B7-068 Mood Disorders

Question 1

mood is typically ascertained by

Answer 1

self report

Question 2

an immediately expressed and observed emotion

Answer 2

affect

(described as congruent or incongruent with mood)

Question 3

affect with variability in facial expression, pitch of voice, use of body movement

Answer 3

broad affect

Question 4

affect characterized by a clear reduction in the expressive range and intensity of affects

Answer 4

restricted affect

Question 5

a notable reduction in the intensity of affective expression

Answer 5

blunted affect

Question 6

total lack of signs of affective expression

Answer 6

flat affect

Question 7

[…] affect is indicated by repeated, rapid, and abrupt shifts

Answer 7

labile

Question 8

at least one of these two symptoms must be present to diagnose MDD

Answer 8

depressed mood
anhedonia

Question 9

[…] or more of the diagnostic criteria must be met for MDD

Answer 9

five

Question 10

diagnostic criteria for MDD

Answer 10

depressed mood
anhedonia
weight change
sleep disturbances
psychomotor agitation/retardation
fatigue
feelings of worthlessness or guilt
diminished concentration
recurrent thoughts of death/suicide

Question 11

symptoms must cause […] to be diagnosed as MDD

Answer 11

significant distress/impairment in social/occupational areas

Question 12

most common method of suicide in the US

Answer 12

firearms

Question 13

[men/women] attempt suicide more often

Answer 13

women

(however, men die by suicide more often)

Question 14

distinct period of abnormally and persistently elevated, expansive, or irritable mood and increased activity

Answer 14

manic episode

Question 15

diagnosis of manic episode requires […] symptoms for […] duration

Answer 15

3 or more
1 week

Question 16

symptoms of manic episode

Answer 16

Distractibility
Impulsivity/indiscretion
Grandiosity
Flight of ideas (racing thoughts)
Activity/agitation
Sleep (less sleep)
Talkativeness

DIG FAST

Question 17

similar to manic episode, but mood disturbance is not severe enough to cause marked impairment in social/occupational functioning

Answer 17

hypomanic episode

Question 18

how long does a hypomanic episode last?

Answer 18

4 or more days

Question 19

one or more manic episode
+/- a hypomanic or depressive episode

Answer 19

Bipolar 1

Question 20

a hypomanic and depressive episode (no history of manic episodes)

Answer 20

Bipolar 2

Question 21

presence of a least one manic episode is necessary

depressive episodes are common, but not necessary for diagnosis

Answer 21

Bipolar 1

Question 22

one or more hypomanic episode and one or more major depressive episode with no full blown manic episodes

Answer 22

bipolar 2

Question 23

periods of elevated mood and depressive symptoms for at least half the time during the last 2 years for adults (1 year for teens)

Answer 23

cyclothymic disorder

symptoms not severe enough to diagnose bipolar disorder

Question 24

periods of stable moods only last two months at most

Answer 24

cyclothymic disorder

Question 25

milder form of bipolar disorder fluctuating between mild depression and hypomanic symptoms

Answer 25

cyclothymic disorder

Question 26

must last 2 or more years with symptoms present half the time any remission lasting less than 2 months

Answer 26

cyclothymic disorder

Question 27

screen for [...] in all medically ill patients

Answer 27

depression

Question 28

most effective treatment for depression

Answer 28

pharmacotherapy in combination with psychotherapy

Question 29

a period of abnormally and persistently elevated, expansive mood, increased energy and distractibility lasting for 4 days is most likely

Answer 29

hypomanic episode

Question 30

suicide attempts are more prevalent in [...], but suicide completions are more prevalent in [...]

Answer 30

suicide attempts are more prevalent in [women], but suicide completions are more prevalent in [men]

Question 31

in order for a diagnosis of MDD, recurrent to be made, there must be an interval of [....] between two major depressive episodes

Answer 31

2 months

Question 32

[...] antidepressants are more likely to have cholinergic side effects like dry mouth, blurry vision, and cognitive changes

Answer 32

TCAs

Question 33

condition characterized by increased heart rate, shivering, sweating, dilated pupils, and myoclonus

Answer 33

serotonin syndrome

Question 34

significant decline in interest or pleasure in an activity they have enjoyed in the past

Answer 34

anhedonia

Question 35

patients who respond to CBT have what traits? [2]

Answer 35

good insight aware of own cognitive distortions

Question 36

research shows that often the time in which a persons is most vulnerable to suicide attempt is when their depressive symptoms

Answer 36

are in remission

Question 37

if psychosis persists outside of the depressive or manic episode, what diagnoses should be considered? [2]

Answer 37

schizoaffective disorder schizophrenia