of Depression

A
  • slowed thinking
  • worthlessness
  • guilt
  • suicidal thoughts
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15
Q

Somatic Symptoms of Depression

A
  • aches and pains
  • changes in sleep and appetite
  • loss of sexual desires
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16
Q

Behavioral Symptoms

A

• psychomotor retardation

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17
Q

Suicide

A
  • highest rate among white men over 50 who were successful in their careers
  • the midwest is the suicide belt
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18
Q

Cognitive Behavioral Therapy for Depression

A
  • focuses on helping patients replace self defeating thoughts with more rational statements
  • current experiences
  • effective for unipolar depression
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19
Q

Interpersonal Therapy

A
  • focuses on current relationships, especially familial

* attempts to improve relationships by building communication and problem solving skills

20
Q

Psychodynamic Therapy for Depression

A

• revealing the unconscious motivations

21
Q

Bereavement

A
  • death of a relative or friend

* used to not qualify for depression until 2 months after the loss, now removed

22
Q

Post-Traumatic Growth

A

Working through issues and becoming emotionally more stable, closer to loved ones, mature

23
Q

Heterogeneity

A

all patients do not have exactly the same set of symptoms, the same pattern of onset, or the same course over time

24
Q

Major Depressive Disorder

A
  • persistent sad or low mood that is severe enough to impair a person’s interest in normally enjoyable activities
  • episodic illness
25
Q

Single Episode

A

Lasts 2 weeks to several months

26
Q

Course and Outcome of Depression

A
  • average age is 32
  • lengths of episodes vary
  • half of all unipolar patients recover in 6 months
  • must last at least 2 weeks
27
Q

No Meaning/No Growth

A
  • Describes individuals who continue to search for meaning in loss
  • more likely to experience negative changes in worldview, seeing world as unfair or dangerous
  • get stuck in the process of loss, unable to experience personal growth
28
Q

Minimal Threat/Minimal Growth

A
  • describes individuals who do not seek explanations or meaning in loss
  • do not attempt to process their emotions or identify how loss affects them
  • no changes in philosophy towards world, only adds an extension of existing views
29
Q

Bipolar Disorder

A
  • involved manic or hypomanic episodes
  • cannot be comorbid with depression
  • bipolar I, bipolar II, or cyclothymia
30
Q

Bipolar I

A

• At least one full blown manic episode

31
Q

Bipolar II

A
  • at least one hypomanic episode
  • no full blown manic episode
  • does not disturb functioning
32
Q

Cyclothymia

A
  • bipolar equivalent of persistent depressive disorder

* 2 years or more numerous hypomanic and depressive episodes

33
Q

Emotional Symptoms of Bipolar

A
  • depressed or dysphoric mood
  • euphoria
  • irritability
  • anxiety
34
Q

Cognitive Symptoms of Bipolar

A
  • slowed thinking
  • guilt and worthlessness
  • guilt
  • suicidal thoughts
  • sped up thoughts
  • grandiosity
35
Q

Somatic Symptoms of Bipolar

A
  • aches and pains
  • changes in sleep and appetite
  • loss of sexual desire
36
Q

Behavioral Symptoms

A
  • psychomotor retardation
  • psychomotor agitation
  • gregarious and energetic
37
Q

Course and Outcome of Bipolar

A
  • occurs between 18-22
  • first onset can be depression or mania
  • average duration of a manic episode runs between 2-3 months
  • long term course is often intermittent
  • mixed long term prognosis
38
Q

Treatments for Bipolar

A
  • lithium and anticonvulsants

* psychotherapy

39
Q

Lithium

A
  • moderates glutamate levels
  • effective in manic symptom alleviation
  • 40% of patients dont improve
  • non compliance due to missing the highs of mania
40
Q

Euthymic

A

Stop taking

41
Q

Anticonvulsants

A
  • more than 50% respond to these drugs
  • used to treat rapid cycling
  • side effects
42
Q

Psychotherapy

A
  • can be effective supplement to biological intervention
  • interpersonal therapy
  • social rhythm therapy
43
Q

Interpersonal Therapy Social Rhythm Therapy (IPSRT)

A

Helps social rhythm and daily routine changes, setting a schedule

44
Q

Age of Onset for Depression

A

32 years

45
Q

Age of Onset for Bipolar Disorder

A

18-22 years