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Mood Disorders
Neuro/Psych Assessment 11
20
Psychology
Graduate
01/04/2012

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Cards

Term
What is seen on a persons face that demonstrates emotion?
Definition
Affect
Term
What does Euthymia mean?
Definition
Good Spirits
"normal mood"
Can experience a full range of emotions
Term
What is the range of emotion disorders from Highest to Lowest?
Definition
Mania
Hypomania
(Euthymia)
Dysthymia
Depression
Term
What is the DSM-IV criteria for Major Depressive Episode?
Definition
2 week period of depressed mood or loss of interest or pleasure with at least 4 of the following occuring everyday:
Change in appetite or weight
Change in Sleep
Psychomotor agitation or retardation
Fatigue
Feelings of worthlessness, or guilt
Diminished ability to concentrate
Recurrent thoughts of death
Term
What is Dysthymia?
Definition
"subthreshold" depression
Longer duration
Persistent, not intermittant
Term
What is Mania?
Definition
Distinct period of abnormally and persistently elevated, expansive, or irritable mood lasting at least 1 week
with 3 of the following:
inflated self-esteem
decreased need for sleep
more talkative
flight of ideas, racing thoughts
distractibility
increase in goal-directed activity
Excessive involvement in pleasurable activities
Term
What features of severe mania can allow a diagnosis of mania without having symptoms lasting a week?
Definition
necessitates hospitalization to prevent harm to self or others
Psychotic features are present
Term
What is different about diagnosis of Hypomania?
Definition
Mood only needs to last throughout 4 days
Does Not necessitate hospitalization
No pyschotic features are present
(like mania but doesn't last as long)
Term
How is Mixed Episode defined?
Definition
Criteria met for BOTH manic episode and major depressive episode during a 1 week period
Term
What are the criteria for Major Depressive Disorder?
Definition
Single Depressive Episode
No hx of manic, mixed, hypomanic episodes
May be single or recurrent
May be mild, moderate, or severe
Term
If a patient says to you "I've always been depressed", what should you consider?
Definition
Dysthymic Disorder
Term
What type of drugs can induce mood disorders?
Definition
Glucocorticoids
L-Dopa
Meperidine
Digitalis
Interferon
Benzos
Barbiturates
Beta Blockers
Lidocaine
Ketoconazole
Term
How is Bipolar 1 Charactized?
Definition
Presence of one manic or mixed episode
Term
What is characterized by Bipolar II?
Definition
One or more major depressive episodes
At least one hypomanic episode
No history of manic episode
Term
What is Rapid cycling of Bipolar?
Definition
Four mood episodes in a year
Demarcated by full remission for 2 months or switch to opposite polarity
Term
What is an attenuated bipolar disorder?
Definition
Cyclothymia
Term
What is characteristic of Cyclothymia?
Definition
At least 2 years
numerous periods with hypomanic and periods with depressive
Do not meet criteria for major dpressive episode
No symptom free period longer then 2 months
Term
What is the treatment for Biopolar disorder?
Definition
Acute episode treatment, maintenance
ECT
Mood stabilizers
Anticonvulsants
Antipsychotics
Term
What is the Gold Standard for treatment of Bipolar Disorder?
Definition
Lithium
Term
Why must Lithium be monitored closely?
Definition
Narrow therapeutic window
Toxic in overdose
Tremor
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