W14_07 adolescent psych 1

Question 1

are males or females more likely to have adolescent depression?

Answer 1

female:male ratio = 2:1

Question 2

what are some differences between adolescent vs adult depression?

Answer 2

youths are more commonly irritable than depressed;
mood reactivity;
low self-esteem/hopelessness;
hyperphagia/hypersomnia;
fatigue (similar)

Question 3

what to rule out when considering adolescent depression?

Answer 3

anemia;
infection;
hypo/hyper thyroidism;
autoimmune disorders

Question 4

what’s the first line medication choice for adolescent depression? (NOT necessarily first line therapy)

Answer 4

SSRI;
selective serotonin reuptake inhibitors

Question 5

what are some educational treatments for adolescent depression?

Answer 5

sleep hygiene, exercise, coping skills, family interventions

Question 6

fluoxetine, fluvoxamine, citalopram are which class of antidepressants?

Answer 6

SSRI;
selective serotonin reuptake inhibitors

Question 7

venlafaxine, mirtazapine are which class of antidepressants?

Answer 7

SNRI

Question 8

nortriptyline, amitriptyline are which class of antidepressants?

Answer 8

TCA

Question 9

escitalopram, paroxetine, sertraline are which class of antidepressants?

Answer 9

SSRI

Question 10

buproprion is in the “others” class of antidepressants

Answer 10

ok

Question 11

which class of antidepressants don’t work in children/adolescents?

Answer 11

TCA

Question 12

best evidence for antidepressants in adolescents?

Answer 12

SSRIs (fluoxetine/prozac recommended for depression with anxiety)

Question 13

what are some reasons for lack of positive response in some studies?

Answer 13

only mild depression;
short study duration;
concurrent psychotherapeutic treatments

Question 14

what did the treatment for adolescents with depression study show as the best therapy for suicidality reduction?

Answer 14

fluoxetine + CBT

Question 15

what’s the criteria for bipolar disease, type I?

Answer 15

at least one manic episode

Question 16

what’s the criteria for bipolar disease, type II?

Answer 16

recurrent depressive episodes, with at least one hypomanic episode

Question 17

when does bipolar disorder typically begin to manifest?

Answer 17

early to mid 20s;
first symptoms start in late teens

Question 18

define manic episode

Answer 18

distinct period of abnormally and persistently elevated, expansive, or irritable mood, lasting at least one week

Question 19

what’s the DSM V terminology for bipolar disorder

Answer 19

disruptive mood dysregulation disorder (DMDD)

Question 20

what’s the preferred first line medication for mood stabilization?

Answer 20

lithium;
also: divalproex, carbamazepine, topiramate

Question 21

note: even though anticonvulsants are used as mood stabilizers, there are no RCTs showing their efficacy

Answer 21

ok