Flashcards in Mood Disorder Deck (39):
What are the SIGECAPS criteria for depression?
sleep, insomnia, guilt, energy, concentration, appetite, psychomotor, suicidiality
What are the criteria for dysthymia?
2 years of chronically depressed mood most of the time
What are the criteria for depression?
5 of criteria
What is the definition of bipolar I disorder?
one occurance of mania (only requirement), often periods of depression in between
What is the recommended treatment for bipolar disorder?
antipsychotics, benzos, mood stabilizer, ECT during manic episodes
What are the symptoms of mania?
distractibility, irritability, grandiosity, flight of ideas, activity, speech, thoughtlessness
What is a mixed episode?
criteria for both manic and major depressive episode met
What is the difference between mania and hypomania?
mania - lasts 7 days vs. hypomania 4 days
no major impairment in functioning, no psychotic features
What are the most common sleep problems associated with MDD?
difficulty falling asleep, early morning awakening
What is the etiology of MDD?
neurotransmitter deficiencies, high cortisol, abnormal thyroid axis, psychosocial events, genetics
What proporotion of patients show a response to antidepressants?
What are the characteristics of an atypical depression?
hypersomnia, hyperphagia, reactive mood, reactivity to rejection
What is the definition of rapid cycling?
4 or more episodes in 1 year
What is the typical course of mania? How often do they reoccur?
3 months, 90% of time reoccur within 5 years
What are some of the prominent side effects of lithium?
weight gain, tremor, GI upset, polyruria
What are the major types of depression?
melancholy, atypical, catatonia, psychotic
What is the definition of bipolar II disorder?
one or more depressive episodes with at least 1 hypomania
What are the symptoms of dysthymic disorder? How do you distinguish it from depression?
critieria: concentration, hopelessness, appetite, insomnia, low energy, self esteem issues
depression for more than 2 years, 2 critiera, never asymptomatic for more than 2 months
NOTE: never have psychotic symptoms
What is cyclothymic disorder?
alternating periods of hypomania with mild/moderate depressive symptoms
What are the criteria for seasonal affective disorder?
2 consecutive years of major depressive episodes during same season
What are the criteria for postpartum depression?
onset within 4 weeks
What are the criteria for adjustment disorder?
symptoms within 3 months of event that impair functioning - symptoms resolve within 6 months
What is the most effective treatment for depression with psychotic features?
What percentage of concordance is there between monozygotic twins and depression?
How often does depression occur in stroke patients?
30-50% of the time
How frequently does postpartum depression occur?
10-15% of mothers
How long does the risk of post-stroke depression last?
up to 2 years
What is the lifetime risk of suicide in mood disorders?
Women on antidepressants are at risk for...
What is the strongest indication for ECt?
treatment resistant depression with recurrent suicidal ideation
What are the contraindications to ECT?
no heart attack in last 3 months, no increase in ICP (no mass lesion)
How many treatments of ECT may be necessary to have an effect in refractory depression?
What is the best medication prescription for someone with depression with psychotic features?
SSRI and antipsychotic
What is the best medication treatment for mania?
Valproate acid or lithium
What is the best medication to prescribe to an individual in mania acutely?
Antipsychotic and benzo
What percentage of people in major depression respond without therapy?
What are the criteria for bereavement?
Symptoms not too debilitating within 2 months of truama
What symptoms change first with antidepressent therapy?