Mood Disorders Flashcards

(32 cards)

1
Q

Mood disorders have to cause what

A
  1. social impairment

2. occupational impairment

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

Define dysthymia

Effect on work

A

Persistent low grade depression for 2 years

They are functioning but can’t be at full potential

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

What is double depression

A

Dysthymia plus another major depressive disorder

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

Bipolar Type I vs Type II:

  1. Hospital
  2. Hypomanic symptom
A
  1. Type I more likely in hospital

2. Type II more likely to be hypomanic

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

What endocrine disorder mimics depression

A

Hypothyroidism

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

Symptoms of Depression

A

SIGECAPS

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

Sex difference in depression

A

Females more

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

Change in depression demographics

A

Earlier onset

Increased rate

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

Average age of depression onset

A

29

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

3 parts of depression treatment

A
  1. Psychotherapy
  2. Drug therapy
  3. Other therapy (ECT)
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

3 goals of treatment

A
  1. Treat symptoms
  2. Restore function
  3. Prevent recurrence
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

Are newer anti-depressants more effective?

A

No

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

What is the difference in newer generations of anti-depressants?

A

Less side effects

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

MAO-I’s first used when

A

1950s

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

When were TCA’s most often used

A

1960’s through 1980’s

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

4 ways antidepressants work

A
  1. Block reuptake of serotonin
  2. Block reuptake of norepinephrine
  3. Block reuptake of dopamine
  4. Inactivate monoamine oxidase
17
Q

Dopamine problems are related to what depression symptoms

A

Lack of pleasure and motivation

18
Q

Norepinephrine problems are related to what depression symptoms

A

Lack of energy and alertness

19
Q

Serotonin problems are related to what depression symptoms

A

Obsessions and compulsions

20
Q

MAO-IA food interaction

21
Q

Anti-depressants have a BBW of waht

A

Increased suicidality in 18-24 year olds

22
Q

What is the onset of bipolar

23
Q

70% of bipolar are mis diagnosed as what

A

Having major depression

24
Q

Which state of bipolar is most common

A

Depressive state

25
% of bipolar that commit suicide
20%
26
What % of bipolar are not diagnosed
half
27
Define mania
Elevated, irritable mood lasting longer than 1 week (or any duration if hospitalization is required)
28
What are the symptoms of hypomania and mania
DIGFAST
29
3 main drug sets used to treat bipolar
Lithium: Stabilize neurons Anticonvulsants: Enhance GABA Atypical antipsychotics: Inhibit excess dopamine
30
What is kindling hypothesis
the more episodes that occur early in the illness, the more frequent and severe later episodes are likely to be.
31
ECT and pregnancy
Safe
32
ECT works for depression or mania
Both