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HBHD > Q2 Mood Disorders 2 > Flashcards

Q2 Mood Disorders 2 Flashcards

1
Q

what condition has chronic depressive symptoms although symptoms are often milder than major depressive disorder

A
  • persistent depressive disorder (dysthymia)
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2
Q

persistent depressive disorder (dysthymia) occurs most of the day with more days than not for at least _____

A
  • 2 years
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3
Q

treatment for persistent depressive disorder (dysthymia)

A
  • antidepressants (SSRIs)

- psychotherapy (CBT)

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4
Q

what condition includes the presence of numerous period of hypomania and depressive symptoms that do not meet criteria for a major depressive episode

for how long

A
  • cyclothymia

- at least 2 years

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5
Q

cyclothymia includes the presence of numerous period with ______ and ______ symptoms that do not meet the criteria for a major depressive episode

A
  • hypomania

- depressive symptoms

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6
Q

what condition occurs with very rapid alterations between manic symptoms and depressive symptoms that meet symptom threshold criteria but no minimal duration criteria for manic, hypomanic, or major depressive episodes

A
  • bipolar not otherwise specified (NOS)
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7
Q

treatment for cylothymia or bipolar NOS

A
  • antidepressants with close monitoring
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8
Q

season exacerbations in mood is common in ______ and ____ mood disorders

A
  • unipolar and bipolar
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9
Q

SAD is a recurrent affective disorder (mostly _______) syndrome associated with seasonal variation

A
  • depressive
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10
Q

classic onset of SAD

remission by

A
  • beginning of winter

- spring

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11
Q

treatment of SAD

A
  • light therapy
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12
Q

unique features of atypical depression that differ from melancholic depression

A
  • can experience improved mood briefly
  • hypersomnia, hyperphagia
  • leaden paralysis
  • interpersonal rejection sensitivity
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13
Q

those with melancholic depression tend to feel worse in the _____ and those with atypical depression tend to feel worse _____-

A
  • morning

- night

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14
Q

treatment of atypical depression

A
  • SSRIs and CBT

- MAOis

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15
Q

why are MAOIs not first line treatment for atypical depression

A
  • diet restrictions (must restrict tyramine)

- adverse reactions with other meds

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16
Q

what dietary changes need to be made with MAOis

A
  • tyramine free diet

- avoid fermented foods and chocolate

17
Q

among women with major affective disorders, illness risks are greater during ______ period than during pregnancy

A
  • postpartum
18
Q

Post partum depression is detrimental to the mother because of her inability to __________ with her newborn

A
  • attach
19
Q

antenatal depressive symptoms increase likelihood for

A
  • intrauterine growth restriction

- preterm birth

20
Q

risk factors for post partum depression

A
  • age < 18
  • early weaning
  • thyroid dysfunction
21
Q

postpartum blues occurs _____ after birth

  • lasts ______
A
  • 2-3 days

- 2-3 weeks

22
Q

postpartum blues due to loss of what hormones

A
  • progesterone

- allopregnanolone

23
Q

postpartum depression is the same definition as major depressive disorder but occurs within _____ after delivery

A
  • one month
24
Q

_____ features are more common in post partum depression

A
  • anxious
25
Q

third trimester of pregnancy is characterized by high _____ and ______ hormone levels and a hyperactive ______ with high _____ (hormone)

A
  • estrogen
  • progesterone
  • HPA axis
  • high plasma cortisol
26
Q

treatment of post partum depression

A
  • SSRIs

- CBT

27
Q

what condition after pregnancy is associated with confused thinking, mood swings, delusions, paranoia, disorganized behavior, poor judgment, and impaired functioning

A
  • postpartum psychosis
28
Q

______ is the second leading cause of death in postpartum women

A
  • suicide
29
Q

______ is a major depressive episode occurring superimposed on chronic mild depression

A
  • double depression
30
Q

treatment for perinatal mood disorders

A
  • meds
  • individual and group therapy
  • family-focused therapy
  • protected sleep

HBHD (23 decks)

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