Test 3 Flashcards
Major depressive episode symptoms
- need to last at least 2 weeks
-cognitive symptoms: ideas of worthlessness
-physical symptoms: issues sleeping, appetite, loss of energy
Anhedonia in depressive episodes
inability to experience pleasure
why is a Manic state bad?
-Patient will go on overdrive
-Their speech will be too fast and incoherent
-extreme impulsive and reckless behavior
what r Hypomanic episode
○ Less severe version of a manic episode
○ Does not make patient act out in extreme to effect their social/occupational function
○ Its not problematic itself
difference of Major Depressive Disorder vs. Grief
Look at symptoms of things that aren’t apart of grieving
○ Feeling or worthlessness
○ Suicide ideas
○ Psych retardation
○ Severe impairment
what is Double Depression
Patient with persistent depressive disorder will have a clear cut major depressive disorder episode
8 criteria’s that are used to diagnose a depressive disorder
- Anxious destress
- Mixed feature - manic ISH
- Melancholic features- mood state
- Psychotic features- psych symptoms during depression
- Catatonic - mutism, mimicking other, agitation
- A typical - unusual behavior
- Seasonal pattern -history of at least 2 years where it has taken place in a certain seasons
8.Peripartum onset - M.D. episode during pregnancy
hallucinations vs. delusions
hallucinations = seeing or hearing things that aren’t there
Delusions = (strongly held or inaccurate beliefs)
Bipolar 1 v.s. 2 disorder
patients experience high manic episodes which alternate with high depressive episodes. & symptoms go into remission between episode
BPD 2 is similar but patients have milder manic episodes called hypomania’s
what is cyclothymic disorder
goes from manic to depressed.
there are no break between episodes like Bipolar 1
mood disorder genetic causation
Family of direct blood/genetics have 2-3 times higher chance then ppl who don’t have mood disorder
treatment for mood disorders
-Electroconvulsive therapy in 1950s
-Iproniazid serendipity finding that was for tuberculosis
-recreational drug use with LSD, ketamine, and Ecstasy
Anti-depressants
-tricyclic depressants
-SSRIs
-selective norepinephrine reuptake inhibitors
Causation: Neurotransmitters mood disorder
- low levels of serotonin
-Norepinephrine and Dopamine
-they work together to regulate sleep/ mood/ appetite
Affected brain regions for mood disorder
prefrontal cortex, cerebral cortex, hippo, amygdala