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Flashcards in Chapter 16 Deck (34):
1

Symptoms at this level of depression are not necessarily dysfunctional. "The blues", some crying, some difficulty getting mind off one's disappointment, and feeling tired and listless

Transient Depression

2

This type of depression is associated with normal grieving. Anger, anxiety, sadness, tearful, regression, preoccupied with loss; self-blame and blaming of others, anorexia or overeating, sleep disturbances, and somatic symptoms

Mild Depression

3

This type of depression the pt is helpless, powerless, slowed physical movement, limited verbalization, retarded thinking processes, difficulty with concentration, anorexia or overeating, sleep disturbances, somatic symptoms, and feel better in the morning and worst as the day progresses

Moderate Depression

4

This type of depression there is feelings of despair, worthlessness, flat affect, apathy, anhedonia, psychomotor retardation, prevalent delusional thinking, with delusions of persecution or somatic delusions; unable to concentrate; confusion, a general slow-down of the entire body, anorexia, insomnia, and feel worse in the morning and best as the day progresses

Severe Depression

5

Highest risk for suicide:
Marital status: ________
Gender: _______
Age: _________

Single, divorced, or widowed; women attempt suicide more often but men succeed more than women; 50 years of age or older or adolescents

6

Mood disorders ( _____ and ____ ) are the most common disorders that precede suicide

Major depression and bipolar disorders

7

Long-term goal for a patient with suicidal thoughts is to _______ when suicidal thoughts occur

Seek assistance

8

Side effects of ECT

Temporary memory loss and confusion

9

Light therapy is associated with ______ secretions

Melatonin

10

Antidepressants increase concentrations of _________, _______, and/or _______, either by blocking their reuptake by the neurons (TCAs, heterocyclines, SSRIs, SNRIs) or by inhibiting the release of monoamine oxidase (MAOIs)

norepinephrine, serotonin, and/or dopamine

11

What drug has potentially fatal reactions with all other antidepressants?

MAOIs

12

Depressed mood, impaired for at least 2 years, no history of manic behavior

Major Depressive Disorder

13

Sad or "down in the dumps", no evidence of psychotic symptoms, chronically depressed mood for most of the day, more days than not, and for at least 2 years

Dysthymic Disorder

14

Depressive disorders are deficiency in _______, ______, and _______

norepinephrine, serotonin, and dopamine

15

Nutritional deficiencies in depression are associated with vitamin ____.

Vitamin B

16

Most common precipitant to adolescent suicide is ______.

Feelings of abandonment

17

Depression associated with feeling best early in the morning and worse as the day progresses

Moderate Depression

18

Depression associated with feeling worse early in the morning and better as the day goes on

Severe Depression

19

When assessing a suicidal pt assess their: _____; ____; _____; ______; and ________

intent; plan; means; lethality of means; and previous attempts

20

Therapy that focuses on changing negative thought distortions is ______.

Cognitive Therapy

21

ECT is used to increase levels of ________.

Biogenic amines

22

Drug class for Prozac

SSRI

23

Drug class for Paxil

SSRI

24

Drug class for Zoloft

SSRI

25

Drug class for Zyban

Heterocyclics; Wellbutrin/Zyban are the same drug

26

Drug class for Wellburtrin

Heterocyclics; Wellbutrin/Zyban are the same drug

27

Drug class for Effexor

SNRIs (Serotonin-Norepinephrine Reuptake Inhibitors)

28

Antidepressants increase concentrations of _________, ________, and/or _________ by either blocking their reuptake by the neurons or by inhibiting the release of monoamine oxidase

norepinephrine, serotonin, and/or dopamine

29

______ effects of tricyclics with bupropion, cimetidine, haloperidol, SSRIs, and valporic acid

Increased

30

______ effects of tricyclics with carbamazepine and barbiturates

Decreased

31

Interactions with tricyclics: hyperyretic crisis, convulsions, and death can occur with ________

MAO Inhibitors

32

Most common side effects that occur with ______ and _______ are blurred vision, constipation, urinary retention, orthostatic hypotension, reduction of seizure threshold, tachycardia, arrhythmias, photosensitivity, and weight gain

tricyclics and heterocyclics

33

Most common side effects that occur with ______ and _____ are insomnia, agitation, headache, weight loss, sexual dysfunction

SSRIs and SNRIs - can cause serotonin syndrome

34

Side effect that can occur with _____ is hypertensive crisis

MAOIs