Week 4 - Important concepts Flashcards
pervasive and sustained emotion that colours one’s perception of the world and how one functions in it
mood
recurrent disturbances or alterations in mood causing psychological distress and behavioural impairment
mood disorder
Mood disorders have alterations in mood, but not in what?
Thought or perceptions
loss of interest in previously enjoyed activities
anhedonia
absent or nearly absent affective expression
flat affect
significantly reduced intensity of emotional expression
blunted affect
mildly reduced in range and intensity of emotional expression
restricted or constricted affect
discordant affective expression accompanying speech content or ideation
inapprpriate affect
varied, rapid and abrupt shifts in affective expression
labile affect
What are the primary mood disorders?
Unipolar - MDD
Bipolar - manic-depressive disorder
What is the general clinical course for MDE?
What is the mean age of onset?
How long can an untreated episode last?
What is the most serious complication?
over time, episodes are more frequent, severe and longer in duration
Mean age of onset is 40 yrs
An untreated episode can last 6-13 months
Suicide is the most serious complication
Milder, but more chronic form of MDD
Depressed mood, most days for over 2 yrs with 2+ symptoms
Dysthymic disorder
something bad happens in life and you experience a state of depression which ultimately resolves
transient depression
MDE epidemiology
What proportion of the population will experience at least one MDE in their life?
Which gender is affected more in adolescence?
half females (2x more than adolescent males)
When was the Brown and Harris model of depression developed?
What is the underlying assumption?
1986
certain “vulnerability factors” can interact with provoking agents to increase the risk of depression
What are the vulnerability factors of the Brown and Harris model of depression?
Early maternal loss
lack of confiding relationship
Greater than three children under the age of 14 at home
unemployment
What is antidepressant choice based on?
Target symptoms and the client’s side effect profile
What are first gen antidepressants?
MAOIs and TCAs
Why are 2nd gen drugs used instead?
lower side effect profile and lower toxicity - safer in overdose
often used as sleep aid in elderly
amitriptyline
often given as it doesn’t impact sex drive
Welbutrin
interferes with SSRI’s – can lead to serotonin syndrome
St. john’s wort
What is a manic episode characterized by?
Euphoria/elation
Expansive mood/grandiosity
Labile mood
(Hypersexuality)
Less intensity than mania; mixed features
hypomanic episode
