Term
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Definition
| A pervasive and sustained emotion that colors one's perception of the world and how one functions in it. Normal variations in mood occurs as responses to specific life experiences. (sadness, euphoria, anxiety) |
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Definition
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Term
| Mood disorders are also known as what? |
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Definition
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Term
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Definition
| Recurrent disturbances or alterations in mood that cause psycholoical distress and behavioral impairment. Characterized by a cluster of signs and symptoms sustained over weeks and months. Most of them recur in a cyclical fashion |
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Definition
| Absence of depressed or elevated mood |
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Definition
| Exaggerated feeling of well-being |
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Definition
| Expression of feelings w/o restraint |
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Definition
| Joy, euphoria, triumph, intense self-satisfaction |
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Definition
| Feeling of unpleasantness, discomfort, depressed |
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Definition
| feeling of pparehension caused by anticipation of danger |
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Definition
| Severe reduction in intesity of outwward expression |
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Definition
| Complete absence of outward expression |
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Definition
| Refelcts actual emotional state |
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Definition
| Doesn't reflect actual emotional state |
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Definition
| Rapid & easilty changing outward expression |
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Term
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Definition
| Wide range of emotional expression, usually a normal finding |
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Term
| Restricted or constricted? |
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Definition
| Reduction in intensity and range of outward expression |
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Term
| What are Primary Mood Disorders? |
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Definition
| Unipolar Disorder & Bipolar Disorders |
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Term
| What are Unipolar Disorders? |
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Definition
| Depressive, absence of Mania |
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Term
| What are Bipolar Disorders? |
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Definition
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Term
| What are some Mood Episodes? |
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Definition
| Major Depressive Episode, Manic Episode, Mixed Episode, Hypomanic Episode |
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Term
| Are mood episodes diagnosable disorders? |
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Definition
| No. but serves as the building blocks for the disorder diagnoses |
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Term
| What are charcteristics of a depressive episode? |
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Definition
| Serious. Pt experiences clinically significant distress or impariment in social, occupational, or other areas of function (DSM IV). For at least 2 weeks, sad mood persists. Does not contribute to Bereavement (effects of a substance) or general medical condition |
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Term
| What are diagnostic requirements of Depressive Episode? |
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Definition
| One symptom is either depressed mood or loss of interest/pleasure PLUS at least 4 of the other symptoms |
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Term
| What are some of the other symptoms? |
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Definition
| wieght loss/gain, insomina or hypersomnia, psychomoter agitation or retardation, fatigue, feel guilty or worthlessness, can't think or concentrate, memory loss, recurrent thoughts of death or suicide |
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Term
| What are 5 types of Depressive Disorders? |
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Definition
| Major Depressive Disorder, Dysthymic Disorder, Post Partum or Maternity Blues, Post Partum Depression, Post Partum Psychosis |
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Term
| What are 2 subtypes of Seasonal Affective Disorder? |
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Definition
| Winter Depression SAD or Fall onset SAD, Spring ONset SAD |
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Term
| What are characteristics of Major Depressive Disorder? |
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Definition
| Presence of one or more major depressive epidosdes resulting in difficulty functioning, progressive, usually recurrent illness, suicide most serious complication, exhibit psychotic features |
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Term
| What is the most serious complication from Major Depressive Disorder? |
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Definition
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Term
| What is Dysthymic Disorder? |
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Definition
| Milder, more chronic than MDD, 2 years of depressed mood, onset-childhood early adulthood |
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Term
| When is the age o onset for Dysthymic Disorder? |
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Definition
| Childhood to early adulthood |
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Term
| WHat percentage of women experience Post Partum or Maternity Blues? |
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Definition
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Term
| Symptoms begin how many days after deliverY? when do they go away? |
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Definition
| 1 day after delivery. Take 3-7 days to disappear |
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Term
| WHat counts as Post Partum Depression? |
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Definition
| Meets criteria for major depressive episode with onset within 4 weeks of delivery |
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Term
| Post Partum Depression affect what percentage of women? |
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Definition
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Term
| What counts as Post Partum Psychosis? |
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Definition
| Psychotic episode within 3 weeks of delivery. Medical Emergency, Require immediate treatment! |
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Term
What kind of Therapy is for Seasonal Affective Disorder?
Should responde in how many days? When should it be reconsidered |
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Definition
| Light Therapy. Response within 2-4 days. Reconsider if no effect in 4-6 weeks |
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Term
| What is the prevalence of Major Depressive Disorder? |
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Definition
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Term
| What is the difference in gender for MDD? |
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Definition
| Women more likely to get it |
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Term
| Average age of onset for MDD? |
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Definition
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Term
| MDD is most prevalent in what age group? |
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Definition
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Term
| What are biological causes for MDD? |
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Definition
| Deficincy or dysregulation in norepinephrine, dopamine, serotonin |
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Term
| Psychological causes for MDD? |
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Definition
| Feelings of loss, low self-esteem, unlovability, self-hatred, negative irrational belief structures |
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Term
| Environmental/Sociological Causes for MDD? |
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Definition
| Truama, abuse, maladaptive interactions, substance use |
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Term
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Definition
| Reduce, alleviate symptoms, restore functioning, prevent relapse |
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Term
| What are priority care issues for MDD? |
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Definition
| Safety, suicide risk, suicide assessment |
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Term
| What are the medications for MDD? |
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Definition
| SSRIs (firstline treatment), atypical antidepressants, TCAs, MAOIs |
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Term
| What kind of psychotherapy are effective for MDD? |
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Definition
| Cognitive behavioral therapy, family therapy, gropu therapy, Interpersonal therapy |
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Term
| What Somatic Therapies are used for MDD? |
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Definition
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Term
| What Nursing Assessments are for MDD? |
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Definition
| Appetite, Sleep, Mood/suicidal behavior, memory, phsyical exam, developmental history, family history, support sys, substance abuse, physical/sexual abuse |
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Term
| What are Nursing Diagnoses for MDD? |
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Definition
| Suicide Risk, Imbalanced nutrition, Self-care deficit, Decisional conflict, Fatigue, Ineffective Individual coping, Ineffective Role Performance, Hopelessness, Low Self-Esteem, Disturbed Sleep Pattern |
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Term
| What are Biologic Nursing INterventions?" |
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Definition
| Medications and somatic treatments |
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Term
| What are the first generation antidepressants for MDD? |
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Definition
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Term
| How long does it take SSRI to work? |
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Definition
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Term
| What are sideeffects of SSRIs? |
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Definition
| Insomnia, headaches, GI upset, weight gain, sexual sid effects |
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Term
| WHat are 2nd Line Agents? |
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Definition
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Term
| What are side effects of SNRIs? |
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Definition
| HTN, BP. Cymbalta can make Claucoma worse!! |
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Term
| What are dangers of Nefazodone? |
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Definition
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Term
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Definition
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Term
| Dangers of Bupropion? Do not use for what kind of patients? |
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Definition
| Seizures. AVOID pts with schizo. |
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Term
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Definition
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Term
| What is dangerous about St. John's Wort? |
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Definition
| DO NOT TAKE with an antidepressant! |
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Term
| SSRIs SHOULD NOT be comined with what? How long should the washout period last when switching? |
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Definition
| TCAs or MAOIs. Washout period is 2 weeks |
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Term
| Why should you observe carefully when antidepressants take effect? |
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Definition
| Sometimes suicidal tendencies INCREASE |
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Term
| What are characteristics of a Manic Episode? |
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Definition
| For at least 1 week, individual experience persistent elevated, expansive, irritable mood. Mood distrubance cause impairment of function OR there are psychotic features. Mania not induced by substance |
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Term
| What are some other symptoms of Mania? |
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Definition
| Inflated self-esteem OR grandiosity, Decrease sleep, more talkative, racing thoughts, distractibility (attention to unimportant stimuli), Excessive involvement in pleasurable activities |
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Term
| What are characteristics of a Mixed Episode? |
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Definition
| Criteria for a MDE and a ME are met early every day for at least a week. Impairment in function. Medication or substance not the cause |
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Term
| Characteristics of a Hypomania? |
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Definition
| Similar to mainia but does not impaire social functioning. NO psychotic features. Can cause change in functioning by others. Episode must persist for at least 4 days. |
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Term
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Definition
| Combination of manic or mixed episodes and major depresive episodes |
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Term
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Definition
| Episodes of Major Depression and Hypomania |
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Term
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Definition
| Mild form of Bipolar II. 2 years of numerous periods of hypomanic and mild depressive symptoms |
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Term
| What is the Chronobiological Theory? |
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Definition
| Sleep disturbances cause mania in bipolar pts |
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Term
| What is Sensitization and Kindling Theory? |
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Definition
| Bipolar disorders recur in shorter cycles w. longer duration and with less relation to environmental precipitants |
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Term
| What are Primary Issues for Bipolar? |
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Definition
| Risk for suicide, safety from poor judgment & risk taking behaviors |
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Term
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Definition
| Mood Stabilizers, Antidepressants, Antipsychotics, Benzodiazepines |
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Term
| What are problems with Lithium Carbonate? |
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Definition
| Hypothyroidism, and Kidney. Tell pts to not increase or decrease salt intake |
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Term
| What are issues with Depakote? |
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Definition
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