Mood Disorders and Substance Abuse Flashcards

1
Q

Major Depressive Disorder

A
  • catatonic features (fetal position, dysfunction)
  • Ativan and ETC
  • Postpartum onset (2 weeks after birth)
  • seasonal features
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2
Q

Dysrhythmic Disorder

A
  • persistent low mood

- not classified under MDD

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3
Q

Dopamine

A
  • attention
  • appetite
  • cognition
  • apathy
  • ambiguity
  • sedation
  • working memory
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4
Q

NE and ACh

A
  • attention
  • endurance
  • memory
  • concentration
  • recall memory
  • determination
  • doubt
  • certainty
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5
Q

Serotonin

A
  • endurance
  • appetite
  • relaxation
  • sleep
  • pleasure
  • anxiety
  • learning memory
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6
Q

Labile

A
  • easily changing moods
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7
Q

Tricyclic and Tetracyclic Antidepressants

A
  • cyclic block the absorption (reuptake) of serotonin and NE
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8
Q

SSRIs

A
  • potential for serotonin syndrome

- Fluoxetine, Sertraline, Fluvoxamine, Paroxetine, Citalopram, Escitalopram

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9
Q

MAOIs

A
  • monoamine oxidase removes NE, serotonin, dopamine (so inhibitors allow these to stay in brain)
  • hypertensive crisis
  • sudden, severe pounding or explosive headache
  • sexual dysfunction
  • with caution if patient’s suicide potential is elevated
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10
Q

Serotonin Reuptake Inhibition

A
  • antidepressant
  • anti-obsessional
  • nausea, headache, nervousness, restlessness
  • Fluoxetine and Paroxetine
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11
Q

Serotonin Receptor Blockade

A
  • antipsychotic action
  • some anti-migraine effect
  • hypotension
  • weight gain
  • ejaculatory problems
  • Risperidone, Clozapine
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12
Q

Bipolar Disorder I

A
  • onset at 18

- more common in males

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13
Q

Bipolar Disorder II

A
  • onset at 20

- more common in females

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14
Q

Cyclothymia

A
  • usually begins in adolescence or early adulthood
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15
Q

Manic Episode

A
  • persistently elevated, expansive, or irritable mood
  • persistently increased goal-directed activity lasting at least 1 week
  • sufficiently severe to cause marked impairment
  • not attributed to psychological effects of a substance
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16
Q

Diagnostic and Statistical Manual-V

A

Must have 3/7

  1. Inflated self esteem
  2. Decreased need for sleep
  3. More talkative than usual
  4. Racing thoughts (flight of thought)
  5. Distractibility
  6. Increase in goal-directed activity
  7. Excessive involvement in activities that have a high potential for painful consequences
17
Q

Lithium Carbonate

A
  • must have regular blood tests
18
Q

Transtheoretical Model of Change

A
  • pre contemplation
  • contemplation
  • preparation
  • action
  • maintenance