Depression

Question 1

Kids with DMDD are more likely to develop what?

Answer 1

MDD or anxiety

Question 2

How long do DMDD sx need to be present for?

Answer 2

1 year

Question 3

In DMDD, temper outbursts how many x/week?

Answer 3

3 or more

Question 4

DMDD cannot co-exist with which three other d/o?

Answer 4

ODD, intermittent explosive, bipolar

Question 5

DMDD can only be made between the ages of?

Answer 5

6-10

Question 6

Does DMDD trump a bipolar dx?

Answer 6

No

Question 7

Does DMDD trump an ODD dx?

Answer 7

Yes

Question 8

Difference bw grief and MDD

Answer 8

Comes in waves
Predominant feelings of emptiness and loss
Rare to have guilt, worthlessness, SI or psychomotor
Self esteem is preserved
Onset within 2 mo of death and does not last more than 2 mo

Question 9

Prevalence of depression at 12 months?

Answer 9

7%

Question 10

When does depression peak?

Answer 10

In 20s and 40s

Question 11

When does recovery being?

Answer 11

Within 3 months in 2/5 and 1 yr for 4/5

Question 12

What is the gender difference in MDD epi?

Answer 12

Difference in prevalence (females are 3x higher) but not in response or course

Question 13

T/F- suicide attempts decrease with age but completed suicides do not

Answer 13

True

Question 14

There is memory loss for recent and remote events in

Answer 14

pseudodementia

In dementia the memory loss is just for recent

Question 15

Recurrence of depression in 6m,2y,5y

Answer 15

25, 50, 75%

Question 16

Post stroke depression most common on which hemisphere?

Answer 16

Left

Question 17

Early onset PDD is before age

Answer 17

21

Question 18

What is the time course of PMDD

Answer 18

sx present in the week before menses (luteal phase), improve with start of menses and absent in the week post menses

Question 19

Criteria for PMDD

Answer 19

B) lability, irritability, depressed mood, anxiety

C) SIECA, overwhelmed, out of ctrl, physical sx (bloating)

Question 20

Do sx of PMDD worsen as they approach menopause

Answer 20

Yes

Question 21

Anxious distress specifier is

Answer 21

At least two of: keyed up, restless, decreased conc,fear that something awful may happen, fear of losing ctrl

Question 22

Melancholic feature criteria include

Answer 22

A) Anhedonia!

B) Three or more: depression, worse in am, early morning awakening, agitation or retardation, weight loss, guilt

Question 23

Melancholic depression predicts

Answer 23

psychosis

Question 24

Atypical depression is also known as

Answer 24

Hysteroid dysphoria

Question 25

Atypical depression criteria include

Answer 25

A) mood reactivity | B) Two or more: hypersomnolence, increased appetite, leaden paralysis, interpersonal issues

Question 26

T/F- Atypical depression responds better to MAOIs than TCAs

Answer 26

T

Question 27

What timespan includes peripartum dep onset

Answer 27

during pregnancy or 4 w post partum

Question 28

In seasonal pattern do you need full remission in the "non-season"? T/F

Answer 28

False | Full remission OR a change i.e (dep to mania)

Question 29

Seasonal pattern is most likely in which d/o

Answer 29

BPII

Question 30

Can you have non seasonal depression and still meet criteria for SAD?

Answer 30

yes, as long as seasonal outnumbers non-seasonal in the individual's lifetime

Question 31

Describe the mood in between outbursts in DMDD

Answer 31

persistently irritable

Question 32

How long does DMDD sx have to be present for?

Answer 32

1 yr

Question 33

What age group can the DMDD dx NOT be made?

Answer 33

Less than 6 and after 18

Question 34

What percentage of post partum depression depression starts during pregnancy?

Answer 34

50%

Question 35

Other than depression what other d/o increases risk of post partum depression?

Answer 35

Anxiety, panic attacks

Question 36

Risk of post partum psychosis is increased for which three groups of women?

Answer 36

1. past post partum mood episodes 2. hx of mood episodes (particuarly BPI) 3. family hx of BP

Question 37

What's the risk of having another post partum psychosis if you've already had one?

Answer 37

30-50%

Question 38

First line complementary tx for MDD

Answer 38

1. Light 2. exercise 3. St. Johns

Question 39

T/F CBT= light therapy in acute MDD

Answer 39

T

Question 40

T/F CBT = light therapy in the long term for MDD

Answer 40

F- CBT is better 2 yrs later

Question 41

AD should be switched if there is only minimal improvement after how long?

Answer 41

2-4 weeks

Question 42

1st line augmenting meds (name 3)

Answer 42

abilify= quetiapine= risperidone

Question 43

What % of PDD progress to bipolar and depression?

Answer 43

20% (5% I and 15%II) and 20%

Question 44

Difference in length between baby blues and PP depression.

Answer 44

3-5 days versus 3-6 months

Question 45

Atypical depression is a predictor of which other disorder

Answer 45

BPI

Question 46

Atypical depression is co-morbid with which two other dx

Answer 46

1. social phobia 2. avoidant PD

Question 47

Most common cause of death in a depressed pt?

Answer 47

Cardiovascular disease

Question 48

Which three meds have no RCT evidence for agumenting but are 3rd line?

Answer 48

1. methylphenidate 2. AD (other than buproprion and mirt) 3. ziprasidone

Question 49

In depression REM moves from which part of sleep?

Answer 49

Moves from later to earlier

Question 50

AD do what to REM?

Answer 50

Suppress REM

Question 51

In depression how does TSH respond to TRH?

Answer 51

Decreased response

Question 52

Which one medication is not recommended as an adjunct in MDD

Answer 52

pindolol

Question 53

Does rTMS cause seizures?

Answer 53

Can happen but it is not intended

Question 54

What is the one absolute contraindication in rTMS?

Answer 54

metallic hardware in the head ,except the mouth

Question 55

What two regions of the brain have decreased metabolic activity in seasonal patterned illness?

Answer 55

1. orbital frontal cortex 2. left inferior parietal lobe

Question 56

In mild depression with concurrent ADHD, which do you treat first?

Answer 56

ADHD | only if severe SI then tx MDD first

Question 57

During which time period after admission is someone most likely to complete suicide

Answer 57

3 mo after d/c

Question 58

for which gender does the risk of suicide decrease with age

Answer 58

females

Question 59

what pattern does male suicide risk follow across the lifespan

Answer 59

two peaks

Question 60

most common psyc manifestation of hyperparathyroidism

Answer 60

depression with anergia