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behavioral health > Week 3 - Mood Disorders > Flashcards

Week 3 - Mood Disorders Flashcards

1
Q

What are the three types of mood episodes?

A

Major Depressive, Manic, Hypomanic

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2
Q

What is the required time line for MDE?

A

2 weeks

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3
Q

What are the symptoms of MDE?

A

depressed mood, anhedonia, wt gain/loss, insomia/hypersomnia, pyschomotor agitation/retardation, fatigue/loss of energy, worthlessness/guilt, difficulty concentrating or indecisiveness, recurrent thoughts of death

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4
Q

How many symtoms do you need for MDE dx?

A

> /= 5

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5
Q

What MDE symptoms have to be present regardless of others?

A

depressed mood and anhedonia

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6
Q

What is the short DSM requirement for MDE?

A

A. >5 symptoms B. clinically significant distress C. episode not due to substance or medical condition

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7
Q

What are the four hallmarks of MDE?

A

depressed mood, anhedonia, physical symptoms, psychological symptoms

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8
Q

What is part a manic episode?

A

A. period of elevated, expansive mood, goal directed energy/activity, last for 1 week, last most of day

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9
Q

How long does a manic episode have to occur for dx?

A

1 week

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10
Q

What are the symptoms of manic episode?

A

inflated self esteem, decreased need for sleep, more talkative/pressured speech, flight of ideas, distractibility, increased goal oriented, excessive risky behavior

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11
Q

How many of the manic symptoms do you need for dx?

A

> /=3

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12
Q

What is part C of manic episode requirement?

A

severe enough to cause significant impairment in functioning or requires hospitalization

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13
Q

What is the total manic episode DSM-5 requirements?

A

A. one week of high activity
B. >3 symptoms
C. cause distress or hosp
D. not caused by something else

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14
Q

What is the timeline for hypomanic episodes?

A

at least 4 consecutive days

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15
Q

How many of the symptoms of mania required for hypomanic episode?

A

> /=3

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16
Q

What is the criteria for hypomania?

A 
A. >4 days of high activity
B. >3 symptoms
C. change in normal function
D. change observed by others
E. NOT severe enough to cause marked impairment of fxn, no hospitalization
F. not due other disease
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17
Q

What are some modifiers of MDD?

A

mild, moderate, sever, peripartum, seasonal, w/ or w/o psychotic

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18
Q

What is the major difference btw hypomania and mania?

A

timeline - mania 1 wk hypo 4 days

Impact - mania is usually hosp or distress, hypomania does not cause this

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19
Q

What is the criteria for MDD?

A

A-C. at least 1 MDE
D. not better accounted by other disorder
E. NEVER had a manic or hypomanic episode

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20
Q

What is the criteria for PDD?

A 
A. depressed for 2 years (1 year kids)
B >/= 2 symptoms
C. not w/o symptoms for 2 mo
D. MDD may be present for 2 years
E. NEVER had manic episode or hypomanic or cyclothymic
F. not better explain by other
G. not due to medical condition
H. causes clinical significant distress or impairment
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21
Q

What are the symptoms for PDD?

A

poor appetite/overeating, insomnia/hypersomia, low energy/fatigue, low self esteem, poor concentration, feeling hopeless

22
Q

What are some specifers for PDD?

A

early 21, mild, moderate, severe

23
Q

What is MDE + PDD =

A

Double depression

24
Q

What is another depressive disorder?

A

premenstraul dysphoric disorder

25
Q

What is the DSM for BP I?

A

A. at least 1 manic episode

B. mood not explained by something else

26
Q

What is rapid cycling?

A

switch from depression to mania, no normal period

27
Q

How many cycles do you need to have to have rapid cycling?

A

4 or more per year

28
Q

What is the DSM for BP II?

A

A. 1 hypomanic episode and 1 MDE
B. never had a manic episode
C. not better explained
D. clincally distressing or impairment

29
Q

What is the DSM for cyclothymic disorder?

A

A. 2 years (1 for kids) 0 - hypomanic symptoms and depressive symptoms that dont meet dx
B. present for at least half the time and not w/o for 2 mo
C. never had MDE, manic, hypomanic episode
D. not better explained
E. not due to drugs or medical
F. clinically distressing or impairment

30
Q

What gender has more depressive disorders?

A

women

31
Q

When is the onset for depressive disorders?

A

puberty or early adulthood

32
Q

What is the gender with bipolar disorders?

A

w=m

33
Q

When is the onset of bipolar disorders?

A

adolescence to young adult

34
Q

What are some comorbid depressive disorders?

A

substance use, anxiety, OCD, anorexia, bulimia, borderline personality, suicidal

35
Q

What are some comorbid bipolar disorders?

A

substance, anxiety, ADHD, disruptive, conduct disorder, eating disorders

36
Q

What do you always include with your pt interview for mood disorders?

A

suicide assessment

37
Q

When should you only give a survey?

A

if you plan to look at it before you meet with your pt

38
Q

What is safety plan?

A

crisis intervention, safety contract, hospitalization or crisis team

39
Q

What is an eclectic approach treatment that focuses on improving interpersonal relationships and loss?

A

interpersonal therapy

40
Q

What are the types of psychotherapy?

A

CBT, IPT, family or marital, mindfulness

41
Q

What is the SPEAK approach for depression?

A

schedule, pleasurable activies, exercise, assertiveness, kind thoughts about oneself

42
Q

What are teh niuts and bolts of CBT?

A

be present, goal oriented/problem focused, collaboration/active participation, psychoeducation, own therapist, respond to dysfunctional thoughts and beliefs, teach skill or strategies,

43
Q

What is the CBT triangle?

A

thoughts, feelings, behaviors

44
Q

What are cognitive distortions?

A

unrealistic or irrational thoughts

45
Q

What is changing cognitive distortions that are presumed to be causing maladaptive benavior or emotions?

A

cognitive restructuring

46
Q

What are the TLC cognitive coping strategies?

A

Talk to a friend, Look for the silver lining, Change the channel

47
Q

What is ECT?

A

electrodes to brain to give szs, under anesthesia, 6-12 sessions over 2-4 wks

48
Q

What is ECT good for?

A

short term tx for refractory severe major depression

49
Q

What is rTMS?

A

magnet on head, non-invasive, no anesthesia, repeat stim to restore connections

50
Q

Is ECT or rTMS more effective?

A

ECT

51
Q

What is a good treatment for major depressive disorder with seasonal pattern?

A

light therapy

behavioral health (18 decks)

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