depression, bipolar and schizoaffective disorder Flashcards

(39 cards)

1
Q

10 DSM-5 symptoms of depression

A
depressed mood
diminished interests
weight loss
insomnia
psychomotor agitation
loss of energy
dimished ability to think or concentrate
thoughts of death
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2
Q

what are 4 characteristics of depression

A

psychological symptoms
motivational deficits
physical symptoms
cognitive symptoms

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3
Q

what is bipolar disorder

A

persistent elevated, expansive, or irritable mood for at least one week alternating episodes of major depression
severe mania severe depression

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4
Q

what are 5 DSM5 symptoms of bipolar

A

inflated self esteem
decreased need for sleep
distractibility
increased risky behaviour

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5
Q

what are 3 behavioural features of hypomania

A

racing thoughts
poor judgement
increased reckless behaviour

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6
Q

what is schizoaffective disorder

A

an uninterupted period of illnes during which there is a major mood episode

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7
Q

what are the two mood episodes in schizoaffective disorder

A

bipolar and depressive

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8
Q

what are 4 delusions of schizoaffective disorder

A

grandeur - beign famous
persecution- others trying to harm them
control- thoughts controlled by external forces
reference- radio or tv taking to them

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9
Q

what do hallucinations affect

A

visual, auditory, olfactory and somatosensory domain

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10
Q

what is the medical treatment for MDD

A

tricyclic antidepressents

SSRIs

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11
Q

what is the medical treatment for bipolar disorder

A

lithium- mood stabiliser

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12
Q

what is the medical treatment of schizoaffective disorder

A

manic type- lithium antipsychotics
depressive type- tricyclic antidepressents and SSRIs
antipsychotics

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13
Q

what are the four biological theories for MDD

A

genetic factors
neurochemical
brain abnormalities
neurenodocrinal factors/stress

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14
Q

describe the neurochemical factors role in MDD

A

associated with low levels of brain transmitters

depression can be treated by drugs that raise levels of serotonin and noradrenaline

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15
Q

what are the two neurotransmitter associated with MDD

A

serotonin

noradrenalin/norepinephrine

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16
Q

what are the 5 brain areas associated with MDD

A
prefrontal cortex
anterioir cingulate cortex
hippocampus
amygdala
cerebellum
17
Q

what neural substrate potentially associated with the functions of MDD

A

insular cortex

18
Q

how was the potential involvement of insular cortex in MDD explored

A

questionnaires and VBM-MRI

19
Q

what is depression associated with

A

high levels of cortisol

20
Q

what is cortisol

A

is released in stressful situations

21
Q

why is permanent release of cortisol harmful

A

its neurotoxic and can lead to atrophic changes in brain

22
Q

what are the three psychological theories of MDD

A

cognitive
learned helplessness
attributional studies

23
Q

what are the cognitive theories

A

negative cognitions and slef-schema

24
Q

what did aaron beck propose

A

cognitive theory

25
what did cognitive theory propose
depression maintained by negative thinking and negative schemas
26
what are negative schemas charcterised
negative triad
27
what is becks negative triad
identifying- helping client recognise negative automatic thoughts linking- help clients see how their negative automatic thoughts activate and perpetuate mood states modifying- help clients generate alternative ways of thinking
28
what is learned helplessness
theory of depression that argues people become depressed followinf unavoidable negative life events
29
what are attributional studies
depressd individuals tend to attribute negative events to causes that cannot be easily changed or manipulated
30
what are the three factors in attributional studies
internal stable global
31
what are the 6 biological treatments for MDD
``` drug therapy electroconvuslive therapy neurosurgery for mental disorder social skills training behavioural activation therapy ```
32
how do SSRIs work
SSRIs are also able to trigger neurogenesis in the hippocampis
33
how do drug treatments for MDD work
effect by increasing levels of brain neurotransmitters serotonin and noradrenaline
34
what is electroconvulsive therapy
common when can not be controlled by medication | induces neurogenesis in hippocampal regions
35
what is neurosurgery for MDD
anterioir capsultomy | anterior cingulotomy
36
what is social skills therapy
assums depression in part results from individuals ability to communicate and socialise
37
what are two features of social skills training
role playing tasks, positive reinforcement | use of eye contact
38
what is behavioural activation therapy
increasing clients access to pleasent events daily monitoring of pleasent events social skills
39
what is cognitive therapy
helping individuals idnetify their negative beliefs | assisring clients challenge negative beliefs