Mood Disorders Flashcards

1
Q

What is mood?

A

sustained emotional attitude

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2
Q

What is affect?

A

the way a patients emotional state is conveyed

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3
Q

What 2 things must be met for adjustment disorder?

A

Distress is out of proportion with stressor

marked distress and impairement

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4
Q

How long must adjustment disorder

A

<6mo

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5
Q

What is the txt for adjustment disorder?

A

CBT, SSRI

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6
Q

What two criteria must be met for MDD?

A

Depressed mood

loss of interest or pleasure (anhedonia)

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7
Q

SIG E CAPS

A
Sleep disturbances
Interest Decreased in Pleasure
Guilty Feelings
Energy Decreased
Concentration decreased
Appetite (increased or decreased)
Psychomotor Function (decreased)
Suicidal Ideations
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8
Q

Treatment for MDD?

A

SSRI, CBT, ECT

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9
Q

What did the STAR-D trial prove?

A

When a SSRI or SNRI is combined with Bupropion had a better outcome for remission

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10
Q

How long does persistent depressive disorder last?

A

> 2yrs (children>1yr)

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11
Q

What is the treatment for Dysthymia?

A

SSRI

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12
Q

How long does Bipolar I last?

A

> 1week

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13
Q

How long does Bipolar II last?

A

> 4 days < 7days

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14
Q

DIG FAST?

A

Distractibility
Indiscretion
Grandiosity

Flight of Ideas
Activity Increase
Sleep Deficit
Talkativeness

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15
Q

How long does Cyclothymia last?

A

> 2yr (>1yr in children)

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16
Q

Bipolar I is most common in what gender?

A

both males and females

17
Q

Bipolar II is most common in what gender?

A

Females > males

18
Q

Cyclothymic is most common in what gender?

A

both males and females

19
Q

When does Bipolar I onset?

A

18y/o

20
Q

When does Bipolar II onset?

A

mid 20’s

21
Q

When does cyclothymic onset?

A

adolescence/ early adulthood

22
Q

What is the risk factor for bipolar/

A
upper socioeconomic class
family hx of bipolar disorder in 2/3
23
Q

What is the gold standard treatment of bipolar?

A

Lithium

24
Q

What is the mechanism of lithium?

A

increase norepi and serotonin receptor

25
Q

What things must be monitored in lithium use?

A

blood plasma levels

26
Q

What is the 2nd leading cause of death among 15-24yr

A

Suicide

27
Q

Suicide is most common in what gender

A

males

28
Q

Suicide ranks the highest in what age groups?

A

45-54

29
Q

What screening tools are used for suicide?

A

SAFE-T and SAD PERSONS

30
Q

What does SAFE-T stand for?

A

Suicide Assessment Five Step Evaluation Triage

31
Q

What is the treatment for suicide?

A

CBT and DBT, SSRI (black box for kiddos)