Mood Disorders Flashcards
(36 cards)
a sustained emotional attitude; typically garnered through patient self-report
mood
external display of feelings; relates more to others’ perception of the patient’s emotional state
affect
emotional or behavioral symptoms in response to an identifiable stressor occurring within 3 months; the event is not traumatic or life-threatening.
The distress is out of proportion with expected reactions.
adjustment disorder
when should the symptoms of adjustment disorder subside, once the stress is removed?
within 6 months
a patient presents with maladaptive symptoms like drug/alcohol use, abnormal behavior, and symptoms of major depressive disorder. what are they likley experiencing?
adjustment disorder
what are 3 risk factors for adjustment disorder?
stressful childhood experiences
hx of mood/eating disorder
family disruptions
what is the treatment for adjustment disorder? (2)
therapy
antidepressants (SSRI, SNRI)
what is the time line of symptoms to be diagnosed with major depressive disorder?
5 or more symptoms during the same 2-week period
at leads one of them being either depressed mood OR loss of interest or pleasure
a patient presents with fatigue, headaches, not sleeping well, lack of interest in usual activities, inability to concentrate, feeling guilt, and loss of appetite with weight loss. what are they likely experiencing?
major depressive disorder
what is the mnemonic for depression assessment?
Sleep disturbance
Interest decrease
Guilt
Energy decrease
Concentration decrease
Appetite (up or down)
Psychomotor function decrease
Suicidal ideations
what are 2 diagnostic studies used to rule out organic contributors of major depressive disorders?
labs
sleep study
what are the 2 treatments for major depressive disorder?
psychotherapy
antidepressant - SSRI
what was the initital treatment in the STAR D trial for major depressive disorder?
citalopram
what is associated with higher rates of relapse + shorter average time to relapse in major depressive disorder?
more treatment steps
patients with major depressive disorder + higher markers of inflammation and obesity are more likely to response to _____ or _____
SNRI
bupropion
patients with major depressive disorder + comorbid pain or migraines are more likely to response to _____ or _____
duloxetine
venlafaxine
how long does an adult patient have to present with depressed mood for most of the day, to be diagnosed with persistent depressive disorder?
2 years
how long does a child patient have to present with depressed/irritable mood for most of the day, to be diagnosed with persistent depressive disorder?
1 year
what is persistent depressive disorder also known as?
dysthymia
an adult patient presents with more depressed days, chronic fatigue, ongoing low mood, rarely feeling pleasure or enjoyment, and is chronically socially avoidant. what is she likely experiencing?
persistent depressive disorder
what is the treatment for persistent depressive disorder?
SAME AS MDD
psychotherapy
antidepressant - SSRI
occurrence of 1 or more manic or mixed episodes - distinct period of abnormally and persistently elevated, expansive, or irritable mood, and increased goal-directed activity or energy lasting over 1 week
bipolar I disorder
never had a full manic episode; at least 1 hypomanic episode and major depressive episode - distinct period of abnormally and persistently elevated, expansive, or irritable mood, and increased goal-directed activity or energy lasting 4-7 days; not severe enough to cause marked impairment.
bipolar II disorder
characterized by 2 years of fluctuating mood (1 year in children) - hypomanic and dysthymic symptoms - no more than 2 months symptom-free
cyclothymia
