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20 Cards in this Set
- Front
- Back
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62. Dysthymic disorder overview?
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a. Pts w/dysthymic disorder have chronic, mild depression most of the time w/no discrete episodes.
b. Rarely need hospitalization. |
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63. Diagnosis of Dysthymic disorder?
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a. Depressed mood for the majority of time most days for at least 2 yrs (in children or adolescents for at least 1 yr).
b. At least 2 of the following: 1. Poor concentration or difficulty making decisions 2. Feelings of hopelessness 3. Poor appetite or overeating 4. Insomnia or hypersomnia 5. Low energy or fatigue 6. Low self-esteem. |
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64. Diagnosis of Dysthymic disorder cont.?
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a. During the 2 yr period:
1. the person has not been w/out the above sx for >2 months at a time. 2. No major depressive episode. 3. The pt must never have had a manic or hypomanic episode (this would make the diagnosis of bipolar disorder or cyclothymic disorder, respectively). |
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65. Prevalence of dysthymic disorder?
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a. 6%.
b. 2-3x more common in women. c. Onset before age 25 in 50% of pts. |
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66. Course and prognosis of dysthymic disorder?
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a. 20% of pts will develop major depression.
b. 20% will develop bipolar c. >25% will have lifelong sx. |
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67. Tx of dysthymic disorder?
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a. Cognitive therapy and insight-oriented psychotherapy are most effective.
b. Antidepressants are useful when used concurrently w/psychotherapy. |
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68. Cyclothymic disorder?
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a. Alternating periods of hypomania and periods w/mild to moderate depressive sx.
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69. Diagnosis of Cyclothymic disorder?
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a. Numerous periods w/hypomanic sx and periods w/depressive sx for at least 2 yrs.
b. The person must never have been sx free for >3 months during those 2 yrs. c. No hx of a major depressive or manic episode. |
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70. Prevalence of cyclothymic disorder?
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a. < 1 %.
b. May coexist w/borderline personality disorder. c. Onset usually age 15-25. d. M:F. |
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71. Tx of cyclothymic?
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a. Antimanic agents.
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72. Minor depressive disorder?
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a. Episodes of 2 to 4 depressive sx that do not meet the full 5 or more criteria for major depressive disorder.
b. Euthymic periods are also seen, unlike in dysthymic disorder. c. Still associated w/significant functional impairment, and 18% may fit the criteria for MDD w/in 1 yr. |
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73. Other disorders of Mood in DSM-IV?
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a. Recurrent brief depressive disorder
b. PMDD c. Mood disorder due to a general medical condition. d. Substance-induced mood disorder e. Mood disorder NOS. |
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74. Specifiers of Mood disorder in DSM-IV?
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a. Specifiers are not considered a separate mood disorder but rather a subtype w/in any major mood disorder.
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75. Seasonal Affective Disorder (SAD)?
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a. At least 2 consecutive yrs of 2 major depressive episodes during the same season, most commonly winter.
b. Pts w/fall-onset SAD “winter depression” often respond to light therapy. |
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76. Postpartum Major Depression (PMD)?
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a. Onset w/in 4 wks of delivery.
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77. Triad for seasonal affective disorder?
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a. Irritability
b. Carbohydrate craving c. Hypersomnia |
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78. Adjustment Disorders?
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a. Adjustment disorders occur when maladaptive behavioural or emotional sx develop after a stressful life event.
b. Sx begin w/in 3 months of the event, end w/in 6 months, and cause significant impairment in daily functioning or interpersonal relationships. |
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79. Diagnosis of Adjustment Disorder?
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1. Development of emotional or behavioural sx w/in 3 months after a stressful life event. These sx produce either:
a. Severe distress in excess of what would be expected after such an event. b. Significant impairment in daily functioning. 2. The sx are not those of bereavement 3. Sx resolve w/in 6 months after stressor has terminated. |
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80. Adjustment disorder vs. PTSD?
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In adjustment disorder, the stressful event is not life threatening (such as a divorce, death of a loved one, or loss of a job).
b. In PTSD, it is. |
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81. Tx of Adjustment disorder?
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a. Supportive psychotherapy (most effective)
b. Group therapy c. Pharmacotherapy for associated sx (insomnia, anxiety, or depression). |
