Mood Disorders & Suicide Prevention Flashcards

1
Q

Major depressive disorder

A
  • depressed mood or loss of interest or pleasure in usual activities
  • may be single episode or recurrent
  • evidence will show impaired social and occupational functioning for at least 2 weeks
  • no hx of mania and s/s not attributable to substance abuse or a medical condition
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2
Q

Major depressive disorder - manifestations

A
  • depressed mood
  • loss of interest
  • no pleasure in usual activities
  • symptoms can be mild, moderate or severe
  • may be evidence of psychotic, catatonic or melancholic features
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3
Q

Dysthymic disorder

A
  • chronically depressed mood for more days than not for at least 2 yrs (1 yr in kids and adolescents)
  • early onset: occurring before 21
  • late onset: occurring after 21
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4
Q

Dysthymic disorder - manifestations

A
  • individuals describe mood as sad or “down in the dumps”

- no evidence of psychotic symptoms

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5
Q

Substance- or medication-induced depressive disorder

A

Symptoms considered to be a direct result of physiological effects of a substance

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6
Q

Substance- or medication-induced depressive disorder - manifestations

A

Disorder causes clinically significant distress or impairment in social, occupational or other important areas of fxning

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7
Q

Depressive disorder due to another medical condition

A

Characterized by symptoms associated with a major depressive episode that are the direct physiological consequence of another medical condition

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8
Q

Depressive disorder due to another medical condition - manifestations

A

Clinically significant distress or impairment in social, occupational or other important areas of functioning

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9
Q

Post-partum depression

A
  • depression in the post-partum period ranging from the blues to moderate depression, to psychotic depression, to melancholia
  • begins within 48 hrs after delivery, peaks ~3-5 days, and lasts ~2 weeks
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10
Q

Post-partum depression - manifestations

A
  • tearfulness
  • despondency
  • anxiety
  • subjectively impaired concentration
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11
Q

Bipolar I

A
  • an individual who is experiencing a manic episode, of has a hx of one or more manic episodes
  • the client may have also experienced episodes of depression
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12
Q

Bipolar I - manifestations

A
  • mania
  • depression
  • psychotic or catatonic features may also be noted
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13
Q

Bipolar II

A
  • characterized by recurrent bouts of major depression with episodic occurrence of hypomania
  • the client has never experienced a full manic episode and the symptoms are not severe enough to cause a marked impairment in social or occupational fxning or to necessitate hospitalization
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14
Q

Bipolar II - manifestations

A
  • depression

- hypomania

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15
Q

Cyclothymic disorder

A
  • chronic mood disturbance of at least 2 yrs
  • involving numerous periods of elevated mood that do not meet the criteria for a hypomanic episode
  • numerous periods of depressed mood of insufficient severity or duration to meet the criteria for a major depressive episode
  • the individual is never without symptoms for >2 mos.
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16
Q

Cyclothymic disorder - manifestations

A
  • elevated mood

- depression

17
Q

Interventions for depressive disorders

A
  • individual psychotherapy
  • group therapy
  • cognitive therapy
  • electroconvulsive therapy
  • transcranial magnetic stimulation
  • vagal nerve stimulation/deep brain stimulation
  • light therapy
  • psychopharmacology (antidepressants)
18
Q

Interventions for bipolar disorders

A
  • individual psychotherapy
  • group therapy
  • family therapy
  • cognitive therapy
  • the recovery model
  • electroconvulsive therapy
  • psychopharmacology (mood-stabilizing agents [lithium])
19
Q

Depressive disorders - client and family education: nature of the illness

A
  • stages of grief and s/s associated with each stage
  • what is depression?
  • why do people get depressed?
  • what are s/s of depression?
20
Q

Depressive disorders - client and family education: management of the illness

A
  • medication management
  • assertiveness techniques
  • stress-management techniques
  • ways to increase self-esteem
  • electroconvulsive therapy
21
Q

Depressive disorders - client and family education: support services

A
  • suicide hotline
  • support groups
  • legal/financial assistance
22
Q

Bipolar disorders - client and family education: nature of the illness

A
  • causes of bipolar disorder
  • cyclic nature of the illness
  • symptoms of depression
  • symptoms of mania
23
Q

Bipolar disorders - client and family education: management of the illness

A
  • med management
  • assertive techniques
  • anger management
24
Q

Bipolar disorders - client and family education: support services

A
  • crisis hotline
  • support groups
  • individual psychotherapy
  • legal/financial assistance
25
Q

Suicide risk factors

A
  • marital status (single, never married 2x more likely)
  • gender (more women attempt, men succeed)
  • age (highest 45-65 y/o, 2nd >85)
  • religion (affiliation w religion decreases likelihood)
  • socioeconomic status (very highest and lowest most likely)
  • hx of mental disorders
  • recent psychiatric hospitalization
  • insomnia
  • LGBTQ
  • family hx
  • hx of being bullied
26
Q

Suicidiality: nursing interventions

A
  • do not kea e suicidal person alone
  • no-suicide contract may be established
  • establish rapport and promote trusting relationship
  • accept clients feelings w/o judgement
  • discuss current crisis and clients’ life
  • help client identify areas of life within control and not within control
  • admin therapeutic pharm (antidepressants) as Rx