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Flashcards in Mood Disorders Deck (23):
1

Define "anhedonia"

Loss of enjoyment and pleasure

2

Define "anergia"

Lack of energy

3

What is euthymia?

Normal mood

4

What is the difference between mood and affect?

Mood: patient's description of their state (subjective)
Affect: how mood changes to surroundings (objective)

5

List general features of low mood

Low, miserable, unhappy
Reduced facial expression
Reduced eye contact
Furrowed brows
Limited gesturing and reactivity
Difficult to establish rapport

6

List features of speech in low mood

Reduced rate
Low volume
Reduced intonation (monotonous)
Increased latency
Limited content

7

List features of thought in low mood

Slow flow, ponderous
Negative, pessimism
Failure, guilt
Delusions
Hypochondriasis

8

List features of paranoia in low mood

Self-preferential thinking
Psychosis
Depression (increased sensitivity to criticism)

9

Hallucinations in low mood typically make someone depressed. True/False?

False
Typically, the hallucinations reflect a person's depression rather than making them depressed

10

What aspect of insight is typically affected in low mood?

Attribution - patients blame experience on their sins, personal failings or weakness

11

How long should a depressive episode last to be classified as depression?

2 weeks

12

List criteria for diagnosing depression

2 of core features
- depressed mood
- loss of interest/pleasure
- decreased energy
Some additional features
- low confidence
- self-reproach, guilt
- suicidal thoughts
- diminished concentration
- sleep disturbance
- change in appetite

13

Moderate depression involves _ core features and _ additional features

Moderate depression involves 2 core features and 4 additional features

14

Severe depression involves _ core features and _ additional features

Moderate depression involves all core features and 5 additional features

15

DSM-10 classifies bipolar into 3 categories. Describe bipolar I

Meets criteria for mania at least once
Previous depressive or hypomanic episodes

16

DSM-10 classifies bipolar into 3 categories. Describe bipolar II

Current or past hypomanic episodes + current or past depressive episodes
Never met criteria for mania

17

DSM-10 classifies bipolar into 3 categories. Describe bipolar III

Hypomania following use of antidepressants

18

Which form of bipolar - I, II or III - is most common?

Bipolar II

19

Depression changes to bipolar disorder once you have a manic episode. True/False?

True

20

How long should an episode last to be classified as hypomania?

4 consecutive days

21

List features of hypomania

Restlessness/increased activity
Increased talkativeness
Easily distracted
Decreased need for sleep
Increased sexual energy
Recklessness, irresponsibility

22

How long should an episode last to be classified as mania?

1 week

23

List distinguishing features (from hypomania) of mania

Racing thoughts
Loss of normal social inhibitions
Inappropriate behaviour
Inflated self-esteem
Sexual indiscretion