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
These s/s indicate MDD in which age group?
failure to thrive
Feeding problems
Lack of play and emotional expression
Delay in development
MDD S/S >3YO
These s/s are symptoms of MDD for which age group?
prone to accidents
Phobias
Aggressiveness
Excessive self reproach for minor in fractions
3-5 YO MDD S/S
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
in adults, and Children/teens?
adults- ~ two years
Children and teens - ~ one year
MaysLastBowlIngBallWontHook
When these symptoms cluster the last week prior to the onset of a female’s period, what disorder is being described?
Mood swings, low energy, bloating, breast tenderness, weight gain, H/A
Premenstrual Dysphoric Disorder
Do the symptoms of premenstrual dysphoric disorder go away once the period starts?
yes
Meds only needed for symptomatic care
AtTheMomentJimsPainCantStop
These areas should be included in the assessment of which type of PT?
Affect
Thought process
Mood
Judgment
Physical behavior
Communication
Spirituality
Depressed Patients
Outward expression of someone’s internal emotional state is known as;
affect
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
These points should be included in which class of drugs 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
Anti-Depressants
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
Which syndrome is treated by the following actions?
1.stop meds or decrease dose
2.Give benzos for agitation and muscle relaxer
3.Oxygen
4.IVF
Serotonin Syndrome.
These s/s are examples of what type of crisis?
Palpitations
N/V
Hypertension
Occipital H/A
HTN crisis
Didn’t Stop Having Bologna
what are the most common side effects of SSRIs?
dry mouth
sexual problems
headache
blurred vision
