week 3.1 Flashcards
Who is more likely to have depressive disorders?
females
Caucasians
What indicates a depressed brain on a PET scan?
More black area indicating less activity
are identical twins at a higher or lower risk of developing depressive disorder?
High-risk
What are causes in children of depressive disorders?
detachment
Divorce, death
Relocation
Loss*
what is a possible cause of depressive disorder in teens
Conflict with independence and maturity
Break ups
major depressive disorder diagnostics
Greater than or equal to five symptoms in a two week period
Weight loss, appetite changes
Sleep disturbances
Agitation
Retardation
Recurrent SI
Depressed mood
Anhedonia
is major depressive order the presence or absence of manic or hypomanic episodes
Absence
MDD symptoms <3 years old
failure to thrive
Feeding problems
Lack of play and emotional expression
Delay in development
MDD symptoms 3-5 years old
prone to accidents
Phobias
Aggressiveness
Excessive self reproach for minor in fractions
MDD symptoms 6-8 years old
Vague, physical complaints
Avoiding new people or things
Clinging to parents
Low social skills and school performance
MDD symptoms 9-12 years old
morbid thoughts
Excessive worry
Lack of social interest
Thinking they’re disappointing their parents
Disruptive mood dysregulation disorder
behavioral or verbal temper tantrums
Anger and constantly irritable
Who is most likely to get DMDD?
6–18 years old
males
does a diagnosis justify DMDD if the onset is after 10 years old?
No, onset before 10 years old
persistent depressive disorder
Low level of depressive feelings for most of the day
Decreased appetite or over eating
Insomnia, or hypersomnia
Low self-esteem
Hopelessness
what is the timeline of persistent depressive disorder?
adults- around two years
Children and teens - around one year
Premenstrual dysphoric disorder
symptoms cluster last week prior to onset of period
Mood swings, low energy, bloating, breast, tenderness, weight gain, D/A
Do the symptoms of premenstrual dysphoric disorder go away once the period starts?
yes
Meds only needed for symptomatic care
assessment of depressive patients
Affect
Thought process
Mood
Judgment
Physical behavior
Communication
Spirituality
affect
Outward expression of someone’s internal emotional state
Mood
persons, emotional state expressed in OWN words
psycho motor retardation
Visibly slowing of physical activity, slow talking, slow chewing, long pauses in speech
psycho motor agitation
Increase in activity brought on by mental tension
Restlessness, pacing
anti-depressant medication, education
Symptoms improve in 4–8 weeks
Physiologic symptoms will improve before psychological symptoms
These medication’s are not addictive
Do not stopped abruptly
Do not drink alcohol
Limit caffeine
Side effects will go away around two weeks
Discontinuation may result in relapse, tapering is needed
What is the cause of Black Box warnings for SSRIs?
Increased suicide ideation’s risk
serotonin syndrome sx
mental status changes
Flushing, tachycardia, mydriasis
Myoclonus, tremors
N/V/D
Fatal – overreaction of serotonin receptors
serotonin syndrome tx
stop meds or decrease dose
Give benzos for agitation and muscle relaxer
Oxygen
IVF
HTN crisis sx
Occipital headache
Palpitations
N/V
Hypertension
what are the most common side effects of SSRIs?
dry mouth
sexual problems
headache
blurred vision
