W14_07 adolescent psych 1 Flashcards Preview

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Flashcards in W14_07 adolescent psych 1 Deck (21)
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1
Q

are males or females more likely to have adolescent depression?

A

female:male ratio = 2:1

2
Q

what are some differences between adolescent vs adult depression?

A

youths are more commonly irritable than depressed;
mood reactivity;
low self-esteem/hopelessness;
hyperphagia/hypersomnia;
fatigue (similar)

3
Q

what to rule out when considering adolescent depression?

A

anemia;
infection;
hypo/hyper thyroidism;
autoimmune disorders

4
Q

what’s the first line medication choice for adolescent depression? (NOT necessarily first line therapy)

A

SSRI;
selective serotonin reuptake inhibitors

5
Q

what are some educational treatments for adolescent depression?

A

sleep hygiene, exercise, coping skills, family interventions

6
Q

fluoxetine, fluvoxamine, citalopram are which class of antidepressants?

A

SSRI;
selective serotonin reuptake inhibitors

7
Q

venlafaxine, mirtazapine are which class of antidepressants?

A

SNRI

8
Q

nortriptyline, amitriptyline are which class of antidepressants?

A

TCA

9
Q

escitalopram, paroxetine, sertraline are which class of antidepressants?

A

SSRI

10
Q

buproprion is in the “others” class of antidepressants

A

ok

11
Q

which class of antidepressants don’t work in children/adolescents?

A

TCA

12
Q

best evidence for antidepressants in adolescents?

A

SSRIs (fluoxetine/prozac recommended for depression with anxiety)

13
Q

what are some reasons for lack of positive response in some studies?

A

only mild depression;
short study duration;
concurrent psychotherapeutic treatments

14
Q

what did the treatment for adolescents with depression study show as the best therapy for suicidality reduction?

A

fluoxetine + CBT

15
Q

what’s the criteria for bipolar disease, type I?

A

at least one manic episode

16
Q

what’s the criteria for bipolar disease, type II?

A

recurrent depressive episodes, with at least one hypomanic episode

17
Q

when does bipolar disorder typically begin to manifest?

A

early to mid 20s;
first symptoms start in late teens

18
Q

define manic episode

A

distinct period of abnormally and persistently elevated, expansive, or irritable mood, lasting at least one week

19
Q

what’s the DSM V terminology for bipolar disorder

A

disruptive mood dysregulation disorder (DMDD)

20
Q

what’s the preferred first line medication for mood stabilization?

A

lithium;
also: divalproex, carbamazepine, topiramate

21
Q

note: even though anticonvulsants are used as mood stabilizers, there are no RCTs showing their efficacy

A

ok

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