032315 depression, bipolar

Question 1

criteria for major depressive disorder

Answer 1

minimum 5 symptoms for at least 2 weeks (at least one of the following two):

• depressed mood (irritable in kids)
• loss of interest or pleasure

4 of following:

• weight loss or gain
• insomnia or hypersomnia
• psychomotor retardation or agitation
• fatigue or energy loss
• worthlessness or guilt
• decreased concentration
• suicidal thoughts, plans, acts

SIGE CAPS

Question 2

somatic symptoms-most prominent markers for depression

Answer 2

sleep disturbance

fatigue

Question 3

additional depression criteria

Answer 3

not mixed episode
clinically significant distress
not due to substance or general med condition
not bereavement

Question 4

paranoia doesn’t necessary suggest schizophrenia: true or false

Answer 4

true

Question 5

sun downing

Answer 5

in dementia, tertiary syphilis

Question 6

bipolar-can have no depression: true or false

Answer 6

true

Question 7

diagnosing manic episode

Answer 7

• distinct period, at least 1 wk
• abnormally elevated, expansive (feel powerful) mood
• or irritable mood

need to have minimum or 3 (or 4 if irritable):

• grandiosity
• decreased need for sleep
• hyperverbal or pressured speech (rate disorder)
• flight of ideas or racing thoughts
• distractibility
• increased goal directed activity, psychomotor agitation
• more pleasurable activity with painful consequences (polygamy, splurging)

Question 8

schizephrenia vs bipolar

Answer 8

bipolar comes back to normal baseline

Question 9

3 stages of mania

Answer 9

stage I: euphoric, increased psychomotor activity and rate of speech

stage II: even more pressured speech and psychomotor activity, DYSPHORIC/depression, hostile or angry, assaultive, preoccupations are now delusional

stage III: acute psychotic stage. bizarre psychomotor activity. loose associations. delusions, hallucinations, disorientation, ideas of reference