Term
| what do you need to ask in diagnosis of mood disorders |
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Definition
most recent episode, past symptoms
SIGE CAPS, DIG FAST, SAD PERSONS
substances, medical conditions
dysthmia, cyclothymic, PDD, post-partum, seasonal, catatonia, melancholia, atypical, rapid cyclind
severity (symptoms, interruption with social, occupation) |
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Term
| when should you hospitalize someone with a mood disorder |
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Definition
also have severe illness
suicide ideation and plan
intention to die
recent suicide attempt
multiple suicide risk factors and losses
catatonic
melancholia
psychotic features
feelings of hopelessness |
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Term
| what is the first line for suicidal, psychotic, agitated or tx resistant patients who cannot tolerate meds |
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Definition
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Term
| depressed pt must have __+ of these 9 symptoms for ___ not due to general medical condition |
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Definition
5+ symptoms for 2 weeks
depressed mood
sleep -insomnia typical, escess atypical
interests diminished
guild and worthlessness
low energy
concentration poor
appetite: poor typica, excessive atypical
psychomotoe retardation or agitation
suicidal ideation |
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Term
| 13 things that show increased risk for suicide |
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Definition
female > male in attempts
male > female in completion
age <24 and >65
depression current or hx
prior attempt
EtOH or drugs current or hx
rational loss/psychosis current or hx
social support lacking
organized plan or intent
no spouse or single
sickiness, esp chronic, painful, terminal |
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Term
| in general what is dysthmic disorder |
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Definition
| minor depression without suicidal thoughts |
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Term
| what qualifies late or early dysthhmic disorder |
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Definition
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Term
| what are the signs of dysthmic disorder |
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Definition
depressed for more days but than not but without major depression in 2 years (1 in kids) never without symptoms for >2mo
no mania, mixed, hypomanic, psychosis, substances, general medical condition with impairment of social, ccupational, or other functions
2+ of the following:
poor appetite or over eating
insomnia or hypersomnia
low energy or fatigue
low self-esteem
poor cognition or difficulty making decisions
feelings of hopelessness |
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Term
| who usually gets premenstural dysthmic disorder |
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Definition
| often people with anxiety disorders |
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Term
| what is the criteria for diagnosis of premenstural dysthmic disorder |
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Definition
present in menstural cycles in past year during last week fo luteal and absent post menses that interefers with work, social, relationships, productivity and is not an exacerbation of another disorder
5+ symotoms:
depression, hopeless, self-depreciating
andiety, tension, feeling on edge
affective liability: suddenly sad
anger, irritability, conflict
decreased interest in activities
difficulty concentrating
lethargy
under/over eating, cravings
hypersomnia, insomnia
overwhelmed feeling
breast tenderness, breast swelling, headache, joint pain, bloating |
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Term
| what do you need to diagnose seasonal pattern depression |
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Definition
regular relationship with time of year (usually fall and winter) without cause with full remission between seasons for at least 2 yrs
can be applied to major depression or bipolar |
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Term
| what are the severity levels of depression |
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Definition
mild
moderate
severe without psychosis
severe with pyschosis |
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Term
| what are the descriptive types for depression |
|
Definition
catatonic: unable to move
melancholic: (typical) lack of appetite and sleep
atypical: eating, sleeping too much
post partum
seasonal |
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|
Term
| what is the first line of tx for depression |
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Definition
| psychotherapy: CBT, interpersonal therapy |
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Term
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Definition
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Term
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Definition
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Term
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Definition
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Term
| what NT to bupropion act on |
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Definition
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Term
| what NT do nefazodone act on |
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Definition
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Term
| what NT do mirtazapine act on |
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Definition
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Term
| what NT do reboxetine/atomoxetine act on |
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Definition
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Term
| what NT do fluoxetine act on |
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Definition
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Term
| what NT do paroxetine act on |
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Definition
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Term
| what NT do sertaline act on |
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Definition
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Term
| what NT do fluvoxamine act on |
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Definition
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Term
| what NT do citalopram / escitalopram |
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Definition
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Term
|
Definition
| major depression, enuresis |
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Term
|
Definition
| major depression, anxiety, impulse control, bulimia |
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Term
|
Definition
| major depression, social phobia |
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Term
|
Definition
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Term
|
Definition
| major depression, smoking cesation |
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Term
|
Definition
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Term
|
Definition
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Term
| use reboxetine/atomoxetine |
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Definition
| major depression, ADD, ADHD |
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Term
|
Definition
| major depression, anxiety, impulse control, bulemia |
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Term
|
Definition
| major depression, panic, GAD, OCD |
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Term
|
Definition
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Term
|
Definition
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Term
| use citaopram/escitalopram |
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Definition
| major depression, panic, agoraphobia |
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Term
|
Definition
| dry mouth, constipation, urinary retention, blurred vision, hypotension, cradiac toxicity, sedation |
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Term
|
Definition
| agitation, insomnia, headache, nausea, vomiting, sexual dysfunction, hyponatremia |
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Term
|
Definition
| HTN, insomnia, nausea, agitation, confusion |
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Term
|
Definition
| HTN, nausea, insomnia, dry mouth, sedation, sweating, agitation, headache, sexual dysfunction |
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Term
|
Definition
| agitation, insomnia, deaache, nausea, vomiting, seizure |
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Term
|
Definition
| dizzy, hepatotoxicity, sexation, hypotension, paresthesia, priapism |
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Term
|
Definition
| weight gain, sedation, dizzy, headache, sexual dysfunction (rare) |
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Term
| SE reboxetine/aotomexitine |
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Definition
| dizzy, sweating, insomnia, dry mouth, constipation, urinary hesitency, tachycardia |
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Term
|
Definition
| long half life, protein bound |
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Term
|
Definition
| sedation, anti-cholinergic, short half life |
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Term
| SE citalporam/escitalopram |
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Definition
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Term
| what are the three types of bipolar disorder and their differences |
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Definition
bipolar 1: one more more manic/mixed episodes with at least one major depressive episode
bipolar 2: one or more major depressive episodes with at least one hypomanic episode
bipolar NOS: symptoms do not meet criteria for either |
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Term
| signs of bipolar disorder |
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Definition
elevated/iritable mood for 1wk+ that does not meet criteria for mixed episode, substance abuse, medical condition that impairs occupational or social activities
3/7 for a manic episode for a week, 3/7 for a hypomanic episode 4-7d
distractability
insomnia
grandiose inflated self-esteem
flight of ideas, rapid thoughts
activities goal directed
speech rapid, pressured
thoughtless, impulsive |
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Term
| what are the severity levels of bipolar |
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Definition
mild
moderate
severe without psychosis
severe with psychosis |
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Term
| what are the 6 descriptors of bipolar |
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Definition
| catatnic, melancholic, atypical, post-partum, seasonal, rapid cycling |
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Term
| what is the most important part of bipolar tx |
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Definition
| CBT, interpersonal therapy |
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Term
| what are the DOC for bipolar |
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Definition
mood stabilizers: lithium, valproic A. lamotrigine, carbamazepine, oxcarbasepine
atypical anti-psychotics: olanzapine, ariprazole (can add to mood stabilizer) |
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Term
| medication for bipolar depressive episode |
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Definition
| atypical anti-psychotic, lithium, lamotrigine |
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Term
| medication for bipolar manic episode |
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Definition
| atypical anti-psychotic, valproic acid, carbamezpine |
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Term
| medications for agitated bipolar pt |
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Definition
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Term
| what caution do you need to use when medicating a bipolar pt |
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Definition
| careful antidepressants can induce mania |
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Term
| what are the signs of cyclothymic disorder |
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Definition
2yrs+ of hypomanic and depressive symptoms that do not qualify for major depression (1 yr in kids)
not accounted for by psychotic disorder, medication, substance, medical condition
impairment in social, occupational, and other areas of functioning |
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