Mood disorders Flashcards
T/F: Men are more likely to develop unipolar disorder
False! Women>men
First episode of major depression in unipolar disorder occurs at what age range?
20-40, most commonly mid-20’s
How do you diagnose unipolar disorder?
> 2weeks feeling sad
5 of the following: fatigue, depressed mood, diminished interest, weight loss, insomnia/hypersomnia, fatigue, difficulty concentrating, indecisiveness
What labs would you get when contemplating a diagnosis of unipolar disorder?
Thyroid CBC Electrolytes RPR Serum B12/folate UA BUN/Creatinine Dexamethasone
How long should patients continue antidepressants after unipolar disorder diagnosis?
should continue through 6 months
When do you consider another drug if your first-line SSRI isn’t work?
8-12 weeks
What is the difference between unipolar disorder and persistent depressive disorder?
persistent depressive disorder (dysthymia) has symptoms for over a 2 year period that are relatively persistent; generally sx are milder but longer-lasting
Risk factors for dysthymia
anxiety, substance abuse, neuroticism, less than 21 years, childhood parent loss/separation, family hx
What drugs can increase the risk of developing depression?
glucocorticoids, verenicline, interferon
What is something that distinguishes minor depression from other forms of depression?
Somatic sx are common: abdominal pain, chest pain, dizziness, dyspnea, fainting, fatigue, palpitations
what can mild depression progress to?
MDD, but most resolve
When patient cannot adjust to major life stressor or cope
adjustment disorder
how can you differentiate between MDD and adjustment disorder?
adjustment disorder is usually caused by an OUTSIDE stimulus and typically resolves once the patient can adapt
