Quiz 2- Depression and Anxiety

Question 1

What are the cognitive S/S of depression?

Answer 1

• Helpless, hopeless worthless, “life is not worth living”
• Poor concentration and memory, inability to make decisions
• Suicidal thoughts
• Loss of interest in previously enjoyable activities

Question 2

How does depression relate to sadness and grief?

Answer 2

• depression does not equal grief
• Grief is normal part of the mourning process
• Grief does not demonstrates feelings of worthlessness, severe guilt, or desire to die

Question 3

What are the physiological S/S of depression?

Answer 3

• inability to sleep or sleeps too much
• Loss of appetite or increased hunger, especially for carbohydrates
• Joint/muscle pain, GI distress, feelings of malaise
• Fatigue or loss of energy

Question 4

What are the emotional S/S of depression?

Answer 4

• sad, depressed
• excessive guilt
• lack of affect, inability to feel joy or pleasure
• feeling bored or disinterested
• loneliness
• It is possible to have depression without having symptoms of sadness or feeling depressed

Question 5

What are the behavioral S/S of depression?

Answer 5

• Social withdrawal or isolation
• restlessness or irritability
• lack of initiative or motivation
• irritable, angry, or hostile
• giving up previously pleasurable activities

Question 6

What are the appraisal problems (S/S) associated with depression?

Answer 6

• Unable to access strategies to perform necessary daily tasks
• Unable to make a decision and follow through
• Unable to accurately assess self-worth

Question 7

What is dysthymia?

Answer 7

low or depressed mood (can last 2+ yrs)

• Fewer symptoms that are less severe
• can be described as a “depressed personality”
• lack (or less present) the neurovegetative symptoms (eating and sleeping)
• can progress to MDD

Question 8

What are the cognitive S/S of anxiety/anxiety disorders?

Answer 8

• Irrational fears, worry, apprehension
• impaired memory and concentration
• catastrophizing

Question 9

What are the physiological S/S of anxiety/anxiety disorders?

Answer 9

• Somatization- aches, pains, discomforts, without a physical cause
• Increased sympathetic arousal- increased HR, BP, palpitations, sweating, SOB, increased m. tension
• Nausea, GI distress, dizziness, paresthesias

Question 10

What are the mood/emotion S/S of anxiety/anxiety disorders?

Answer 10

• “Anxious” thoughts and feelings, terror
• Irrational fears
• May be constant (generalized anxiety disorder) or transient (panic disorder, social or other phobias)

Question 11

What are the behavioral S/S of anxiety/anxiety disorders?

Answer 11

• Very emotionally “needy” or clingy
• Avoidance of anxiety-producing situations
• Constantly asking for reassurance and guidance
• May repeatedly request help when making simple decisions
• May exhibit rigid and controlling behaviors
• Restless, pacing movements, unable to sit still

Question 12

What are the appraisal problems associated with anxiety disorders?

Answer 12

• Catastrophization- every molehill becomes a mountain

- Somatization- amplification of somatic symptoms

Question 13

What are the other names for major depressive disorder?

Answer 13

• clinical depression

- unipolar depression

Question 14

Is depression a spectrum disorder?

Answer 14

yes

It is also a life threatening illness with high mortatlity rate

Question 15

What is the DSM-IV-TR requirements for MDD?

Answer 15

essential features of MDD must occur most of the day, every day, for at least 2 weeks
-Must have at least 4 of the symptoms