Depression Flashcards
(35 cards)
what sex is more likely to have depression
women
factors for depression
social conditions age marital status social status "high stress and low support"
screening questions for depression
“over the past 2 weeks have you ever felt down, depressed or hopeless?”
“Over the past 2 weeks have you felt little interest or pleasure in doing things?”
what is a loss of interest or pleasure?
anhedonia
What does SIG E CAPS pneumonic stand for?
Sleep Interest Guilt Energy Concentration Appetite/ anhedonia Psychomotor retardation Suicidal ideation
people with under 18 may present with what instead of sadness when depressed.
irritability
what is remission for depression
no symptoms for 2 months
if depressive criteria is met for 2 full years what is it considered
chronic major depression
what is depression w/ melanchonic features?
complete loss of pleasure, feel worse in the morning, early morning awakenings, weight loss, inappropriate guilt
what is atypical major depression?
weight gain, hypersomnia, leaden paralysis, interpersonal rejection sensitivity
postpartum depression has an onset within how many weeks of giving birth?
4 weeks
depression with anxiety is classified as what?
depression w/ anxious features
what is depression w/ mixed features?
does not meet full criteria for hypomania or mania but has some features of mania
what is dythymic disorder (persistent depressive disorder)?
depressed mood for most the day for 2 years
symptoms 2 or more from depressive symptoms list
haven’t gone w/o symptoms for more than 2 months
no major depressive episodes during the first 2 years
never a manic or hypomanic episode
not due to psychosis, medical condition
when is depressive disorder considered early onset?
before age 21
Must meet 5 symptoms of depression in the week before menses start, symptoms improve within few days on onset of menses, and become minimal postmenses
Premenstrual dysphoric disorder
New diagnosis in DSM V-aimed mainly at children
Recurrent temper outbursts that may be verbal or behavioral
Inconsistent with developmental level
Occurring 3 or more times per week
b/w outbursts have irritable or angry mood of of the day observable by others
Disruptive mood dysregulation disorder-DMDD
How long must DMDD criteria be present for?
12 months and had not gone more than 3 months w/o meeting all criteria
what are the age restrictions w/ DMDD?
not before age 6 or after 18. symptom onset before age 10
where must settings w/ DMDD be presents?
in at least 2 of 3 settings: home, school, peers
What are the names of SSRIs
Prozac (prescribed often) Zoloft (sexual ADRs) Celexa Lexapro Paxil (Increased risk of wt gain, suicidal thoughts) Luvox (more for anxiety)
What are some other meds for depression?
Wellbutrin (buproprion)
Remeron (Mirtazapine)
Effexor (Venlafaxine)
Cymbalata (duloxetine)
What are some older treatments for depression what have decreased use due to side effects.
TCAs and MAOIs
what is the BBW for people under 26 with antidepressants?
Warn of black box warning of increased risk of suicidal ideation
