Brainscape's Knowledge GenomeTM


Top Flashcards (Certified)
All Flashcards

behavioral and mental health psychology > exam ii: ch14 - depressive disorders > Flashcards

exam ii: ch14 - depressive disorders Flashcards

(61 cards)

Start Studying
1
Q

what is the “single most disabling disease in the world”

A

depression

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

type of disorder; constant and severe irritability and anger
- dx: 6-18 yrs
- s/s in 2/3 (home, school, peers)
- onset: before 10yrs
- temper tantrums
- males > females

A

disruptive mood dysregulation disorder

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

how many s/s from dsm-5 to be dx with depression

A

at least 6 s/s for at least 2 weeks

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

type of depression; Low-level depressive feelings through most of each day, for majority of days
>2yrs adults
>1yr children/adolescents

A

persistent depressive disorder “dysthymia”

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

must have 2+ of the following s/s:
Dec appetite OR overeating
Insomnia/hypersomnia
Low energy, hopelessness
Low self-esteem
Difficulty thinking

A

dx of persistent depressive disorder

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

type of depression; Symptom cluster in last week prior to onset of women’s period

A

premenstrual dysphoric disorder

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

FDA approved meds for premenstrual dysphoric disorder?

A

fluoxetine, sertraline, paroxetine

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

s/s of the following:
Mood swings
Irritability, difficulty concentrating
Depression anxiety, feeling overwhelmed

A

premenstrual dysphoric disorder

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

tx for premenstrual dysphoric disorder

A

aerobic exercise, complex carbs, sufficient sleep

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

caused by long term illness that causes ongoing pain

A

depressive disorder d/t medical condition

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

full-blown depression during/after delivery, more serious than “baby blues”

A

postpartum depression

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

s/s of the following:
Exhaustion
Extreme sadness, anxiety
SI

A

postpartum depression

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

what is the first and only FDA approv med for postpartum depression

A

brexanolone (Zulresso)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

type of depression; onset during winter, lack of sunlight contributing factor returns every year

A

seasonal affective disorder

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

s/s of the following:
Social withdrawal
Increased sleep
Weight gain

A

seasonal affective disorder

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

what are some risk factors of seasonal depressive disorder (5)

A
  • female
  • far from equator
  • fam hx
  • depression + bipolar
  • younger
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

what is the main reason for inpatient psych admission

A

major depressive disorder

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
18
Q

type of depression; no manic or hypomanic episode, continued feelings of depressed mood or loss of interest or pleasure
- 18-25 yrs common
- chronic = lasts more than 2 years

A

major depressive disorders

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
19
Q

5+ of the following s/s for 2wks-6mo:
Weight loss/appetite change
Sleep disturbances
Fatigue
Loss of ability to concentrate, impaired fxn
Recurrent thoughts of death

A

major depressive disorder

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
20
Q

type of depression; prolonged use/withdrawal from drugs and alc, s/s longer than expected effects of substance

A

substance induced/med induced depression

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
21
Q

what are meds that can lead to substance induced depression

A
  • antivirals
  • cardiovascular drugs
  • antidepressants
  • anticonvulsants
  • antipsychotics
  • smoking cessation meds
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
22
Q

different from depression, someone CAN experience low moods that meet the criteria of major depression with manic episodes

A

bipolar disorder

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
23
Q

difference between bipolar and depression

A

bipolar = manic and depressive states

depression = emphasis on the “lows” of depressed mood

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
24
Q

what are co-curring medical problems that inc risk of depression

A

HTN, diabetes, cardiac issues, arthritis, backaches

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
25
model that states life events + biological predisposition affect the way we respond to stress
diathesis stress model
26
how does the HPA axis lead to depression?
inc cortisol and CRH = depression
27
questionnaire used to grade mood improvement (given before and after TMS) and assess suicide potential
PHQ-9 questionnaire
28
inability to experience pleasure
anhedonia
29
lack of energy
anergia
30
what are vegetative signs and list examples
alterations in activities needed to support life and growth - loss of appetite - change in sleep pattern - change in bowel/bladder habits - neglected grooming - libido decline
31
t/f: pharm therapy for depression aims to cure the disease
f: targets the symptoms rather than being an actual cure
32
what is the black box warning for all anti-depressants
inc in suicidal behavior + depressive thoughts
33
how long to observe pt after first admin of antidepressant
first 7-14 days of tx
34
class of the following meds: paroxetine (Paxil) fluoxetine (Prozac) sertraline (Zoloft) escitalopram (Lexapro) citalopram (Celexa) Fluvoxamine (Luvox)
selective serotonin reuptake inhibitors (SSRIs)
35
what is the only FDA approved med for OCD
Luvox
36
name that med class: - good for depression + anxiety - first line therapy, dec SE compared to other classes - SE: agitation, sexual dysfunction, HA, serotonin syndrome, discontinuation syndrome
SSRIs
37
s/s of the following: Abd pain, diarrhea, sweating, fever, tachycardia, HTN, altered mental status, myoclonus, irritability, hositility
serotonin syndrome
38
s/s of the following: dizziness, insomnia, nervousness, irritability, nausea, agitation
discontinuation syndrome
39
class of the following meds: venlafaxine (Effexor) desvenlafaxine (Pristiq) duloxetine (Cymbalta):
serotonin norepinephrine reuptake inhibitors (SNRIs)
40
name that med class: - inhib serotonin and norepinephrine reuptake - SE: HA, dizziness, insomnia, dry mouth
SNRIs
41
med class of the following: mirtazapine (Remeron)
serotonin norepinephrine DISinhibitor
42
what is mirtazapine (Remeron) used for
antiemetic
43
med class of the following: Nortriptyline (Pamelor) Amitriptyline (Elavil) Imipramine (Tofranil) Desipramine (Nopramin)
tricyclic antidepressants (TCA)
44
name that med class: - good for melancholic depression - NOT first line d/t high risk OD - SE: anticholinergic rxns, cardiovascular rxns - Toxicity: dysrhythmias, MI, heart block - DO NOT GIVE: heart issues, pregnant, seizures
tricyclic antidepressants (TCAs)
45
s/s of the following: dysrythmias, MI, heart block
TCA toxicity
46
med class of the following: Isocarboxazid (Marplan) Phenelzine (Nardil) Selegiline (EMSAM) Tranylcypromine (Parnate)
monoamine oxidase inhibitors (MAOIs)
47
name that med class: - give when failed SSRI/TCA - needs dietary restriction from tyramine - stop taking SSRI, wait 2-5wks before starting - SE: orthostatic hypotension
MAOIs
48
t/f: need to maintain tyramine restriction for 2 weeks after MAOI stop
true
49
med class of the following bupropion (Wellbutrin)
norepinephrine dopamine reuptake inhibitor (NDRI)
50
name that med class: - inhib acetylcholine receptors to dec addictive aspect of nicotine, blocks reuptake of norepinephrine and dopamine - benefits: NO sexual dysfxn, NO weight gain - DO NOT GIVE: seizure, eating disorder, with benzos SE: insomnia, tremors, weight loss, seizures, vomiting
NDRIs
51
foods to avoid that have tyramine
avocados figs bananas fermented/smoked meats deli meats fish ALL cheese soy sauce
52
what treatment to opt for if pharm tx does not work
somatic treatments
53
somatic tx: - most effect tx for depression, helps with catatonia - works quickly and better than bed BUT use of anesthesia = less common - SE: confusion + memory loss
electroconvulsive therapy (ECT)
54
where to place ECT leads for more dramatic results
bilaterally
55
what criteria need to be met for ECT
- suicidal and needs RRT - can't take med - multiple med classes don't work - okay for elderly even >85
56
somatic tx; - noninvasive, uses magnetic pulses to stimulate focal areas of cerebral cortex - 30 tx sessions, 5 days/wk for 6 wks - need to remove all metal from body
transcranial magnetic stimulation (TMS) or (rTMS)
57
somatic tx; - used for epilepsy - electrode stim nerve to noost NMs, improve mood - SE: voice alteration, hoarseness, neck pain, cough, parathesia, dyspnea
vagus nerve stimulation (VNS)
58
somatic tx for seasonal affective depression
light therapy
59
somatic tx; - electrodes are surgically implanted into specific areas of the brain to stimulate regions ID’d to be underactive in depression
deep brain stimulation
60
how does exercise help with depression
inc availability of serotonin release of endorphins benefit: no antidepressant SE
61
in order to dx dysthymia, it needs to be occuring for at least how long?
2 years (adults)

behavioral and mental health psychology (17 decks)

Brainscape helps you reach your goals faster, through stronger study habits.
© 2025 Bold Learning Solutions. Terms and Conditions