Term
| mental disorders in which disturbances of emotion predominate |
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Definition
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Term
| mood disorders are subdivied into 3 categories, what are they? |
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Definition
1. depressive disorders
2. bipolar disorders
3. other mood disorders |
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Term
| 2 week or longer period of 5 or more of the following symptoms present most of the day nearly every day with at least one being depressed mood or loss of interest/pleasure. Remaining sxs = insomnia/hypersomnia, thoughts of guilt/worthlessness, loss of energy, fatigue, diminished ability to concentrate/make decisions, changes in appetite/weight, retardation/agitation, suicidal thoughts, preoccupation with death |
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Definition
| major depressive disorder |
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Term
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Definition
| loss of interest or pleasure |
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Term
Pneumonic for Depressive Symptoms:
SPACE DRAGS |
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Definition
Sleep disturbances
Pleasure/interest loss
Agitation
Concentration
Eenergy (lack of/fatigue)
Depressed moods
Retardation (or agitation) of movement
Appetite disturbance
Guilt, worthless, useless
Suicidal thoughts |
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Term
| major depressive episodes often follow.... |
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Definition
| psychosocal stressor (death, divorce, birth) |
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Term
| symptoms of depressive disorders |
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Definition
| vague aches and pain, headache, sleep disturbance, fatigue, back pain, weight loss/gain |
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Term
| what is the second leading cause of disability in industrialized countries? |
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Definition
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Term
| depression and anxiety disorders may affect..... |
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Definition
| heart rhythms, increase blood pressure, and alter blood clotting |
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Term
| depression can lead to elevated |
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Definition
| insulin and cholesterol levels |
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Term
| depression anxiety may result in chronically elevated levels of |
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Definition
| stress hormones such as cortisol and adrenaline |
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Term
| MDD with absence of mania or hypomania |
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Definition
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Term
| MDD with 2 major depression episodes, separated by at least a 2 months period with more or less normal functionng/mood |
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Definition
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Term
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Definition
cognitive psychotherapy
couples or family/group therapy
antidepressants (may need to augment to enhance antidepressnats efficacy) |
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Term
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Definition
| requires somatic therapy (antidepressants or ECT), will not do well with psychotherapy alone |
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Term
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Definition
| requires antidepressants plus antipsychotics or ECT (SSRI's alone work better than TCA's alone) |
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Term
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Definition
| requires light therapy, antidepressants or both |
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Term
| dysthymic disorder symptoms |
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Definition
depressed/irritable mood AND
presence of 2 of the following:
appetite disturbance, sleep disturbance, low energy/fatigue, poor concentration, difficulty making decisions, feelings of hopelessness. |
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Term
how long must sxs be presents to diagnose a dysthymic disorder?
adults?
kids? |
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Definition
adults - 2 years
kids - 1 year
no evidence of a MDE during first 2 years (1 yr child).
No manic/hypomanic episode.
No chronic psychotic disorder.
Not related to organic factors. |
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Term
| timeframe of a manic episode |
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Definition
| one week or longer (any duration if hospitalization is necessary) |
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Term
| criteria for a manic episode |
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Definition
elevated/expansive/irritable mood PLUS 3 of the following or irritable mood PLUS 4 of the following:
distractibility, decreased need for sleep, grandiosity/inflated self esteem, flight of ideas or racing thoughts, psychomotor agitation or increase in goal directed activity, excessive involvement in pleasurable activities, pressured speech |
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Term
| manic episode symptoms: DIGFAST |
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Definition
Distractibility
Insomnia
Grandiosity
Flight of ideas
Activity, agitation, abitiousness
Sex and Spendng
Talkative |
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Term
| minimum of 4 day period with same symptom requirement as manic episode except not severe enough to cause marked impairment socially or occupationally, without psychosis, but sufficient to be uncharacteristic of the person when not symptomatic and are observable by others |
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Definition
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Term
| combination of criteria for both manic and MDD except both are for at least 1 week and cause marked impairment |
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Definition
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Term
| disorders are made of what? |
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Definition
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Term
| what are the specifiers of mood disorders? |
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Definition
severity - mild, moderate, severe
psychotic - hallucinations, delusions, derailment
remission - partial or full
chronic - major depresive episodes >2yrs
catatonic - motor immobility, excessive motor activity, extreme negativism, posturing, echolalia, echopraxia |
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Term
| anhedonia, distinct quality of mood, diurnal variation, early morning awakening, anorexia, weight loss, severe guilt, psychomotor retardation or agitation |
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Definition
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Term
| post partum mood disorders take effect in how long? |
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Definition
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Term
| full remission between episodes |
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Definition
| full interepisode recovery |
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Term
| regular temporal realtionship of onset - not related to seasonally occuring psychosocial stressors |
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Definition
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Term
| four or more mood episodes in the previous 12 month period |
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Definition
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Term
| one or more full manic episodes, usually has major depressive episodes |
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Definition
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Term
| one or more hypomanic episodes, NO full fledged manic episodes, generally one or more major depressive episodes |
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Definition
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Term
| periods of hypomanic or depressive symptoms not fulfilling criteria for hypomanic or major depressive episodes |
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Definition
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Term
| bipolar features but not meeting criteria for a specific bipolar disorder |
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Definition
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Term
| what are the 3 phases of treatment? |
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Definition
acute
continuation
maintenance |
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Term
| how long should you treat after the first episode? |
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Definition
| through continuation phase, then consider whether to slowly taper over weeks and watch for recurrence |
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Term
| how long should you treat after the second episode? |
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Definition
| though continuation phase, and evaluate whether safe to consider coming off medications based on severity, warning period of early prodrome, suicidality, psychosis, only "bread winner", etc. |
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Term
| how long should you treat after the third episode? |
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Definition
| remain on maintenance phase medication indefinitely |
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