MOOD 11

Question 1

Do studies suggest increase risk of longterm childhood behavioral issues with fetal SSRI exposure?

Answer 1

NO

Question 2

Interpersonal therapy mainly works to address SOCIAL FUNCTIONING….What are the 4 aspects of social functioning that are addressed?

Answer 2

1. Interpersonal disputes
2. Interpersonal deficits (poor social skills)
3. Role transition
4. Greif/loss

Question 3

What are the three stages of interpersonal therapy (IPT)?

Answer 3

1. Stage 1 = Inventory of 4 aspects of social functioning)
2. Stage 2 = Problem areas are analyzed and addressed.
3. Stage 3 = Termination issues/facing loss of therapist.

Question 4

Describe the following psychodynamic interventions.

Interpretation

Observation

Confrontation

Clarification

Answer 4

Interpretation = Bringing to patient’s awareness some aspect of themselves of which they are not consciously aware AND explaining and making connections.

Observation = Bringing to patient’s awareness some aspect of themselves that they were not consciously aware of.

Confrontation = Bringing to patient’s awareness some aspect of themselves that they are consciously aware of.

Clarification = Attempting to “add words to” or summarize patient’s vague or disparate thoughts/feelings.

Question 5

Out of the top 10 causes of death in the USA, what is the only cause that is increasing?

Answer 5

Suicide

Question 6

What percentage of all deaths in USA are due to suicide?

Since 1999 what is the % increase in rate of suicides?

Answer 6

1.7%

30% increase since 1999

Question 7

Is there a gender difference in suicide attempts?

Is there a gender difference in completed suicide?

Answer 7

Women attempt more. Women O/D. Men are more successful because of high lethality of attempts.

Question 8

What two ethnic groups have the highest suicide rates?

Answer 8

White < Native american

Question 9

What are the 5. key differences in suicide in the Elderly when compared to younger?

Answer 9

1. Increased lethality (guns)
2. Guns is most common method
3. Higher rates of completion
4. Higher rates of double suicide.
5. Higher M:F completion rates in elderly.

Question 10

What are the two known biological correlates of suicide?

Answer 10

1. LOW CSF Serotonin metabolit (5- HIAA) 5-hydroxyindoleacetic acid.
2. Having L allele of Tryptophan hydroxylase gene.