Psyc6

Question 1

What is the commonly used mnemonic for depressing screening?

Answer 1

“SIG E CAPS”

SLEEP disturbances
loss of INTEREST
GUILD or feelings of worthlessness
loss of ENERGY
loss of CONCENTRATION
APPETITE/weight changes
PSYCHOMOTOR retardations/Agitation
SUICIDAL ideations

Question 2

How do you diagnose Major Depressive Disorder?

Answer 2

Major depressive episodes lasting 6-12 MONTHS

Episodes characterized by at least 5 of the “SIG E CAPS” for more than 2 WEEKS

Question 3

What is the lifetime prevalence of mjor depressive episode?

Answer 3

Female: 10-25%
Male: 5-12%

Question 4

What is Dysthymia?

Answer 4

Milder form of depression lasting ATLEAST 2 YEARS

Question 5

What is Seasonal Affective Disoder?

Answer 5

symptoms associated with WINTER

Improves in response to full-spectrum bright-light exposure

Question 6

What is the most common subtype of depression?

Answer 6

Atypical Depression

Question 7

What is Atypical Depression characterized by?

Answer 7

Mood reactivity:
-Improved mood in response to positive events
“Reversed” Vegetative symptoms:
-Hypersomnia & Weight gain
Leaden paralysis:
-Heavy feeling in arms and legs
Long-standing interpersonal rejection sensitivity

Question 8

What is Maternal (postpartum) “Blues”?

Answer 8

Depressed affect, tearfulness, and fatigue

Question 9

When does postpartum “blues” start? Resolve?

Answer 9

starts 2-3 Days after delivery

Resolves within 10-14 Days!!

Question 10

What is the incidence rate of postpartum blues?

Answer 10

50-85%

Question 11

What is Postpartum Depression?

Answer 11

Depressed affect, Anxiety, poor concentration starting within 4 weeks after delivery

Lasts 2 weeks to a year or more!

Question 12

What is the prevalence of Postpartum Depression?

Answer 12

10-15%

Question 13

What is Postpartum Psychosis?

Answer 13

Delusions, Hallucinations, Confusion, unusual behavior, and possible Homocidal/Suicidal ideations or attempts

Lasts days to 4-6 Weeks

Question 14

What is Electroconvulsive Therapy?

Answer 14

Treatment option for major depressive disorder refractory to other treatment and for pregnant women with major depressive disorder

Also considered when immediate response is necessary (acute suicidality), depression with psychotic features, and catatonia

Question 15

What are the risk factors for suicide completion?

Answer 15

"SAD PERSONS"
Sex-MALE
Age-Teenager or elderly
Depression
Ethanol or drug use
loss of Rationale thinking
Sickness (medical illness, 3 or more meds)
Organized plan
No spouse
Social support lacking

“women try more, men succeed more”

Question 16

What are the types of Anxiety disorders?

Answer 16

Panic disorders
Phobias
OCD
PTSD
Generalized Anxiety Disorder

Question 17

What is the lifetime prevalence for Anxiety disorders?

Answer 17

Males: 19%
Women: 30%

Question 18

What are the symptoms associated with Panic Attacks?

Answer 18

“PANICS – PPANIICCCCSSS”

Palpitations
Paresthesias
Abdominal distress
Nausea
Intense fear of dying or losing control
light-headedness
Chest pains
Chills
Choking
disConnectedness
Sweating 
Shaking
SHortness of breath

Question 19

T/F - There is a strong genetic component to Panic disorders.

Answer 19

True

Question 20

How do you diagnose panic disorder?

Answer 20

Presence of recurrent periods of intense fear and discomfort peaking in 10 minutes with at least 4 of the following “PANICS”

Question 21

Specific phobias are excessive and unreasonable response to a particular stimuli where the person recognizes their fear is excessive. How can you treat these?

Answer 21

Systematic Desensitization