Task 6 Flashcards

(19 cards)

1
Q

Bipolar Disorder

A

Manic depression

- mania and depression

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2
Q

Mania

A
  • Racing thoughts
  • feelings of grandiosity
  • decreased need for sleep
  • irritability
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3
Q

Depression (in bipolar disorder)

A
  • sadness
  • apathy
  • hopelessness
  • low energy
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4
Q

Depressive Disorders

A

-only depressive aspect (no mania as in bipolar)

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5
Q

Anhedonia

A

In depression

- loss of interest in everything in life

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6
Q

Psychomotor retardation

A
  • slowing down
  • talking more quiet
  • chronically fatigued
  • no quick reaction
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7
Q

Psychomotor agitation

A
  • physical agitation
  • can not sit still
  • move around a lot
  • fidget (zappeln) aimlessly
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8
Q

Delusions & Hallucinations

A

People with severe depression may have this
- lose touch with reality
- beliefs with no base in reality
- may hear and see things that are not real
(That are usually negative)

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9
Q

Prevalence of major depression

A

Lifetime 5.2-17.1 %

Lifetime risk men: 20%
Lifetime risk women: 30%

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10
Q

Comorbidities of depression

A
  • with anxiety problems highly comorbid: about 60%
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11
Q

Major Depressive Disorder DSM-V diagnosis

A

Five or more symptoms need to be present during same 2-week period

  • they need to show change from normal functioning
  • at least one must be either
    1. Depressed mood
    Or
    2. Loss of interest or pleasure
  • 5 criteria in DSM-V (A-E)
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12
Q

Major Depressive Disorder

Criterion A

A
  1. Depressed mood most of the day
    —> indicated subjective or by others
  2. Diminished interest/pleasure in all or almost all activities most of the day (almost) every day
  3. Significant weight loss (when not dieting) or weight gain (change of more than 5% of weight in a month)
    - or decrease/increase in appetite nearly daily
  4. Insomnia or hypersomnia
  5. Psychomotor agitation/retardation nearly every day (observable by others)
  6. Fatigue or energy loss (nearly everyday)
  7. Feelings of worthlessness/excessive/inappropriate guilt (nearly every day)
  8. Diminished ability to think/concentrate or indecisiveness (Unschlüssigkeiten) (nearly every day)
  9. Recurrent thoughts of death, suicidal ideation without specific plan, suicide attempt or specific plan to commit suicide
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13
Q

Major Depressive Disorder

Criterion B

A

Symptoms cause

  • clinically significant distress
  • social impairment
  • occupational impairment
  • or impairment in other important areas of functioning
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14
Q

Major Depressive Disorder

Criterion C

A

Episode can’t be attributed to physiological effects of substance or medical condition

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15
Q

Major Depressive Disorder

Criterion D

A

Occurrence of disorder not better explained by

  • schizoaffective disorder
  • schizophrenia
  • schizophreniform disorder
  • delusional disorder
  • or other (un)specific schizophrenia spectrum and other psychotic disorders
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16
Q

Major Depressive Disorder

Criterion E

A

There was never a manic episode or hypomanic episode

BUT not if episodes like this occurred due to: - substances
- other medical condition

17
Q

Persistent Depressive Disorder

A

Chronic form of Depression

  • need to meet criteria of major depressive disorder for 2 years
  • has diagnosis of persistent depressive disorder

diagnosis requires:

  • poor appetite
  • insomnia or hypersomnia
  • low energy, fatigue
  • low self-esteem
  • poor concentration
  • hopelessness
18
Q

Subtypes of major depressive disorder

A
  • anxious distress
  • mixed features
  • melancholic features
  • psychotic features
  • catatonic features
  • atypical features
  • seasonal pattern
  • peripartum onset
19
Q

Premenstrual dysmorphic disorder

A

Increased distress in premenstrual phase of menstrual cycle

  • symptoms often mix of depression, anxiety, tension, irritability, anger
  • they may occur in mood swings
  • many experience it mildly, only 2% match criteria