Exam 3 -- Psych II -- Bipolar, Depressive, and Anxiety Disorders Flashcards Preview

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Flashcards in Exam 3 -- Psych II -- Bipolar, Depressive, and Anxiety Disorders Deck (20):
1

In Bipolar I and II, a manic episode is a distinct period of abnormal and persistant elevation or irritation of mood and increased energy lasting for at least one week. A manic episode can include features such as decreased need for sleep, being easily distracted, being more talkative and feeling pressure to keep talking, among others. How many of these criteria does a person need to meet before it can be termed "manic episode"?

Three to four

2

In Bipolar I and II, a major depressive episode is a change in previous functioning for 2 weeks and can include features such as fatigue every day, insomnia or hypersomnia every day, depressed mood most of the day every day, significant weight loss or gain, dimished interest/pleasure in all things, and others. How many of these features does a person need to have for it to be termed "major depressive episode"? Which two features are REQUIRED for the diagnosis?

Five; depressed mood most of day every day, and dimished interest/pleasure in all things.

3

In Bipolar I and II, how does a hypomanic episode differ from a manic episode?

The features are similar, but not severe enough to cause marked social or occupational impairment, for at least 4 days.

4

Bipolar I is the classic manic-depressive disorder. How does Bipolar II differ?

It requires at least one major depressive episode and at least one hypomanic episode.

5

True or false: Bipolar II disorder typically begins with a hypomanic episode.

False; it typically begins with a major depressive episode.

6

When can a bipolar disorder be defined as cyclothymic?

When it doesn't meet the criteria for a manic, hypomanic, or major depression.

7

True or false: in order to diagnose Bipolar I, a patient must experience a manic episode and a major depressive episode at least once in a lifetime.

False; they only need the manic episode in order to meet the criteria.

8

Disruptive Mood Dysregulation Disorder (DMDD) is a type of depression disorder in children. There are four criteria must be present for at least 12 months, with all four for at least three months, and in at least two settings. Name the criteria.

Severe recurrent temper outbursts; temper outbursts inconsistent with developmental age; temper outbursts 3 or more times per week; mood between outbursts is irritable/angry

9

True or false: major depressive disorder is more common among females and in the 20's

True.

10

Persistent depressive disorder, aka dysthymia, is a depressed mood for at least 2 years in adults (1 year in children), during which time symptoms must be consistent for more than 2 months. Patients must meet two or more of what criteria to be diagnosed with dysthymia?

Poor appetite or overeating, insomnia or hypersomnia, low energy or fatigue, low self-esteem, poor concentration or difficulty making decisions, feelings of hopelessness.

11

Fill in the blank: ________ is a depressive disorder screening questionnaire, scored from zero to 27, with zero being no depression, and 27 being severe.

PHQ-9

12

Drugs for depression include MAOis, tricyclic antidepressants, atypical antidepressants, SSRIs, NDRIs, and SNRIs. Which class is the most commonly prescribed in the US?

SSRIs

13

Separation anxiety disorder is defined as a developmentally inappropriate and excessive fear or anxiety concerning separation from those to whom the individual is attached. How long does this anxiety need to last for diagnosis in children? In adults?

4 weeks for children, 6 months for adults

14

What is the name of the anxiety disorder in which a person may use nonspoken means to communicate when encountering other people in social situations?

Selective mutism

15

Panic disorder is characterized by recurrent, unexpected panic attacks, followed by at least one month of persistent concern for another panic attack and/or significant maladaptive change in behavior.

Free card.

16

A panic attack by itself is not considered a mental disorder. How does a panic attack specifier differ from a panic attack?

Panic attack specifier is a panic attack in the context of a mental disorder such as PTSD.

17

True or false: 1/3 of patients with Bipolar I and 1/3 of patients with Bipolar II have a history of suicide attempt.

True.

18

Which of the depressive disorders is more common in males? In females?

Males: disruptive mood dysregulation disorder. Females: major depressive disorder

19

Which of the anxiety disorders is more common in males? In females?

Males: none. Females: separation anxiety, specific phobia, panic disorder, panic attack specifier, agoraphobia, generalized anxiety disorder

20

Of the bipolar, depressive, and anxiety disorders mentioned in class, which have their onset in childhood or early adolescence?

Depressive Mood Dysregulation Disorder, selective mutism, specific phobia, and social anxiety.