Depression/Bipolar

Question 1

True or False: feeling sad some days, euthymia, bursts of energy some days, and small fluctuations still are abnormal moods.

Answer 1

False

They’re normal

Question 2

So what makes a mood abnormal?

Answer 2

When someone is in distress or the mood is interfering with success and happiness.

Question 3

What % of the population has mood disorders?

Answer 3

5%

Question 4

What does the mnemonic SIGECAPS stand for to diabnose abnormal moods?

Answer 4

Sleep
Interest
Guilt
Energy
Concentration
Appetite
Psychomotor
Suicide

Question 5

For SIGECAPS, what determines abnormal SLEEP?

Answer 5

Insomnia or hypersomia nearly EVERY DAY

Question 6

For SIGECAPS, what determines abnormal INTEREST?

Answer 6

diminished interest or pleasure in nearly all activites

Question 7

For SIGECAPS, what determines abnormal GUILT?

Answer 7

Inapporpriate feelings of guilt or worthlessness

Question 8

For SIGECAPS, what determines abnormal ENERGY?

Answer 8

Loss of energy or fatirue

Question 9

For SIGECAPS, what determines abnormal CONCENTRATION?

Answer 9

Diminished ability to think or concentrate, indecisiveness

Question 10

For SIGECAPS, what determines abnormal APPETITE?

Answer 10

Increased or decreased appetite

Question 11

For SIGECAPS, what determines abnormal PSYCHOMOTOR?

Answer 11

Observed psychomotor/retardation

Question 12

For SIGECAPS, what determines abnormal SUICIDE?

Answer 12

Recurrent thoughts of death/suicidal ideation

Question 13

Which condition is defined by a manic episode that may be preceded by and may be followed by hypo-manic or manic depressive episodes?

Answer 13

Bipolar I disorder

Question 14

Briefly, what defines the manic epiosode of bipolar I disorder?

Answer 14

Abnormally or persisently elevated, expansive, or irritable mood or energy, lasting at least 1 week and present most of the day, every day.

Question 15

What does the DIGFAST mnemonic stand for to diagnose a manic episode?

Answer 15

Distractibility
Indiscretion
Grandiosity
Flight of ideas
Activity increase
Sleep deficit
Talkativeness

one of my friends in high school had a bipolar uncle who would buy him a ton of shit during manic episodes. he liked that. lol

Question 16

What episode in bipolar is distinguished by abnormally persistently elevated, expansive, or irritable mood and abnormally and persistently increased activity or energy, lasting 4 consecuvite days, and present most the day?

Answer 16

Hypomanic episode

Question 17

What episode in bipolar disorder is characterized by a depressed mood every day, diminished interest in everything, weight loss or gain, insomnia, psychomotor agitation, fatigue, feelings of worhlessness, diminished ability to concentrate, and recurrent throughts of death?

Answer 17

Major depressive episode

Question 18

What form of bipolarism is characterized by hypomanic episodes and at least 1 major depressive episode with no manic episodes?

Answer 18

Bipolar II

remember, bipolar I is a manic + depressive, like switching from The Mask to Eeyore

Question 19

For bipolar II, how long must the depressive and hypomanic episodes last to be diagnostic?

Answer 19

Major depressive eposide for at least 2 weeks

Hypomanic for at least 4 days

Question 20

This is the disorder characterized by at least 2 years of numerous episodes of hypomanic episodes and major depressive episodes that are NOT major criteria for a major depressive episodes.

Answer 20

Cyclothymic disorder

Question 21

What is the specifier for bipolar and related disorders characterized by persistnace of feeling tense, restless, problems concentrating, fear of somehting awful may happen, and feeling like the pt might lose control of himself?

Answer 21

Anxious distress specifier

Question 22

What is the specifier of bipolar and related disorders where there is mixed symptoms like dyspohoria or depressed mood, loss of interest, fatigue, suicidal thoughts w/o a plan, like where they;re mixed manic and depressive at the same time.

Answer 22

Manic or hypomanic episode with mixed features

Question 23

What is the specifier for bipolarism where this a major depressive episode with elevated mood, inflated self-esteem, more talkative, decrased need for sleep, or flight of ideas?

Answer 23

Depressive episode with mixed features

Question 24

What defines the “rapid cycling” specifier for bipolar disorders?

Answer 24

Presence of at least 4 mood episodes in the last 12 months (manic, hypomanic, or major depressive episodes)

Question 25

What specifier is characterized by loss of pleasure in almost all activities, lack of reactivity to usually pleasurable stimuli, guilt, and worse depression in the morning?

Answer 25

"with melancholic features"

Question 26

How long must you have a a period of abnormally and persistently elevated, expansive, or irritable mood and persistently increased activity or energy to be termed a manic episode?

Answer 26

1 week

Question 27

What specifier of bipolar is characterized when during a major depressive episode there is mood reactivity (mood brightening), weight gain or increase in appetite, hypersomnia, leaden paralysis, and interpersonal rejection sensitivity?

Answer 27

"with atypical features"

Question 28

What specifier of bipolar disorder is characterized by delusions or hallucinations that are present at any time in the episode/?

Answer 28

"with psychotic features"

Question 29

What specifier of bipolar disorder is characterized by hallucinations or delusions during the manic episode and possible paranoia?

Answer 29

with mood-conruent psychotic features

Question 30

What specifier of bipolar disorder is characterized by catatonia?

Answer 30

with catatonia

Question 31

What specifier of bipolar disorder is characterized by onset of mood symptoms occurs during pregnancy or in the 4 weeks following delivery?

Answer 31

with peripartum onset

Question 32

What specifier of bipolar disorder is characterized by a lifetime pattern of mood episodes that occur at a specific time of the year?

Answer 32

with seasonal pattern

Question 33

This is the condition where there is chronic, severe, persistent irritability with mad tempers (Squidward).

Answer 33

Disruptive Mood Dysregulation Disorder

Question 34

What does the mnemonic SIG E CAPS stand for to diagnose major depressive disorder?

Answer 34

``` Sleep disturbance loss of Intrest Guilt loss of Energy loss of Concentration Appetite/weight changes Psychomotor retardation or agitation Suicidal ideations ```

Question 35

How long do episodes mornally last in major depression?

Answer 35

6-12 months

Question 36

How many of the SIG E CAPS + depressed mood must u have for 2 or more weeks to be diagnosed with major depression?

Answer 36

5

Question 37

This is a major depressive episode that occurs in reponse to a psychosocial stressor?

Answer 37

Adjustment disorder with a depressed mood

Question 38

This is a milder form of depression lasting at least 2 years, and has only a few Sx of major depression?

Answer 38

Dysthymia

Question 39

This is the disorder where there is mood liability, irritability, dysphoria, and anxiety that occur repeatedly during the prementral phase of the cycle and remit around the onset of menses?

Answer 39

Prementrual Dysphoric Disorder | aka PMS you crazy ladies

Question 40

According to the National Insitute for Mental health, what is the treatment plan of choice for patients with severe major depressive episodes?

Answer 40

Pharmacotherapy with psychotherapy

Question 41

What is the syndrome causes by an excessive amt of serotonin, which can be from serotonic agents and reverses after serotonin levels are back to normal?

Answer 41

Serotonin syndrome

Question 42

This is the syndrome where there is symptoms after taking serotonin drugs for a long time without tapering.

Answer 42

Serotonin discontinuation syndrome

Question 43

If the first line treatment of antidepressant medications and psychotherapy are not effective or are too low, what can be used?

Answer 43

Electroconvusive Therapy (ECT)

Question 44

What are the common side effects of ECT?

Answer 44

Confusion, memory loss of about 30 mins, muscle aches, and headaches

Question 45

What are the 4 conditions u use ECT for?

Answer 45

Major depressive disorders Bipolar disorders Manic episodes Schizophrenia (like they did to russell crowe in A Brilliant Mind)

Question 46

What condition can bright light therapy (2,500-10,000 lux) be good for?

Answer 46

Seasonal Affective Disorder (SAD)