Term
| Major Depressive Disorder |
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Definition
| Characterized by one or more Major Depressive Episodes (i.e., at least 2 weeks of depressed mood or loss of interest accompanied by at least four additional symptoms of depression). |
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Term
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Definition
| Characterized by at least 2 years of depressed mood for more days than not, accompanied by additional depressive symptoms that do not meet criteria for a Major Depressive Episode. |
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Term
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Definition
| Characterized by one or more Manic or Mixed Episodes, usually accompanied by Major Depressive Episodes. |
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Term
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Definition
| Characterized by one or more Major Depressive Episodes accompanied by at least one Hypomanic Episode |
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Term
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Definition
| Characterized by at least 2 years of numerous periods of hypomanic symptoms that do not meet criteria for a Manic Episode and numerous periods of depressive symptoms that do not meet criteria for a Major Depressive Episode. |
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Term
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Definition
- Inflated self esteem
- decreased need for sleep
- more talkative
- flight of ideas
- distractability
- increase in goal orientation
- excessive involvement in pleasure activities
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Term
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Definition
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Term
| Onset of bipolar disorder |
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Definition
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Term
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Definition
- Time Course: intense, 4-6 months
- Suicidal ideas: atypical
- Hallucinations: linked to deceased
- Intensity of symptoms: waves
- Self-attitude: Usually intact
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Term
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Definition
- Time Course: sustained symptoms
- Suicidal ideas: Often present
- Hallucinations: mood congruent, not limited to deceased
- Intensity of symptoms: Continuous
- Self-attitude: decreased
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Term
| Depressive symtoms triggered by stressful life events are not "real" episodes of major depression? |
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Definition
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Term
| Mood disorders: Clinical syndrome |
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Definition
- Mood changes
- Vital sense changes
- Self-attitude: distinguish between depression and grief
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Term
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Definition
One of the following required:
- Depressed or irritable (or feeling nothing)
- Decreased interest or pleasure in activities (anhedonia)
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Term
| Patterns of treatment seeking |
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Definition
| On average, it takes 8 years for individuals to seek treatment for MDD |
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Term
| Current "Gold Standard" assessment |
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Definition
| Structured Clinical Interview for DSM-IV (SCID) |
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Term
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Definition
- the percent of patients receiving adequate treatment is better for psychiatrists than in general medical setting
- Both failing to provide minimal treatment
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Term
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Definition
- Over 65 yrs old
- males
- whites ->Native Americans -> Others
- divorced/widow -> never married ->married
- umemployed (SES)
- High risk: physicians, musicians, lawyers, law enforcement, dentists
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Term
| Protective Factors (connection) |
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Definition
- Marriage
- Having dependent children
- pregnancy and the 1st year of child's life
- religious beliefs
- relationships
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Term
| Percent of BP diagnosed as MDD |
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Definition
| 3%-22% of primary care patients diagnosed with MDD have BP disorder |
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Term
| Underdiagnosis of Bipolar Disorder |
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Definition
- Depressed patients dont recall mania
- mixed states/rapid mood shifts go unrecognized
- Hypomania often lacks subjective distress
- family is not consulted
- frequency of psychosis is not recognized
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Term
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Definition
- Age of onset (young)
- Episodic, Cyclic
- Interepisode functioning
- Duration of episodes
- Long-term course (worsening over time)
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Term
| Diagnosis of Mood Disorders |
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Definition
- Symptoms
- Severity
- Duration
- Ruling out other causes
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Term
Non-Adherence in Bipolar Patients
(40% -45% do not take medication) |
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Definition
- Positive aspects of mania
- living alone
- side effects
- denial, lack of insight
- substance abuse
- personality disorder
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Term
| Mood symptoms during Mania |
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Definition
| Irritability greater than euphoria |
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Term
| Prevalence of Mood disorders |
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Definition
MDE- 17.1%
Bipolar Disorder- 1.6%
Dysthmia - 6.4% |
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Term
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Definition
- Antidepressants
- Psychotherapy
- phototherapy
- electroconvulsive therapy
- Mood Stabilizers (BP)
- Anti-psychotics (BP)
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