Q2 Mood Disorders 2 Flashcards
what condition has chronic depressive symptoms although symptoms are often milder than major depressive disorder
- persistent depressive disorder (dysthymia)
persistent depressive disorder (dysthymia) occurs most of the day with more days than not for at least _____
- 2 years
treatment for persistent depressive disorder (dysthymia)
- antidepressants (SSRIs)
- psychotherapy (CBT)
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
- cyclothymia
- at least 2 years
cyclothymia includes the presence of numerous period with ______ and ______ symptoms that do not meet the criteria for a major depressive episode
- hypomania
- depressive symptoms
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
- bipolar not otherwise specified (NOS)
treatment for cylothymia or bipolar NOS
- antidepressants with close monitoring
season exacerbations in mood is common in ______ and ____ mood disorders
- unipolar and bipolar
SAD is a recurrent affective disorder (mostly _______) syndrome associated with seasonal variation
- depressive
classic onset of SAD
remission by
- beginning of winter
- spring
treatment of SAD
- light therapy
unique features of atypical depression that differ from melancholic depression
- can experience improved mood briefly
- hypersomnia, hyperphagia
- leaden paralysis
- interpersonal rejection sensitivity
those with melancholic depression tend to feel worse in the _____ and those with atypical depression tend to feel worse _____-
- morning
- night
treatment of atypical depression
- SSRIs and CBT
- MAOis
why are MAOIs not first line treatment for atypical depression
- diet restrictions (must restrict tyramine)
- adverse reactions with other meds
what dietary changes need to be made with MAOis
- tyramine free diet
- avoid fermented foods and chocolate
among women with major affective disorders, illness risks are greater during ______ period than during pregnancy
- postpartum
Post partum depression is detrimental to the mother because of her inability to __________ with her newborn
- attach
antenatal depressive symptoms increase likelihood for
- intrauterine growth restriction
- preterm birth
risk factors for post partum depression
- age < 18
- early weaning
- thyroid dysfunction
postpartum blues occurs _____ after birth
- lasts ______
- 2-3 days
- 2-3 weeks
postpartum blues due to loss of what hormones
- progesterone
- allopregnanolone
postpartum depression is the same definition as major depressive disorder but occurs within _____ after delivery
- one month
_____ features are more common in post partum depression
- anxious
