Shared Flashcard Set

Details

Psych Test 1 Lec 5
Nova - Orlando Psych Test 1 Lecture 5
39
Health Care
Graduate
02/09/2011

Additional Health Care Flashcards

 


 

Cards

Term
mental disorders in which disturbances of emotion predominate
Definition
mood disorders
Term
mood disorders are subdivied into 3 categories, what are they?
Definition
1. depressive disorders
2. bipolar disorders
3. other mood disorders
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
Definition
major depressive disorder
Term
anhedonia
Definition
loss of interest or pleasure
Term
Pneumonic for Depressive Symptoms:
SPACE DRAGS
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
Term
major depressive episodes often follow....
Definition
psychosocal stressor (death, divorce, birth)
Term
symptoms of depressive disorders
Definition
vague aches and pain, headache, sleep disturbance, fatigue, back pain, weight loss/gain
Term
what is the second leading cause of disability in industrialized countries?
Definition
depression
Term
depression and anxiety disorders may affect.....
Definition
heart rhythms, increase blood pressure, and alter blood clotting
Term
depression can lead to elevated
Definition
insulin and cholesterol levels
Term
depression anxiety may result in chronically elevated levels of
Definition
stress hormones such as cortisol and adrenaline
Term
MDD with absence of mania or hypomania
Definition
single episode
Term
MDD with 2 major depression episodes, separated by at least a 2 months period with more or less normal functionng/mood
Definition
MDD recurrent
Term
MDD treatment
Definition
cognitive psychotherapy
couples or family/group therapy
antidepressants (may need to augment to enhance antidepressnats efficacy)
Term
tx of melancholia
Definition
requires somatic therapy (antidepressants or ECT), will not do well with psychotherapy alone
Term
tx of psychotic MDD
Definition
requires antidepressants plus antipsychotics or ECT (SSRI's alone work better than TCA's alone)
Term
tx of seasonal MDD
Definition
requires light therapy, antidepressants or both
Term
dysthymic disorder symptoms
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.
Term
how long must sxs be presents to diagnose a dysthymic disorder?
adults?
kids?
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.
Term
timeframe of a manic episode
Definition
one week or longer (any duration if hospitalization is necessary)
Term
criteria for a manic episode
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
Term
manic episode symptoms: DIGFAST
Definition
Distractibility
Insomnia
Grandiosity
Flight of ideas
Activity, agitation, abitiousness
Sex and Spendng
Talkative
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
Definition
hypomanic episode
Term
combination of criteria for both manic and MDD except both are for at least 1 week and cause marked impairment
Definition
mixed episode
Term
disorders are made of what?
Definition
episodes
Term
what are the specifiers of mood disorders?
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
Term
anhedonia, distinct quality of mood, diurnal variation, early morning awakening, anorexia, weight loss, severe guilt, psychomotor retardation or agitation
Definition
melancholic
Term
post partum mood disorders take effect in how long?
Definition
within 4 months
Term
full remission between episodes
Definition
full interepisode recovery
Term
regular temporal realtionship of onset - not related to seasonally occuring psychosocial stressors
Definition
seasonal pattern
Term
four or more mood episodes in the previous 12 month period
Definition
rapid cycling
Term
one or more full manic episodes, usually has major depressive episodes
Definition
Bipolar I disorder
Term
one or more hypomanic episodes, NO full fledged manic episodes, generally one or more major depressive episodes
Definition
Bipolar II disorders
Term
periods of hypomanic or depressive symptoms not fulfilling criteria for hypomanic or major depressive episodes
Definition
cyclothymic disorders
Term
bipolar features but not meeting criteria for a specific bipolar disorder
Definition
bipolar disorder NOS
Term
what are the 3 phases of treatment?
Definition
acute
continuation
maintenance
Term
how long should you treat after the first episode?
Definition
through continuation phase, then consider whether to slowly taper over weeks and watch for recurrence
Term
how long should you treat after the second episode?
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.
Term
how long should you treat after the third episode?
Definition
remain on maintenance phase medication indefinitely
Supporting users have an ad free experience!