Unipolar/Bipolar Depression Flashcards

1
Q

Name some of the specifers of depression in the DSM 5.

A

Melancholic Features, Catatonic Features, Peripartum Onset

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2
Q

Name some of the Depressive symptoms of a Major Depressive Episode.

A

Sad mood, lost of interests, appetite and sleep disturbances, loss of energy, motor disturbances, diminished concentration. feelings of excessive guilt/hopelessness, recurrent suicidal ideation.

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3
Q

That is Dysthymia?

A

Less severe than major depression, but more chronic. Two of following: appetite change, low SE, insomnia, concentration probs, low energy, hopelessness.

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4
Q

What is the median age of depression? Is there a gender difference? Why?

A

Median age 30 yrs. Women twice as likely as men. Possibly due to willingness to admit, stressors, biology.

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5
Q

What are some of the associated problems with depression?

A

Suicide, Occupational/Social Activities, Anxiety, Physical Health.

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6
Q

Name the biological factors accociated with depression.

A

reduced neurotransmitters in synapses, lower efficacy in serotonin reuptake, hyperactivity in HPA axis, abnormalities in prefrontal regions, amygdala, anterior singulate cortex.

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7
Q

Explain Beck’s Cognitive Theory of depression.

A

Negative Early experience creates dysfunctional beliefs, and later on a critical incident occurs and dysfunctional beliefs are activated. Aspects of Negative Triad and the beliefs result in symptoms of depression.

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8
Q

What is Expressed Emotion (EE)

A

interation style where family members are overly protective and self sacrificing towards a person with a psychological disorder, while expressing high criticism and hostility.

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9
Q

What are some of the protective factors of depression?

A

connectivness, achievement, openness, effective coping skills, positive rships, good interpersonal skills, family cohersion.

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10
Q

Name some antidepressants for depression treatment.

A

Selective Serotonin Reuptake Inhibitors, Monoamine Oxidase Inhibitors, Tricyclic Antidepressants

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11
Q

What is repetative transcranial magnetic stimulation?

A

Magnetic Pulses to change neuron function.

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12
Q

What are some options for replapse prevention for depression?

A

Mindfulness, physical activity, self help books.

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13
Q

What is Bipolar Disorder?

A

Marked by manic/hypermanic episodes and depressive episodes (mood alteration cycle).

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14
Q

What is mania?

A

Elevated, expansive, or irritable mood and abnormally persistently increased goal directed activity of energy (for 1 week and 3 of following: inflated SE, sleep disturbance, flight of ideas, heightened activity, gradiosity, pressure of speech, distractability, risk taking.

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15
Q

What is the difference between BP I and II?

A

BP I is when a depressive episode can be present, but not always, significant distress and mania. Bipolar II is when a depressive episode is present, as well as hypomania and significant distress, but no mania.

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16
Q

What is rapid cycling BP?

A

those who experience 4 or more bipolar episodes in a year.

17
Q

What is cyclothymic disorder?

A

milder but more chronic form of BP (hypomania and depressive symptoms)

18
Q

How is BP misdiagnosed?

A

Schizophrenia for males, and Unipolar depression for females.

19
Q

What are the problems associated with bipolar?

A

Anxiety, Substance misuse, Social/Economic Costs, Suicide.

20
Q

What is Carson’s Shared Vulnerability Model?

A

vulnerability to psychopathology shares features that alos predispose people to creativity (cognitive disinhibition, attentional bias). Increased amount of stimuli available in awareness.

21
Q

What is the Diathesis Stress Model?

A

interaction between underlying vulnerability and stressful life events.

22
Q

What medication can be used to treat BD?

A

Mood Stabalisers (Lithium) to treat without mood shift. Atypical antipsychotics (to treat Mania).

23
Q

What psychological interventions are used to treat BP?

A

psychoeducation, mood monitoring , interpersonal and social rhythm therapy

24
Q

How can relapse be prevented for BP?

A

Compliance to meds, establishing routine, warning signs, monitoring symptoms, education, possible hospitalisation