Pathology 2 Flashcards
Presence of at least 1 manic episode with or without a hypomanic or depressive episode
Bipolar Disorder I
Presence of a hypomanic and depressive episode
Bipolar Disorder II
Tx of Bipolar Disorder
Mood stabilizers, lithium, valproic acid, carbamazepine
Atypical antipsychotics
Dysthymia and hypomania; milder form of bipolar disorder lasting at least 2 years
Cyclothymic Disorder
Name 5 of 9 Major depressive disorder symptoms
SIG E CAPS
sleep disturbance, loss of interest, guilt/worthlessness, energy loss/fatigue, Concentration problems, appetite/wt changes, psychomotor retardation or agitation, suicidal ideation, depressed mood
Time frame for Major depressive disorder
6-12 months, need 5/9 symptoms for 2+ weeks
depression, often midler ,lasting at least 2 years
Persistent depressive disorder (dysthymia)
Depressive symptoms that improves in response to full-spectrum bright-light exposure
Seasonal Affective Disorder
Depression that is able to be improved in response to positive events, briefly
Atypical depression
“reversed” vegetative state symptoms
hypersomnia and weight gain associated with atypical depression
Leaden paralysis
heavy feeling in arms and legs, associates with atypical depression
Long-standing interpersonal rejection sensitivity
Atypical depression
Tx of Atypical depression
MAO-I, SSRIs
Time frame of postpartume mood disturbances
within 4 weeks of delivery
Depressed affect, tearfulness, and fatugue starting 2-3days after delivery, usually resolves in 10 days
Maternal postpartum blues
Depressed affect, anxiety and poor concentration starting within 4 weeks after delivery lasting 2weeks to a year or more
Postpartum depression
tx of Post-partum depression
Antidepressants and psychotherapy
Delusions, hallucinations, confusion, unusual behavior, homicidal/suicidal ideations or attempts after birth.
Lasts 4-6weeks
Postpartum psychosis
Tx of postpartum psychosis
antipsychotics, antidepressants, inpatient hospitalization, assessment of child safety
Normal bereavement characterized by shock, denial, guilt, and somatic symptoms - 6 to 12 months
Pathologic grief
Tx for Major depressive disorder refractory to other tx and pregnant women.
Electroconvulsive therapy
A/E of electroconvulsive therapy
Disorientation, temporary HA, and partial anterograde/retrograde amnesia usually resolving in 6months
Suicide risk factors
Male, Teens and elderly, depression, previous attempt, ethanol/drugs, loss of rational thinking, sickness, 3+ medications, organized plan, no spouse, lack social support
Inappropriate experience of fear/worry and its physica; manifestations when the source of the fear/worry is either not real or insufficient to account for severity of symptoms
Anxiety Disorder
Periods of intense fear and discomfort peaking in 10 minutes with at least 4 symptoms. Attack followed by 1 months+ of 1+ concern of additional attack or behavioral change relating to attack
Panic Attack
At least 4 of Panic attack symptoms
PANICS - L
paresthesia, palpitations, paresthesia, abdominal distress, nausea, intense fear of dying or losing control, Chest pain, chills, choking, disConnectedness, Sweating, shaking, SOB, Light headedness
Tx of Panic Attacks
Cognitive behavior therapy, SSRIs, venlafaxine, benzodiazepines
