Week 3: Getting high and getting low exam questions Flashcards

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1
Q

What are the seven suicide risk factors?

A
  1. Recent attempt/s
  2. Recent interpersonal crisis
  3. Financial / workplace stress
  4. Hoplessness
  5. Substance use
  6. Poor social support
  7. Poor problem solving
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2
Q

What are the 5 factors to be assessed in assessment of suicide risk?

A
  1. frequency of ideation
  2. intensity of ideation
  3. intent
  4. plan
  5. means
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3
Q

What are the 7 levels on the spectrum of mood from elevated to low?

A
  • manic - grandiose, no insight, high risk behaviours, heavy impairment
  • hypomanic - risky behaviours, mild/moderate impairment to functioning
  • hyperthymic - elevated mood, no impairment to functioning
  • euthymic - normal / middle ground
  • hypothymic (mildly depressed, no impairment to functioning)
  • moderately depressed - moderate impairment
  • severely depressed - very low mood with severe impairment
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4
Q

What are the two broad types of mood disorder?

A

depressive and manic

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5
Q

What are the two main components of depressive disorder?

A

sadness, an inability to experience pleasure

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6
Q

In addition to low mood and anhedonia to have a Dx of MDD you must have five of what symptoms?

A

sleeping too much or too little, changes in appetite, changes in concentration, feelings of hopelessness, low energy

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7
Q

MDD is often episodic – what does this mean?

A

symptoms tend to recur

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8
Q

What proportion of people with MDD will have at least one more episode?

A

two thirds

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9
Q

What is persistent depressive disorder?

A

low mood and at least two other symptoms of depression lasting for more than half the period of a span of two years

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10
Q

What factors make it more likely for ppl to have MDD and PMD

A

gender, childhood trauma, exposure to mother experiencing depression, low SES

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11
Q

What percentage of people with MDD will have another (often co-morbid) disorder?

A

60%

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12
Q

What are the three forms of bipolar disorder?

A

Bipolar Disorder I, Bipolar Disorder 2, Cyclolthymic

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13
Q

What do we need for a Dx of Bipolar I?
What do we need for Dx of Bipolar II?

A

Dx of Biplolar I? – one single episode of mania. Depression is not a criteria
Dx of Bipolar II? – one major MDD episode and one hypomanic episode. Mania is not required

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14
Q

What are the general symptoms of mania and hypomania?

A

Mania – Extreme elation/euphoria, irritability, high risk behaviour, feelings of grandiose, heavily impaired functioning
Hypomania – partaking in risky behaviour, mild impairment to functioning

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15
Q

What has the higher heritability BPAD or MDD

A

BPAD

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16
Q

What is Beck’s negative triad?

A

a negative view of self, world and future

17
Q

What is Hopelessness theory?

A

A persistent outlook that everything in life is awful, nothing good will happen and there is no power to change it

18
Q

What is rumination theory?

A

Negative thoughts cause an endless loop

19
Q

What are the two major predictors for a manic episode?

A

reward sensitivity and sleep deprivation

20
Q

What does the DL-PfC do? Discuss activity in MDD and BPAD

A

involved in working memory, motor planning, organisation and regulation. Activity is diminished in the DL-PfC in both MDD & BPAD

21
Q

What does the striatum do? Discuss activity in MDD and BPAD

A

involved in the reward system. Activity in the striatum is lower in MDD and high among those with with BPAD

22
Q

What does the amygdala do? Discuss activity in MDD and BPAD

A

assesses how emotionally salient a stimulus is, activity is elevated in both MDD & BPAD

23
Q

What does the hippocampus do? Discuss activity in MDD and BPAD

A

The hippocampus is involved in learning and memory. Activity is the hippocampus is diminished in both MDD & BPAD

24
Q

Psychological strategies to treat MDD?

A

interpersonal psychotherapy, cognitive-behavioural therapy, third wave cognitive therapies

25
Q

Two psychological strategies to treat BPAD?

A

psychoeducational approaches, interpersonal and social rhythm therapy

26
Q

What are the 4 classes of medications for MDD

A
  1. monoamine oxidase inhibitors
  2. tricyclic antidepressants
  3. selective serotonin reuptake inhibitors
  4. serotonin noradrenaline reuptake inhibitors
27
Q

What are the 2 classes of medications for BPAD

A
  1. anticonvulsants
  2. antipsychotics